Anatomy na Distal Humerus
An raba humerus mai nisa zuwa ginshiƙi na tsakiya da ginshiƙi na gefe.
Rukunin Matsakaici
Rukunin tsaka-tsakin ya haɗa da ɓangaren tsakiya na metaphysis na humerus, matsakaicin epicondyle, da na tsakiya, ciki har da trochlea na humerus.
Rukunin Layi
Rukunin na gefe ya haɗa da ɓangaren ɓangaren metaphysis na humerus, epicondyle na gefe, da kuma na gefe, ciki har da capitulum na humerus.
Coronoid Fossa da Olecranon Fossa
Wurin da ke tsakanin ginshiƙan biyu shine fossa na coronoid na baya da fossa olecranon na baya.
Farantin Kulle Humeral Extraarticular Extraarticular
An ƙera wannan farantin ne don karyewar hanji na nesa, wanda ke nufin yankin metaphyseal ba tare da haɗa saman haɗin gwiwa ba. Kulle-ƙulle yana ba da kwanciyar hankali na kusurwa, yana mai da shi dacewa musamman ga marasa lafiya na osteoporotic ko tsarin karaya.
Extraarticular Fixation
Multi-direction Lock Screws
Haɗin Haɗin
Haɗin Jiki
Hanyar Raunin Rauni a Karɓar Humerus Distal
An raba humerus mai nisa zuwa ginshiƙi na tsakiya da ginshiƙi na gefe.
Me yasa humerus mai nisa ke saurin karaya?
A matsayin muhimmin sashi na haɗin gwiwar gwiwar hannu, raunin humerus mai nisa yakan haifar da 'rauni kai tsaye' (kamar faɗuwar ƙasa akan gwiwar hannu) ko 'rauni kai tsaye' (kamar karkatar da ayyuka ko jifa).
- Rukunin Ƙarƙashin Ƙarƙashin Ƙarƙashin tsoka
Rukunin tsaka-tsakin ya haɗa da ɓangaren tsakiya na metaphysis na humerus, matsakaicin epicondyle, da na tsakiya, ciki har da trochlea na humerus. · Ƙarƙarar ƙaƙƙarfan tsokoki na rotator na ciki · Ƙarƙarar ƙaƙƙarfan tsokoki masu jujjuya gwiwar hannu
- Ragewar Makamashi
Sojojin waje kamar hadurran ababen hawa ko fadowa daga tsayi na iya haifar da yanke karaya ko kuma sun haɗa da saman bango.
Coronoid Fossa da Olecranon Fossa
· Hatsarin mota · Fadowa daga tsayi
Lateral Lateral Humeral Plate
An ƙera shi don ɓangarorin ginshiƙan gefe, wannan farantin ya dace da ɓangarorin capitellar ko supracondylar, yana ba da tallafin injina ta hanya ta gefe don sauƙaƙe gyarawa da wuri.
Ƙarfafa
ginshiƙan Ƙaƙwalwar Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin
Ƙarƙashin Ƙarƙashin Ƙarƙashin Radial
Jijiya
Rarraba AO: Madaidaicin Buga don Jagorar Yanke Shawarwari
Dangane da tsarin rarrabawa AO, an rarraba raunin humerus mai nisa kamar haka, kai tsaye yana rinjayar zaɓin dabarun jiyya:
Nau'in A: Karya-karya
- A1: Karaya mai sauƙi, babu haɗin kai. - A2/A3: Tasiri ko matsuguni na metaphyseal fractures, kulawa da ake buƙata don nakasar kusurwa.
Nau'in B: Karyawar sassan jiki
Layin karya ya ƙunshi farfajiyar haɗin gwiwa amma ba tare da cikakken rabuwa ba; Ragewar anatomical wajibi ne don dawo da haɗin gwiwa.
Nau'in C: Cikakkun karaya na articular
- C1/C2: Sauƙaƙan ɓarna a cikin articular tare da shigar metaphyseal. - C3: Ƙarƙashin ɓarna na intra-articular, mafi ƙalubale don magance; ana buƙatar gyarawa mai ƙarfi don rage haɗarin cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukanትም da ƙai da ƙaiƙayi
Muhimmancin Rabewa:
Rarraba AO yana fayyace tsananin karaya kuma yana ba da jagora don zaɓin farantin (misali, guda ɗaya vs. faranti biyu, ƙirar kulle kulle) don tabbatar da ƙarfin daidaitawa da daidaituwar halittu.
