Akɔta ƒe gbagbã si te ɖe ame ŋu nye ƒu ƒe gbagbã siwo bɔ wu le ƒumeŋuɖui siwo me nuveviwɔame le me dometɔ ɖeka, eye ƒunukpeƒetetedɔ ƒe gbagbã akpa gãtɔ nye ƒu ƒe gbagbã siwo me ŋusẽ boo mele o le ame tsitsiwo me.
Togbɔ be woate ŋu ada akɔta ƒe gbagbã siwo le proximal ƒe akpa gãtɔ le mɔ si me womezãa nu le o nu hã la, 10-15% ƒe gbagbãwo hiã amekoko kokoko, si ƒe ɖewoe nye incisional reduction plate fixation, closed reduction intramedullary nail internal fixation, kple ƒunukpeƒe ɖɔliɖɔli.
Ele be woanɔ te ɖe dɔnɔa ƒe ŋutilã ƒe nɔnɔme, eya ŋutɔ ƒe nukpɔsusu, susu me mɔkpɔkpɔwo, kple eƒe gbagbã ƒomevi dzi atso nya me le atikewɔwɔ ŋu.
Gbugbɔgaɖoanyi kple wo dzadzraɖo ɖe gbagbãƒe kpatawo ŋu
. 76.2%).
2. Vevesese sesẽ dzi ɖuɖu do ŋgɔ na dɔwɔwɔ nɛ
【Kafukafu】Dɔnɔ siwo ŋu proximal humerus fracture le la lɔ̃a vevesesenutsitike si wozãna do ŋgɔ na dɔwɔwɔ na wo kple acetaminophen alo NSAID siwo woano, eye woate ŋu atsɔ opioid siwo woano akpe ɖe eŋu ne ŋusẽkpɔɖeamedzia menyo o (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 73.8%).
3. Dutanyanyuigblɔlawo ƒe hehexɔxɔ do ŋgɔ na dɔwɔwɔ nɛ
[Kafukafu] Ele be woawɔ hehenana do ŋgɔ na dɔwɔwɔ na ame le mɔ vovovowo nu eye woawɔe le mɔ vovovowo nu. (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔme: 83.8%)
4. Nunyiame ƒe dodokpɔ do ŋgɔ na dɔwɔwɔ na ame kple atikewɔwɔ si kpena ɖe ame ŋu
【Kafukafu】Be woawu nunyiame dodokpɔ nu le dɔnɔwo ŋu le gaƒoƒo 24 me tso esime woxɔ wo ɖe kɔdzi eye woana nunyiame ƒe nudede dɔnɔ siwo ŋu nunyiame ƒe afɔku le. (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 98.5%; kafukafu sesẽ ƒe agbɔsɔsɔme: 55.9%)
5. Suklidɔ ƒe dodokpɔ kple edziwɔwɔ le suklidɔléla me le dɔwɔwɔ nɛ me
【Kafukafu】Suklidɔléla akpa gãtɔ siwo le amekoko tiatia me ƒe taɖodzinu si wokafu be woatsɔ akpɔ suklidɔlélawo gbɔe nye 7.8 va ɖo 10.0 mmol/L.
