Aleke nàwɔ aɖɔ humerus ƒe gbagbã si le didiƒe ɖo?

Be woagaxɔ fixation si li ke le ƒumeŋuɖui alo ƒuƒoƒo ƒe gbagbã ƒe ɖoɖoa me la, wotu parallel plate mɔnu si wozãna tsɔ daa humeral fractures siwo le didiƒe la ɖe gɔmeɖose si nye be woado distal fractures ƒe fixation ɖe ŋgɔ dzi. Nu vevitɔ si ana fixation structure sia nali ke enye be eƒoa aɖaka la ƒe nɔnɔmewo kple eƒe liƒo nu ƒu esime wòle titina kple axadzi sɔti siwo le didiƒe ʋĩ ƒe humerus la ƒom ɖekae.

Arch tɔdzisasrã ƒe wɔwɔme .

Screws of the distal fragments ƒoa wo nɔewo, si naa liƒo bubu to 'arch bridge ' si wotu me. Woate ŋu awɔ interlocking nyuie wu to kadodo si le gaviawo dome me. Screw gbogbo aɖewo ƒoa ƒu ɖe wo nɔewo ŋu kplikplikpli, eye ƒu siwo le wo dome la wɔa 'rebar' (si ŋu wodo ŋusẽe) ƒomevi ƒe wɔwɔme.

Mɔ̃ɖaŋununya ƒe afɔɖeɖewo .

Afɔɖeɖe gbãtɔ: Amekoko si wowɔ na ƒunukpeƒewo dzi ɖeɖe kpɔtɔ. Woɖe ƒunukpeƒe kakɛ siwo te ŋu trɔna ne wotsɔe sɔ kple wo nɔewo le axial plane la dzi la dzi ɖe kpɔtɔ eye wotsɔ Kirschner kawo ɖo wo nɔewo ŋu hena ɣeyiɣi aɖe. Vevietɔ la, ele be woatsɔ K-kaawo aɖo subchondral level la gbɔ be woagaxe mɔ na screw placement si akplɔe ɖo o eye woadzo le afisi woda agbalẽawo ɖo ɖe axadzi kple titina sɔtiwo dzi. Woate ŋu azã Kirschner-ka ɖeka alo eve siwo woɖo nyuie atsɔ aɖɔ ʋuʋudedi si le didiƒe si sɔ kple diaphysis la ɖo hena ɣeyiɣi aɖe.

Afɔɖeɖe evelia: gakpo gbadzɛwo zazã kple ɣeyiɣi kpui aɖe ƒe fixation. Wotsɔa titina kple axadzi ƒe agbalẽvi siwo wowɔ do ŋgɔ la dana ɖe humerus si le didiƒe la dzi eye wotsɔa wo dana ɖe wo dzi, gake wotsɔa akpa si ƒe didime nye milimeta 2 alo milimeta 2.5 si le gbadzaa la dea do No. 2 (si ƒe xexlẽdzesiwo le didiƒe va ɖo esi te ɖe eŋu), epicondyle, kple ƒu ƒe akpa si le didiƒe le agba ɖesiaɖe me. Pins be woalé be na ɣeyiɣi kpui aɖe ƒe plate la kple distal fracture. Wotsɔ gavi aɖe de do si me do le (do 5 lia) me le agba ɖesiaɖe me, gake womegablae bliboe o, si na ablɔɖe aɖe le agbalẽa me be wòaʋuʋu le ŋgɔgbe le nutete me. Esi wònye be agba ɖesiaɖe ƒe akpa si le anyime la nyea ʋuƒo le metaphyseal kple diaphyseal ƒe nuwuƒewo ta la, gavi siwo le do siwo me do le me ƒe ʋuʋu vie koe naa ɣeyiɣi kpui aɖe ƒe humerus bliboa nɔa te nyuie.

Afɔɖeɖe 3: Joint Fixation. Wotsɔa gavi la toa do No. 1 si le axadzinuŋɔŋlɔa me la me, toa ƒunukpeƒe ƒe akpa si le didiƒe tso axadzi yi medial me, eye woblanɛ sesĩe. Gbugbɔ wɔ afɔɖeɖe sia to do xexlẽdzesi 3 zazã me le eme. Le dɔnɔ siwo metsi o gome la, wozãa 3.5 mm cortical screws (be woaxe mɔ ɖe ƒu ƒe gbagbã nu), gake le ƒumeŋuɖui dɔnɔwo gome la, wozãa 2.7 mm ƒe screws. Ele be distal screw la nadidi alesi wòanya wɔe eye wòato kakɛ geɖe me alesi wòanya wɔe.

Afɔɖeɖe 4 A: Nutete le condyle la dzi. Wotsɔa interfragmentary compression to fracture la me naa le suprahumeral level dzi to later reduction forceps zazã me, eye woɖoa axadzi sɔti la gbã. De gavi aɖe do 4 me le axadzi gbadzɛa me le dynamic compression mode (inset) me. Esẽ ɖe edzi wògadzia interfragmentary compression (aŋutsrɔe) ɖe edzi le supracondylar ƒe seƒe, si wɔnɛ be wòkekena (aŋutsrɔe) aɖewo le medial supracondylar ridge dzi.

