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, daidaitawa mai tsayi, da gyaran farko.
5. Darajar Clinical
Kulle faranti suna ba da ingantaccen kwanciyar hankali na biomechanical, musamman a cikin kashi na osteoporotic.
6. CZMEDITECH Plate Model
CZMEDITECH yana ba da samfura uku: extraarticular (01.1107), a gefe (5100-17), da faranti na tsakiya (5100-18).
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
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, 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.
Technique Plate Single
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.
Karamar Maƙarƙashiya
Haɗe tare da sanya dunƙule dunƙule don rage haɗarin kamuwa da cuta da adana wadatar jini na periosteal.
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.
Jerin makullin farantin mu na nesa an ƙera shi ne musamman don hadadden karaya mai nisa. Tare da gyaran jiki, fasahar kulle dunƙule, da ƙayyadaddun ƙayyadaddun bayanai da yawa, yana ba da mafita mai aminci, kwanciyar hankali, da sassauƙan gyarawa don tiyatar asibiti.
Farantin Kulle Humeral Extraarticular Extraarticular
Misali: 01.1107
Musammantawa: 4-9 ramuka, 144-184 mm
