Humeral Nail .

Adzɔnuwo ƒe dɔwɔwɔ ŋuti nyatakakawo Video .

CzmediTech Humeral Intramedullary Nail .

Kpɔkplɔyiɖeme

Woɖea humeral nail la koŋ fiana na humeral shaft fractures siwo le dzɔdzɔme nu la, womete ŋu wɔa varus malposition o. Lateral portal design ɖe mɔ be woatsɔe ade eme ko medial ɖe rotator cuff la ŋu eye wònaa portal ƒe asixɔxɔ kple nail insertion bɔbɔe bɔbɔe. Kpo legbeawo ƒe didime tso 20 va ɖo 30cm eye woƒe didime nye 7-9mm.

The humeral nail: Amekoko ƒe atikewɔwɔ ŋuti nyatakaka kpui aɖe na humerus siwo te ɖe wo nɔewo ŋu ƒe gbagbãƒewo .

Kpɔkplɔyiɖeme

Atsiaƒu ƒe gbagbã le teƒe siwo te ɖe wo nɔewo ŋu bɔ ɖe ame tsitsiwo me eye ate ŋu ana dɔléle kple ku naɖe dzesi ŋutɔ. Zi geɖe la, amekoko dzi kpɔkpɔ hiã na gbagbãƒe siwo woɖe ɖa alo esiwo meli ke o, eye akɔta ƒe ɖa nyea atikewɔwɔ si wozãna le afisiafi. Nyati sia ƒo nu tso akɔta ƒe ɖa ƒe dɔwɔwɔ ŋu tsitotsito, siwo dometɔ aɖewoe nye dzesiwo, aɖaŋuwo, kple emetsonuwo.

Anatomy of the proximal humerus .

Akɔta ƒe ta, tuberosities siwo lolo wu kple esiwo le sue wu, kple asike lae le akɔta si te ɖe eŋu la me. Akɔta ƒe ta ƒona kple glenoid fossa si le akɔta ƒe akpa si nye glenohumeral, si wɔnɛ be woate ŋu aʋã abɔta. Tuberosities siwo lolo wu kple esiwo le sue wu la naa rotator cuff lãmeka siwo le vevie na abɔta ƒe liƒo la nɔa wo ŋu.

Akɔta ƒe akpa si te ɖe eŋu ƒe gbagbãƒewo .

Zi geɖe la, wodaa akɔta ƒe gbagbã siwo te ɖe wo nɔewo ŋu ɖe hatsotsowo me le afisi teƒe kple alesi gbegbe woɖe wo ɖae nu. Zi geɖe la, woate ŋu akpɔ gbagbãƒe siwo womeɖe ɖa o la gbɔ le mɔ si me woɖea mɔ ɖe nu ŋu le la ŋu kple sling immobilization kple motion exercises ƒe gɔmedzedze. Gake abi siwo woɖe ɖa ate ŋu abia be woawɔ dɔ na wo be woagbugbɔ abɔta awɔ dɔ eye woaxe mɔ ɖe kuxiwo abe vascular necrosis kple non-union ene nu.

Amekoko ƒe tiatia siwo woawɔ na proximal humerus fractures .

Amekoko ƒe tiatia geɖe li na proximal humerus ƒe gbagbã, siwo dometɔ aɖewoe nye open reduction and internal fixation (ORIF), hemiarthroplasty, kple abɔta ƒe ƒunukpeƒetetedɔ. Amekokomɔnu si woatia nɔ te ɖe nu vovovowo dzi, siwo dometɔ aɖewoe nye ƒe si dɔnɔa xɔ, afisi wogbãe, afisi wòaʋu le, kple eƒe akpa aɖewo.

Amekoko si wotsɔna ƒoa ɖa le akɔtae .

Akɔtadɔ ƒe dɔwɔwɔ bia be woatsɔ ɖa legbe si le lãkusi me la ade eme to akɔta si te ɖe eŋu me be wòali ke be wòali ke. Wotsɔa lãgbalẽa toa lãkusi sue aɖe si te ɖe abɔta ƒe ƒunukpeƒea ŋu me eye wofiaa mɔe wògena ɖe lãkusia me to fluoroscopic mɔfiame zazã me. Ne ɖa la nya le teƒea ko la, wotsɔa gaviawo toa gavi la me gena ɖe akɔta ƒe ta me be woatsɔ ablae nyuie.

Nusiwo fia be woawɔ dɔ na ame ƒe akɔta ƒe akpa si le akɔta .

Woɖea akɔta ƒe dɔwɔwɔ na ame ƒe akɔta ƒe akpa si woɖe ɖa alo esi me li ke o si nye proximal humerus fractures siwo womate ŋu akpɔ wo dzi le mɔ si me woɖea mɔ ɖe nu ŋu le o ta. Esia lɔ gbagbãƒe siwo ƒe ʋuʋu alo gbagbãƒe siwo ƒe lolome wu 45 degree si wu sentimeta 1 ɖe eme. Woate ŋu agblɔ be woawɔ dɔ na dɔnɔ siwo mete ŋu doa dzi le amekokomɔnu siwo me wowɔa dɔ le wu, abe hemiarthroplasty alo abɔta ƒe ƒunukpeƒetetedɔ ene hã ŋu hã na.

