Proximal Humeral Greater Tuberosity Locking Plate: Nhwehwɛmu a ɛkɔ akyiri
Proximal humerus yɛ nnompe nhyehyɛe a ɛho hia a edi dwuma titiriw wɔ ɔfã a ɛwɔ soro no dwumadi mu. Sɛ obi abubu wɔ saa beae yi a, ebetumi ama obi ayɛ adwuma yiye na wadi dɛm. Wɔ nnansa yi mfe mu no, mprɛte a wɔde to mu a wɔayɛ no ama nsakrae kɛse wɔ sɛnea wɔhwɛ akisikuru a ɛbɛn akyi no so. Proximal humeral greater tuberosity locking plate (PHGTLP) yɛ locking plate bi a agye din wɔ nnansa yi mfe mu esiane nea efi ayaresabea mu ba a eye kyɛn so nti. Wɔ saa asɛm yi mu no, yɛde PHGTLP ho nhwehwɛmu a edi mũ bɛma, a ne nipadua, nea ɛkyerɛ, ɔkwan a wɔfa so yɛ oprehyɛn, nea efi mu ba, ne nsɛnnennen a ɛde ba ka ho.
Anatomy ho adesua
Proximal humerus no wɔ afã anan: humeral ti, tuberosity kɛse, tuberosity ketewa, ne humeral shaft. Tuberosity kɛse no yɛ nnompe a ɛda adi wɔ akyi wɔ humeral ti no ho, na ɛma rotator cuff ntini no nya baabi a ɛbata ho. Wɔayɛ PHGTLP no sɛnea ɛbɛyɛ a ɛbɛhyɛ akisikuru a ɛwɔ tuberosity kɛse no mu, a ɛtaa ba wɔ proximal humeral fractures mu.
Nsɛnkyerɛnne a ɛkyerɛ
Wɔakyerɛ PHGTLP no sɛ wɔmfa nni proximal humeral fractures a ɛfa tuberosity kɛse ho no ho dwuma. Mpɛn pii no, saa akisikuru yi ne rotator cuff apirakuru wɔ abusuabɔ na ebetumi ama adwumayɛ asɛe kɛse. PHGTLP no ma fixation a ɛyɛ pintinn, a ɛma wotumi boaboa wɔn ho ano ntɛm na wɔsan siesie wɔn ho.
Ɔkwan a Wɔfa so Yɛ Oprehyɛn
Oprehyɛn kwan a wɔfa so yɛ PHGTLP no hwehwɛ sɛ wɔfa ɔkwan a wɔfa so tew so a wɔabue ano na wɔde si mu. Wɔde ɔyarefo no si mpoano nkongua anaa akyi decubitus gyinabea, na wɔde ntama a ɛnyɛ ɔyare mmoawa siesie beae a wɔbɛyɛ oprehyɛn no. Wɔtwa tuberosity kɛse no so tenten, na wɔtew abubuw no so. Afei wɔde PHGTLP no to humeral ti no akyi, na wɔde nkɔnsɔnkɔnsɔn no fa mprɛte no mu kɔ dompe no mu. Mprɛte no ma wotumi de si hɔ pintinn, na ɛma wotumi boaboa nneɛma ano ntɛm na wɔsan siesie no.
Nea efi mu ba
Wɔada no adi sɛ PHGTLP no wɔ ayaresabea mu nsunsuanso a eye kyɛn so wɔ proximal humeral fractures a wɔhwɛ so no mu. Nhwehwɛmu pii abɔ amanneɛ sɛ fracture union dodow a ɛkɔ soro, nea efi dwumadi mu ba pa, ne nsɛnnennen a ɛba fam. Wɔ nhyehyɛe mu nhwehwɛmu a wɔyɛe wɔ nhwehwɛmu 11 mu no, na PHGTLP no ne 95% nkabom dodow, 92% adwumayɛ mu aba pa anaa nea eye kyɛn so, ne 6% nsɛnnennen dodow wɔ abusuabɔ.
Nsɛnnennen a ɛba
Nsɛnnennen a ɛbata PHGTLP ho ne skru a ɛtow, implant a entumi nyɛ adwuma yiye, ɛnyɛ biako, ne ɔyare mmoawa. Nsɛnnennen a ɛba no sua, na wotumi di dodow no ara ho dwuma wɔ ɔkwan a ɛfata so. Wɔ nhyehyɛe mu nhwehwɛmu a wɔyɛe wɔ nhwehwɛmu 11 mu no, ɔhaw a ɛtaa ba ne screw perforation, a ɛbaa wɔ nsɛm no mu 2.2% mu.
