Distal Humeral Lateral Plate (Mtundu wa Olecranon): Zomwe Muyenera Kudziwa
Distal Humeral Lateral Plate (Mtundu wa Olecranon) ndi mbale yapadera yomwe imagwiritsidwa ntchito popanga opaleshoni ya mafupa kuchiza distal humerus fractures ndi olecranon fractures. Mbale yamtunduwu imagwiritsidwa ntchito pamene njira zina zopangira opaleshoni zalephera kapena sizili zoyenera kwa wodwalayo. M'nkhaniyi, tikambirana za zizindikiro za Distal Humeral Lateral Plate (Mtundu wa Olecranon), anatomy ya distal humerus ndi olecranon, opaleshoni, kuchira pambuyo pa opaleshoni ndi kukonzanso, komanso ubwino ndi kuipa kwa mbale iyi.
I. Chiyambi
Mbali ya Distal Humeral Lateral Plate (Mtundu wa Olecranon) ndi mtundu wa mbale yomwe imagwiritsidwa ntchito popanga opaleshoni ya mafupa kuti athetse kusweka kwa distal humerus ndi olecranon. Mbaleyi idapangidwa kuti ipereke kukhazikika kokhazikika kwa mafupa osweka komanso kulola kulimbikitsana koyambirira kwa olowa. Mbaleyo imapangidwa motere kuti igwirizane ndi fupa la fupa, kupereka kukhazikika kwabwino ndi chithandizo.
II. Zizindikiro za Distal Humeral Lateral Plate (Mtundu wa Olecranon)
Distal Humeral Lateral Plate (Mtundu wa Olecranon) amasonyezedwa pazifukwa izi:
Kuphulika kwa Distal Humerus
Distal humerus fractures imatha kukhala yovuta kuchiza ndipo imatha kubweretsa kudwala kwakukulu ngati sikunachiritsidwe moyenera. Distal Humeral Lateral Plate (Mtundu wa Olecranon) ungagwiritsidwe ntchito pochiza fractures izi, kupereka kukhazikika kokhazikika komanso kulola kulimbikitsana koyambirira kwa olowa.
Olecranon Fractures
Olecranon fractures ndi kuvulala komwe kumachitika chifukwa cha kugwa kapena kuvulala kwachigongono. Distal Humeral Lateral Plate (Mtundu wa Olecranon) ungagwiritsidwe ntchito pochiza fractures izi, kupereka kukhazikika kwabwino komanso kuthandizira kudera lomwe lakhudzidwa.
Nonunions ndi Malunions
Nonunions ndi malunions a distal humerus ndi olecranon zingakhale zovuta kuchiza. Distal Humeral Lateral Plate (Mtundu wa Olecranon) ungagwiritsidwe ntchito kukonza mikhalidwe imeneyi, kupereka kukhazikika kokhazikika ndi chithandizo kudera lomwe lakhudzidwa.
III. Anatomy ya Distal Humerus ndi Olecranon
Musanakambirane za njira yopangira opaleshoni ya Distal Humeral Lateral Plate (Mtundu wa Olecranon), ndikofunikira kumvetsetsa mawonekedwe a distal humerus ndi olecranon.
Mafupa ndi Mafupa Ophatikizidwa
The distal humerus ndi olecranon ndi mbali ya chigongono. The distal humerus ndi m'munsi mwa fupa lapamwamba la mkono, pamene olecranon ndi mafupa odziwika kumbuyo kwa chigongono. Mafupawa amapanga nsonga ya hinji ya chigongono, yomwe imalola kupindika ndi kutambasula mkono.
Mitsempha ndi Tendons Zimakhudzidwa
Chigongonochi chimathandizidwa ndi mitsempha yambiri ndi tendon. Ulnar collateral ligament imapereka kukhazikika kwa gawo lapakati la mgwirizano, pamene radial collateral ligament imapereka kukhazikika kwa mbali ya lateral ya mgwirizano. The common extensor tendon ndi wamba flexor tendon kumangiriza lateral ndi medial epicondyles a humerus, motero.
Kupereka Magazi Kuderali
The distal humerus ndi olecranon amaperekedwa ndi mitsempha ya brachial ndi nthambi zake. Magazi a m'derali ndi ofunika kuti machiritso oyenera atatha opaleshoni.
