Proximal Humeral Greater Tuberosity Locking Plate: Totoɖeme si me kɔ
Ƒu ƒe akpa si le ŋgɔgbe nye ƒu ƒe wɔwɔme vevi aɖe si wɔa akpa vevi aɖe le abɔta ƒe dɔwɔwɔ me. Gãwo ƒe gbagbã le nuto sia me ate ŋu ana dɔwɔwɔ nagbɔdzɔ vevie eye wòazu nuwɔametɔ. Le ƒe ʋɛ siwo va yi me la, agbalẽvi siwo wotsɔ xea mɔ na nu ƒe wɔwɔ trɔ asi le akɔta ƒe gbagbã siwo le proximal humeral ƒe gbagbãwo dzi kpɔkpɔ ŋu. Proximal humeral greater tuberosity locking plate (PHGTLP) nye locking plate ƒomevi aɖe si xɔ ŋkɔ le ƒe ʋɛ siwo va yi me le eƒe dɔdamɔnu nyuiwo ta. Le nyati sia me la, míaƒo nu tso PHGTLP ŋu tsitotsito, si me eƒe ŋutilã ƒe wɔwɔme, eƒe dzesiwo, amekokomɔnu, emetsonuwo, kple kuxi siwo dona tso eme hã le.
Ŋutilã ƒe wɔwɔme
Akpa enee le akɔta si te ɖe eŋu la me: akɔta ƒe ta, akɔta ƒe akpa si lolo wu, akɔta ƒe akpa si le sue wu, kple akɔta ƒe asike. Tuberosity si lolo wu nye ƒu si dzena le axadzi le humeral ta, eye wònaa teƒe si rotator cuff lãmekawo léna ɖe wo nɔewo ŋu. Wotrɔ asi le PHGTLP ŋu be wòalé tuberosity si lolo wu ƒe gbagbã siwo bɔ ɖe proximal humeral fractures me la ɖe te.
Nusiwo ɖee fia
Wofia PHGTLP na proximal humeral fractures si lɔ tuberosity si lolo wu ɖe eme la dzi kpɔkpɔ. Zi geɖe la, gbagbã siawo do ƒome kple abi siwo woxɔna le rotator cuff eye woate ŋu ana dɔwɔwɔ nagblẽ vevie. PHGTLP naa fixation si li ke, si wɔnɛ be woate ŋu aƒo amewo nu ƒu kaba ahagbugbɔ wo aɖɔ ɖo.
Amekoko ƒe Mɔnu
Amekokomɔnu si wozãna na PHGTLP bia be woaɖe edzi le gaglãgbe eye woatsɔe aɖo ememe. Wotsɔa dɔnɔa dana ɖe ƒutazikpui alo axadzizikpui dzi, eye wotsɔa avɔ siwo me dɔlékui mele o dzraa amekokoa ɖo. Woɖea ʋuka si lolo wu la dzi wòdidi, eye woɖea gbagbãƒea dzi kpɔtɔna. Emegbe wotsɔa PHGTLP la dana ɖe akɔta ƒe ta ƒe axadzi, eye wotsɔa gaviawo toa agbaa me dea ƒua me. Plɛti la naa nusi li ke, si wɔnɛ be woate ŋu aʋuʋui kaba ahagbugbɔ aɖɔe ɖo.
Emetsonuwo
Wokpɔe be PHGTLP ƒe dɔdamɔnu me tsonu nyuiwo le akɔta ƒe gbagbã siwo le proximal humeral fractures dzi kpɔkpɔ me. Numekuku geɖe ka nya ta be lãmekawo ƒe gbagbã ƒe ƒuƒoƒo sɔ gbɔ, dɔwɔwɔ me tsonu nyuiwo, kple kuxiwo ƒe agbɔsɔsɔ si mede o. Le numekuku 11 me toto ɖe ɖoɖo nu me la, wotsɔ PHGTLP do ƒome kple 95% ƒe union rate, 92% ƒe dɔwɔwɔ me tsonu nyui alo nyuitɔ kekeake, kple 6% ƒe kuxiwo ƒe agbɔsɔsɔme.
Kuxi siwo dona tso eme
Kuxi siwo do ƒome kple PHGTLP dometɔ aɖewoe nye gavi ƒe ʋuʋu, nusi wotsɔ de eme ƒe kpododonu, esi womewɔ ɖeka o, kple dɔlékuiwo xɔxɔ. Kuxiawo ƒe dzɔdzɔ mebɔ o, eye woate ŋu akpɔ wo dometɔ akpa gãtɔ gbɔ ne wokpɔ wo gbɔ nyuie. Le numekuku 11 me toto ɖe ɖoɖo nu me la, kuxi si bɔ wue nye screw perforation, si dzɔ le 2.2% me.
