Klavia ƒe gbagbã .

Clavicle ƒe gbagbã ƒe dzɔdzɔ nye 30-60 le ame 100,000 ɖesiaɖe me, eye ŋutsu kple nyɔnu ƒe xexlẽme anɔ abe 2:1 ene, si nye 5% va ɖo 10% le abɔta ƒe gbagbãwo katã me kple abɔta ƒe ƒunukpeƒe ƒe abi 44%. Kpoae nye ƒu gbãtɔ si me ƒu le le amegbetɔ ƒe ŋutilã me, eye eƒe ƒu ƒe ƒuƒu dzea egɔme le fugboe ƒe agbenɔƒe ƒe kwasiɖa atɔ̃lia me, eye eya koe nye ƒu legbe si le abe ƒu ene si ƒoa ƒu to ƒumeŋuɖui me. Ossification Centre gbãtɔa le clavicle titina eye eyae nye amesi ƒe tagbɔ le tsitsim vaseɖe ƒe 5 xɔxɔ. Epiphyseal plate si le dzidzim ɖe edzi le klavi la ƒe ememe kple egodo ƒe nuwuwu ɖesiaɖe, gake zi geɖe la, woate ŋu akpɔ medial ossification center la le susu me to x-ray dzi. Medial epiphyseal plate lae nyea 80% ƒe didime ƒe tsitsi le clavicle la me, eye zi geɖe la, eƒe ossification centre medzea dodo gɔme o vaseɖe ƒe 13 va ɖo 19 xɔxɔ me, eye meƒoa ƒu kple clavicle o vaseɖe ƒe 22 va ɖo 25 me. Eyata ne wole sternoclavicular dislocation dim le sɔhɛ dɔnɔwo ŋu la, ele vevie be woade vovototoe kple medial clavicular epiphyseal injury.

Dɔwɔwɔ ƒe wɔwɔme .

Kpoa le dzɔdzɔe abe alesi wòle le ŋgɔgbe ene, gake eƒe nɔnɔme le abe S ene ne wokpɔe nyuie wu, eƒe akɔta le ƒoƒom eye wòle titina na ventral ƒe akpa. Eƒe cross-section trɔna le axis didi la dzi, eye gota 1/3 la le gbadzaa be wòaxɔ lãmeka kple lãkusi ƒe hehe; Titina 1/3 va zua ʋuʋudedi, eye eƒe didime dzi ɖe kpɔtɔ eye eƒe akpa si le ʋeʋẽm wu kple ƒu si le ʋeʋẽm wu susɔeawo, be wòaxɔ axial pressure kple tension eye woakpɔ ʋuka me lãmeka siwo le ete la ta; Ememe 1/3 nye rhombic eye wòdo ƒome kple sternum kple rib gbãtɔ to lãkusi sesẽ me (Nɔnɔmetata 1). Anatomical numekukuwo ɖee fia be clavicle la gbɔdzɔ wu le afisia le nɔnɔme ƒe tɔtrɔ le titina kple egodo 1/3 ta. Tsɔ kpe ɖe eŋu la, ele axadzi na subclavian muscle stop eye mekpɔ lãmeka ƒe lãkusiwo ƒe takpɔkpɔ o, si wɔe be wònye teƒe si woate ŋu adze afɔku le wu be woagbã, abe alesi wòdze le dɔdamɔnu siwo wokpɔ me ene.

Mɔ̃ si dzi woato axɔ abi .

Le clavicle fractures le ame tsitsiwo gome la, wosusui tsã be nuveviwɔame ƒe mɔnu si bɔ wu na clavicle fractures la tso anyidzedze kple asi le hyperextended position me, gake Stanley et al. Wokpɔe be nuveviwɔame ƒe mɔnu sia nye 6.3% ko le titina ƒe titina ƒe gbagbã kple 5.9% le distal clavicle gbagbã me, eye le dɔnɔwo katã me la, nuveviwɔame ƒe mɔnu si bɔ wu la tso ŋusẽ tẽ siwo wɔa dɔ ɖe abɔta ƒe ƒunukpeƒe si zi geɖe le abɔta ƒe ƒunukpeƒea dzi, zi geɖe la, ŋusẽ tẽ ɖe abɔta ƒe ƒunukpeƒea dzi, zi geɖe la, enyea ŋusẽ tẽ ɖe abɔta ƒe ƒunukpeƒea dzi, zi geɖe la, enyea ŋusẽ tẽ ɖe abɔta ƒe ƒunukpeƒea dzi.

