Kiki eky’ewala eky’ebbali humeral locking plate) .

GPC distal humeral locking plate nga erimu lateral support eragiddwa okutereeza lateral column mu intercondylar ne supracondylar fractures of humerus era nga plate emu mu distal humerus fractures. Esangibwa mu kyuma ekitali kizimbulukuse ne titanium.Esangibwa mu binnya 4 okutuuka ku binnya 12(2 holes increment).

Ebiraga nti:

• Okumenya okumenya omusaayi ogw’omu makkati (intercondylar fracture) distal humerus .

• Supracondylar okumenya ewala humerus .

• Osteotomy okwetoloola distal humerus .

• Okumenyawo okutali kwa union distal humerus .

Ebikwata ku nsonga .

• anatomically shaped- ku ddyo oba ku kkono .

• Ebipande biba bituufu okukwatagana n’ensengekera y’omubiri (anatomy) y’ekiwujjo eky’ewala (distal humerus) n’okukwatagana okutono (limited contact low profile design) .

• Tapered tip for submuscular insertion nga tewali nnyo soft tissue stripping .

• Obukakanyavu obufaanagana obw’ebitundu byonna, okuwangaaza obulamu bw’obukoowu bw’ekintu ekisimbibwamu .

• Ekitundu ekitono eky’obutafaanagana (post-fixation avascularity) .

• Omugatte gwa sikulaapu eza bulijjo n’ezisiba kuwa okunyweza okulungi awatali kufaayo ku bungi bw’amagumba .

• Emitwe gya sikulaapu giyingizibwa mu bituli by’epulaati okusobola okumanyika ennyo sikulaapu .

• Screw trajectory ekoleddwa okusobola okunyweza obulungi okumenya comminute .

• Okufukamira kw’ekitundu eky’ewala kirungi okutereeza ekifo ekisinga obulungi eky’embaawo okuteekebwamu sikulaapu empanvu okuyita mu bulooka y’omubiri .

• Okufukamira okukolebwa mu kitundu ky’ebituli ebigatta nga bwe kitera okukyusa enkola y’obuwuzi bw’ekituli ekisiba .

• Esangibwa mu kyuma kya Titanium & Stainless .

Ebikwata ku nsonga .

Ebintu ebikolebwa .	Ref .	Okunnyonnyola .	Obugumu .	Obugazi	Obuwanvu
Distal lateral humeral locking plate (kozesa 2.7/3.5 Sikulaapu ekugira/3.5 Sikulufu ya cortical)	5100-1701 .	Ebituli 4 l .	3.2	12	86
	5100-1702 .	Ebituli 6 l .	3.2	12	112
	5100-1703 .	Ebituli 8 l .	3.2	12	138
	5100-1704 .	Ebituli 10 l .	3.2	12	164
	5100-1705 .	Ebituli 12 l .	3.2	12	190
	5100-1706 .	Ebituli 4 r .	3.2	12	86
	5100-1707 .	Ebituli 6 r .	3.2	12	112
	5100-1708 .	Ebituli 8 r .	3.2	12	138
	5100-1709 .	Ebituli 10 r .	3.2	12	164
	5100-1710 .	Ebituli 12 r .	3.2	12	190

Distal lateral humeral locking plate: Ekitabo ekijjuvu eri abalongoosa amagumba .

Abasawo abalongoosa amagumba basisinkana okumenya okusoomoozebwa okutali kumu mu nkola y’enkola yaabwe, nga mw’otwalidde n’ey’omusuwa ogw’ewala. Distal humeral fractures zitera okuva ku high-impact trauma era kiyinza okuba ekizibu okuddukanya. A distal lateral humeral locking plate is a relatively new development in the field of orthopedic surgery era evuddeyo ng’enkola ennungamu ey’obujjanjabi eri okumenyaamenya okw’ewala okuzibu. Mu kiwandiiko kino, tujja kuwa obulagirizi obujjuvu ku distal lateral humeral locking plate, dizayini yaayo, ebiraga, enkola y’okulongoosa, ebizibu, n’ebivaamu.

