Views: 0 Author: Site Editor Bɔli waati: 2025-05-22 Bɔyɔrɔ: Yɔrɔ
Distal humerus fractures ye joginda suguya ye min ka teli ka kɛ ni fanga caman ye kolotugudaw la. Furakɛli gɛlɛya bɛ bɔ farikolo yɔrɔw ka gɛlɛya la ani a ka kan ka kolotugudaw baara kokura. Anw minnu ye furakɛlikɛla ŋanaw ye kolotugudaw kɔnɔna labɛnni siratigɛ la, an bɛ joginda kɛcogo, AO danfara, ani plati siricogo fɛɛrɛw sɛgɛsɛgɛli kuncɛlen kɛ kɔkolo yɔrɔjan karilenw na walasa ka kɛnɛyaso furakɛli tigitigi dɛmɛ.
1. Humerus yɔrɔjan farikolo yɔrɔw labɛncogo
Dugukolo yɔrɔjan bɛ Kɛ cɛmancɛ ni kɔfɛla kolosinsinnanw ye, minnu bɛ Kɛ ni epikɔndiliw ni kɔndiliw ye.
CZMEDITECH bɛ misali saba dilan: plati extraarticulaire (01.1107), plate lateral (5100-17), ani plati médial (5100-18).
Anatomie de la Humerus Distal (Humerus) yɔrɔjan
Distal humerus bɛ tila ka kɛ cɛmancɛla ni kɛrɛfɛla ye.
Kolon min bɛ wele ko Medial
Cɛmancɛ kolosinsinnan bɛ kɛ ni kɔkolo ka metafizi cɛmancɛ yɔrɔ ye, cɛmancɛla epikɔndili ani cɛmancɛla kɔndili, o la, kɔkolo ka trochlea fana bɛ sɔrɔ.
Kolon min bɛ kɛ kɛrɛfɛ
Kɛrɛfɛla kolotuguda bɛ kɛ ni kɔkolo kɔkanna metafizi ye, kɔkanna epikɔndili ani kɛrɛfɛla kɔndili, kɔkolo kapitulu fana sen bɛ o la.
Koronoid Fossa ani Olecranon Fossa
Minnu bɛ sɔrɔ kolosinsinnan fila ni ɲɔgɔn cɛ, olu ye ɲɛfɛla kolosinsinnan ni kɔfɛla kolosinsinnan ye.
Jogincogo fɛɛrɛ min bɛ sɔrɔ sɔgɔsɔgɔninjɛ yɔrɔjan karilenw na
Mun na kɔkolo yɔrɔjan ka teli ka kari?
I n’a fɔ kɔkili kolotuguda yɔrɔ koloma dɔ, a ka ca a la, kɔkili yɔrɔjan karilenw bɛ bɔ 'bɔnɛ tilennen' (i n’a fɔ bin jiginni kɔkili kan) walima 'bɔnɛ tilennen' (i n’a fɔ tigɛli walima fili walew).
- Farikolo Sama fanga
Cɛmancɛ kolosinsinnan bɛ kɛ ni kɔkolo ka metafizi cɛmancɛ yɔrɔ ye, cɛmancɛla epikɔndili ani cɛmancɛla kɔndili, o la, kɔkolo ka trochlea fana bɛ sɔrɔ.
Kɛnɛma fanga i n’a fɔ siraba kasaara walima binkanni ka bɔ sanfɛ, o bɛ se ka kɛ sababu ye ka kari tigɛtigɛ walima ka kɛ sababu ye ka bolokɔniw sen don a la.
Koronoid Fossa ani Olecranon Fossa
· Sirako kasaara minnu bɛ kɛ
·A bɛ bin ka bɔ sanfɛ
AO danfara: Sɛbɛnni tigitigi walasa ka opereli latigɛw ɲɛminɛ
Ka kɛɲɛ ni AO danfaracogo ye, kɔkolo yɔrɔjan karilenw bɛ tila nin cogo la, o bɛ nɔ bila furakɛli fɛɛrɛw sugandili la k’a ɲɛsin u yɛrɛ ma:
A suguya: Joli kɔkanna karilenw
- A1 : Kari nɔgɔman, bolokɔniw sen tɛ a la.
- A2/A3 : Metafisi karilenw minnu bɛ nɔ bila walima minnu bɛ bɔ yɔrɔ wɛrɛ la, jateminɛ ka kan ka kɛ kɛrɛkiliw ka bɔgɔbɔgɔli la.
B suguya : Joli yɔrɔ dɔw karilen don
Kari sira bɛ kolotugudaw lamini nka a tɛ fara ɲɔgɔn kan pewu; farikolo yɔrɔw dɔgɔyali ka kan walasa ka kolotugudaw ka ɲɔgɔndɛmɛ segin.
