Aleke nàwɔ aɖɔ akɔta ƒe gbagbã si le didiƒe ɖo?

Be woate ŋu agbugbɔ awɔ nusi li ke le ƒumeŋuɖui alo ƒu ƒe gbagbãƒe ƒe nɔnɔme me la, wotu parallel plate mɔnu si wozãna tsɔ daa akɔta ƒe gbagbã siwo le didiƒe ʋĩi ɖe gɔmeɖose si nye be woana ƒu ƒe gbagbãƒe siwo le didiƒe ƒe ʋuʋu nanyo ɖe edzi dzi. Nu vevitɔ si ana be xɔtunu sia si wotsɔ léa nu ɖe ​​te la li ke enye be eƒoa aɖakaʋua ƒe nɔnɔmewo kple eƒe liƒo nu ƒu esime wòléa akɔtaƒu si le didiƒe ƒe titina kple axadzi sɔtiwo ɖe wo nɔewo ŋu.

Arch tɔdzisasrã ƒe wɔwɔme

Kakɛ siwo le didiƒe ƒe gaviwo tsia wo nɔewo ŋu, si naa liƒo bubu to 'aɖakaʋu ƒe tɔdzisasrã si wotu' dzi. Ne wotsɔ gaviawo ka ɖe wo nɔewo dzi nyuie wu. Kplu gbogbo aɖewo ƒoa xlã wo nɔewo tututu, eye ƒu siwo le wo dome la wɔa 'rebar' (kɔkrit si wodo ŋusẽe) ƒomevi aɖe.

Mɔ̃ɖaŋununya ƒe afɔɖeɖewo

Afɔɖeɖe gbãtɔ: amekoko be woaɖe ƒunukpeƒewo dzi akpɔtɔ. Woɖe ƒunukpeƒe kakɛ siwo dina be yewoatrɔ ne wotsɔe sɔ kple wo nɔewo le axial plane la ƒe ŋutilã ƒe wɔwɔme dzi kpɔtɔ eye wotsɔ Kirschner kawo ɖo wo ŋu hena ɣeyiɣi aɖe. Vevietɔ la, ele be woatsɔ K-kaawo ade subchondral level gbɔ be woagado kplamatse screw ɖoɖo si kplɔe ɖo o eye woaɖe adzɔge tso afisi woda agbalẽawo ɖo le axadzi kple titina sɔtiawo dzi. Woate ŋu azã Kirschner ka ɖeka alo eve siwo woda ɖe teƒe nyuitɔ atsɔ aɖɔ ʋuʋudedi si le didiƒe si sɔ kple diaphysis la ɖo hena ɣeyiɣi aɖe.

Afɔɖeɖe evelia: gakpo ƒe agbalẽvi zazã kple eɖoɖo hena ɣeyiɣi aɖe. Wotsɔa titina kple axadzi gbadzɛ siwo wowɔ do ŋgɔ la dana ɖe akɔta ƒe akpa si le didiƒe la dzi, eye wotsɔa akpa si le gbadzaa si ƒe didime nye milimeta 2 alo milimeta 2.5 dea do No. 2 (si wotsɔ xexlẽdzesi na le didiƒe vaseɖe kpuiƒe), ƒu ƒe akpa si le ƒuta, kple ƒu kakɛ si le didiƒe si le agbalẽvi ɖesiaɖe me la me. Pins be woalé agbalẽa ƒe ƒoƒo ɖe teƒe ɖeka hena ɣeyiɣi aɖe kple afisi wògbã le didiƒe. Wotsɔ gavi aɖe de do si me do le (do 5) si le agbalẽvi ɖesiaɖe me, gake womeblae sesĩe o, si na ablɔɖe aɖe nɔ agbalẽvia si be wòaʋuʋu le teƒe si te ɖe eŋu le nutete me. Esi wònye be agbalẽvi ɖesiaɖe ƒe anyime le abe ʋuƒo ene le metaphyseal kple diaphyseal ƒe nuwuƒewo ta la, ne wobla gavi siwo le do siwo me do le me vie ko hafi wònaa akɔtaƒu bliboa si le didiƒe la nɔa te nyuie hena ɣeyiɣi aɖe.

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

Afɔɖeɖe 4 A: Nutete ɖe condyle la dzi. Wowɔa interfragmentary compression le gbagbãƒea katã le suprahumeral level to reduction forceps gãwo zazã me, eye woɖoa axadzi sɔti la gbã. De gavi aɖe do 4 lia me le axadzi gbadzɛa me le dynamic compression mode (inset) me. Ne woblae sesĩe la, egadzia kakɛwo dome nutete (aŋutsrɔe) ɖe edzi le supracondylar ƒe ɖoɖo nu, si wɔnɛ be keke vie (aŋutsrɔe) le medial supracondylar ridge la dzi.