Ensengekera y’omubiri (anatomy) mu kitundu ky’omubiri ekiyitibwa distal humerus .

Nga tonnaba kwogera ku bbakuli y’okusiba ebbali ey’ewala, kyetaagisa okutegeera ensengekera y’omubiri (anatomy) y’omugongo ogw’ewala. Ekiwujjo eky’ewala (distal humerus) kye kifulukwa ky’amagumba ku nkomerero eya wansi ey’omugongo, eggumba eriri mu mukono ogwa waggulu. Kirimu condyles bbiri: medial condyle ne lateral condyle, nga byawuddwamu ekisenge ekiyitibwa trochlea. Ekiwujjo eky’ewala (distal humerus) kikwatagana n’amagumba ga radius ne ulna mu mukono ogw’omu maaso okukola ekinywa ky’enkokola. Distal humerus kikulu nnyo mu nkola y’enkokola, era okumenya kwonna mu kitundu kino kuyinza okukosa ennyo okutambula kw’omulwadde.

Ebiraga nti olina okusiba ebbakuli y’okuggala ebbali ey’ebbali .

Distal lateral humeral locking plate esinga kulagibwa ku distal humeral fractures ezisomooza okuddukanya nga tukozesa enkola eza bulijjo nga casts, splints, oba percutaneous pinning. Okumenya kuno kutera okuba okuzibu, nga kuzingiramu okusengulwa, okufugibwa, oba okwenyigira mu bitundu by’omubiri. Distal lateral humeral locking plate egaba okunyweza okukakanyavu n’okutebenkera mu kifo ky’okumenya, okusobozesa okukunga amangu n’okuwona amangu.

Dizayini y’ekyuma ekisiba ekiwujjo eky’ebbali eky’ewala .

Distal lateral humeral locking plate ye pulati eyakolebwa nga tebannaba kukwatagana, ekoleddwa mu nsengekera y’omubiri (anatomically designed plate) eteekebwa ku ludda olw’ebbali olw’omugongo ogw’ewala. Epulati erina ebituli bya sikulaapu ebingi n’enkola z’okusiba ezisobozesa okunyweza okunyweza ku ggumba. Epulati eno ekoleddwa mu titanium oba stainless steel era esangibwa mu sayizi ez’enjawulo okusobola okusikiriza ensengekera z’abalwadde ez’enjawulo.

Enkola y’okulongoosa ey’okuziyiza okukulukuta okw’ebbali (distal lateral humeral locking plate) .

Enkola y’okulongoosa ey’okusiba ebbakuli y’okusibira mu bbanga (distal lateral humeral locking plate) erimu enkola ey’okukendeeza enzigule n’okunyweza munda (ORIF). Omulwadde ateekebwa wansi w’okubudamya abantu bonna, era okusalako kukolebwa ku ludda olw’ebbali olw’enkokola okulaga ekifo we bamenya. Okumenyawo kukendeera, era ebbakuli y’okusiba ebbali ey’ewala eteekebwa ku ludda olw’ebbali olw’omugongo ogw’ewala. Epulati enyweza ku ggumba ng’ekozesa sikulaapu ezisiba, era ekisala ne kiggalwa. Okulabirirwa oluvannyuma lw’okulongoosebwa kuzingiramu okutaataaganya, okujjanjaba omubiri, n’okugoberera ennyo.

Ebizibu by’okuziyiza okusiba okw’ebbali okw’ewala .

Nga bwe kiri ku nkola yonna ey’okulongoosa, waliwo ebizibu ebiyinza okuvaamu ebikwatagana n’ekyuma ekisiba eky’ebbali eky’ewala. Mu bino mulimu okukwatibwa obulwadde, okulemererwa okuteekebwa mu mubiri, okulumwa obusimu, n’okubulwa okukendeeza. Obulabe bw’okuzibuwalirwa busobola okukendeezebwa nga olonda n’obwegendereza omulwadde, enkola entuufu ey’okulongoosa, n’okuggalawo oluvannyuma lw’okulongoosebwa.

