Top10 Nnwumayɛfo wɔ Amerika: Distal Humerus Locking Mprɛte ( May 2025 )

Distal Humerus no nipadua mu nkwaadɔm

Wɔakyekyɛ distal humerus no mu ayɛ no mfinimfini adum ne akyi adum.

Mfinimfini Adum

Mfinimfini adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ ahurututu no mu, mfinimfini epicondyle, ne mfinimfini adum no, a ahurututu no trochlea ka ho.

Lateral Column a Ɛwɔ Akyi

Akyi adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ humerus no mu, akyi epicondyle, ne akyi condyle a ahumerus no capitulum ka ho.

Coronoid Fossa ne Olecranon Fossa a ɛwɔ nipadua no mu

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

Akwan a Wɔfa so Pira wɔ Distal Humerus Fractures mu

Wɔakyekyɛ distal humerus no mu ayɛ no mfinimfini adum ne akyi adum.

Dɛn nti na distal humerus no taa paapae?

Sɛ́ nsateaa nkwaa no fã titiriw no, distal humerus fractures taa fi 'apirakuru tẽẽ' (te sɛ asehwe a ɛba nsateaa so) anaa 'apirakuru a ɛnteɛ' (te sɛ nneyɛe a wɔkyinkyim anaasɛ wɔtow).

- Ntini a Ɛtwe TumiLateral Column

Mfinimfini adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ ahurututu no mu, mfinimfini epicondyle, ne mfinimfini adum no, a ahurututu no trochlea ka ho. ·Ntini a ɛkyinkyini a ɛwɔ mu no mu a ɛtwetwe denneennen ·elbow flexor ntini a ɛtwetwe denneennen

- a Ahoɔden a Ɛkorɔn Trauma

Tumi ahorow a efi abɔnten te sɛ kar akwanhyia anaasɛ obi a ɔhwe ase fi soro betumi ama abubu abubu anaasɛ ɛka ntini no ani.

Coronoid Fossa ne Olecranon Fossa a ɛwɔ nipadua no mu

·Kakra akwanhyia ·Ɔhwe ase fi soro

AO Nkyekyɛmu: Typing a Ɛyɛ Pɛpɛɛpɛ de Kyerɛkyerɛ Oprehyɛn Ho Gyinaesi

Sɛnea AO nkyekyɛmu nhyehyɛe no kyerɛ no, wɔkyekyɛ distal humerus fractures mu sɛnea edidi so yi, na ɛnya ayaresa akwan a wɔpaw no so nkɛntɛnso tẽẽ:

Type A: Ntini akyi a ɛpaapae

- A1: Simple fracture, articular biara nni mu. - A2/A3: Metaphyseal fractures a ɛwɔ nkɛntɛnso anaasɛ ɛtu, adwene a ɛhia ma angular deformities.

Type B: Ntini no fã bi a abubu

Fracture line no fa nkwaa no ani ho nanso ɛntetew mu koraa; anatomical reduction ho hia na ama nkwaa no asan ayɛ pɛ.

Type C: Ntini a abubu koraa

- C1/C2: Intra-articular fractures a ɛnyɛ den a metaphyseal ka ho. - C3: Comminuted intra-articular fractures, nea ɛyɛ den sen biara sɛ wɔbɛsa; stable fixation ho hia na ama asiane a ɛwɔ hɔ sɛ obi benya ntini mu yare a ɛba wɔ ahodwiriw akyi no so atew.. Loc

Nkyerɛase a Ɛwɔ Nkyekyɛmu Ho:

AO nkyekyɛmu no ma sɛnea abubuo no mu yɛ den no mu da hɔ na ɛma akwankyerɛ ma mprɛte a wɔpaw (sɛ nhwɛso no, mprɛte biako ne abien, skru a wɔde to mu ho nhyehyɛe) de hwɛ hu sɛ ahoɔden a wɔde si hɔ ne abɔde a nkwa wom kari pɛ.