6. Lãmetsi falɛfalɛwo ƒe vuvu dzi kpɔkpɔ le dɔwɔwɔ nɛ ƒe ɣeyiɣia me
【Kafukafu】Na dɔnɔ siwo le amekoko tiatia me le proximal humerus fracture ta la, wonaa ŋutilãmemɔnu geɖe be woatsɔ aɖe abi dzi akpɔtɔ le dɔwɔwɔ nɛ ƒe ɣeyiɣia me. (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 98.5%; kafukafu sesẽ ƒe agbɔsɔsɔme: 80.9%)
7. Nuɖuɖu dzi kpɔkpɔ do ŋgɔ na dɔwɔwɔ nɛ
【Kafukafu】 Dɔnɔ siwo wowɔ dɔ na le tiatiawɔblɔɖe me ate ŋu aɖu aha siwo me kɔ gaƒoƒo 2 do ŋgɔ na amekoko kple nuɖuɖu siwo me starch le alo nyinotsinuwo gaƒoƒo 6 do ŋgɔ na amekoko. (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔme: 76.5%)
8. Aɖuɖɔtoememɔ̃ dzi kpɔkpɔ le dɔwɔwɔ nɛ vɔ megbe
【Kafukafu】Womekafui be woazã aɖuɖɔtoe me ʋuka si wozãna edziedzi le dɔwɔwɔ vɔ megbe na proximal humerus fracture amekoko o (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; Kafukafu sesẽ ƒe agbɔsɔsɔ: 78.6%)
9. Dɔlékuiwutike siwo wozãna le dɔwɔwɔ nɛ me tsɔ xea mɔ na dɔlékuiwo
【Kafukafu】Na dɔnɔ siwo ƒe proximal humerus fractures si hiã endoprosthesis alo ƒunukpeƒe ɖɔliɖɔli la, wokafui be woazã dzidzime gbãtɔ kple evelia ƒe cephalosporins atsɔ axe mɔ ɖe dɔlékuiwo nu le dɔwɔwɔ nɛ ƒe ɣeyiɣia me. (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 97.1%; kafukafu sesẽ ƒe agbɔsɔsɔme: 73.5%)
10. Alɔ̃dɔdɔ ƒe atike tiatia
【Kafukafu】Wokafu alɔ̃dɔdɔ be woaxɔ mɔnu si nye regional block compound general anesthesia, atia atikewo be woaƒo asa na dɔnɔ tsitsiwo ƒe ɖoɖowɔɖi ƒe ŋutinuwo ƒe dɔmawɔmawɔ nyuie, eye woalé ŋku ɖe ŋusẽdodo ŋkuléleɖenuŋu ŋu (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 71.4%).
11. Ʋu ƒe sisi le dɔwɔwɔ me contro
[Kafukafu] Ele be woalé ŋku ɖe ʋu ƒe sisi dzi ɖeɖe kpɔtɔ le mɔ si sɔ nu be woaɖe ʋu si bu le dɔwɔwɔ me dzi akpɔtɔ na proximal humeral fractures, gake ele be dɔnɔ tsitsi siwo ŋu comorbidities geɖe le nalé ŋku ɖe hemodynamic li ke ŋu be woaƒo asa na ʋukawo kple ŋutinuwo ƒe ʋudodo nyuie o (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 61.9%).
12. Dɔwɔwɔ ƒe agbɔsɔsɔme dzi kpɔkpɔ le dɔwɔwɔ me
[Kafukafu] Wɔ tsizazã ƒe mɔnu si wotu ɖe taɖodzinu dzi ŋudɔ, eye woate ŋu ana ʋukawo me atikewo le mɔxexeɖedɔléle nu le atike si naa alɔ̃dɔdɔ ame katã me be woaxe mɔ ɖe tsi ƒe agbɔsɔsɔ fũ nu (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 69.1%).
13. Ʋu ƒe dɔwɔwɔ le amekoko me
[Aɖaŋuɖoɖowo] Womekafu ʋusɔgbɔdɔ si dzi wokpɔna le dɔwɔwɔ na ame me na akɔta ƒe gbagbã siwo le proximal humeral fractures o, vevietɔ le dɔnɔ tsitsiwo gome, eye woate ŋu ado ʋu le dɔwɔwɔ me kple tranexamic acid. HGB <80g/L ƒe dodokpɔ le dɔwɔwɔ me kafui be woado ʋu si me allogeneic le (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔme: 73.8%).
14. Mɔxexe ɖe dzoxɔxɔ si nu sẽ le dɔwɔwɔ me nu
[Aɖaŋuɖoɖowo] Ele be dɔnɔ siwo ƒe akɔta ƒe gbagbã le proximal la nado ŋusẽ dzoxɔxɔ dzi kpɔkpɔ le dɔwɔwɔ na wo me eye woawɔ afɔɖeɖe vovovowo be woalé dzoxɔxɔ vevitɔ me ɖe asi wu 36°C (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔme: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 76.2%).
