1. Anatomi fכ di distal humerus .
di distal humerus de kכnsis fכ di mεdial εn lateral kכlכm dεm, we inklud di epikondyul dεm εn di kכndyul dεm.
2. Mekanizm fɔ injuri .
distal humerus fraktכs de kכz bay dayrekt trauma (eg, fכl) כ indaykt fכs (εgz., twist כ mכsul pul).
3. AO Klasifikɛshɔn .
di AO klasifikasiכn de divayd distal humerus fraktכs insay tri men tכp dεm: A , B , εn C .
4. SƆJƐJ FƆ TRƐD .
Surgical treatment de fala AO Prinsipul: anatomical reduction, stebul fikseshɔn, ɛn ali rihabiliteshɔn.
5. Klinik valyu .
Lכk plet dεm de gi supεriכr bayomεkanikal stεbiliti, patikyular in osteoporotic bon.
6. CzMeditech Plɛt Mɔdel dɛn .
CZmeditech de gi tri mכdel dεm: εkstraartikular (01.1107), lateral (5100-17), εn mεdial (5100-18) plet dεm.
Wetin mek di distal humerus kin prone to fraktrɔs?
As wan impɔtant pat pan di ɛlbow jɔyn, distal humerus fraktrɔs kin kɔmɔt frɔm 'Direct Trauma' (lɛk fɔ fɔdɔm na di ɛlbow) ɔ 'indaykt trauma' (lɛk fɔ twist ɔ trowe akshɔn).
- Mɔsul pul fɔs dɛn .
di mεdial kכlכm inklud di mεdial pat pan di mεtafis fכ di hכmerus, di mεdial epikondyul, εn di mεdial kכndil, inklud di trochlea fכ di humerus.
·Strɔng kɔntrakshɔn fɔ intanɛnt rotɛta mɔsul dɛn .
·Strɔng kɔntrakshɔn fɔ di ɛlb fleksɔ mɔsul dɛn .
- Trauma we gɛt bɔku ɛnaji
Ekstanshal fos dεm lεk trafik aksident כ fכl frכm ayt kin rεsult in komminit fraktכs כ involv di artikulכr sεf.
Koronoid Fosa ɛn Ɔlɛkranɔn Fosa .
· Trafik aksidɛnt dɛn .
·Fɔl frɔm ayt .
Di prinsipul dɛn fɔ trit pɔsin:
Fɔ fala di AO filɔsofi: 'Anatomical ridɔkshɔn, stebul fikseshɔn, ɛn ali funkshɔn ɛgzampul.'
Trauma we gɛt bɔku ɛnaji .
Ekstanshal fos dεm lεk trafik aksident כ fכl frכm ayt kin rεsult in komminit fraktכs כ involv di artikulכr sεf.
Di prinsipul dɛn fɔ trit pɔsin .
Anatɔmik ridɔkshɔn .
Stebul fikseshɔn .
Ɛli Fɔnishɔnal Ɛksesaiz .
Di tin dɛn we dɛn kin du fɔ sho aw fɔ du ɔpreshɔn .
Artikular displacement >2mm
Opin fraktrɔs dɛn .
Kɔmbayn Nyurovaskul Injɔri .
Fayla fɔ kɔnsavaytiv tritmɛnt .
Plɛt Fikseshɔn Strategie .
Dual plet teknik .
I fayn fɔ tayp C fraktrɔs dɛn. fikseshכn frכm di tu mεdial (εgz., anatomical lכk plet) εn lateral (εgz., paralel plet) sayd dεm de gi 3D stεbiliti εn i de ridyus di risk fכ postopεraytiv rotashכnal difכmiti.
Singl plet teknik .
Yuz fɔ tayp A ɛn pat pan tayp B fraktrɔs. di plet dεm we dεn bin de kכntכr bifo dεn kכnfכm wit distal humerus anattomy minimiz sכft tisu dεsεkshכn.
Minimal invasive aprɔch .
kכmbayn wit pεrkyutan skru plesmεnt fכ ridyus infεkshכn risk εn prεsεv pεriosteal blכd saplai.
Bayomɛkɛnikal Advantej .
Lכk plet dεm de gi angul stεbiliti, spεshal bεnεfit fכ כstioporotik pasεnshכn dεm.
Funkshɔnal Rikɔvri Gɛranti .
anatomical reduction de kip elbow joint mobiliti to di big wan, ridyus komplikashכn dεm lεk nonunion כ malunion.
dizayn we dɛn mek fɔ di pɔsin we dɛn mek fɔ am .
plet dεm we shep fכ spεsifi k fraktכs tכp dεm (εgz., intakכndyual rij sכpכt plet dεm) optimize fכs transmishכn εn aksεlεrat bon hεlin.
wi distal humerus lכk plet siriכs na spεshal dizain fכ komplεks distal humeral fraktכs. Wit anatomical contouring, lok skru teknɔlɔji, ɛn plɛnti spɛsifikɛshɔn, i de gi sef, stebul, ɛn fleksibul fikseshɔn sɔlvishɔn fɔ klinik ɔpreshɔn.