Oprehyɛn Ayaresa: Mfaso Titiriw a Ɛwɔ Mprɛte a Wɔde Sisi So So

Nnyinasosɛm a Ɛfa Ayaresa Ho:

AO nyansapɛ a wodi akyi: 'Anatomical reduction, fixation a ɛyɛ pintinn, ne dwumadi apɔw-mu-teɛteɛ ntɛm.'

Ahoɔden a Ɛkorɔn a Ɛyɛ Ahodwiriw

Tumi ahorow a efi abɔnten te sɛ kar akwanhyia anaasɛ obi a ɔhwe ase fi soro betumi ama abubu abubu anaasɛ ɛka ntini no ani.

Nnyinasosɛm a Ɛfa Ayaresa Ho

• Anatomical a wɔtew so

• Fixation a ɛyɛ den

• Apɔw-mu-teɛteɛ a wɔyɛ no ntɛm

Oprehyɛn Ho Nsɛnkyerɛnne

• Ntini a ɛkɔ baabi foforo >2mm

• Nneɛma a abubu a wɔabue

• Ntini mu ntini mu opira a wɔaka abom

• Ayaresa a wɔde di dwuma wɔ ɔkwan a ɛyɛ katee so a entumi nyɛ adwuma yiye

Plate Fixation Akwan a Wɔfa so Yɛ

• Dual Plate Ɔkwan a Wɔfa so Yɛ

Ɛfata ma akisikuru a ɛyɛ type C. Fixation fi mfinimfini (sɛ nhwɛso no, anatomical locking plate) ne akyi (sɛ nhwɛso no, parallel plate) afã abien no nyinaa ma 3D gyina pintinn na ɛtew asiane a ɛwɔ oprehyɛn akyi rotational deformity so.

• Single Plate Ɔkwan a Wɔfa so Yɛ

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

• Ɔkwan a Wɔfa so Yɛ Nneɛma a Ɛnyɛ Den

Wɔde ka ho ne percutaneous screw placement na ama asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so atew na wɔakora periosteal mogya a wɔde ma no so.

Ayaresa mu Botae a Ɛwɔ Plate Fixation Ho

Mfaso a Ɛwɔ Biomechanical Mu

Mprɛte a wɔde to mu no ma ahinanan gyina pintinn, na mfaso wɔ so titiriw ma ayarefo a nnompe mu ayɛ mmerɛw.

Dwumadie mu Nneɛma a Wɔsan Yɛ Ho Bɔhyɛ

Anatomical reduction kora elbow joint movement so kɛse, na ɛtew nsɛnnennen te sɛ nonunion anaasɛ malunion so.

Nsusuwii a Wɔayɛ no Amanneɛbɔ

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

Distal Humerus no nipadua mu nkwaadɔm

Wɔakyekyɛ distal humerus no mu ayɛ no mfinimfini adum ne akyi adum.

Mfinimfini Adum

Mfinimfini adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ ahurututu no mu, mfinimfini epicondyle, ne mfinimfini adum no, a ahurututu no trochlea ka ho.

Lateral Column a Ɛwɔ Akyi

Akyi adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ humerus no mu, akyi epicondyle, ne akyi condyle a ahumerus no capitulum ka ho.

Coronoid Fossa ne Olecranon Fossa a ɛwɔ nipadua no mu

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

Distal Humerus no nipadua mu nkwaadɔm

Wɔakyekyɛ distal humerus no mu ayɛ no mfinimfini adum ne akyi adum.

Medial Column a ɛwɔ hɔ

Mfinimfini adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ ahurututu no mu, mfinimfini epicondyle, ne mfinimfini adum no, a ahurututu no trochlea ka ho.

Lateral Column a Ɛwɔ Akyi

Akyi adum no ka akyi fã a ɛwɔ metaphysis a ɛwɔ humerus no mu, akyi epicondyle, ne akyi condyle a ahumerus no capitulum ka ho.

Coronoid Fossa ne Olecranon Fossa a ɛwɔ nipadua no mu

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