TOT10 a wɔyɛ wɔ Amerika: Distal humerus mprɛte a wɔde to mu ( May 2025 ) .

Anatomy a ɛwɔ distal humerus no mu .

Wɔakyekyɛ distal humerus no mu ayɛ no medial column ne lateral column.

Medial a ɛwɔ hɔ no .

Medial column no ka metaphysis a ɛwɔ humerus, medial epicondyle, ne medial condyle no mfinimfini fã no ho, a trochlea a ɛwɔ humerus no ka ho.

akyi adum .

Nea ɛka afã a ɛwɔ akyi no ho ne metaphysis a ɛwɔ humerus, lateral epicondyle, ne lateral condyle no akyi, a humerus no capitulum ka ho.

Coronoid Fossa ne Olecranon Fossa .

a ɛwɔ adum abien no ntam no wɔ anim coronoid fossa ne akyi olecranon fossa.

Afiri a ɛma obi pira wɔ distal humerus mu akisikuru mu .

Wɔakyekyɛ distal humerus no mu ayɛ no medial column ne lateral column.

Dɛn nti na humerus a ɛwɔ akyirikyiri no taa ma ɛpaapae?

Sɛ́ elbow joint no fã titiriw no, distal humerus fractures taa fi 'direct trauma' (te sɛ ahwease a ɛba fam wɔ elbow no so) anaasɛ 'indirect trauma' (te sɛ nneyɛe a wɔkyinkyim anaasɛ wɔtow).

- muscle twetwe forceslateral column .

Medial column no ka metaphysis a ɛwɔ humerus, medial epicondyle, ne medial condyle no mfinimfini fã no ho, a trochlea a ɛwɔ humerus no ka ho. ·Asum a ɛyɛ den a ɛwɔ rotator ntini a ɛwɔ mu no mu ·asen mu ntini a ɛyɛ den a ɛyɛ den no twetwe .

- a ewo ahoɔden a ɛkorɔn .

Abɔnten so tumi te sɛ kar akwanhyia anaasɛ hwe ase a efi soro ba no betumi ama abubu ayɛ comminit anaasɛ ɛfa articular surface no ho.

Coronoid Fossa ne Olecranon Fossa .

·Akwanhyia a ɛfa kar ho ·Ahweaseɛ a ɛfiri sorosoro .

AO Classification: Typing a ɛyɛ pɛpɛɛpɛ a ɛbɛkyerɛ oprehyɛn ho gyinaesi ahorow kwan .

Sɛnea AO nkyekyem nhyehyɛe no kyerɛ no, wɔkyekyɛ distal humerus mu abubu sɛnea edidi so yi, na ɛwɔ nkɛntɛnso tẽẽ wɔ ayaresa akwan horow a wɔpaw no so:

Type A: Ntini a ɛwɔ akyi berɛmo mu a ɛyɛ mmerɛw .

- A1: abubuo a ɛnyɛ den, articular ho a wɔde hyɛ mu biara nni hɔ. - A2/A3: Metaphyseal fractures a ɛwɔ nkɛntɛnsoɔ anaa ɛtuo, adwene a ɛhia ma angular deformities.

Type B: articular fractures fã bi .

Ntrɛwmu a ɛwɔ ntini no mu no fa nkwaa no ani nanso enni mpaapaemu koraa; Anatomical reduction ho hia na ama joint congruency asan aba.

Type C: articular fractures a edi mũ .

- C1/C2: articular fractures a ɛnyɛ den a ɛwɔ metaphyseal a ɛka ho. - C3: Commineted intra-articular fractures, nea ɛyɛ den sen biara sɛ wɔbɛsa; Stable fixation ho hia na ama asiane a ɛwɔ hɔ sɛ obi benya adwenemhaw akyi no so atew.. LOC .

Nkyekyâm a âwô nkyekyâm mu: .

AO nkyekyɛmu no ma mpaapaemu no mu yɛ den na ɛma akwankyerɛ ma mprɛte a wɔpaw (sɛ nhwɛso no, mprɛte a ɛyɛ biako vs. abien, locking screw designs) de hwɛ hu sɛ ahoɔden a ɛwɔ mu ne abɔde a nkwa wom kari pɛ.

Oprehyɛn ayaresa: Mfaso titiriw a ɛwɔ mprɛte a wɔde hyɛ mu so .

