1. Distal Humerus no nipadua mu nkwaadɔm
Distal humerus no yɛ mfinimfini ne akyi adum, a epicondyles ne condyles ka ho.
2. Ɔkwan a Wɔfa so Pira
Distal humerus fractures fi ahodwiriw tẽẽ (sɛ nhwɛso no, asehwe) anaa tumi a ɛnteɛ (sɛ nhwɛso no, twitwiw anaa ntini twetwe).
3. AO Nkyekyɛmu
AO nkyekyɛmu no kyekyɛ distal humerus a ɛpaapae mu yɛ no ahorow abiɛsa titiriw: A , B , ne C .
4. Oprehyɛn a Wɔde Yɛ Ayaresa
Oprehyɛn ayaresa di AO nnyinasosɛm ahorow akyi: nipadua a wɔtew so, nea wɔde si hɔ pintinn, ne nea wɔsan siesie no ntɛm.
5. Ayaresa mu Botae
Mprɛte a wɔde to mu ma biomechanical stability a ɛkorɔn, titiriw wɔ osteoporotic dompe mu.
6. CZMEDITECH Mprɛte Nhwɛsode ahorow
CZMEDITECH de mfonini abiɛsa ma: mprɛte a ɛwɔ akyi (01.1107), akyi (5100-17), ne mfinimfini (5100-18).
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 Tumi
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.
·Ahoɔden a ɛtwetwe ntini a ɛwɔ mu a ɛkyinkyini
·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
· Kar akwanhyia a ɛba
·Ɔhwe ase fi soro
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.
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.
Yɛn distal humerus locking plate series no yɛ nea wɔayɛ no titiriw ama distal humeral a ɛpaapae a ɛyɛ den. Ɛnam anatomical contouring, locking screw mfiridwuma, ne nneɛma pii a wɔakyerɛkyerɛ mu nti, ɛde fixation ano aduru a ahobammɔ wom, ɛyɛ den, na ɛyɛ mmerɛw ma ayaresabea oprehyɛn.
Distal Humeral Extraarticular Akwantuo a Wɔde Toto Nneɛma Mu
Nhwɛsode: 01.1107
Nkyerɛkyerɛmu: ntokuru 4-9, 144-184 mm
Distal Lateral Humeral a Wɔde Toto Mprɛte Mu
Nhwɛsode: 5100-17
Nkyerɛkyerɛmu: ntokuru 4-12, 86-190 mm
Distal Medial Humeral a Wɔde Toto Mprɛte Mu
Nhwɛsode: 5100-18
Nkyerɛkyerɛmu: ntokuru 4-12, 69-173 mm