Farkon Kulle Humeral Medial Medial
Wannan farantin shine mafita na gyarawa na ciki don karyewar ginshiƙi na tsaka-tsaki na humerus mai nisa, yana ba da tallafi ta hanyar tsaka-tsaki don hana nakasar ɓarna, galibi ana amfani da ita a lokuta tare da karyewar jirgin sama.
Matsakaicin Rukunin
Matsakaicin Tallafawa Ƙarƙashin Ƙirƙirar Ƙirƙirar
Jirgin Jirgin Sama Mai Haɓaka
Dual-plating
Maganin Tiya: Mahimman Fa'idodin Gyaran Plate
Ka'idojin Jiyya:
Bibiyar falsafar AO: ' Rage jikin jiki, daidaitawa, da motsa jiki na farko.'
Rashin ƙarfi-Makamashi
Sojojin waje kamar hadurran ababen hawa ko fadowa daga tsayi na iya haifar da yanke karaya ko kuma sun haɗa da saman bango.
Ka'idojin Jiyya
Ragewar jiki
Tsayayyen gyarawa
Motsa jiki na farko
Alamun tiyata
Maɓalli na articular> 2mm
Bude karaya
Haɗewar rauni na jijiyoyin jini
Rashin maganin mazan jiya
Dabarun Gyaran Plate
Ya dace da nau'in C fractures. Gyara daga tsaka-tsaki guda biyu (misali, farantin kulle jikin jiki) da na gefe (misali, farantin layi daya) bangarorin suna ba da kwanciyar hankali na 3D kuma yana rage haɗarin nakasar jujjuyawar bayan aiki.
Ana amfani da nau'in A da nau'in ɓangarori na B. Faranti da aka riga aka yi da su daidai da humerus anatomy mai nisa suna rage wargajewar nama mai laushi.
Haɗe tare da sanya dunƙule dunƙule don rage haɗarin kamuwa da cuta da adana wadatar jini na periosteal.
Ƙimar Clinical na Gyaran Plate
Amfanin Biomechanical
Kulle faranti suna ba da kwanciyar hankali na kusurwa, musamman ma masu amfani ga marasa lafiya na osteoporotic.
Garantin Maidowa Aiki
Ragewar jiki yana kiyaye motsin haɗin gwiwar gwiwar gwiwar hannu zuwa mafi girma, yana rage rikice-rikice kamar rashin haɗuwa ko malunion.
Tsara Na Musamman
Faranti da aka siffa don takamaiman nau'ikan karaya (misali, faranti na goyan bayan riji na tsaka-tsaki) suna haɓaka watsa ƙarfi da haɓaka warƙar kashi.
Anatomy na Distal Humerus
An raba humerus mai nisa zuwa ginshiƙi na tsakiya da ginshiƙi na gefe.
Rukunin Matsakaici
Rukunin tsaka-tsakin ya haɗa da ɓangaren tsakiya na metaphysis na humerus, matsakaicin epicondyle, da na tsakiya, ciki har da trochlea na humerus.
Rukunin Layi
Rukunin na gefe ya haɗa da ɓangaren ɓangaren metaphysis na humerus, epicondyle na gefe, da kuma na gefe, ciki har da capitulum na humerus.
Coronoid Fossa da Olecranon Fossa
Wurin da ke tsakanin ginshiƙan biyu shine fossa na coronoid na baya da fossa olecranon na baya.
Anatomy na Distal Humerus
An raba humerus mai nisa zuwa ginshiƙi na tsakiya da ginshiƙi na gefe.
Rukunin Matsakaici
Rukunin tsaka-tsakin ya haɗa da ɓangaren tsakiya na metaphysis na humerus, matsakaicin epicondyle, da na tsakiya, ciki har da trochlea na humerus.
Rukunin Layi
Rukunin na gefe ya haɗa da ɓangaren ɓangaren metaphysis na humerus, epicondyle na gefe, da kuma na gefe, ciki har da capitulum na humerus.
Coronoid Fossa da Olecranon Fossa
Wurin da ke tsakanin ginshiƙan biyu shine fossa na coronoid na baya da fossa olecranon na baya.