15. Amekoko ƒe mɔnu tiatia
(1) Aɖuɖɔtoe si te ɖe eŋu ƒe gbagbã ƒe ɖoɖo
[Kafukafu] Wokafu Neer ƒe afɔɖeɖe na proximal humerus fracture staging (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔme: 100%; kafukafu sesẽ ƒe agbɔsɔsɔme: 83.3%).
(2) Amekoko ƒe mɔnu
Ele be woanɔ te ɖe ƒu gbagbã ƒe nɔnɔme, ƒu ƒe nyonyome, dɔnɔa ƒe ŋutilã kple susu ƒe nɔnɔme kple nu bubu siwo sɔ dzi atia amekoko ƒe ɖoɖoa.
[Kafukafu] Woate ŋu atia nusi woatsɔ alé ememenuwo ɖe ƒu ƒe gbagbã ƒomevi kple ƒu ƒe kpekpeme nu, abe plate alo intramedullary nail ene; na dɔnɔ tsitsi siwo ŋu ƒumeŋuɖui le siwo ŋu wòsesẽna be woagbugbɔ aɖo alo aɖɔe ɖo, akpa 4 ƒe gbagbã (kple ƒu gbagbã ƒe ʋuʋu), akpa 3 ƒe gbagbã si me ƒu ƒe gbagbã sesẽ le, akpa 3 ƒe gbagbã kple kɔ ƒe gbagbã sesẽ, abɔta ƒe ƒunukpeƒe ƒe gbagbã si wowɔ kple asi, eye wokafui be woaɖɔli abɔta ƒe ƒunukpeƒe si wogbugbɔ wɔ ne wotsɔe kpe ɖe rotator cuff ƒe abixɔxɔ ŋu (eŋutinunyalawo kafui: 100% (Kafukafu ƒe agbɔsɔsɔ sesẽ: 71.4%).
![Humerus ƒe gbagbã si te ɖe eŋu]()
Nɔnɔmetata 1 Nyɔnu aɖe si xɔ ƒe 65 si ƒe akpa 4 gbã le proximal humeral adductor insertion me eye allograft fibular implant plate fixation kple incision kple repositioning.
16. Abi ƒe tsidzɔƒe ƒe mɔ̃ dede
[Aɖaŋuɖoɖowo] Nusiwo woatsɔ afia be woagade tsidzɔƒe ƒe mɔ̃wo o: 1 Dɔwɔwɔ ƒe mɔnu siwo me womezãa nu boo aɖeke le o (MIPPO kple intramedullary nailing); 2 Ʋu si mebɔ o. Nusiwo woatsɔ ade tsidzɔƒe ƒe mɔ̃: 1 to pectoral deltoid mɔnu dzi, locking plate fixation alo abɔta ƒe ƒunukpeƒe ɖɔliɖɔli; 2 ʋu si dona vevie tso abi la ƒe go dzi (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔme: 100%; kafukafu sesẽ ƒe agbɔsɔsɔme: 71.4%).
17. Abi ƒe nutsotso
【Kafukafu】Wotsɔ aŋe bɔbɔe siwo wotso, ƒuƒoƒo ɖesiaɖe (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔme: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 76.2%) xe amekoko ƒe lãɖeɖea.
18. Nuɖuɖu si woatsɔ ahaya le dɔwɔwɔ vɔ megbe
【Kafukafu】Dɔnɔwo ate ŋu ano aha siwo me dregs mele o to nu me ne wonya nyɔ le amekoko vɔ megbe, eye woagadze nuɖuɖu si sɔ gɔme le gaƒoƒo 1-2 megbe nenye be nu gbegblẽ aɖeke medzɔ o.
19. Dɔwɔwɔ vɔ megbe ɖoƒe tiatia kple dɔwɔwɔ kaba
【Kafukafu】Mehiã be dɔnɔwo namlɔ anyi gbadzaa le akɔtaɖonu dzi le amekoko vɔ megbe o, woate ŋu axɔ nɔnɔme si me woamlɔ afã kple afã eye woate ŋu aʋuʋu le anyigba le nyɔnyrɔ̃ vɔ megbe. Ele be woatɔ brek le abɔtaɖonu si me nuveviwɔame le la ŋu.
