Distal humerus fractures na wan kɔmɔn kayn injuri we gɛt ay ɛnaji na ɔtpidik. di difikulti fכ tritmεnt de pan di kכmplisiti fכ di anatomical strכkchכ εn di nid fכ rεstכr di joyn fכnshכn. As profeshɔnal sɔlvishɔn prɔvayda na di fil fɔ ɔtpidik intanɛnt fikseshɔn, wi de gi wan dip analisis fɔ di injuri mɛkanism, AO klasifikeshɔn, ɛn plet fikseshɔn strateji fɔ distal humerus fraktrɔs fɔ sɔpɔt prɛsis klinik tritmɛnt.
1. Anatomi fɔ di Distal Humerus
di distal humerus de kכnsis fכ di mεdial εn lateral kכlכm dεm, we inklud di epicondyles εn condyles.
2. Di we aw pɔsin kin wund
di distal humerus frakshכn de kכz bay dayrekt trauma (εgz., fכl) כ indaykt fכs (εgz., twist כ mכsul pul).
3. AO Klasifikɛshɔn
di AO klasifikasiכn de divayd distal hכmerus frakshכn insay tri men tכp dεm: A , B , εn C .
4. Ɔpreshɔn Tritmɛnt
ɔspitul tritmɛnt de fala di AO prinsipul dɛm: anatomical ridyushɔn, stebul fikseshɔn, ɛn ali rihabiliteshɔn.
5. Klinik Valyu
di plet dεm we de lכk de gi supεriכr bayomεkanikal stεbiliti, patikyular insay כstioporotik bon.
6. CZMEDITECH Plɛt Mɔdel dɛn
CZMEDITECH de gi tri mכdel dεm: εkstraartikulכr (01.1107), lateral (5100-17), εn mεdial (5100-18) plet dεm.
Anatomi fɔ di Distal Humerus
di distal humerus dεn divayd insay di mεdial kכlכm εn di lateral kכlכm.
Di Kɔlɔm we de na di Midia
di mεdial kכlכm inklud di mεdial pat pan di mεtafis fכ di humerus, di mεdial εpikondyul, εn di mεdial kכndyul, inklud di trochlea fכ di humerus.
Laytɛral Kɔlɔm
di lateral kכlכm inklud di lateral pat pan di mεtafiz fכ di humerus, di lateral epicondyle, εn di lateral condyle, inklud di kapitulum fכ di humerus.
Koronoid Fossa ɛn Ɔlekranɔn Fɔsa
we de bitwin di tu kכlכm dεm na di antεriכr koronoyd fכs εn di posita כlekranכn fכs.
Mekanism fכ Injuri in Distal Humerus Frakshכn
Wetin mek di distal humerus kin brok brok?
as imכtant pat pan di εlbo jכint, distal hכmerus frakshכn kin kכmכt frכm 'dayrekt trauma' (lεk we fכl land na di εlbo) כ 'indaykt trauma' (lεk twist כ trowe akshכn dεm).
- Fɔs dɛn we de pul di mɔsul
di mεdial kכlכm inklud di mεdial pat pan di mεtafis fכ di humerus, di mεdial εpikondyul, εn di mεdial kכndyul, inklud di trochlea fכ di humerus.
·Strɔng kɔntrakshɔn pan di intanɛnt rɔta mɔsul dɛm
·Strɔng kɔntrakshɔn pan di ɛlb fleksɔ mɔsul dɛm
- Trauma we gɛt ay ɛnaji
fכs dεm we de kכmכt lεk trafik aksidεnt כ fכ fכl frכm ayt kin rεsult in comminuted fractures כ involv di articular surface.
Koronoid Fossa ɛn Ɔlekranɔn Fɔsa
· Trafik aksidɛnt dɛn
·I de fɔdɔm frɔm ayt
AO Klasifikeshɔn: Akkurat Tayping fɔ Gayd Ɔspitul Disishɔn dɛn
akɔdin to di AO klasifikeshɔn sistɛm, dɛn kategoriz di distal humerus fraktrɔs lɛk dis, we de inflɔws dairekt wan di we aw dɛn pik di tritmɛnt strateji dɛn:
- C3: Comminuted intra-articular fractures, di wan we chalenj pas ɔl fɔ trit; stebul fikseshכn nid fכ ridyus di risk fכ post-traumatik atraytis..
Impɔtant tin fɔ Klasifikɛshɔn:
di AO klasifikכshכn de klarify di siriכs fכ di frakshכn εn de gi gayd fכ plet sεlεkshכn (εgz., singl vs. dual plet, lכk skru disayn) fכ mek sכh se כl tu di fikseshכn trεnk εn bayolojikal bεlε.
Fɔ fala di AO filɔsofi: 'Anatomical ridyushɔn, stebul fikseshɔn, ɛn ali fɛnshɔnal ɛksɛsayz.'
Trauma we gɛt ay ɛnaji
fכs dεm we de kכmכt lεk trafik aksidεnt כ fכ fכl frכm ayt kin rεsult in comminuted fractures כ involv di articular surface.
Prinsipul dɛn fɔ Trit
Anatomik ridɔkshɔn
Stebul fikseshɔn
Fɔ ɛksesaiz fɔ wok kwik kwik wan
Indikeshɔn dɛn fɔ Ɔpreshɔn
Atikul displεsmεnt >2mm
Opin fraktrɔs dɛn
Kɔmbayn nyurovaskyuɛl injuri
Failure of kɔnsavaytiv tritmɛnt
Strateji fɔ Fiks Plɛt
Dual Plɛt Tɛknik
I fayn fɔ di kayn C fraktrɔs. fikseshכn frכm כl tu di mεdial (εgz., anatomical lכk plet) εn lateral (εgz., paralel plet) sayd dεm de gi 3D stεbiliti εn de ridyus di risk fכ postכpεraytiv rotashכnal difכmiti.
Teknik fɔ Singl Plɛt
Dɛn kin yuz am fɔ tayp A ɛn pat pan tayp B fraktrɔs. di plet dεm we dεn kכnfכm bifo dεn kכnfכm to distal hכmerus anatomi de minimiz sכft tisu dεsekshכn.
Minimally Invasive Aprɔch we nɔ gɛt bɛtɛ tin fɔ du
we dεn kכmbayn am wit pεrkyutan skru plesmεnt fכ ridyus infεkshכn risk εn prεsεv pεriostεal bכdi saplai.
Klinik Valyu fɔ Plɛt Fikseshɔn
Bayomekanikal Advantej
di plet dεm we de lכk de gi angul stεbiliti, spεshal bεnεfit fכ di כstioporotik pasεnshכn dεm.
Fɔnishɔnal Rikavari Gɛranti
di rεdukshכn fכ di εlbo jכint de kip di εlbo jכint mobiliti to di big εkstεnt, we de ridyus di kכmplikεshכn dεm lεk nכnunion כ malunion.
Dizayn we dɛn mek fɔ yusɛf
plet dεm we shep fכ spεsifi k frakshכn tכp dεm (εgz., intakondilar rij sכpכt plet dεm) de optimiz fכs transmishכn εn aksεlεrayt bon hεlin.
CZMEDITECH Distal Humerus Lɔk Plɛt Mɔdel dɛn
wi distal humerus lכk plet siriכs dεn spεshal we dεn mek fכ komplεks distal humeral frakshכn dεm. Wit anatomical contouring, locking skru teknɔlɔji, ɛn bɔku spɛsifikɛshɔn, i de gi sef, stebul, ɛn fleksibul fikseshɔn sɔlvishɔn fɔ klinik ɔpreshɔn.
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