Woma akɔtaƒu si le didiƒe la ɖe titina sɔti kple axadzi sɔti me.
Medial Kpɔti
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 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.
Mɔnu si dzi woato axɔ abi le didiƒe ƒe humerus ƒe gbagbãƒewo .
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.
- Lãmetsiheŋusẽwo
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 tete sesĩe
·Abɔta flexor lãmekawo ƒe tete 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 ƒe ƒuƒoƒo
· Ʋufɔkuwo .
·Edze anyi 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, woda akɔta ƒe gbagbã siwo le didiƒe ɖe hatsotsowo me ale, si kpɔa ŋusẽ ɖe atikewɔwɔmɔnu tiatia 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.
- C1/C2: Ƒunukpeƒe ƒe gbagbã bɔbɔe siwo me metaphyseal ƒe gomekpɔkpɔ le.
- 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.
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.
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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