Ebiva mu Distal Lateral humeral locking plate .

Ebiva mu kusiba omusaayi mu bitundu eby’ewala (distal lateral humeral locking plate) bibadde bisuubiza, ng’okunoonyereza okusinga kulaga emiwendo mingi egy’okugatta okumenya, ebiva mu mirimu emirungi ennyo, n’emiwendo emitono egy’ebizibu. Naye, ebiva mu nkola eno eby’ekiseera ekiwanvu bikyatunuulirwa, era kyetaagisa okunoonyereza okulala okuzuula obulungi bwayo mu bbanga eggwanvu.

Mu bufunzi

Distal humeral fractures are challenging to manage, era distal lateral humeral locking plate evuddeyo ng’enkola ennungamu ey’okujjanjaba okumenya okuzibu. Epulati eno ekolebwa nga tebannaba kukwatagana era n’ekolebwa mu nsengekera y’omubiri (anatomically designed), egaba okunyweza okukakanyavu n’okutebenkera mu kifo awamenyese. Enkola y’okulongoosa erimu okukendeeza okuggule n’okunyweza munda, era okulabirira oluvannyuma lw’okulongoosebwa kuzingiramu okutatambula, okujjanjaba omubiri, n’okugoberera ennyo. Wadde nga waliwo ebizibu ebiyinza okubaawo ebikwatagana n‟enkola, ebivaamu bibadde bisuubiza, nga emiwendo mingi egy‟okugatta okumenya, ebivaamu ebirungi ennyo, n‟emiwendo emitono egy‟ebizibu. Abasawo abalongoosa amagumba balina okulowooza ku bbakuli y’okusiba ebbali ey’ewala ng’enkola y’obujjanjabi ey’okusomooza okumenya kw’omugongo ogw’ewala.

Ebibuuzo ebibuuzibwa .

1. Okumenyaamenya okw’ekika kya distal humeral kye ki?

Okumenyaamenya okw’ewala (distal humeral fracture) kwe kumenya mu ggumba ku nkomerero eya wansi ey’omugongo, ebiseera ebisinga nga kiva ku buvune obw’amaanyi.

1. Distal lateral humeral locking plate kye ki?

A distal lateral humeral locking plate ye pulati eyakolebwa nga tebannaba kukwatagana, ekoleddwa mu nsengekera y’omubiri (anatomically designed plate) eteekebwa ku ludda olw’ebbali olw’ekiwujjo eky’ewala okusobola okuwa okunyweza okukakanyavu n’okutebenkera mu kifo awamenyese.

1. Biki ebiraga nti olina ebbakuli y’okusiba ebbali ey’ewala (distal lateral humeral locking plate)?

Distal lateral humeral locking plate esinga kulagibwa ku distal humeral fractures ezisomooza okuddukanya nga tukozesa enkola eza bulijjo nga casts, splints, oba percutaneous pinning.

1. Bizibu ki ebiyinza okuvaamu ebikwatagana n’ekyuma ekisiba eky’ebbali eky’ewala?

Ebizibu ebiyinza okubaawo ebikwatagana n’ekyuma ekisiba omugongo eky’ewala eky’ewala mulimu okukwatibwa, okulemererwa okuteekebwa mu mubiri, okulumwa obusimu, n’okubulwa okukendeeza.

1. Biki ebiva mu distal lateral humeral locking plate?

Ebiva mu kusibira mu bbanga ery’ewala eky’ebbali (distal lateral humeral locking plate) bibadde bisuubiza, nga waliwo emiwendo mingi egy’okugatta okumenya, ebiva mu mirimu emirungi, n’emiwendo emitono egy’ebizibu. Naye, ebiva mu nkola eno eby’ekiseera ekiwanvu bikyatunuulirwa, era kyetaagisa okunoonyereza okulala okuzuula obulungi bwayo mu bbanga eggwanvu.