IV. Njira ya Distal Humeral Lateral Plate (Mtundu wa Olecranon).
Njira yopangira opaleshoni ya Distal Humeral Lateral Plate (Mtundu wa Olecranon) imaphatikizapo izi:
Opaleshoni
Wodwalayo amapatsidwa mankhwala oletsa ululu wamba kapena a m’chigawo, malinga ndi zimene dokotalayo akufuna komanso mmene wodwalayo alili.
Chocheka
Kudulira kwa 10-12 cm kumapangidwa kumbali yakumbuyo kwa chigongono, kuwonetsa mafupa osweka ndi minofu yofewa yozungulira.
Kuchepetsa kwa Fracture
Mafupa osweka amayikidwa mosamala kumalo awo oyambirira a anatomical pogwiritsa ntchito zida zapadera.
Kuyika mbale
Mbali ya Distal Humeral Lateral Plate (Mtundu wa Olecranon) imayikidwa pambali ya humerus, pamwamba pa malo ophwanyika. Mbaleyi imatetezedwa ku fupa pogwiritsa ntchito zomangira ndi zipangizo zina zokonzera.
Kutseka
Pambuyo pokhazikika bwino mbaleyo, chodulidwacho chimatsekedwa pogwiritsa ntchito sutures kapena staples.
V. Kubwezeretsa pambuyo pa opaleshoni ndi kukonzanso
Opaleshoni ikatha, wodwalayo amapatsidwa mankhwala opweteka komanso maantibayotiki kuti apewe matenda. Dzanja lidzakhala losasunthika mu pulasitiki kapena splint kwa nthawi ya masabata a 2-6, malingana ndi kuopsa kwa fracture. Pambuyo pa nthawi ya immobilization, wodwalayo adzalandira pulogalamu yokonzanso kuti ayambenso kuyenda ndi mphamvu mu mkono womwe wakhudzidwa. Dongosolo lokonzanso zisankho zingaphatikizepo chithandizo cholimbitsa thupi, chithandizo chamankhwala, ndi masewera olimbitsa thupi kunyumba.
VI. Ubwino ndi Kuipa kwa Distal Humeral Lateral Plate (Mtundu wa Olecranon)
Monga njira iliyonse yopangira opaleshoni, Distal Humeral Lateral Plate (Mtundu wa Olecranon) ili ndi zabwino ndi zovuta zake. Zina mwazabwino zake ndi izi:
Amapereka kukhazikika kokhazikika kwa mafupa osweka
Amalola kusonkhanitsa koyambirira kwa olowa
Ali ndi chiopsezo chochepa cha zovuta
Zina mwazovuta ndi izi:
Pamafunika kudulidwa kwakukulu poyerekeza ndi njira zina zopangira opaleshoni
Zingafunike nthawi yayitali yochira poyerekeza ndi njira zina za opaleshoni
Zitha kubweretsa zovuta zokhudzana ndi implant, monga kulephera kwa implant kapena kumasuka
VII. FAQs
Kodi Distal Humeral Lateral Plate (Mtundu wa Olecranon) ndiyo njira yokhayo yochizira distal humerus ndi olecranon fractures?
Ayi, pali njira zina zochiritsira zomwe zilipo, monga kuponyera kapena kulimbitsa, malingana ndi kuopsa kwa fracture ndi matenda a wodwalayo.
Kodi Distal Humeral Lateral Plate (Mtundu wa Olecranon) ndi implantation yokhazikika?
Mbaleyo ikhoza kuchotsedwa pambuyo povulala, koma izi zimadalira momwe wodwalayo alili payekha komanso zomwe dokotala wa opaleshoni akufuna.
Kodi opaleshoniyo imatenga nthawi yayitali bwanji?
Opaleshoniyo nthawi zambiri imatenga maola 2-3, kutengera zovuta za fracture ndi njira ya opaleshoni yomwe imagwiritsidwa ntchito.
Kodi opareshoni ya Distal Humeral Lateral Plate (Olecranon Type) yapambana bwanji?
Kuchita bwino kwa opaleshoniyo kumasiyanasiyana malinga ndi vuto la munthu payekha komanso luso la opaleshoniyo komanso luso lake.
Mavuto omwe angakhalepo opareshoniyo ndi ati?
Mavuto omwe angakhalepo ndi monga matenda, kulephera kwa implants, kuwonongeka kwa mitsempha, ndi kuuma kwa mkono womwe wakhudzidwa. Komabe, mavutowa ndi osowa ndipo akhoza kuchepetsedwa potsatira malangizo a opaleshoni pambuyo pa opaleshoni.