Aɖaŋu siwo wozãna tsɔ wɔa dɔ le akɔta ƒe akpa si le akɔta .

Woate ŋu azã antegrade alo retrograde mɔnu atsɔ awɔ afɔkpodzi ƒe lãkusi ƒe dɔwɔwɔ. Antegrade ƒe mɔnu la bia be woatsɔ ɖaa ade akɔta ƒe nuwuwu si te ɖe eŋu la me, gake megbedede ƒe mɔnu la bia be woatsɔ lãgbalẽa ade akɔta ƒe nuwuwu si le didiƒe ʋĩ la me. Mɔnu si woatia nɔ te ɖe afisi wogbãe le kple amekola ƒe didi dzi.

Nusiwo do tso akɔta ƒe afɔkpodzi ƒe dɔwɔwɔ me .

Wokpɔe be akɔta ƒe dɔwɔwɔ nye atikewɔwɔ ƒe mɔnu nyui aɖe na humerus si te ɖe eŋu ƒe gbagbã, eye eƒe gbagbã ƒe ƒuƒoƒo sɔ gbɔ eye dɔwɔwɔ me tsonu nyuiwo le eme. Gake kuxiwo abe screw cutout, non-union, kple dɔlékuiwo ate ŋu ado mo ɖa. Dɔnɔwo tiatia nyuie kple amekokomɔnu le vevie be woaɖe kuxi siawo dzi akpɔtɔ.

Nyanuwuwuw

Akɔta ƒe gbagbã siwo te ɖe wo nɔewo ŋu ate ŋu akpɔ ŋusẽ gã aɖe ɖe dɔnɔwo ƒe dɔléle kple ku dzi, vevietɔ ɖe ame tsitsiwo dzi. Akɔta ƒe dɔwɔwɔ nye atikewɔwɔ ƒe mɔnu si wozãna le afisiafi si ate ŋu ana abɔta nawɔ dɔ nyuie eye wòaxe mɔ ɖe kuxiwo nu. Dɔnɔwo tiatia nyuie kple amekokomɔnu le vevie be woatsɔ ana emetsonuwo nanyo ɖe edzi eye woaɖe kuxiwo dzi akpɔtɔ.

Nya siwo wobiaa amewo .

1. Ɣeyiɣi didi kae wòxɔna hafi woate ŋu ahaya tso akɔta ƒe afɔkpodzi ƒe dɔwɔwɔ me? Ɣeyiɣi si woatsɔ ahayae la toa vovo le ƒe si dɔnɔa xɔ kple eƒe lãmesẽ bliboa nu, kpakple alesi wòsẽe hã. Le goawo katã me la, dɔnɔwo ate ŋu akpɔ mɔ be yewoado aŋenu kwasiɖa geɖe le amekokoa megbe eye ate ŋu ahiã be woawɔ ŋutilãmedɔ ɣleti geɖe hafi abɔta nawɔ dɔ bliboe.

2. Ðe afɔku aɖewo li siwo do ƒome kple akɔta ƒe afɔkpodzi ƒe dɔwɔwɔa? Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku aɖewo le afɔkpodzi ƒe dɔwɔwɔ na ame ŋu. Esiawo ate ŋu anye dɔlékuiwo xɔxɔ, lãmekawo ƒe abixɔxɔ, kple ʋukawo ƒe gbegblẽ. Tsɔ kpe ɖe eŋu la, afɔku le kuxiwo abe screw cutout, non-union, kple implant ƒe dɔmawɔmawɔ nyuie ene me.

3. Aleke wowɔna kpɔa dɔnɔwo ƒe tiatia be woawɔ dɔ na wo le akɔta? Wonɔa te ɖe nu geɖe, siwo dometɔ aɖewoe nye ƒe si dɔnɔa xɔ kple eƒe lãmesẽ bliboa, afisi wòagbã kple afisi wòle, kple comorbidities ɖesiaɖe si ate ŋu akpɔ ŋusẽ ɖe amekoko me tsonu dzi la dzi dea dzesi dɔnɔwo ƒe tiatia hena abɔta ƒe dɔwɔwɔ.

4. Ðe woate ŋu azã akɔta ƒe ɖa ƒe dɔwɔwɔ na humerus ƒe gbagbã siwo katã le proximal humerus mea? Ao, zi geɖe la, wodzraa afɔkpodzi ƒe dɔwɔwɔ ɖo na ame siwo woɖe le woƒe aƒewo me alo esiwo meli ke o siwo womate ŋu akpɔ le mɔ si me kɔ nu o ta. Woate ŋu atsɔ afɔɖeɖe siwo me woɖea asi le nu ŋu abe sling immobilization kple motion exercise siwo wowɔna kaba ene akpɔ gbagbãƒe siwo me ʋuʋu le alo esiwo meku ɖe humeral ta ŋu o la gbɔ.

5. Zi geɖe la, ɣeyiɣi didi kae humeral-ti la nɔa teƒea? Zi geɖe la, wogblẽa humeral nail la ɖe teƒe ɖeka ɣleti geɖe be woate ŋu ada gbe le eŋu. Ɣeyiɣi didi si lãklea anɔ anyi ate ŋu ato vovo le alesi wòsẽe kple alesi wòdaa dɔe kple dɔnɔa ƒe ame ɖekaɖeka ƒe dɔyɔyɔ ƒe ɖoɖoa nu.