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.
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 .
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.
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.
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.
Distal humeral extraarticular locking mprɛte .
Nhwɛsode: 01.1107
Nkyerɛkyerɛmu: ntokuru 4–9, 144–184 mm .