Awie
PHGTLP yɛ ɔkwan a etu mpɔn na ahobammɔ wom a wɔfa so di proximal humeral fractures a ɛfa tuberosity kɛse ho no ho dwuma. Mprɛte no ma wɔde si hɔ pintinn, na ɛma wotumi boaboa nneɛma ano ntɛm na wɔsan siesie no. Wɔada no adi sɛ PHGTLP no wɔ ayaresabea mu nsunsuanso a eye kyɛn so a nsɛnnennen dodow sua. Ɛsɛ sɛ wosusuw PHGTLP a wɔde bedi dwuma ho wɔ proximal humeral fractures a wɔhwɛ so no mu.
FAQs
Bere tenten ahe na egye na obi ho atɔ no afi proximal humeral fractures a wɔde PHGTLP dii ho dwuma no mu?
Bere a ne ho bɛtɔ no gyina nneɛma pii so, te sɛ sɛnea akisikuru no mu yɛ den, mfe a ɔyarefo no adi, ne ayaresa tebea horow a na ɔwɔ dedaw. Mpɛn pii no, ayarefo dodow no ara betumi ahwɛ kwan sɛ wɔbɛsan akɔ wɔn dwumadi ahorow mu wɔ asram 6-12 mu wɔ oprehyɛn no akyi.
So PHGTLP a wɔde di dwuma no ne nsɛnnennen biara a ɛtra hɔ kyɛ wɔ abusuabɔ?
Nsɛnnennen a ɛtra hɔ kyɛ a ɛbata PHGTLP ho no ntaa mma. Nanso, ɛsɛ sɛ ayarefo hu asiane a ɛwɔ hɔ sɛ nneɛma a wɔde hyɛ nipadua mu no rentumi nyɛ adwuma yiye, na ebetumi aba wɔ oprehyɛn no akyi mfe pii. Sɛ wo ne oduruyɛfo a ɔresa no yare no di akyi daa a, ebetumi aboa ma wɔahu nsɛnnennen biara a ebetumi aba na wɔadi ho dwuma ntɛm ara.
So wobetumi de PHGTLP adi dwuma wɔ nsɛm a ɛfa proximal humeral fractures ho nyinaa mu?
Dabi, wɔayɛ PHGTLP titiriw sɛ wɔde besiw akisikuru a ɛwɔ tuberosity kɛse no mu. Wɔ nsɛm a abubu no fa proximal humerus no afã afoforo ho mu no, ebia ɛho behia sɛ wosusuw oprehyɛn afoforo ho.
Bere bɛn na ayarefo a wɔreyɛ wɔn PHGTLP oprehyɛn no ho tɔ wɔn?
Bere a ne ho tɔ no gu ahorow gyina sɛnea akisikuru no mu yɛ den, mfe a ɔyarefo no adi, ne aduruyɛ mu tebea biara a na ɔwɔ dedaw so. Ayarefo dodow no ara betumi ahwɛ kwan sɛ wɔbɛsan akɔ wɔn dwumadi ahorow mu wɔ asram 6-12 akyi wɔ oprehyɛn no akyi.
Ɔkwan bɛn so na ayarefo betumi ama wɔn ho atɔ wɔn yiye wɔ PHGTLP oprehyɛn akyi?
Ayarefo betumi ama wɔn ho atɔ wɔn yiye denam nhyehyɛe a wɔde bɛsan asiesie a wɔn oduruyɛfo a ɔhwɛ wɔn yare no ayɛ a wobedi akyi no so. Ebia eyi bɛka apɔw-mu-teɛteɛ, apɔw-mu-teɛteɛ a wɔde ma sɛnea obi keka ne ho ne ahoɔden a ɛkɔ akyiri, ne akwan horow a wɔfa so siw ɛyaw ano. Ɛho hia sɛ wodi akwankyerɛ a oduruyɛfo a ɔresa no yare no de ma wɔ oprehyɛn akyi nyinaa akyi na ama ne ho atɔ no yiye.
Sɛ yɛde rewie a, PHGTLP yɛ ɔkwan a ahobammɔ wom na etu mpɔn a wɔfa so di proximal humeral fractures a ɛfa tuberosity kɛse ho no ho dwuma. Mprɛte no ma wonya fixation a ɛyɛ pintinn, a ɛma wotumi boaboa nneɛma ano ntɛm na wɔsan siesie no, na wɔada no adi sɛ ɛwɔ ayaresabea mu nsunsuanso a eye kyɛn so a nsɛnnennen dodow sua. Ɛsɛ sɛ ayarefo ne wɔn oduruyɛfo a ɔhwɛ wɔn yare no susuw PHGTLP a wɔde bedi dwuma ho de ahu sɛ ebia ɛyɛ ɔkwan a ɛfata ma wɔn akisikuru pɔtee no anaa. Sɛ wɔhwɛ ayarefo no so yiye na wodi wɔn akyi a, wobetumi ahwɛ kwan sɛ wɔbɛsan akɔ dwumadi ahorow a ɛfata mu na wɔanya asetra pa wɔ proximal humeral fracture oprehyɛn a wɔde PHGTLP ayɛ akyi.
