Views: 0 Mongwadi: Morulaganyi wa Sebaka Phatlalatša Nako: 2025-05-22 Tšwago: Saete
Distal humerus fractures ke mohuta o tlwaelegilego wa kgobalo ya matla a magolo go tša marapo. Bothata bja kalafo bo letše go raraganeng ga sebopego sa anatomical le go nyakega ga go bušetša mošomo wa mohlakanelwa. Bjalo ka moabi wa tharollo ya profešenale lefapheng la go tsepama ga ka gare ga marapo, re fa tshekatsheko ye e tseneletšego ya mekgwa ya dikgobalo, go hlopha ga AO, le maano a go tiiša poleiti bakeng sa go robega ga humerus ya kgole go thekga kalafo ya kliniki ye e nepagetšego.
Humerus ya kgole e na le dikholomo tša magareng le tša ka mahlakoreng, tšeo di akaretšago di-epicondyle le di-condyle.
Distal humerus fractures di bakwa ke kgateletšego e lebanyago (mohlala, go wa) goba matla a sa lebanyego (mohlala, go sotha goba go goga mešifa).
Sehlopha sa AO se arola distal humerus fractures ka mehuta e meraro e megolo: A , B , le C .
Kalafo ya go bua e latela melawana ya AO: phokotšo ya anatomical, go tsepama mo go tsepamego, le tsošološo ya mathomo.
Dipoleiti tša go notlela di fa go tsepama mo go phagamego ga biomechanical, kudukudu ka lerapong la go fokola ga marapo.
CZmeditech e fana ka dikai tse tharo: extraarticular (01.1107), ka mahlakoreng (5100-17), le medial (5100-18) lipoleiti.
Humerus ya kgole e arotšwe ka kholomo ya magareng le kholomo ya ka mahlakoreng.
Kholomo ya magareng e akaretša karolo ya magareng ya metaphys ya humerus, epicondyle ya magareng, le condyle ya magareng, go akaretša le Trochlea ya Humerus.
Kholomo ya ka mahlakoreng e akaretša karolo ya ka mahlakoreng ya metaphys ya humerus, epicondyle ya ka thoko, le condyle ya ka mahlakoreng, go akaretšwa capitulum ya humerus.
E lego magareng ga dikholomo tše pedi ke coronoid fossa ya pele le olecranon fossa ya ka morago.
Bjalo ka karolo ya bohlokwa ya lelokololo la sekonokono, go robega ga distal humerus gantši go bakwa ke 'direct trauma' (bjalo ka go theoga ga go wa godimo ga sekonokono) goba 'maeba a sa lebanyego' (go swana le ditiro tša go sotha goba tša go lahlela).
Kholomo ya magareng e akaretša karolo ya magareng ya metaphys ya humerus, epicondyle ya magareng, le condyle ya magareng, go akaretša le Trochlea ya Humerus.
·Matla contraction ya ka hare rotator mesifa .
·Matla contraction ya elbow flexor mesifa .
Matla a ka ntle a go swana le dikotsi tša sephethephethe goba go wa go tšwa go botelele a ka feleletša ka go robega mo go comminute goba a akaretša bokagodimo bja articular.
· Dikotsi tša sephethephethe .
·Go wa go tšwa go botelele .
Go ya ka AO classification system, distal humerus fractures di categorized ka tsela e latelang, ka ho toba susumelletsa kgetho ya maano a kalafo:
- A1: Go robega mo go bonolo, ga go na go akaretšwa ga articular.
- A2/A3: Go robega ga metaphyseal mo go amegilego goba mo go šuthišitšwego, tlhokomelo ye e nyakegago bakeng sa go golofala ga sekhutlong.
Mothaladi wa go robega o akaretša bokagodimo bja mohlakanelwa eupša o se na karoganyo ye e feletšego; Phokotšo ya anatomical e a nyakega go bušetša go sepelelana ga mohlakanelwa.
- C1 / C2: Bonolo ka hare-articular fractures le metaphyseal ho ameha.
- C3: Comminuted ka gare ga articular fractures, e lego tlhohlo kudu go alafa; Go nyakega go tsepama mo go tsepamego go fokotša kotsi ya ramatiki ya ka morago ga masetla-pelo..
Sehlopha sa AO se hlakiša bogale bja go robega gomme se fa tlhahlo ya kgetho ya poleiti (mohlala, dipoleiti tše tee vs. tše pedi, meralo ya go notlela dikurufu) go netefatša bobedi maatla a go tiiša le tekatekano ya diphedi.
Go latela filosofi ya AO: 'phokotšo ya anatomical, go tsepama mo go tsepamego, le go itšhidulla ka pela ga mošomo.'.
Matla a ka ntle a go swana le dikotsi tša sephethephethe goba go wa go tšwa go botelele a ka feleletša ka go robega mo go comminute goba a akaretša bokagodimo bja articular.
Loketseng bakeng sa mofuta C fractures. Fixation go tšwa go bobedi mahlakoreng a magareng (mohlala, poleiti ya go notlela ya anatomical) le ya ka mahlakoreng (mohlala, poleiti ya go bapelana) e fa go tsepama ga 3D le go fokotša kotsi ya go golofala ga go dikološa ka morago ga go buiwa.
E šomišwa bakeng sa go robega ga mohuta wa A le karolo ya mohuta wa B. Dipoleiti tša pele ga contoured tšeo di dumelelanago le distal humerus anatomy di fokotša go kgaolwa ga ditlhalenama tše boleta.
Go kopantšwe le go bewa ga dikurufu ka letlalo go fokotša kotsi ya tshwaetšo le go boloka kabo ya madi a periosteal.
Dipoleiti tša go notlela di nea go tsepama ga sekhutlong, kudu-kudu mo go holago bakeng sa balwetši ba go fokola ga marapo.
Phokotšo ya anatomical e boloka go sepelasepela ga mohlakanelwa wa sekonokono go fihla bokgoleng bjo bogolo, go fokotša mathata a go swana le go se kopane goba malunion.
Dipoleiti tše di bopegilego bakeng sa mehuta ye e itšego ya go robega (mohlala, dipoleiti tša thekgo ya molala wa Intercondylar) optimize phetišo ya maatla le go akgofiša phodišo ya marapo.
Letoto la rena la distal humerus locking plate e hlamilwe ka mo go kgethegilego bakeng sa go robega ga distal humeral tše di raraganego. Ka anatomical contouring, notlela sekurufu thekenoloji, le ditlhaloso multiple, e fana ka sireletsehileng, tsitsitseng, le tenyetsehang fixation ditharollo bakeng sa ho buuoa tleleniki.
Mohlala: 01.1107 .
Ga tlhaloso: 4-9 mekoti, 14-184 mm .
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