1. Distal Humerus ƒe ŋutilã ƒe wɔwɔme
Distal humerus nyea titina kple axadzi sɔtiwo, siwo dometɔ aɖewoe nye epicondyles kple condyles.
2. Nuveviwɔame ƒe Mɔnu
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.
3. AO ƒe hatsotsowo me toto
AO ƒe hatsotso la ma akɔta ƒe gbagbã siwo le didiƒe ɖe akpa vevi etɔ̃ me: A , B , kple C .
4. Amekoko ƒe Atikewɔwɔ
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.
5. Asixɔxɔ si le Dɔnɔdzikpɔƒe
Nusiwo wotsɔ xea mɔe naa biomechanical li ke nyuie wu, vevietɔ le ƒu si me ƒu le me.
6. CZMEDITECH Plɛti ƒe Kpɔɖeŋuwo
CZMEDITECH naa kpɔɖeŋu etɔ̃: extraarticular (01.1107), lateral (5100-17), kple medial (5100-18) plates.
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
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 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
· Ʋufɔkuwo
·Edze anyi tso kɔkɔƒe
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
Ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ
Fixation si li ke
Kamedede si wɔa dɔ kaba
Amekoko ƒe Dzesiwo
Articular ƒe ʋuʋu >2mm
Gbagbãƒe siwo le ʋuʋu ɖi
Ahɔhɔ̃mekawo ƒe abixɔxɔ si wotsɔ ƒo ƒui
Atikewɔwɔ si me woɖea mɔ ɖe nu ŋu le ƒe kpododonu
Plate Fixation Mɔnu
Dual Plate ƒe Mɔnu
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.
Mɔnu si Wotsɔna Kplu Ðeka
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.
Mɔnu si Me Amewo Mewɔa Nu O
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.
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.
Wotrɔ asi le míaƒe distal humerus locking plate series ŋu etɔxɛe na distal humeral fractures 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.
