Views: 0 Author: Site Editor Ɣeyiɣi si Wotae: 2025-05-22 Dzɔtsoƒe: Teƒe
Distal humerus fractures nye abi si ŋusẽ geɖe xɔna le ƒumeŋuɖui me. Nusi sesẽ le atikewɔwɔ me tso alesi ŋutilã ƒe wɔwɔme sesẽe kple alesi wòhiã be woagbugbɔ ƒunukpeƒewo awɔ dɔe. Abe dɔnyala bibi aɖe si naa egbɔkpɔnu le ƒumeŋuɖui ƒe ememe fixation ƒe akpa dzi ene la, míenaa numekuku deto le abi ƒe mɔnuwo, AO ƒe hatsotsowo, kple plate fixation mɔnuwo ŋu na distal humerus fractures be míado alɔ dɔdamɔnu si sɔ pɛpɛpɛ.
Distal humerus nyea titina kple axadzi sɔtiwo, siwo dometɔ aɖewoe nye epicondyles kple condyles.
Distal humerus fractures tsoa nuveviwɔame tẽ (le kpɔɖeŋu me, anyidzedze) alo ŋusẽ siwo metso tẽ o (le kpɔɖeŋu me, lãmekawo ƒe ʋuʋu alo lãmekawo ƒe hehe) gbɔ.
AO ƒe hatsotso la ma akɔta ƒe gbagbã siwo le didiƒe ɖe akpa vevi etɔ̃ me: A , B , kple C .
Amekoko ƒe atikewɔwɔ zɔna ɖe AO ƒe gɔmeɖosewo dzi: ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ, eƒe ŋutilã ƒe nɔnɔme si li ke, kple eƒe ɖɔɖɔɖo kaba.
Nusiwo wotsɔ xea mɔe naa biomechanical li ke nyuie wu, vevietɔ le ƒu si me ƒu le me.
CZMEDITECH naa kpɔɖeŋu etɔ̃: extraarticular (01.1107), lateral (5100-17), kple medial (5100-18) plates.
Woma akɔtaƒu si le didiƒe la ɖe titina sɔti kple axadzi sɔti me.
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 sɔti la lɔ akɔta ƒe metaphysis ƒe axadzi, axadzi epicondyle, kple axadzi condyle, si me humerus ƒe capitulum hã le.
Nusiwo le sɔti eveawo domee nye ŋgɔgbe coronoid fossa kple megbe olecranon fossa.
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.
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 sesĩe
Ŋusẽ siwo tso gota abe ʋufɔkuwo alo anyidzedze tso kɔkɔƒe ene ate ŋu ana ʋua ƒe gbagbã nagbã alo alɔ ƒunukpeƒea ɖe eme.
· Ʋufɔkuwo
·Edze anyi tso kɔkɔƒe

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:
- 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.
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.
- 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 megbe dzi akpɔtɔ..
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.

AO ƒe xexemenunya dzi wɔwɔ: 'Ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ, fixation si li ke, kple dɔwɔwɔ ƒe kamedede kaba.'
Ŋusẽ siwo tso gota abe ʋufɔkuwo alo anyidzedze tso kɔkɔƒe ene ate ŋu ana ʋua ƒe gbagbã nagbã alo alɔ ƒunukpeƒea ɖe eme.
Esɔ na ƒomevi C 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.
Plɛti siwo wotsɔ xea mɔe naa dzogoewo nɔa te, eye wòɖea vi na ƒumeŋuɖui dɔnɔwo vevietɔ.
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.
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.
Wotrɔ asi le míaƒe distal humerus locking plate series ŋu etɔxɛe na distal humerus ƒe gbagbã sesẽwo. Esi wònye be wowɔa ŋutilã ƒe nɔnɔme, mɔ̃ɖaŋununya si nye gavi si wotsɔ xea nu, kple nɔnɔme vovovowo ta la, enaa nusiwo woatsɔ ablae ƒe kuxiwo gbɔ kpɔnu siwo le dedie, siwo li ke, eye woate ŋu atrɔ ɖe nɔnɔmewo ŋu na amekoko le kɔdzi.
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