Ale Si Nàwɔ Adzra Distal Humerus Fractures Ðo To Plɛtiwo Zazã Me !

Distal humerus ƒe gbagbã siwo woɖe ɖa le ame tsitsiwo me nye kuxi sesẽ aɖe le abɔta ƒe ƒunukpeƒe ƒe ŋutilã ƒe wɔwɔme sesẽ, ƒu ƒe gbagbã suesuesuewo, kple ƒu si le lãkusi te ƒe agbɔsɔsɔ si seɖoƒe li na ta. Distal humerus ƒe axadzi kple titina sɔtiwo wɔa dzogoe etɔ̃ si li ke. Dzogoe etɔ̃ ƒe ɖoɖo sia si li ke la gblẽna le akɔta ƒe gbagbã le didiƒe megbe, vevietɔ AO C-ƒomevi ƒe gbagbã sesẽwo.

Dzɔtsoƒe

Le AO Internal Fixation Technique gbalẽ si wota le ƒe 1979 me me la, le akɔta ƒe akpa si le didiƒe ƒe gbagbã siwo me mekɔ o gome la, AO ƒe ƒuƒoƒoa kafui be woatsɔ agbalẽviawo aɖo wo nɔewo gbɔ 90°, ɖeka le titina alo axadzi eye ɖeka le megbe (1).

Mɔ̃ɖaŋununya ƒe afɔɖeɖewo (AO ƒe gɔmeɖosewo hena lãmekawo ƒe gbagbã dada) .

a: Trochlear kple capitellum ƒe gbugbɔgatu.

bc: Ne èɖe ƒu kakɛ etɔ̃ siwo le ƒunukpeƒewo dzi kpɔtɔ vɔ la, ku Kirschner ka la le mɔ si tsi tre ɖe eŋu nu. Woateŋu azã Kirschner ka la abe mɔfianu ka ene na 3.5mm cannulated screw, alo woateŋu ade screw si sɔ kple Kirschner ka la.

d: Zã Kirschner ka si wozãna hena ɣeyiɣi kpui aɖe nàtsɔ aƒo ƒu si le ƒunukpeƒea ƒe ƒu kakɛa nu ƒu ɖe ƒunukpeƒetetedɔa ŋu

e: Be woatsɔ aɖɔ ƒunukpeƒe kakɛa ɖo ɖe akɔta la, ele be woatsɔ ŋutilã ƒe wɔwɔme ƒe LCP aɖo akɔta ƒe megbe gbã, eye woate ŋu atsɔ agbalẽvi aɖe aɖo akɔtaƒua megbe ƒunukpeƒetetedɔ manɔmee. Woate ŋu atsɔ titina ƒe ŋutilã ƒe LCP la ade akɔta ƒe titina ƒe ta dzi be wòana wòali ke. Le ƒu ƒe gbagbã sesẽ alo metaphyseal ƒe gbagbã sesẽ gome la, wokafui be woatsɔ LCP eve aɖo 90° ɖe wo nɔewo ŋu, elabena ɖoɖo sia naa biomechanical li ke nyuie wu. Ele be woakpɔ nyuie be woagage ɖe ƒunukpeƒea o ne wole dzogoedzidzedze ƒe gaviwo zãm.

humerus ƒe ŋutilã ƒe wɔwɔme

Gakpo siwo sɔ kple wo nɔewo kple esiwo le tsitrenu tsɔtsɔ sɔ kple wo nɔewo

Le ƒe 1995 ƒe Mɔ̃ɖaŋununya Ŋuti Nusɔsrɔ̃ si nye Comparing Dual Plates for the Treatment of Distal Humeral Fractures me la, wotsɔ plate ade ɖoɖo ƒe ŋusẽkpɔɖeamedziwo sɔ kple wo nɔewo (A, dual posterior plate; B, posterior ulnar plate, lateral to radial plate; C, medial and lateral plate; D, medial to the ulnar plate, posterior to the radial plate; E, model of the medial and lateral plate with screws kple akpa ene ƒe gbagbã; F, model of severe comminuted fractures with medial and lateral screws), si fia be woate ŋu atsɔ agbalẽvi eve ada gbagbã geɖe le teƒe vovovowo atikewɔwɔ, gake le gbagbã sesẽ siwo wogbã gome la, numekuku sia ƒo nya ta be medial-lateral plate fixation tsɔ kpe ɖe screw fixation ŋu naa sesẽme kple ŋusẽ mamlɛtɔ nyona ɖe edzi ŋutɔ (3).

Ata C (4) et al ɖee fia be agbalẽvi si le tsitrenu si ŋu megbekpa si le megbe kpe ɖe 2.7 mm ƒe didiƒe gavi ene ŋu la li ke abe agbalẽvi si sɔ kple wo nɔewo ƒe ɖoɖo ene le ƒunukpeƒe ƒe akpa si le didiƒe ƒe ƒunukpeƒe ƒe gbagbãwo dada me. Woate ŋu aɖe dɔnɔwo ƒe vevesese le axadzikpa ƒe ŋutigbalẽ ƒe dzikudodo ta, vevietɔ dɔnɔ siwo le tsɛ kple esiwo tsi la, ɖa to megbekpa dzi.

Ale Si Nàƒle Ƒumeŋuɖuiwo Kple Ƒumeŋuɖui Dɔwɔnuwo?

Elabena CZMEDITECH , míekpɔa adzɔnuwo ƒe hatsotso si de blibo ŋutɔ si me 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 .

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