Nyanuwuwuw
PHGTLP nye tiatia nyui aɖe si le dedie na proximal humeral fractures si lɔ tuberosity si lolo wu ɖe eme la gbɔ kpɔkpɔ. Plɛti la naa nusi li ke, si wɔnɛ be woate ŋu aʋuʋui kaba ahagbugbɔ aɖɔe ɖo. Wokpɔe be PHGTLP ƒe dɔdamɔnu me tsonu nyo ŋutɔ eye kuxiwo ƒe agbɔsɔsɔme mede o. Ele be woabu PHGTLP zazã ŋu le proximal humeral fractures dzi kpɔkpɔ me.
Nya siwo wobiaa nya tso ame ŋu
Ɣeyiɣi didi kae wòxɔna hafi wohayana tso proximal humeral fractures siwo dzi wokpɔ kple PHGTLP me?
Ɣeyiɣi si woatsɔ ahaya la nɔ te ɖe nu geɖe dzi, abe alesi gbegbe lãmekaa ƒe gbagbã sesẽe, ƒe si dɔnɔa xɔ, kple atikewɔwɔ me nɔnɔme siwo nɔ anyi do ŋgɔ ene. Le goawo katã me la, dɔnɔ akpa gãtɔ ate ŋu akpɔ mɔ be yewoatrɔ ayi yewoƒe dɔwɔna siwo sɔ gbɔ le ɣleti 6-12 me le amekokoa megbe.
Ðe PHGTLP zazã do ƒome kple kuxi aɖewo siwo nɔa anyi didia?
Kuxi siwo nɔa anyi didi siwo do ƒome kple PHGTLP mebɔ o. Gake ele be dɔnɔwo nanya afɔku si le atike si wotsɔ dea lãme na ame ƒe kpododonu, si ate ŋu adzɔ le amekoko ƒe geɖe megbe. Ne ɖɔkta si le dɔa wɔm la kplɔnɛ ɖo edziedzi ate ŋu akpe ɖe ame ŋu woade dzesi kuxi ɖesiaɖe si ate ŋu ado mo ɖa eye woakpɔ wo gbɔ kaba.
Ðe woate ŋu azã PHGTLP le proximal humeral fractures ƒe nɔnɔmewo katã mea?
Ao, wotrɔ asi le PHGTLP ŋu koŋ be wòaxe mɔ ɖe gbagbãƒe siwo ƒe lãkusi lolo wu nu. Le nɔnɔme siwo me aɖuɖɔtoe si te ɖe eŋu ƒe akpa bubuwo le gbagbãƒea me la, ahiã be woabu amekoko bubuwo ŋu.
Ɣeyiɣi kae dɔnɔ siwo le PHGTLP dɔ wɔm na la ƒe hayahaya?
Ɣeyiɣi si woatsɔ ahaya la toa vovo le alesi wògbãe, ƒe si dɔnɔa xɔ, kple atikewɔwɔ me nɔnɔme ɖesiaɖe si nɔ anyi do ŋgɔ nu. Dɔnɔ akpa gãtɔ ate ŋu akpɔ mɔ be yewoatrɔ ayi yewoƒe dɔwɔnawo me le ɣleti 6-12 me le amekokoa megbe.
Aleke dɔnɔwo ate ŋu awɔ woƒe hayahaya nyuie wu le PHGTLP dɔwɔwɔ vɔ megbe?
Dɔnɔwo ate ŋu ana woƒe hayahaya nanyo wu ne wowɔ ɖe ɖɔɖɔɖo ƒe ɖoɖo si ŋu woƒe ɖɔkta si le dɔ wɔm na wo wɔ dzi. Esia ate ŋu anye kamedede, kamedede be wòana ame ƒe ʋuʋu kple ŋusẽ nanyo ɖe edzi, kple vevesese dzi ɖuɖu ƒe mɔnuwo. Ele vevie be woawɔ ɖe mɔfiame siwo katã ɖɔkta si le dɔa wɔm na le dɔwɔwɔ vɔ megbe dzi be woakpɔ egbɔ be yeƒe lãme sẽ dzidzedzetɔe.
Le nyataƒoƒo me la, PHGTLP nye tiatia si le dedie eye wòwɔa dɔ nyuie na proximal humeral fractures si me tuberosity si lolo wu le la dzi kpɔkpɔ. Plɛti la naa nusi li ke, si wɔnɛ be woate ŋu aʋuʋui kaba ahagbugbɔ aɖɔe ɖo, eye wokpɔe be dɔdamɔnu nyuiwo dona tso eme eye kuxiwo ƒe agbɔsɔsɔme medea ame dzi o. Ele be dɔnɔwo nadzro PHGTLP zazã me kple woƒe ɖɔkta si le atike wɔm na wo be woakpɔe ɖa be enye tiatia si sɔ na woƒe gbagbã tɔxɛa hã. Ne wokpɔ dɔnɔwo gbɔ nyuie eye wokplɔ wo ɖo la, woate ŋu akpɔ mɔ be yewoatrɔ ayi dɔwɔna siwo sɔ gbɔ eye yewoase vivi na agbe nyui nɔnɔ le proximal humeral fracture operation kple PHGTLP megbe.
