Karyewar humerus na nisa nau'in rauni ne mai ƙarfi a cikin kashin baya. Wahala a cikin jiyya ta ta'allaka ne a cikin sarƙaƙƙiyar tsarin halittar jiki da buƙatar dawo da aikin haɗin gwiwa. A matsayin mai ba da mafita na ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun rauni, rabe-raben AO, da dabarun gyara faranti don ɓarna humerus mai nisa don tallafawa daidaitaccen magani na asibiti.
1. Anatomy na Distal Humerus
Humerus mai nisa ya ƙunshi ginshiƙai na tsakiya da na gefe, waɗanda suka haɗa da epicondyles da condyles.
2. Hanyar Rauni
Karyewar humerus mai nisa yana faruwa ta hanyar rauni kai tsaye (misali, faɗuwa) ko ƙarfin kai tsaye (misali, murɗawa ko jan tsoka).
3. Rarraba AO
Rarraba AO yana raba karayar humerus mai nisa zuwa manyan nau'ikan uku: A , B , da C .
4. Maganin Tiyata
Maganin tiyata yana biye da ka'idodin AO: raguwa na jiki, daidaitawar kwanciyar hankali, da gyaran farko.
5. Darajar Clinical
Faranti masu kullewa yana ba da ingantaccen kwanciyar hankali na biomechanical, musamman a cikin kashi osteoporotic.
6. CZMEDITECH Samfuran Faranti
CZMEDITECH yana ba da samfura uku: extraarticular (01.1107), a gefe (5100-17), da faranti na tsakiya (5100-18).
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 gefen 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 baya na coronoid da fossa olecranon na baya.
Hanyar Raunin Rauni a Karɓar Humerus Distal
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).
- Ƙarfin Janye tsoka
Rukunin tsaka-tsakin ya haɗa da ɓangaren tsakiya na metaphysis na humerus, matsakaicin epicondyle, da na tsakiya, ciki har da trochlea na humerus.
· Ƙarfin ƙaƙƙarfan tsokoki na rotator na ciki
·Karfin ƙwanƙwasa tsokoki masu karkata 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
· Faduwa daga tsayi
Rarraba AO: Madaidaicin Buga don Jagorar Yanke Shawarwari
Dangane da tsarin rarrabawa AO, an rarraba raunin humerus distal kamar haka, kai tsaye yana tasiri 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.
Rarraba AO yana fayyace tsananin karaya kuma yana ba da jagora don zaɓin farantin (misali, guda ɗaya vs. faranti biyu, Kulle sukuro ƙira) don tabbatar da ƙarfin daidaitawa da daidaituwar halittu.
Maganin Tiya: Mahimman Fa'idodin Gyaran Plate
Ka'idojin Jiyya:
Bibiyar falsafar AO: ' Rage jikin jiki, daidaitawa, da motsa jiki na farko.'
Ƙarƙashin Ƙarfafa Ƙarfi
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
Technique Dual Plate
Ya dace da nau'in C fractures. Gyara daga tsaka-tsaki guda biyu (misali, anatomical Farantin kullewa ) da na gefe (misali, farantin layi daya) bangarorin suna ba da kwanciyar hankali na 3D kuma yana rage haɗarin nakasar jujjuyawar bayan aiki.
Technique Plate Single
Ana amfani da nau'in A da nau'in ɓangarori na B. Faranti da aka riga aka yi da su da suka dace da yanayin halittar humerus na nesa suna rage wargajewar nama mai laushi.
Karamar Maƙarƙashiya
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
Faranti masu kullewa yana ba da kwanciyar hankali na angular, musamman amfani ga marasa lafiya 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.
Silsilar mu mai nisa Farantin kullewa an ƙera shi ne musamman don rikiɗaɗɗen raunin humeral. Tare da gyaran jiki, fasaha na Kulle sukuro , da ƙayyadaddun bayanai da yawa, yana ba da mafita mai aminci, tsayayye, da sassauƙan gyarawa don tiyatar asibiti.
Wannan gidan yanar gizon yana amfani da kukis da fasaha iri ɗaya ('kukis'). Dangane da yardar ku, za ta yi amfani da kukis na nazari don bin diddigin abubuwan da ke sha'awar ku, da kukis ɗin talla don nuna tallan da ke tushen sha'awa. Muna amfani da masu ba da sabis na ɓangare na uku don waɗannan matakan, waɗanda kuma za su iya amfani da bayanan don dalilai na kansu.
Kuna ba da izinin ku ta danna 'Karɓa duk' ko ta amfani da saitunanku ɗaya. Hakanan za'a iya sarrafa bayanan ku a cikin ƙasashe na uku a wajen EU, kamar Amurka, waɗanda ba su da madaidaicin matakin kariyar bayanai da kuma inda, musamman, samun damar hukumomin gida ba za a iya hana su yadda ya kamata ba. Kuna iya soke izinin ku tare da sakamako nan take a kowane lokaci. Idan ka danna 'Kar duk', kukis masu mahimmanci kawai za a yi amfani da su.
