Proximal Humeral Greater Tuberosity Locking Plate: A kimchang taka thlirletna
Proximal humerus hi ruh structure pawimawh tak a ni a, upper limb hnathawhna kawngah pawh hmun pawimawh tak a chang a ni. Hemi kawngah hian ruh tliak (fractures) hian hnathawh that lohna leh chak lohna nasa tak a thlen thei a ni. Tun hnaiah locking plate siamna hian proximal humeral fractures enkawlna a tidanglam nasa hle. Proximal Humeral Greater Tuberosity Locking Plate (PHGTLP) hi locking plate chi khat a ni a, tun hnaiah clinical outcome tha tak a neih avangin a lar chho hle a ni. He thuziak-ah hian PHGTLP chungchang kimchang taka thlirletna kan pe dawn a, chung zingah chuan a taksa bung hrang hrang, a indication, surgical technique, outcome, leh complications te pawh a tel a ni.
Anatomy .
Proximal humerus hi hmun li a awm a, chungte chu humeral head, tuberosity lian zawk, tuberosity tlem zawk leh humeral shaft te an ni. The greater tuberosity hi humeral head-a lateral-a awm, bony prominence a ni a, rotator cuff muscle-te tan attachment site a pe bawk. PHGTLP hi tuberosity nasa zawka fractures fixate turin siam a ni a, hei hi proximal humeral fracture-ah a awm fo thin.
Indication te .
PHGTLP hi tuberosity nasa zawk nena inzawm proximal humeral fracture enkawlna atan hman a ni. Heng fracture te hi rotator cuff injury nen an inzawm fo a, functional impairment nasa tak a thlen thei bawk. PHGTLP hian stable fixation a pe a, chu chuan a hmaa mobilization leh rehabilitation a siam thei a ni.
Surgical technique hman dan .
PHGTLP tan surgical technique hman a ni a, open reduction leh internal fixation approach a ni. Damlo chu beach chair emaw lateral decubitus position-ah dah a ni a, surgical site chu sterile drape hmanga siam a ni. Tuberosity nasa zawk chungah longitudinal incision siam a ni a, chu chu a hliam chu a tlahniam ta a ni. Chumi hnuah PHGTLP chu humeral head lateral aspect-ah an dah a, chu screw te chu plate kaltlangin ruh chhungah an dah lut a. Plate hian stable fixation a pe a, chu chuan a hmaa mobilization leh rehabilitation a siam thei a ni.
Outcome 1000 a ni.
PHGTLP hian proximal humeral fracture enkawlnaah clinical outcome tha tak a nei tih hmuhchhuah a ni. Zirna engemaw zatah chuan fracture union rate sang tak, functional outcome tha tak tak, leh complication rate hniam te an awm tih an sawi. Zirna 11 systematic review-ah chuan PHGTLP hi union rate 95%, 92% tha emaw functional outcome rate tha tak emaw, 6% complication rate nen a inzawm a ni.
Complication 10 a awm.
PHGTLP nena inzawm harsatna te chu screw perforation, implant failure, non-union, leh infection te an ni. Complication awm zat a tlem a, a tam zawk chu management dik tak nen enkawl theih a ni. Zirna 11 systematic review-ah chuan complication awm tam ber chu screw perforation a ni a, chu chu 2.2%-ah a thleng a ni.
Tawpna
PHGTLP hi tuberosity nasa zawk nena inzawm proximal humeral fracture enkawlna atana hmanraw tangkai leh him tak a ni. Plate hian stable fixation a pe a, chu chuan a hmaa mobilization leh rehabilitation a siam thei a ni. PHGTLP hian clinical outcome tha tak tak a nei tih hmuhchhuah a ni a, complication rates a hniam hle. PHGTLP hman dan hi proximal humeral fracture enkawlnaah ngaihtuah tur a ni.
FAQS 1000 a ni.
PHGTLP hmanga enkawl proximal humeral fractures atanga dam leh nan eng chen nge a ngaih?
Recovery time hi thil engemaw zat a innghat a, chu chu a hliam nasat dan te, damlo kum te, leh damdawi lam thil awm tawhte a ni. A tlangpuiin damlo tam zawk chuan operation an neih hnu thla 6-12 chhungin thil pangngaiah an kir leh theih an beisei thei.
PHGTLP hmanna hi hun rei tak chhunga harsatna awm thei nen a inzawm em?
PHGTLP nena inzawm hun rei tak chhunga harsatna awmte hi a tlem hle. Mahse, damlote chuan implant a chhiat theihna tur a hriat a ngai a, chu chu operation hnu kum engemaw zat hnuah a thleng thei a ni. Treating physician-te nena follow-up fo chuan harsatna awm thei awmte chu hriat theih a ni a, chu chu a rang thei ang bera chinfel a ni thei bawk.
PHGTLP hi proximal humeral fractures awm zawng zawngah hman theih a ni em?
Ni lo, PHGTLP hi a bik takin tuberosity nasa zawk fractures fixate turin siam a ni. Fracture-ah hian proximal humerus hmun dang a awm chuan surgical option dang ngaihtuah a ngai mai thei.
PHGTLP surgery nei damlote tan recovery time chu engzat nge ni ang?
Engtin nge damlote chuan PHGTLP surgery hnua an dam lehna tur an tih that theih ang?
Damlote chuan an enkawltu doctor-in a ruahman rehabilitation program zawmin an dam lehna tur an ti ṭha thei a ni. Hei hian physical therapy, range of motion leh strength tihchangtlunna tur exercise te, leh pain management strategy te a huam thei bawk. Hlawhtling taka dam leh theihna turin enkawltu doctor-in post-operative instruction a pek zawng zawng zawm a pawimawh hle.
Thutawp atan chuan PHGTLP hi tuberosity nasa zawk nena inzawm proximal humeral fracture enkawlna atan chuan a him leh tangkai tak a ni. Plate hian stable fixation a pe a, hei hian early mobilization leh rehabilitation a phalsak a, complication rates hniam tak nei clinical outcome tha tak a nei tih hmuhchhuah a ni bawk. Damlote chuan an treating physician nen PHGTLP hman dan tur an sawiho tur a ni a, chu chu an fracture bik atana duhthlan tur dik tak a nih leh nih loh an hriat theih nan a ni. Enkawl dan dik leh enkawl zui zel a nih chuan damlote chuan PHGTLP hmanga proximal humeral fracture surgery an neih hnuah an thil tih dan pangngaia an kir leh theih an beisei thei a, nunphung tha tak an neih theih nan an beisei thei bawk.