Le anyidzedze kple asibidɛ si le teƒe si wokeke ta ɖo la gome la, zi geɖe la, gotagomeŋusẽ si nye evelia le anyidzedzea me ƒe ŋusẽkpɔɖeamedzi gbɔe gbagbãƒea tsona. Afɔkpodzi ƒomevi bubu si tso ŋutasẽnuwɔwɔ si metso tẽ o gbɔe nye ne gotagomeŋusẽ aɖe wɔ dɔ ɖe abɔta, si wɔnɛ be ka gbãtɔa kpɔa ŋusẽ ɖe akɔtaƒu gbãtɔ dzi, si wɔnɛ be ƒunukpeƒea ƒe akpa si le abe ʋuƒo ene la dzɔna le abɔta ƒe titina 1/3. Tsɔ kpe ɖe eŋu la, esi ʋufɔkuwo dzɔna enuenu le ƒe ʋɛ siwo va yi me ta la, le ʋufɔkua ƒe ŋusẽkpɔɖeamedzi sesẽ ta la, ʋufɔti ƒe alidziblanua wɔa ŋusẽ ƒe ƒoƒo ɖe abɔta, si zi geɖe la, ehea akɔtaɖonu si le ŋgɔgbe alo esi me mekɔ o ɖe abɔta titina, si amewo yɔna be zikpuimeka ƒe gbagbã. Ðewohĩ esi wònye be zi geɖe la, nuveviwɔamea ƒe ŋutasẽnuwɔwɔa lolona ɖe edzi ta la, ƒunukpeƒetetedɔ sia ƒomevi nyea nusi mewɔa dɔ ɖekae o wu clavicle fracture si wozãna ɖaa.

Dᴐyᴐyᴐ

Titina ƒe afɔkpodzi ƒe gbagbã:

Splint fixation:Splint fixation of clavicle fractures gakpɔtɔ nye 'Gold Standard'. Plɛtiwo dometɔ aɖewoe nye 3.5mm LC-DCP, 3.5mm gbugbɔgatu gbadzɛwo, LCP ƒe ʋuƒo siwo wotsɔna ƒoa nu, kple agbalẽvi tɔxɛ aɖewo. Viɖe siwo le lãkusiwo ŋu dometɔ aɖewoe nye: nutete le ŋgɔgbeƒuwo ŋu; oblique alo kpakpaluʋui ƒe gbagbã kple tension screws siwo wotsɔ ƒo ƒu kple aŋenu siwo mewɔa nu ɖe ​​wo nɔewo ŋu o ƒe tsɔtsɔ ɖo wo nɔewo ŋu; tɔtrɔ ɖe nɔnɔmeawo ŋu nyuie; Kakaɖedzi si le gbagbãƒea ŋu na dɔnɔa ƒe gbesiagbedɔwo; kple nyateƒe si wònye be zi geɖe la, mehiã be woaɖe aŋenuawo ɖa o (ne ele be woaɖe wo ɖa vaseɖe ɣleti 12 va ɖo 18 le dɔwɔwɔ vɔ megbe).

Distal clavicle fracture:

Clavicle hook splint nye mɔnu si me womeƒoa nu le tẽ o, si ƒe viɖewo dometɔ aɖewoe nye ememe fixation la ɖoɖo bɔbɔe, repositioning ƒe beléle na wo pɛpɛpɛ wu, acromioclacular joint ƒe tɔtɔ aɖeke, kple ememe fixation ƒe liƒo si me mege ɖe lãkusi siwo ƒo xlãe me abe alesi wòle kple dekɔnu kyphotic pin ene o.

Proximal clavicle fracture:

Agbalẽawo ka nya ta be wodina be woawɔ atike na ame si mewɔa dɔ na ame o na gbagbã sia ƒomevi, eye wotsɔa brek ƒoa vidzidɔa ƒe abɔtawu. Woate ŋu abu incisional internal fixation ŋu ne ʋuka me lãmekawo ƒe abi le, alo ne ƒu ƒe gbagbã le megbe na dɔnɔa ƒe gbɔgbɔ alo nu mimi sesẽna na dɔnɔa, alo ne dzesi ma tɔgbe aɖeke mele eŋu o gake nɔnɔmetatawo ɖeɖe ɖe go ɖee fia be ʋuʋudedi si woɖe ɖe vovo la le fu ɖem na megbe ƒe wɔwɔme vevi aɖe. Ne womate ŋu awɔ fixation o la, woate ŋu aɖe proximal clavicle la ɖa ne ehiã.

Kuxiwo .

• No Healing:Agbalẽ siwo do ŋgɔ ka nya ta be womeda gbe le ame ŋu o si nye 0.9% va ɖo 4% na clavicle fractures, eye numekuku si wowɔ nyitsɔ laa le agbɔsɔsɔ gã me ɖee fia be agbɔsɔsɔ ŋutɔŋutɔ si me womedaa gbe le o la sɔ gbɔ sã wu esi ame ate ŋu akpɔ mɔ na.