Afɔɖeɖe 4b: Le mɔ ma ke nu la, zã ŋusẽɖedzinu gã aɖe nàtsɔ aƒo titina sɔti la nu ƒu eye nàde gavi la titina ƒe agbalẽa me le dynamic compression mode me. Ne agbalẽa ƒe nɔnɔme le sue vie la, woate ŋu azã ƒu ƒe ƒuƒoƒo gã aɖe atsɔ aƒoe ɖe metaphysis la ŋu be wòagaƒo condyle la ɖe edzi.

Afɔɖeɖe 5: Nu mamlɛtɔ si woatsɔ aɖoe ɖe ɖoɖo nu. Woɖe K-kaawo ɖa eye wotsɔ gavi susɔeawo de eme. Woɖoa gavi siwo le didiƒe la ɖe wo nɔewo ŋu be woatsɔ adzi ƒunukpeƒea ƒe kakɛ siwo le didiƒe la ɖe edzi wòadzi ɖe edzi.

Ƒu ƒe gbagbãƒe sesẽ - supracondylar ƒe kpuiƒe .

Ne metaphyseal ƒu ƒe bu alo comminution xe mɔ na ŋutilã ƒe wɔwɔme gbugbɔgawɔ kple ƒu ƒe kadodo nyo la, woate ŋu awɔ humerus la kpuie le metaphyseal fracture teƒe kple alignment bliboa kple geometry si le distal humerus. Míeyɔa mɔnu bubu sia si nye reconstruction technique supracondylar shortening. Mɔnu sia ɖea vi ŋutɔ le lãkusi falɛfalɛ siwo wotsɔ ƒo ƒui kple ƒu siwo bu la me. ≤1 cm ƒe kpuiƒe mekpɔa ŋusẽ boo aɖeke ɖe triceps ƒe nuwuƒe ƒe kekeɖenudɔwɔwɔ dzi o, eye le lãkusi falɛfalɛ sesẽwo kple ƒu ƒe bublu me la, woate ŋu aɖe mɔ ɖe kpuie si ade cm 2 evɔ womakpɔ ŋusẽ ɖe abɔta ƒe biomechanics dzi vevie o.

Trɔ asi le akɔta ƒe ʋuƒoa ƒe nuwuwu si le didiƒe (si me lãkusi ƒe akpaa mele o) ŋu be wòana ƒunukpeƒe ƒe akpa si le didiƒe kple diaphysis dome nanyo ɖe edzi. Zi geɖe la, ƒu sue aɖe koe woɖena le akɔta ƒe akpa si le didiƒe la ƒe nuwuwu, eye ɣeaɖewoɣi la, woɖea wo tso eƒe akpa ɖeka. B kple C, si woɖe kpuie to afisi gbagbãƒea le be woaɖe mɔ ɖe interfragmentary compression ŋu le trochlear kple distal diaphysis dome, le capitulum kple distal diaphysis dome, kple tso axa ɖeka yi axa ke. Ne wonya ƒo anyigba siawo nu ƒu eye wotsɔ gakpo gbadzɛwo bla woe ko la, woƒe liƒoa nu sẽna ale gbegbe be woate ŋu aʋuʋu enumake ahadzrae ɖo. Woate ŋu aɖe akpa si le didiƒe la gɔme le titina alo axadzi, alo le ŋgɔgbe vie, esime woalé tɔtrɔ kple valgus ƒe sɔsɔme ɖe asi.

6 screws kple 2 plate fixation taɖodzinuwo .

gatagbadze totro

1: Gavi ɖesiaɖe toa gakpoa me.

2: Ele be gavi ɖesiaɖe naɖɔ akpa si le ŋgɔgbea ƒe gbagbãƒe ƒe kakɛa ɖo.

3: Da gavi siwo sɔ gbɔ ɖe akpa si le didiƒe ʋĩ la me.

4: Ele be gavi ɖesiaɖe nadidi alesi woate ŋui.

5: Ele be gavi ɖesiaɖe naɖɔ kakɛ geɖe ɖo alesi woate ŋui.

6: Ele be gaviawo nabla ɖe wo nɔewo ŋu to flitete me, eye woawɔ xɔ si ƒe dzogoe le ɖoɖo nu.

Ga gbadzɛ:

1: Le agbalẽvi siwo wozãna hena fixation gome la, ele be woaɖo compression goals gbɔ le akɔta ƒe condyles ƒe seƒe le sɔti eve ƒe akɔta.

2: Ele be gakpo si wozã la nasẽ eye wòasẽ ale gbegbe be wòate ŋu atsi tre ɖe gbagbã alo ebɔbɔ ŋu.

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 ato atike yeyewo vɛ eye míakeke atikewo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nate ŋu aʋli ho 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 .

Ne èdi be yeanya nyatakaka bubuwo la,zi edzi CzmediTech be nàkpɔ nyatakaka bubuwo.