Ayaresa Nnyinasosɛm:

AO nyansapɛ no akyi a wodi: 'anatomical reduction, stable fixation, ne ntɛm dwumadi apɔw-mu-teɛteɛ.'

Ahoɔden a ɛkorɔn a ɛma obi yɛ basaa .

Abɔnten so tumi te sɛ kar akwanhyia anaasɛ hwe ase a efi soro ba no betumi ama abubu ayɛ comminit anaasɛ ɛfa articular surface no ho.

Ayaresa Nnyinasosɛm .

• Anatomical reduction .

• Fixation a ɛyɛ den .

• Apɔw-mu-teɛteɛ a wɔyɛ no ntɛm .

Oprehyɛn ho nsɛnkyerɛnne .

• Nneɛma a ɛwɔ nipadua no mu >2mm .

• Open fractures .

• Ntini mu ntini mu opira a wɔaka abom .

• Ayaresa a wɔde di dwuma ɔkwammɔne so a entumi nyɛ yiye .

Mprɛte a wɔde hyɛ mu no kwan so .

• Dual plate ho nimdeɛ .

Ɛfata ma Type C mu mpaapaemu. Fixation a efi medial (sɛ nhwɛso no, anatomical locking plate) ne lateral (sɛ nhwɛso no, parallel plate) no nyinaa ma 3D gyina na ɛtew asiane a ɛwɔ oprehyɛn no akyi a ɛkyinkyini no so.

• mprɛte biako a wɔde di dwuma .

Wɔde di dwuma ma type A ne type B a ɛyɛ fã bi a ɛpaapae. Mprɛte a wɔadi kan ayɛ a ɛne distal humerus anatomy hyia no ma ntini a ɛyɛ mmerɛw no twetwe no so tew.

• Ɔkwan a wɔfa so yɛ ade ketewaa bi .

a wɔde ka percutaneous screw placement ho na ama asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no so atew na wɔakora mogya a ɛwɔ periosteal so no so.

Ayaresa mu mfaso a ɛwɔ mprɛte a wɔde si hɔ so .

Mfaso a ɛwɔ biomechanical so .

Mprɛte a wɔde to mu no ma anim yɛ den, titiriw mfaso ma ayarefo a wɔwɔ nnompe mu yare no.

Dwumadi mu ahotɔ ho bɔhyɛ .

Anatomical reduction kora elbow joint mobility so kodu baabi kɛse, na ɛtew nsɛnnennen te sɛ nkabom anaa malunion so.

Nneɛma a wɔayɛ no sɛnea wɔpɛ .

Mprɛte a wɔayɛ ama mpaapaemu ahorow pɔtee bi (sɛ nhwɛso no, intercondylar ridge support mprɛte) no ma ahoɔden a ɛkɔ nipadua no mu no yɛ papa na ɛma nnompe no sa ntɛmntɛm.

Anatomy a ɛwɔ distal humerus no mu .

Wɔakyekyɛ distal humerus no mu ayɛ no medial column ne lateral column.

Medial a ɛwɔ hɔ no .

Medial column no ka metaphysis a ɛwɔ humerus, medial epicondyle, ne medial condyle no mfinimfini fã no ho, a trochlea a ɛwɔ humerus no ka ho.

akyi adum .

Nea ɛka afã a ɛwɔ akyi no ho ne metaphysis a ɛwɔ humerus, lateral epicondyle, ne lateral condyle no akyi, a humerus no capitulum ka ho.

Coronoid Fossa ne Olecranon Fossa .

a ɛwɔ adum abien no ntam no wɔ anim coronoid fossa ne akyi olecranon fossa.

Anatomy a ɛwɔ distal humerus no mu .

Wɔakyekyɛ distal humerus no mu ayɛ no medial column ne lateral column.

Medial a ɛwɔ hɔ no .

Medial column no ka metaphysis a ɛwɔ humerus, medial epicondyle, ne medial condyle no mfinimfini fã no ho, a trochlea a ɛwɔ humerus no ka ho.

akyi adum .

Nea ɛka afã a ɛwɔ akyi no ho ne metaphysis a ɛwɔ humerus, lateral epicondyle, ne lateral condyle no akyi, a humerus no capitulum ka ho.

Coronoid Fossa ne Olecranon Fossa .

a ɛwɔ adum abien no ntam no wɔ anim coronoid fossa ne akyi olecranon fossa.