1. Ensengekera y’omubiri gw’ekiwujjo eky’ewala .
Ekirungo ekiyitibwa distal humerus kirimu empagi ez’omu makkati n’ez’ebbali, nga muno mulimu epicondles ne condyles.
2. Enkola y’obuvune .
Distal humerus fractures ziva ku buvune obutereevu (okugeza, okugwa) oba amaanyi agatali butereevu (okugeza, okukyusakyusa oba okusika ebinywa).
3. Okugabanya AO .
Ensengeka ya AO egabanya okumenyaamenya kwa distal humerus mu bika bisatu ebikulu: A , B , ne C .
4. Okulongoosa obujjanjabi .
Obujjanjabi bw’okulongoosa bugoberera emisingi gya AO: okukendeeza ku mubiri, okunyweza okunywevu, n’okuddaabiriza nga bukyali.
5. Omuwendo gw’obujjanjabi .
Ebipande ebikugira biwa obutebenkevu obw’ekika kya biomechanical obw’ekika ekya waggulu naddala mu ggumba ly’amagumba.
6. Ebika bya CzMeditech Plate .
CZMEDITECH ekuwa ebika bisatu: eby’ebweru w’omubiri (01.1107), eby’ebbali (5100-17), n’ebipande eby’omu makkati (5100-18).
Lwaki enseenene etera okumenyeka?
Nga ekitundu ekikulu eky'ekiwanga ky'enkokola, okumenya kw'omugongo ogw'ewala kutera okuva ku 'direct trauma' (nga okugwa okugwa ku nkokola) oba 'okulumwa okutali kwa butereevu' (nga ebikolwa ebikyukakyuka oba okusuula).
- Amaanyi agasika ebinywa .
Empagi ey’omu makkati erimu ekitundu eky’omu makkati ekya metaphysis ya humerus, medial epicondyle, ne medial condyle, omuli trochlea ya humerus.
·Okukonziba okw’amaanyi okw’ebinywa ebikyukakyuka eby’omunda .
·Okukonziba okw’amaanyi okw’ebinywa ebiwanvuwa enkokola .
- Obuvune obw'amaanyi amangi .
Amaanyi ag’ebweru ng’obubenje bw’ebidduka oba okugwa okuva ku buwanvu gayinza okuvaamu okumenya okukyukakyuka oba okuzingiramu kungulu kw’ekitundu ky’omubiri.
Fossa ya coronoid ne olecranon fossa .
· Obubenje bw'ebidduka .
·ebigwa okuva ku buwanvu .
Emisingi gy’obujjanjabi:
Okugoberera obufirosoofo bwa AO: 'Okukendeeza mu ngeri y'obutonde, okunyweza okunywevu, n'okukola dduyiro nga bukyali.'
Okulumwa Amaanyi amangi .
Amaanyi ag’ebweru ng’obubenje bw’ebidduka oba okugwa okuva ku buwanvu gayinza okuvaamu okumenya okukyukakyuka oba okuzingiramu kungulu kw’ekitundu ky’omubiri.
Emisingi gy’obujjanjabi .
Okukendeeza ku mubiri .
Okunyweza okutebenkedde .
Dduyiro akola nga bukyali .
Ebiraga Okulongoosa .
Okusengulwa kw'ebitundu by'omubiri >2mm .
Open fractures .
Obuvune bw’emisuwa gy’obusimu obugatta awamu .
Okulemererwa kw’obujjanjabi obw’okukuuma .
Enkola y’okunyweza ebbakuli .
Enkola ya dual plate .
Esaanira okumenya okw’ekika kya C. Okunyweza okuva mu byombi medial (okugeza, anatomical locking plate) ne lateral (okugeza, parallel plate) kuwa 3D stability era kikendeeza ku bulabe bw’okulema kw’enzitowererwa oluvannyuma lw’okulongoosebwa.
Enkola ya Single Plate .
Ekozesebwa ku kumenya okw’ekika kya A n’ekitundu kya B. Ebipande ebiteekeddwateekeddwa nga tebinnabaawo bikwatagana n’ensengekera y’omubiri (distal humerus anatomy) bikendeeza ku kusengejja ebitundu ebigonvu.
Enkola ya minimally invasive .
Okugatta awamu n’okuteeka sikulaapu mu ngeri ya percutaneous okukendeeza ku bulabe bw’okukwatibwa obulwadde n’okukuuma omusaayi ogw’okumpi.
Enkizo ya Biomechanical .
Ebipande ebisiba biwa obutebenkevu bw’enjuba naddala obw’omugaso eri abalwadde b’amagumba.
Omusingo gw’okuzzaawo emirimu .
Okukendeeza ku mubiri (anatomical reduction) kukuuma okutambula kw’ekiwanga kw’enkokola okutuuka ku kigero ekinene, ekikendeeza ku bizibu nga ebitali bya kibiina oba malunion.
Dizayini ekoleddwa ku bubwe .
Epulati ezikoleddwa ku bika by’okumenya ebitongole (okugeza, intercondylar ridge support plates) okulongoosa amaanyi okutambuza n’okwanguya okuwona amagumba.
Distal humerus locking plate series yaffe ekoleddwa mu ngeri ey’enjawulo okusobola okumenyaamenya okw’ewala okw’ewala. Nga erina anatomical contouring, locking screw technology, ne multiple specifications, ekuwa obukuumi, stable, era flexible fixation solutions okulongoosa clinical.
