Engeri y'okuddaabiriza Distal Humerus Fractures Nga Okozesa Plates !

Okumenya okusengulwa okumenyese okw’omugongo ogw’ewala mu bantu abakulu kizibu kizibu olw’ensengekera y’omubiri enzibu ey’ekiwanga ky’enkokola, obutundutundu obutono obw’okumenya, n’obungi bw’eggumba erya wansi w’omugongo. Empagi ez’ebbali n’ez’omu makkati ez’omugongo ogw’ewala zikola fuleemu ey’enjuyi essatu ezitebenkedde. Enkola eno ey’enjuyi essatu enywevu etaataaganyizibwa oluvannyuma lw’okumenya kw’omugongo ogw’ewala naddala okumenya okw’ekika kya AO C okuzibu.

Ensibuko

Mu kitabo kya AO Internal Fixation Technique ekyafulumizibwa mu 1979, ku kumenyamenya okusalako okw’omugongo ogw’ewala, ttiimu ya AO yawa amagezi nti obupande buteekebwe 90° ku buli emu, emu wakati oba ku mabbali ate endala emabega (1).

Emitendera egy’ekikugu (emisingi gya AO egy’okujjanjaba okumenya) .

a: Okuddamu okuzimba ekitundu ky’omubiri ekiyitibwa trochlear ne capitellum.

bc: Oluvannyuma lw’okukendeeza ku bitundutundu by’amagumba asatu aga articular, ssima waya ya Kirschner mu kkubo ery’ekikontana. Waya ya Kirschner esobola okukozesebwa nga waya elungamya ku sikulaapu ya mm 3.5 eriko emisuwa, oba sikulaapu esobola okuteekebwa nga yeefaananyirizaako waya ya Kirschner.

d: Kozesa waya ya Kirschner ey’ekiseera okuyunga ekitundu ky’amagumba g’omugongo ku kikondo ky’omugongo

e: Okutereeza ekitundu ky’omugongo ku kitundu ky’omugongo, LCP ey’omubiri erina okusooka okuteekebwa ku ngulu w’omugongo ogw’emabega, era ebbakuli esobola okuteekebwa emabega w’omugongo nga temuli ggumba. LCP y’omubiri ogw’omu makkati esobola okuteekebwa ku ntikko y’omugongo ogw’omu makkati okutumbula okutebenkera. Ku kufiirwa kw’amagumba okw’amaanyi oba okukendeera okw’amaanyi mu metaphyseal, okuteeka LCP bbiri ku 90° ku ndala kirungi, kubanga ensengeka eno egaba okutebenkera okulungi mu biomechanical. Okwegendereza olina okutwalibwa okwewala okuyingira mu kiyungo ng’okozesa sikulaapu ezinyweza enkoona.

ensengekera y’omubiri gw’omugongo (humerus anatomy).

Okugeraageranya ebipande by’ekyuma ebikwatagana n’eby’okwesimbye

Mu 1995 Mechanics Study Comparing Dual Plates for the Treatment of Distal Humeral Fractures, ebiva mu kuteeka plate mukaaga emabega byageraageranyizibwa (A, dual posterior plate; B, posterior ulnar plate, lateral to radial plate; C, medial and lateral plate; D, medial to the ulnar plate, posterior to the radial plate; E, model of the medial and lateral plate with sikulaapu n’okumenya ebitundu bina; F, model of severe comminuted fractures with medial and lateral screws), nga alaga nti fractures nnyingi zisobola okujjanjabwa ne double plates mu bifo eby’enjawulo obujjanjabi, naye ku severe comminuted fractures, okunoonyereza kuno kwamaliriza nti medial-lateral plate fixation nga kugatta wamu ne screw fixation kilongoosa nnyo stiffness n’amaanyi agasembayo (3).

Ata C (4) et al baalaga nti ekipande ekyesimbye nga kiriko ekipande eky’emabega nga kwogasse ne sikulaapu nnya eza mm 2.7 ez’ewala kyalina obutebenkevu bwe bumu n’enkola y’embaawo ey’enjawulo mu kujjanjaba okumenya kw’omugongo ogw’ewala. Obutabeera bulungi bw’omulwadde olw’okunyiiga kw’olususu lw’olususu lw’ebbali naddala abalwadde abagonvu n’abakadde, bisobola okuggyibwawo n’ekipande eky’emabega.

Engeri y'okugulamu ebyuma ebiteekebwa mu magumba n'ebikozesebwa mu kulongoosa amagumba?

A CZMEDITECH , tulina layini y’ebintu ebijjuvu ennyo eby’ebiteekebwa mu kulongoosa amagumba n’ebikozesebwa ebikwatagana, ebintu omuli okuteekebwamu omugongo, emisumaali egy’omu lubuto (intramedullary nails)., essuuka y’okulumwa, ebbakuli y’okusiba, cranial-maxillofacial mu maaso, okuzimba omubiri (prosthesis)., ebikozesebwa eby’amasannyalaze, ebinyweza eby’ebweru, okukebera ebinywa, okulabirira ebisolo n’ebikozesebwa byabwe ebibiwagira.

Okugatta ku ekyo, twewaddeyo okugenda mu maaso n’okukola ebintu ebipya n’okugaziya layini z’ebintu, tusobole okutuukiriza ebyetaago by’okulongoosa eby’abasawo n’abalwadde bangi, era n’okufuula kkampuni yaffe okuvuganya ennyo mu mulimu gwonna ogw’ensi yonna ogw’okussaamu amagumba n’ebikozesebwa.

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