Distal Humerus ƒe ŋutilã ƒe wɔwɔme
Woma akɔtaƒu si le didiƒe la ɖe titina sɔti kple axadzi sɔti me.
Medial Kpɔti
Titina sɔti la lɔ akɔta ƒe metaphysis ƒe titina ƒe akpa, titina ƒe lãkusi, kple titina ƒe lãkusi, si me akɔta ƒe trochlea hã le.
Axadzi Kpɔti
Axadzi sɔti la lɔ akɔta ƒe metaphysis ƒe axadzi, axadzi epicondyle, kple axadzi condyle, si me humerus ƒe capitulum hã le.
Coronoid Fossa kple Olecranon Fossa ƒe ƒuƒoƒo
Nusiwo le sɔti eveawo domee nye ŋgɔgbe coronoid fossa kple megbe olecranon fossa.
Distal Humeral Extraarticular Ʋuʋudedi ƒe Kplu
★★★★★
4.9/5 (128Totoɖeme)
Wotrɔ asi le agbalẽvi sia ŋu na ƒunukpeƒetetedɔ ƒe gbagbã le distal humerus, si woɖoa taɖodzinu na metaphyseal nuto si me ƒunukpeƒea ƒe anyigba makpɔ gome le o. Eƒe gavi siwo xea mɔ nɛ la nana wòli ke le dzogoe ene me, si wɔe be wòsɔ na ƒumeŋuɖui dɔnɔwo alo ƒu ƒe gbagbã ƒe nɔnɔme sesẽwo koŋ.
Extraarticular Fixation
Multi-mɔfiame Ʋuʋu Screws
Anatomic Contouring
Ƒoƒu Dowo
Nuveviwɔame ƒe Mɔnu le Distal Humerus Fractures me
Woma akɔtaƒu si le didiƒe la ɖe titina sɔti kple axadzi sɔti me.
Nukatae akɔtaƒu si le didiƒe ʋĩ la te ŋu gbãna bɔbɔe?
Abe abɔta ƒe ƒunukpeƒe ƒe akpa vevi aɖe ene la, zi geɖe la, akɔta ƒe gbagbã le didiƒe tso 'nuveviwɔame tẽ' (abe anyidzedze ɖe abɔta ene) alo 'nuveviwɔame si metso tẽ o' (abe nuwɔna siwo wotsɔ trɔa asi le nu ŋu alo ƒua gbe ene) gbɔ.
- LãmetsiheŋusẽwoLateral Column
Titina sɔti la lɔ akɔta ƒe metaphysis ƒe titina ƒe akpa, titina ƒe lãkusi, kple titina ƒe lãkusi, si me akɔta ƒe trochlea hã le. ·Ememe rotator lãmekawo ƒe tete sesĩe ·Abɔta flexor lãmekawo ƒe tete sesẽ
- Ŋusẽ Gã ƒe Nuveviwɔame
Ŋusẽ siwo tso gota abe ʋufɔkuwo alo anyidzedze tso kɔkɔƒe ene ate ŋu ana ʋua ƒe gbagbã nagbã alo alɔ ƒunukpeƒea ɖe eme.
Coronoid Fossa kple Olecranon Fossa ƒe ƒuƒoƒo
·Ʋuwo ƒe afɔkuwo ·Edze anyi tso kɔkɔƒe
Distal Lateral Humeral Ʋuʋu ƒe Kplu
★★★★★
4.9/5 (128Totoɖeme)
Wotrɔ asi le agbalẽvi sia ŋu na axadzi sɔti ƒe gbagbã, eye wòsɔ na capitellar alo supracondylar gbagbã, si naa mɔ̃ɖaŋununya ƒe kpekpeɖeŋu to axadzi mɔnu dzi be wòana nuwo gbugbɔgaɖɔɖo kaba.
Lateral Column Stabilization
Articular Fragment Fixation
Radial Lãmetsiŋusẽ Takpɔkpɔ
Dynamic Compression
AO ƒe Ƒomedodo: Agbalẽŋɔŋlɔ si De pɛpɛpɛ Be Woafia Mɔ Amekoko Ŋuti Nyametsotsowo
Le AO ƒe hatsotsowo me toto ƒe ɖoɖoa nu la, woda akɔta ƒe gbagbã siwo le didiƒe ɖe hatsotsowo me ale, si kpɔa ŋusẽ ɖe atikewɔwɔmɔnu tiatia dzi tẽ:
Ƒomevi A: Ƒunukpeƒetetedɔ ƒe gbagbã
- A1: Gbagbã bɔbɔe, ƒunukpeƒetetedɔ aɖeke meku ɖe eŋu o. - A2/A3: Metaphyseal fractures siwo ŋu ŋusẽ le alo esiwo woɖe ɖa, beléle si hiã na dzogoe ƒe nɔnɔme madeamedziwo.
Ƒomevi B: Ƒunukpeƒe ƒe akpa aɖe ƒe gbagbã
Fracture line lɔ ƒunukpeƒea ƒe anyime ɖe eme gake mema keŋkeŋ o; ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ hiã be woagbugbɔ ƒunukpeƒewo ƒe ɖekawɔwɔ aɖo anyi.
