Proximal Humeral Greater Tuberosity Locking Plate: A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a
Proximal humerus hi ruh structure pawimawh tak a ni a, upper limb hnathawhnaah hmun pawimawh tak a chang a ni. Hemi hmuna ruh tliak hian hnathawhna lama harsatna leh chak lohna nasa tak a thlen thei a ni. Tun hnaiah locking plate siam chhuah hian proximal humeral fractures enkawlna kawngah nasa takin hma a sawn nasa hle. Proximal humeral greater tuberosity locking plate (PHGTLP) hi locking plate chi khat a ni a, tun hnaiah a clinical outcome tha tak avangin a lar chho hle. He thuziak ah hian PHGTLP chungchang kimchang takin kan thlirho ang a, a taksa peng hrang hrang, a lan dan, a surgical technique, a chhuah dan, leh a harsatna te pawh a tel ang.
Anatomy lam a ni
Proximal humerus hi hmun li a awm a, chungte chu humeral head, tuberosity lian zawk, tuberosity tlem zawk leh humeral shaft te an ni. Tuberosity lian zawk hi humeral head lateral-a awm bony prominence a ni a, rotator cuff muscles te tan attachment site a siam bawk. PHGTLP hi tuberosity sang zawka fracture fixate turin siam a ni a, hei hi proximal humeral fracture-ah a awm fo thin.
Indication te chu
PHGTLP hi tuberosity nasa zawk awmna proximal humeral fractures enkawlna atan hman a ni. Heng fracture te hi rotator cuff injury nen a inzawm fo a, functional impairment nasa tak a thlen thei bawk. PHGTLP hian stable fixation a pe a, hei hian a hmaa mobilization leh rehabilitation a siamsak a ni.
Surgery hman dan tur
PHGTLP atana surgical technique hman danah hian open reduction leh internal fixation approach te hman a ni. Damlo chu beach chair emaw lateral decubitus position-ah dah a ni a, surgical site chu sterile drape hmanga buatsaih a ni. Tuberosity lian zawk chungah longitudinal incision siam a ni a, a fracture chu a tlahniam ta a ni. Chumi hnuah PHGTLP chu humeral head lateral aspect-ah dah a ni a, screw te chu plate kaltlangin ruh chhungah dah a ni. Plate hian fixation nghet tak a pe a, hei hian mobilization leh rehabilitation hmasa ber a siamsak a ni.
A chhuahna tur
PHGTLP hian proximal humeral fractures enkawlna kawngah clinical outcome tha tak a nei tih hmuhchhuah a ni. Zirna engemaw zatah chuan fracture union rate sang tak, functional outcome tha tak, leh complication rates hniam tak tak a awm tih an sawi. Zirna 11 systematic review-ah chuan PHGTLP hi union rate 95%, functional outcome rate tha emaw tha emaw 92% leh complication rate 6% nen a inzawm tih hmuhchhuah a ni.
Harsatna awm thei
PHGTLP avanga harsatna awmte chu screw perforation, implant failure, non-union, leh infection te a ni. Complication awm zat a tlem a, a tam zawk chu enkawl dan dik tak hmanga enkawl theih a ni. Zirna 11 systematic review-ah chuan complication awm tam ber chu screw perforation a ni a, hei hi case 2.2%-ah a thleng a ni.
Tawpna
PHGTLP hi tuberosity nasa zawk awmna proximal humeral fractures enkawlna atana hmanraw tangkai leh him tak a ni. Plate hian fixation nghet tak a pe a, hei hian mobilization leh rehabilitation hmasa ber a siamsak a ni. PHGTLP hian clinical outcome tha tak a nei tih hmuhchhuah a ni a, complication rates a hniam hle. Proximal humeral fracture enkawlnaah hian PHGTLP hman dan ngaihtuah tur a ni.
FAQs te
PHGTLP hmanga enkawl proximal humeral fractures atanga dam leh nan eng chen nge a ngaih?
Dam leh hun chhung hi thil engemaw zatah a innghat a, chu chu a ruh tliak nasat dan te, damlo kum te, leh damdawi lam dinhmun a awm tawh dan te hi a ni. A tlangpuiin damlo tam zawk chuan operation an neih hnu thla 6-12 chhungin an hnathawh dan pangngaiah an kir leh theih an beisei thei.
PHGTLP hman hian hun rei tak chhunga harsatna awm thei a nei em?
PHGTLP nena inzawm hun rei tak chhunga harsatna awm hi a tlem hle. Mahse, damlote chuan implant failure hlauhawmzia an hriat a ngai a, hei hi operation hnu kum engemaw zat hnuah a thleng thei a ni. Damdawi enkawltu doctor nena enkawl fo hian harsatna awm thei zawng zawng hriatchhuah a, a rang thei ang bera chinfel theih a ni.
Proximal humeral fracture zawng zawngah PHGTLP hi hman theih a ni em?
Ni lo, PHGTLP hi a bik takin tuberosity sang zawk fracture fixate turin siam a ni. Fracture hian proximal humerus hmun dang a huam a nih chuan surgery dang ngaihtuah a ngai mai thei.
PHGTLP surgery nei damlote dam leh hun chhung hi engzat nge ni ang?
Engtin nge damlote hian PHGTLP surgery hnuah an dam lehna tur an tihchangtlun theih ang?
Damlote chuan an enkawltu doctor-in a ruahman rehabilitation program zawmin an dam lehna tur a ti ṭha thei a ni. Hei hian physical therapy, range of motion leh strength tihchangtlunna tura exercise te, natna tihdam dan te a huam thei a ni. Hlawhtling taka dam leh theih nan enkawltu doctor-in post-operative instruction a pek zawng zawng zawm a pawimawh hle.
Thutawp atan chuan PHGTLP hi tuberosity nasa zawk awmna proximal humeral fractures enkawlna atana hmanraw him leh tangkai tak a ni. Plate hian stable fixation a pe a, hei hian mobilization leh rehabilitation hmasa a siamsak a, clinical outcome tha tak a nei tih hmuhchhuah a ni a, complication rates hniam tak a awm bawk. Damlote chuan PHGTLP hman dan tur chu an enkawltu doctor nen an sawiho tur a ni a, an ruh tliak bik atan chuan duhthlan tur dik tak a ni em tih an hriat theih nan. Enkawlna dik leh enkawl zui a nih chuan damlote chuan PHGTLP hmanga proximal humeral fracture surgery an neih hnuah an hnathawh dan pangngaiah an kir leh theih an beisei thei a, nunphung tha tak an nei thei bawk.
