Proximal humeral greater tuberosity locking plate: numetoto blibo .
Akɔta si te ɖe eŋu nye ƒu ƒe wɔwɔme vevi aɖe si wɔa akpa vevi aɖe le abɔta ƒe akpa si le etame ƒe dɔwɔwɔ me. gbagbã le nuto sia me ate ŋu ahe dɔwɔwɔ ƒe gbɔdzɔgbɔdzɔ kple nuwɔametɔnyenye ɖedzesi aɖe vɛ. Le ƒe ʋɛ siwo va yi me la, ʋuƒo siwo wotsɔ xea mɔ na nu la ƒe wɔwɔme trɔ asi le humeral fractures siwo te ɖe wo nɔewo ŋu la dzi kpɔkpɔ ŋu. Proximal humeral greater tuberosity locking plate (PHGTLP) nye ʋuƒo ƒomevi aɖe si xɔ ŋkɔ le ƒe ʋɛ siwo va yi me le eƒe dɔdaƒe ƒe emetsonu nyuiwo ta. Le nyati sia me la, míato PHGTLP me tsitotsito, siwo dometɔ aɖewoe nye eƒe ŋutilã ƒe wɔwɔme, eƒe dzesiwo, amekokomɔnu, emetsonuwo, kple kuxiwo.
ŋutilã ƒe wɔwɔme .
Akpa enee le akɔta si le ŋgɔgbe la me: akɔta ƒe ta, tuberosity si lolo wu, tuberosity sue la, kple humeral shaft. Tuberosity si lolo wu nye ƒu ƒe ŋkɔxɔxɔ si le axadzi na humeral ta, eye wònaa teƒe si wotsɔa rotator cuff lãmekaawo kpena ɖe eŋu. Wotrɔ asi le PHGTLP ŋu be woatsɔ akpɔ tuberosity gãtɔ ƒe gbagbãƒewo, siwo bɔ ɖe humeral fractures siwo te ɖe wo nɔewo ŋu me.
Nusiwo fia .
Wofia PHGTLP la hena humeral fractures siwo te ɖe wo nɔewo ŋu siwo lɔ tuberosity si lolo wu ɖe eme la dzi kpɔkpɔ. Zi geɖe la, ƒunukpeƒetetedɔ siawo doa ƒome kple rotator cuff ƒe abi eye ate ŋu ahe dɔwɔwɔ ƒe gbɔdzɔgbɔdzɔ gã aɖe vɛ. PHGTLP naa fixation si li ke, si wɔnɛ be woate ŋu awɔ dɔ kaba ahagbugbɔ aɖɔe ɖo.
Amekokomɔnu .
Amekokomɔnu si wozãna na PHGTLP la bia be woaɖe asi le wo ŋu le mɔ si nye be woaɖe wo dzi akpɔtɔ eye woawɔ wo me le ememe. Wotsɔa dɔnɔa dana ɖe ƒutazikpui alo axadzi si woɖe le axadzi, eye wotsɔa xɔmetsovɔ siwo me dɔlékui mele o la dzraa amekokoƒea ɖo. Woɖea lãkusi didi aɖe ɖe tuberosity si lolo wu dzi, eye woɖea gbagbãƒea dzi kpɔtɔna. Emegbe wotsɔa phgtlp la dana ɖe akɔta ƒe ta ƒe akpa si le axadzi la dzi, eye wotsɔa gaviawo toa agbaa me yia ƒu me. Plɛti la naa fixation si li ke, si wɔnɛ be woate ŋu aƒo wo nu ƒu kaba eye woagbugbɔ wo aɖo te.
Emetsonuwo .
Wokpɔe be PHGTLP la ƒe dɔdamɔnu me tsonu nyuiwo le humeral fractures siwo te ɖe wo nɔewo ŋu dzi kpɔkpɔ me. Numekuku geɖe ɖee fia be fracture union ƒe agbɔsɔsɔ si sɔ gbɔ, dɔwɔwɔ me tsonu nyuiwo, kple kuxiwo ƒe agbɔsɔsɔ si mede o. Le numekuku 11 me toto ɖe ɖoɖo nu me la, PHGTLP do ƒome kple 95% ƒe dɔwɔha ƒe agbɔsɔsɔ, 92% nyui alo dɔwɔwɔ ƒe emetsonu nyuitɔ, kple 6% ƒe kuxi ƒe agbɔsɔsɔ.
Kuxiwo .
