Woma humerus si le didiƒe la ɖe medial column kple lateral column me.
Medial ƒe sɔti .
Medial column la ƒe akpa si le titina ƒe akpa si le humerus la ƒe metaphysis, medial epicondyle, kple medial condyle, si me trochlea si le humerus la hã le.
Axadzi sɔti .
Axadzi sɔti la ƒe akpa si nye humerus la ƒe tagbɔdɔléle, axadzi epicondyle, kple axadzi condyle, si me humerus ƒe capitulum hã le.
Mɔnu si dzi woato axɔ abi le didiƒe ƒe humerus ƒe gbagbãƒewo .
Nukatae humerus si le didiƒe la te ŋu gbãna bɔbɔe?
Abe abɔta ƒe ƒunukpeƒe ƒe akpa vevi aɖe ene la, distal humerus ƒe gbagbã zi geɖe tso 'direct trauma' (abe fall landing on the elbow) alo 'indirect trauma' (abe twisting alo throwing actions ene).
- Lãmetsi hehe ƒe ŋusẽwo .
Medial column la ƒe akpa si le titina ƒe akpa si le humerus la ƒe metaphysis, medial epicondyle, kple medial condyle, si me trochlea si le humerus la hã le.
·Ememe rotator lãmekawo ƒe ʋuʋu sesĩe .
·Albow flexor lãmekawo ƒe ʋuʋu sesĩe .
- Ŋusẽ si me ŋusẽ le ŋutɔ ƒe nuveviwɔame .
Ŋusẽ siwo le gota abe ʋufɔkuwo alo anyidzedze tso kɔkɔme ene ate ŋu ana woagbã vuvu alo alɔ asikea ɖe eme.
Coronoid Fossa kple Olecranon Fossa .
· Ʋufɔkuwo .
·Anyidzedze tso kɔkɔƒe .
AO ƒe hatsotsowo me toto: ŋɔŋlɔ pɛpɛpɛ be woafia mɔ amekoko ŋuti nyametsotsowo .
Le AO ƒe hatsotsowo me toto ƒe ɖoɖoa nu la, wodaa akɔta ƒe gbagbã siwo le didiƒe ɖe hatsotsowo me ale, si kpɔa ŋusẽ ɖe atikewɔwɔmɔnu siwo wotia dzi tẽ:
Ƒomevi A: Afɔkpodzi ƒe Akpa Siwo Wotsɔ Kpenae
- A1: Ƒu ƒe gbagbã bɔbɔe, articular ƒe gomekpɔkpɔ aɖeke mele eme o.
- A2/A3: Metaphyseal fractures siwo ŋu wòku ɖo alo esiwo woɖe ɖa, susu si hiã na dzogoe ƒe nɔnɔme madeamedziwo.
Ƒomevi B: Aɖuɖɔtoe ƒe akpa aɖe ƒe gbagbã .
Fracture line lɔ ƒunukpeƒea ƒe anyime ɖe eme gake womaɖe wo nɔewo ɖa keŋkeŋ o; Anatomical reduction hiã be woatsɔ agbugbɔ ƒunukpeƒewo awɔ ɖeka.
Ƒomevi C: Aɖuɖɔtoe ƒe gbagbã bliboe .
- C1/C2: Ƒumeŋuɖui ƒe akpa si le ƒunukpeƒewo bɔbɔe kple metaphyseal ƒe gomekpɔkpɔ le eme.
- C3: comminud intra-articular fractures, si nye esi sesẽ wu be woada; Wohiã na fixation si li ke be woatsɔ aɖe afɔku si le ƒunukpeƒetetedɔ megbe ƒe afɔkua dzi akpɔtɔ..
Vevienyenye si le hatsotsowo me toto ŋu:
AO ƒe hatsotsowo me toto naa gbagbãƒea ƒe sesẽme me kɔna eye wònaa mɔfiame le plate tiatia ŋu (le kpɔɖeŋu me, ɖeka vs. dual plates, locking screw designs) be woakpɔ egbɔ be fixation strength kple biological balance siaa.
Amekoko ƒe atikewɔwɔ: viɖe vevi siwo le agba me tsɔtsɔ ɖo nu me ŋu .
Míaƒe distal humerus locking plate series nye etɔxɛe wowɔ na complex distal humeral fractures. Le anatomical contouring, locking screw technology, kple nu geɖe ƒe nɔnɔmewo me la, enaa fixation solutions siwo le dedie, siwo li ke, eye woate ŋu atrɔ asi le wo ŋu hena amekoko le kɔdzi.
Míekpena ɖe ŋuwò nèƒoa asa na mɔ̃ siwo me nètsɔa mɔ̃ siwo ƒe nyonyome le la naa wò eye nèdea asixɔxɔ wò ƒumeŋuɖui ƒe hiahiã, ɖe game dzi kple ga si nèzãna ɖe ga ŋu la ŋu.
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