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TOP5 a wɔyɛ wɔ Mfinimfini Apuei: Distal humerus mprɛte a wɔde to mu ( May 2025 ) .

Hwɛ: 0     Ɔkyerɛwfo: Site Editor Publish Time: 2025-05-22 Mfiase: Beaeɛ

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肱骨近端主图-1.

Distal humerus a ɛpaapae yɛ ade a ɛtaa ma nnompe mu yare a ahoɔden kɛse wom. Ayaresa a ɛyɛ den no gyina sɛnea nipadua no nhyehyɛe no yɛ den ne hia a ehia sɛ wɔsan de nkwaa no di dwuma no so. Sɛ́ obi a ɔde ano aduru ma wɔ nnompe mu ntini mu no, yɛde nhwehwɛmu a emu dɔ ma wɔ akwan a wɔfa so pira, AO nkyekyem, ne akwan a wɔfa so yɛ mprɛte a wɔde si fam a wɔde yɛ humerus a ɛpaapae wɔ akyirikyiri no ho de boa ayaresabea ayaresa a ɛyɛ pɛpɛɛpɛ.


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1. Distal humerus no nipadua mu yare .

Distal humerus no yɛ medial ne lateral columns, a epicondyles ne condyles ka ho.

2. Akwan a wɔfa so pira .

Distal humerus a ɛpaapae no fi adwenemhaw tẽẽ (sɛ nhwɛso no, asehwe) anaasɛ tumi a ɛnteɛ (sɛ nhwɛso no, twitwiw anaa ntini a ɛtwetwe).

3. AO nkyekyɛmu .

AO nkyekyem no kyekyɛ humerus a ɛwɔ akyirikyiri no mu ma ɛyɛ ahorow abiɛsa titiriw: A , B , ne C .

      

4. Oprehyɛn a wɔde sa yare .

Oprehyɛn ayaresa di AO nnyinasosɛm ahorow akyi: nipadua no mu a ɛso tew, nea ɛyɛ den a wɔde si so, ne sɛnea wɔsan siesie wɔn ho ntɛm.

       

5. Ayaresa mu bo a ɛsom .

Mprɛte a wɔde to mu no ma nkwaboaa no gyina yiye, titiriw wɔ nnompe dompe mu.

       

6. Czmeditech mprɛte ho mfonini ahorow .

Czmeditech de nhwɛso abiɛsa ma: extraarticular (01.1107), lateral (5100-17), ne medial (5100-18) mprɛte.


          

    肱骨解剖示意图    

Anatomy a ɛwɔ distal humerus no mu .

配图1.

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.                  

    肱骨解剖示意图    

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

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).

- a ewo ntini mu .

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. 

·Ntini a ɛwɔ mu a ɛyɛ rotator no mu a ɛyɛ den .

·Afehyia a ɛyɛ den a ɛwɔ elbow flexor ntini mu .

- 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 .

· Kar akwanhyia .

·Ahweaseɛ a ɛfiri sorosoro .

产品链接素材 . 产品链接素材22.


肱骨解剖示意图

   

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..

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.

配图3.


肱骨解剖示意图    

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.

    肱骨解剖示意图    

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.

    肱骨解剖示意图    

Czmeditech distal humerus locking mprɛte ho mfonini ahorow .

Wɔayɛ yɛn distal humerus locking plate series no titiriw ama distal humeral fractures a ɛyɛ den. Ɛnam nipadua mu contouring, locking screw technology, ne specifications pii so no, ɛde fixation ano aduru a ahobammɔ wom, ɛyɛ den, na ɛyɛ mmerɛw ma wɔ ayaresabea oprehyɛn ho.


产品图2.

Distal humeral extraarticular locking mprɛte .

Nhwɛsode: 01.1107

Nkyerɛkyerɛmu: ntokuru 4–9, 144–184 mm .


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产品图1.

Distal lateral humeral locking plate .

Nhwɛsode: 5100-17.

Nkyerɛkyerɛmu: 4–12 ntokuru, 86–190 mm .


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产品图3.

Distal medial humeral locking plate .

Nhwɛsode: 5100-18.

Nkyerɛkyerɛmu: 4–12 ntokuru, 69–173 mm .


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