Ƒomevi C: Ƒunukpeƒewo ƒe gbagbã keŋkeŋ
- C1/C2: Ƒunukpeƒe ƒe gbagbã bɔbɔe siwo me metaphyseal ƒe gomekpɔkpɔ le. - C3: Corminuted intra-articular fractures, si nye esi sesẽ wu be woada; stable fixation hiã be woaɖe afɔku si le ƒunukpeƒetetedɔ si dzɔna le afɔku megbe dzi akpɔtɔ.. Loc
Vevienyenye si le hatsotsowo me toto ŋu:
AO ƒe hatsotso la naa alesi gbegbe gbagbãa nu sẽe me kɔna eye wònaa mɔfiame le agbalẽvi tiatia ŋu (le kpɔɖeŋu me, agbalẽvi ɖeka kple eve, gavi siwo wotsɔ xea mɔe ƒe nɔnɔmewo) be woakpɔ egbɔ be ŋusẽ si wotsɔ léa nu ɖe te kple nugbagbewo ƒe dadasɔ siaa.
Distal Medial Humeral ƒe Ʋuƒo ƒe Kplu
★★★★★
4.9/5 (128Totoɖeme)
Plɛti sia nye ememe fixation solution na distal humerus ƒe medial column fractures, si naa kpekpeɖeŋu to medial mɔnu dzi be woaxe mɔ ɖe varus deformity nu, si wozãna zi geɖe le coronal plane fractures ƒe nɔnɔmewo me.
Medial Sɔti Kpekpeɖeŋu
Low-profile Design
Coronal Yameʋu Screws
Dual-plating Sɔ
Amekoko ƒe Atikewɔwɔ: Viɖe Vevi Siwo Le Plɛtiwo Ƒe Ðoɖowɔwɔ Ŋu
Atikewɔwɔ Ŋuti Gɔmeɖosewo:
AO ƒe xexemenunya dzi wɔwɔ: 'Ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ, fixation si li ke, kple dɔwɔwɔ ƒe kamedede kaba.'
Ŋusẽ Gã ƒe Nuveviwɔame
Ŋusẽ siwo tso gota abe ʋufɔkuwo alo anyidzedze tso kɔkɔƒe ene ate ŋu ana ʋua ƒe gbagbã nagbã alo alɔ ƒunukpeƒea ɖe eme.
Atikewɔwɔ Ŋuti Gɔmeɖosewo
Amekoko ƒe Dzesiwo
Plate Fixation Mɔnu
Esɔ na C ƒomevi ƒe gbagbãƒewo. Fixation tso titina (le kpɔɖeŋu me, anatomical locking plate) kple axadzi (le kpɔɖeŋu me, parallel plate) ƒe axawo siaa naa 3D li ke eye wòɖea afɔku si le dɔwɔwɔ vɔ megbe ƒe tɔtrɔ ƒe nɔnɔmetɔtrɔ me dzi kpɔtɔna.
Wozãnɛ na ƒomevi A kple ƒomevi B ƒe akpa aɖe ƒe gbagbã. Plɛti siwo wowɔ do ŋgɔ siwo wɔ ɖeka kple distal humerus anatomy ɖea lãmeka falɛfalɛwo ƒe ʋuʋu dzi kpɔtɔna.
Wotsɔe kpe ɖe gavi si wotsɔ dea ŋutigbalẽ me ŋu be wòaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ eye wòakpɔ ʋu si le ƒunukpeƒea ta.
Asixɔxɔ si le Plate Fixation ŋu le Dɔnɔdzikpɔƒe
Viɖe si le Biomechanical me
Plɛti siwo wotsɔ xea mɔe naa dzogoewo nɔa te, eye wòɖea vi na ƒumeŋuɖui dɔnɔwo vevietɔ.
Dɔwɔwɔ ƒe Gbugbɔgadzɔ ƒe Kakaɖedzi
Ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ kpɔa abɔta ƒe ƒunukpeƒewo ƒe ʋuʋu ta vaseɖe afi aɖe, si ɖea kuxiwo abe nonunion alo malunion ene dzi kpɔtɔna.
Aɖaŋu si Wotrɔ Asi Le Eŋu
Plɛti siwo wowɔ na ƒu ƒe gbagbã ƒomevi aɖewo koŋ (le kpɔɖeŋu me, intercondylar ridge support plates) naa ŋusẽ ƒe kaka nyona ɖe edzi eye wònaa ƒu ƒe dɔyɔyɔ kabakaba.
Distal Humerus ƒe ŋutilã ƒe wɔwɔme
Woma akɔtaƒu si le didiƒe la ɖe titina sɔti kple axadzi sɔti me.
Medial Kpɔti
Titina sɔti la lɔ akɔta ƒe metaphysis ƒe titina ƒe akpa, titina ƒe lãkusi, kple titina ƒe lãkusi, si me akɔta ƒe trochlea hã le.
Axadzi Kpɔti
Axadzi sɔti la lɔ akɔta ƒe metaphysis ƒe axadzi, axadzi epicondyle, kple axadzi condyle, si me humerus ƒe capitulum hã le.
Coronoid Fossa kple Olecranon Fossa ƒe ƒuƒoƒo
Nusiwo le sɔti eveawo domee nye ŋgɔgbe coronoid fossa kple megbe olecranon fossa.
Distal Humerus ƒe ŋutilã ƒe wɔwɔme
Woma akɔtaƒu si le didiƒe la ɖe titina sɔti kple axadzi sɔti me.
Medial Kpɔti
Titina sɔti la lɔ akɔta ƒe metaphysis ƒe titina ƒe akpa, titina ƒe lãkusi, kple titina ƒe lãkusi, si me akɔta ƒe trochlea hã le.
Axadzi Kpɔti
Axadzi sɔti la lɔ akɔta ƒe metaphysis ƒe axadzi, axadzi epicondyle, kple axadzi condyle, si me humerus ƒe capitulum hã le.
Coronoid Fossa kple Olecranon Fossa ƒe ƒuƒoƒo
Nusiwo le sɔti eveawo domee nye ŋgɔgbe coronoid fossa kple megbe olecranon fossa.