C suguya : Joli siraw karilen dafalen
- C1/C2 : Joli kɔnɔbara karilen nɔgɔmanw ni metafizi sen bɛ a la.
- C3 : Joli-kɔnɔ-kari minnu bɛ nɔgɔya, olu furakɛli ka gɛlɛn kosɛbɛ ; fixation stable ka kan ka kɛ walasa ka dɔ bɔ jolidɛsɛ kɔfɛ..
Nafa min bɛ danfara la:
AO danfara bɛ kari juguya ɲɛfɔ ani ka bilasirali di plati sugandili la (misali la, plati kelen ni fila, bololanɛgɛw dilanni) walasa ka a siri fanga ni biologiki balansi fila bɛɛ lajɛlen sabati.
Opereli furakɛli: Nafa jɔnjɔn minnu bɛ sɔrɔ plati sirili la
Furakɛli sariyakolow:
Ka tugu AO ka hakilinata kɔ: 'Anatomie dɔgɔyali, fixation sabatilen, ani baarakɛcogo daminɛni.'
Trauma min bɛ fanga caman sɔrɔ
Kɛnɛma fanga i n’a fɔ siraba kasaara walima binkanni ka bɔ sanfɛ, o bɛ se ka kɛ sababu ye ka kari tigɛtigɛ walima ka kɛ sababu ye ka bolokɔniw sen don a la.
Furakɛli sariyakolow
Anatomie (banakisɛfagalanw) dɔgɔyali
Fixation sabatilen (fixation) sabatilen
Farikoloɲɛnajɛ baarakɛcogo daminɛ na
Opereli taamasiɲɛw
Artikulaire jiginni >2mm
Kari dafalenw
Joginni minnu bɛ kɛ ni farikolojidɛsɛ ye, olu faralen ɲɔgɔn kan
Furakɛli min bɛ kɛ ni kɔrɔlen ye, o dɛsɛli
Plate Fixation Stratégie (Fɛɛrɛ min bɛ kɛ ka platiw jɔ
Technique de Plaque Dual (Dual Plaque) ye
A bɛnnen don kari suguya C ma. Fixation ka bɔ cɛmancɛ (misali la, anatomical locking plate) ani kɛrɛfɛ (misali la, parallèle plate) fan fila bɛɛ la, o bɛ 3D sabatili di ani ka dɔ bɔ opereli kɔfɛ jiginni na.
Fɛɛrɛ min bɛ kɛ ni Plaque kelen ye
A bɛ kɛ A suguya ni B suguya yɔrɔ dɔw karilenw na. Farikolo minnu dilannen don ka kɔn, n’u bɛ bɛn humerus distal anatomie ma, olu bɛ farikolo yɔrɔ nɔgɔlenw tigɛcogo dɔgɔya.
Fɛɛrɛ min bɛ mɔgɔ minɛ kosɛbɛ
A faralen don ɲɔgɔn kan ni kuru bilali ye farikolo la walasa ka banakisɛw sɔrɔli farati dɔgɔya ani ka joli segin kɔ kɔnɔbara la.
Nafa min bɛ sɔrɔ plati fixation na kɛnɛyaso la
Nafa min bɛ sɔrɔ biyomekaniki la
Locking plates bɛ kɛ sababu ye ka angular stability di, kɛrɛnkɛrɛnnenya la, o nafa ka bon kolocibanabagatɔw ma.
Garanti min bɛ kɛ ka segin a cogo kɔrɔ la
Farikoloɲɛnajɛ dɔgɔyali bɛ kɔkiliw lamagacogo lakana fo ka se a dan na, ka gɛlɛyaw dɔgɔya i n’a fɔ ɲɔgɔndɛmɛbaliya walima ɲɔgɔndɛmɛbaliya.
Design min bɛ kɛ ka kɛɲɛ ni mɔgɔw sago ye
Farikolo minnu dilannen don kari suguya kɛrɛnkɛrɛnnenw kama (misali la, kɔndiliw ni ɲɔgɔn cɛ jirisunw dɛmɛnanw) bɛ fanga cicogo ɲɛ ani ka kolo kɛnɛyali teliya.
CZMEDITECH Distal Humerus Locking Plate Modèlew ye
An ka distal humerus locking plate series dabɔra kɛrɛnkɛrɛnnenya la distal humerus karilenw kama. Ni farikolo yɔrɔw labɛncogo ye, ni bololanɛgɛw ye, ani ni fɛn caman ɲɛfɔcogo ye, a bɛ furakɛli fɛɛrɛw di minnu tɛ mɔgɔ tɔɔrɔ, minnu sabatilen don, ani minnu bɛ se ka wuli ka bɔ u nɔ na kɛnɛyaso opereli kama.
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