Kuxi siwo do ƒome kple PHGTLP dometɔ aɖewoe nye screw perforation, implant failure, non-union, kple infection. Kuxi siwo dona tso eme la medea ame dzi o, eye akpa gãtɔ nye esiwo dzi woate ŋu aɖu ne wole dɔ wɔm 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 siwo lɔ tuberosity si lolo wu ɖe eme la dzi kpɔkpɔ. Plɛti la naa fixation si li ke, si wɔnɛ be woate ŋu aƒo wo nu ƒu kaba eye woagbugbɔ wo aɖo te. Wokpɔe be PHGTLP la ƒe dɔdamɔnu me tsonu nyuiwo le esi eye kuxi siwo le eme medea ame dzi o. Ele be woabu PHGTLP zazã ŋu le humeral fractures siwo te ɖe wo nɔewo ŋu ƒe dɔwɔwɔ me.
Nya siwo wobiaa amewo .
Ɣeyiɣi didi kae wòxɔna hafi woate ŋu ahaya tso proximal humeral fractures siwo dzi wokpɔna kple PHGTLP me?
Ɣeyiɣi si woatsɔ ahayae la nɔ te ɖe nu geɖe dzi, abe alesi wòsẽe, 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 dɔwɔna siwo sɔ gbɔ le ɣleti 6-12 me le amekokoa megbe.
Ðe PHGTLP zazã do ƒome kple kuxi aɖewo siwo anɔ anyi ɣeyiɣi didia?
Kuxi siwo dona tso PHGTLP me ɣeyiɣi didi la mebɔ o. Gake ele be dɔnɔwo nanya afɔku si le woƒe lãme ƒe dɔmawɔmawɔ nyuie me, si ate ŋu adzɔ le ƒe geɖe le amekokoa megbe. Atikewɔla si le dɔa wɔm ƒe kplɔkplɔ ɖo edziedzi ate ŋu akpe ɖe ŋuwò nàde dzesi kuxi ɖesiaɖe si ate ŋu ado tso eme eye woakpɔ wo gbɔ kaba.
Ðe woate ŋu azã PHGTLP le humeral fractures siwo te ɖe wo nɔewo ŋu ƒe nɔnɔmewo katã mea?
Ao, wowɔ PHGTLP koŋ be woatsɔ akpɔ tuberosity gãtɔ ƒe gbagbãƒewo. Le nɔnɔme siwo me ƒunukpeƒea ƒe akpa bubuwo ku ɖe akɔta ƒe akpa bubuwo ŋu la, ahiã be woabu amekokomɔnu bubuwo ŋu.
Ɣeyiɣi kae dɔnɔ siwo wowɔ dɔ na le PHGTLP le dɔ wɔm na la ƒe hayahaya?
Ɣeyiɣi si woatsɔ ahayae la toa vovo le alesi wòsẽe, 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 dɔwɔwɔ siwo sɔ gbɔ le ɣleti 6-12 me le amekokoa megbe.
Aleke dɔnɔwo ate ŋu ana woƒe hayahaya nanyo ɖe edzi le PHGTLP ƒe dɔwɔwɔ vɔ megbe?
Dɔnɔwo ate ŋu ana woƒe hayahaya nanyo ɖe edzi ne wowɔ ɖe ɖoɖo si wowɔ ɖe wo gbugbɔgaɖɔɖo ŋu si ŋu woƒe atikewɔla si le dɔ wɔm le wɔ la dzi. Esia ate ŋu anye ŋutilãmedɔdada, kamedede be woana ʋuʋu kple ŋusẽ ƒe didime nanyo ɖe edzi, kple vevesese dzi kpɔkpɔ ƒe mɔnuwo. Ele vevie be woawɔ ɖe mɔfiame siwo katã atikewɔla si le dɔa wɔm na la na dzi be woakpɔ egbɔ be wòahaya dzidzedzetɔe.
Le nyataƒoƒo me la, PHGTLP nye tiatia si le dedie eye wòwɔa dɔ nyuie na humeral fractures proximal fractures si me tuberosity si lolo wu la dzi kpɔkpɔ. Plɛti la naa fixation si li ke, si wɔnɛ be woate ŋu awɔ dɔ kaba ahagbugbɔ aɖɔe ɖo, eye woɖee fia be dɔdaƒe me tsonu nyuiwo le eme eye kuxi siwo le wo me la le sue. Ele be dɔnɔwo nadzro PHGTLP zazã me kple woƒe atikewɔla si daa dɔ na wo be woakpɔe ɖa be enye tiatia si sɔ na woƒe gbagbã koŋ hã. Ne wokpɔ dɔ nyuie eye wokplɔ wo ɖo la, dɔnɔwo ate ŋu akpɔ mɔ be yewoatrɔ ayi dɔwɔna siwo sɔ gbɔ eye woase vivi na agbenɔnɔ ƒe nyonyome nyui aɖe le humeral fracture surgery si te ɖe eŋu kple PHGTLP megbe.
