Top5 Nneɛma a Wɔyɛ wɔ Mfinimfini Apuei: Distal Humerus Locking Plates ( May 2025 )
Nhwɛsoɔ: 0 Ɔkyerɛwfoɔ: Site Editor Bere a wɔde tintimii: 2025-05-22 Mfiase: Beaeɛ
Distal humerus fractures yɛ opira a ahoɔden kɛse taa ba wɔ nnompe ho aduruyɛ mu. Nea ɛyɛ den wɔ ayaresa mu no fi sɛnea nipadua no nhyehyɛe yɛ den ne hia a ehia sɛ wɔsan ma nkwaa no yɛ adwuma bio no. Sɛ́ adwumayɛfo ano aduru a wɔde ma wɔ nnompe mu ntini a wɔde si hɔ ho no, yɛde nhwehwɛmu a emu dɔ ma wɔ opira akwan, AO nkyekyem, ne mprɛte a wɔde si hɔ ho akwan horow a wɔfa so de distal humerus a ɛpaapae ho ma de boa ayaresabea ayaresa a ɛyɛ pɛpɛɛpɛ.
1. Distal Humerus no nipadua akwaa
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).
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
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
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..
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 pintinn
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.
CZMEDITECH Distal Humerus Locking Mprɛte Nhwɛsode
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.
Osuahu ahorow a wɔayɛ ama ankorankoro a wotumi di so koraa.
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