• Deformity Healing: dekɔnu ƒe nukpɔsusu enye be deformity gbedada na clavicle nye atsyɔ̃ɖoɖo ƒe kuxi ko eye be ne womeda gbe le ame ŋu le amekoko megbe o la, emetsonua nyo wu mɔɖeɖe be nɔnɔme madeamedzia nanɔ anyi. Gake nusiwo wokpɔ nyitsɔ laa ɖee fia be zi geɖe la, lãkusi ƒe kpuiƒe si wu sentimeta 15 hea vevesese kple ʋuʋu ƒe seɖoƒe vɛ le eƒe nuwuwu. Tsɔ kpe ɖe eŋu la, agbalẽnyala aɖewo do susu ɖa be 'clavicle shaping' bɔbɔe le deformity healing ƒe atikewɔwɔ me, gake mɔnu sia menyo o. Ne woɖe lãkusi si do ɖe gota ko ɖa la, ate ŋu ana klavi la naɖiɖi eye wòadzi afɔku si le gbagbã me ɖe edzi ŋutɔ, eye esi wònye be klavi la ƒe nɔnɔme madeamedzi dzena le didime etɔ̃ me ta la, 'Smoothing' Klavi si le yameʋu si le tsia dzi ɖeɖeko me maɖɔ nɔnɔme madeamedzia ɖo keŋkeŋ o. Eyata mɔnu si ŋu kakaɖedzi le wu la sɔ kple nonunion ƒe atikewɔwɔ: ƒu ƒe ƒuƒoƒo si sɔ gbɔ la ɖeɖe ɖa alesi woate ŋui le eƒe ƒoƒo vɔ megbe, ememe ƒe fixation ƒe liƒolili kple ƒu ƒe dodo le afɔɖeɖe ɖeka me. Ele eme baa be ele be woana dɔnɔa nanya afɔku si le non-union me hafi woawɔ dɔ nɛ.

• Vascular nerve injury:Alesi wòanya wɔ be ʋuka me lãmekawo naxɔ abi le lãkusi ƒe gbagbã megbe la le sue le eƒe gɔmedzedze, eye zi geɖe la, abi evelia medzɔna o le esi ƒu ƒe gbagbã ƒe ʋuʋu ta le ʋukawo ƒe lãkusi ƒe teƒe si dzi ɖe edzi le eƒe gbagbã megbe, gake le eƒe nuwuwu la, ƒumeŋuɖui ƒe tsitsi ate ŋu ana dzesi siwo nye entrapment nado. Ne esia nya dzɔ ko la, zi geɖe la, ehiãna be woawɔ dɔ na ame le amekoko me.

• Traumatic arthritis:Afɔku si gblẽa nu le lãkusi ƒe gbagbã megbe la te ŋu dzɔna le acromioclavicular joint me le clavicle ƒe gotagome 1/3 ƒe gbagbã megbe, vevietɔ le ƒunukpeƒe sia ƒe tsɔtsrɔ̃ le ɣeyiɣi si me nuveviwɔamea dzɔ ta, eye eƒe akpa aɖe tso ƒunukpeƒea ƒe akpa si le eme gbɔ. Ne nutsotso mewɔ dɔ o la, ele be woaɖe lãkusia ƒe didime si didi sentimeta 1 la ɖa, eye ele be woakpɔ egbɔ le dɔwɔwɔ me be woatsɔ akpɔ rostral-clavicular ligament la ta.

  
  

Ale Si Nàƒle Ƒumeŋutinunya Kple Ƒumeŋuɖuiwo ƒe Dɔwɔnuwo)

na . czmediTech , míekpɔa atike ƒomevi aɖe si de blibo ŋutɔ le ƒumeŋutinunya ƒe dɔwɔwɔ na ame ƒe ŋutilã kple dɔwɔnu siwo sɔ kplii me, atikeawo dometɔ aɖewoe nye . Akɔta ƒe nusiwo wotsɔ dea akɔtae ., Intramedullary ƒe ɖawo ., nuveviwɔame ƒe agbalẽvi ., Locking Plate ., Tagbɔ-maxillofacial ., Ametia ƒe akpa aɖe ., Ŋusẽ Dɔwɔnuwo ., External fixators ., Arthroscopy ., Lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe dɔwɔnu siwo kpena ɖe wo ŋu.

Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo tum ɖo eye míakeke atikewo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nakpɔ hoʋiʋli geɖe wu le xexeame katã ƒe ƒumeŋutinunya kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.

Míeɖoa wo ɖe xexeame katã, ale be nàte ŋu awɔ . Ka ɖe mía dzi le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .

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