Afɔɖeɖe 4B: Le mɔ ma ke nu la, zã lãgbalẽgolo siwo dzi ɖena kpɔtɔna tsɔ mia titina sɔti la eye nàtsɔ gavi la ade titina ƒe agbalẽa me le nutete ƒe nɔnɔme si me ŋusẽ le me. Ne agbalẽvi la ƒe nɔnɔme mesɔ vie o la, woate ŋu azã ƒu ƒe nulénu gã aɖe atsɔ aƒoe ɖe metaphysis la ŋu be wòagami condyle la ɖe edzi.

Afɔɖeɖe 5: Fixation mamlɛtɔ. Woɖe K-kaawo ɖa eye wotsɔ gavi susɔeawo de eme. Wotrɔa asi le ʋuƒo siwo le didiƒe ʋĩ ŋu be woate ŋu alé ƒunukpeƒe kakɛ siwo le didiƒe la ɖe te nyuie wu.

Ƒu ƒe Gbɔdzɔgbɔdzɔ Sesẽ - Supracondylar Shortening

Ne metaphyseal ƒu ƒe bu alo eƒe gbagbã xe mɔ na ŋutilã ƒe wɔwɔme gbugbɔgatu eye ƒu ƒe kadodo nyo la, woate ŋu atso humerus la kpuie le metaphyseal fracture teƒea kple distal humerus ƒe ɖoɖo bliboa kple geometry nyuie. Míeyɔa gbugbɔgatumɔnu bubu sia be supracondylar shortening. Mɔnu sia ɖea vi ŋutɔ le lãmeka falɛfalɛwo kple ƒu ƒe gbagbã ƒe ƒuƒoƒo me. ≤1 cm ƒe kpuiƒe mekpɔa ŋusẽ boo aɖeke ɖe triceps ƒe nuwuƒe ƒe kekeɖenudɔwɔwɔ dzi o, eye le lãmeka falɛfalɛ kple ƒu ƒe bu vevie gome la, woate ŋu alɔ̃ ɖe kpuie si ade cm 2 dzi evɔ makpɔ ŋusẽ ɖe abɔta ƒe biomechanics dzi vevie o.

Gbugbɔ trɔ asi le akɔta ƒe akpa si le didiƒe (si me ƒunukpeƒe ƒe akpaa mele o) ŋu be wòana kadodo si le ƒunukpeƒe si le didiƒe kple ƒunukpeƒea dome nanyo ɖe edzi. Zi geɖe la, ƒu sue aɖe koe woɖena le akɔtaƒu ƒe nuwuwu si le didiƒe, eye ɣeaɖewoɣi hã woɖenɛ le eƒe akpa ɖeka. B kple C, siwo teƒe si gbagbãƒea le kpuie be wòana woate ŋu aƒo kakɛwo dome nutete 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 hetsɔ gakpowo lé wo ɖe wo nɔewo ŋu ko la, woƒe liƒo sesẽna ale gbegbe be woate ŋu aʋuʋu wo enumake ahadzra wo ɖo. Woate ŋu aɖe akpa si le didiƒe la gɔme le titina alo axadzi, alo le ŋgɔgbe vie, esime wole tɔtrɔ kple valgus ƒe ɖoɖowɔwɔ me ɖe asi.

6 screws kple 2 plate fixation taɖodzinuwo

gatagbadze totro

1: Kplu ɖesiaɖe toa gakpoa me.

2: Ele be gavi ɖesiaɖe naɖɔ axadzi gbagbã ƒe kakɛa ɖo.

3: De gavi agbɔsɔsɔme si sɔ ɖe akpa si le didiƒe si wogbã la me.

4: Ele be gavi ɖesiaɖe nadidi alesi wòanya wɔe.

5: Ele be gavi ɖesiaɖe naɖɔ kakɛ geɖe alesi wòanya wɔe.

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

Ga gbadzɛ:

1: Le agbalẽvi siwo wozãna tsɔ léa nu ɖe ​​te gome la, ele be woaɖo nutete ƒe taɖodzinuwo gbɔ le sɔti eve ƒe afɔkpodzi ƒe lãkusiwo ƒe seƒe.

2: Ele be gakpo si woazã la nasẽ eye wòasẽ ale gbegbe be wòate ŋu agbã alo abɔbɔ o.

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.