20. Vevesesenutsitike siwo wozãna le dɔwɔwɔ vɔ megbe
【Kafukafu】Wokafui be woazã vevesesenutsitike le dɔnɔ siwo ƒe akɔta ƒe gbagbã le dɔwɔwɔ vɔ megbe be woazã nutome mɔxexeɖedɔléle si wotsɔ kpe ɖe NSAID ƒe 'megbedodo ƒe agbɔsɔsɔme' edziedzi ŋu, eye ne ehiã la, woazã vevesesenutsitike ƒe pɔmpi siwo wodona na wo ɖokui le ʋuka me alo vevesesenutsitike ƒe pɔmpi siwo wodona le ʋuka me (eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ agbɔsɔsɔme: 78.6%).
21. Mɔxexe ɖe dɔwɔwɔ vɔ megbe ƒe ʋuʋudedi kple ʋuʋudedi nu
[Kafukafu] Ele be woana atike si xea mɔ na ʋusɔgbɔdɔ dɔnɔwo katã miniti 30 hafi amekokoa nawu enu. (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 97%; kafukafu sesẽ ƒe agbɔsɔsɔme: 47.8%)
22. Dɔwɔnawo ƒe gbugbɔgaɖɔɖo
【Kafukafu】Ele be dɔnɔ siwo ƒe proximal humerus fractures siwo le teƒe ɖeka eye woli ke la nadze ɖɔɖɔɖodɔwo gɔme kaba ale si woate ŋui le amekoko vɔ megbe. Gbugbɔgaɖɔɖo ƒe kamededewo kpena ɖe ame ŋu be abɔ si le etame la nagawɔ dɔ nyuie wu (Eŋutinunyalawo ƒe kafukafu ƒe agbɔsɔsɔ: 100%; Kafukafu sesẽ ƒe agbɔsɔsɔ: 92.9%).
23. Dodokpɔ ƒe dzidzenuwo kple edziyiyi
【Kafukafu】Ele be woaɖo dodokpɔ ƒe dzidzenu ŋutɔŋutɔwo anyi, eye woakplɔ dɔnɔwo ɖo edziedzi hena ɣleti 6 ya teti (eŋutinunyalawo ƒe aɖaŋuɖoɖo ƒe agbɔsɔsɔ: 100%; kafukafu sesẽ ƒe agbɔsɔsɔ: 83.3%).
Ale Si Nàƒle Ƒumeŋuɖuiwo Kple Ƒumeŋuɖui Dɔwɔnuwo?
Elabena CZMEDITECH , míekpɔa adzɔnuwo ƒe hatsotso si de blibo ŋutɔ si nye ƒumeŋuɖui ƒe amekoko ƒe nusiwo wotsɔ dea ame me kple dɔwɔnu siwo sɔ kplii, nusiwo dometɔ aɖewoe nye akɔta ƒe akpa siwo wotsɔ dea ame me, ɖa siwo le lãkusi me, trauma plate, ʋuƒo si wotsɔ xea mɔ na nu, cranial-maxillofacial ƒe tagbɔ, ametia ƒe ŋutilã ƒe akpa aɖe, elektrikdɔwɔnuwo, gotagome fixators, ƒunukpeƒetetedɔ (arthroscopy)., lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe kpeɖeŋutɔ dɔwɔnuwo.
Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo wɔm eye míakeke adzɔnuwo ƒe hatsotsowo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nate ŋu aʋli ho geɖe wu le xexeame katã ƒe ƒumeŋuɖui kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.
Míeɖoa nu ɖe xexeame katã, eyata àte ŋui te ɖe mía ŋu le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .
Ne èdi be yeanya nyatakaka bubuwo la,zi edzi CZMEDITECH be nàkpɔ nyatakaka bubuwo.
