Mafotokozedwe Akatundu
• Zapangidwa kuti zichepetse kukwiya kwa minofu yofewa chifukwa cha mbiri yosalala komanso yozungulira
• Chithandizo chokhazikika ndi 2-plate-AO-technique, osamutsidwa ndi 90 °
• Screw system yokhala ndi kukhazikika kwa angular, 2.7 mm ndi 3.5 mm, kuti isamutsidwe bwino kwambiri
• Zomangira zokhazikika za 2.7 mm zofikira mamilimita 60 m'litali kuti zizikika bwino mu chipika chakutali. Kapenanso, zomangira za 3.5 mm cortex zitha kugwiritsidwa ntchito.
• Njira zisanu zokhotakhota mu chipika cha distal zimalola kukhazikika kwa zosweka zakutali kwambiri, makamaka mu osteoporotic bone
• Zomangira zitatu zowonjezera zokonzera capitellum

| Zogulitsa | REF | Kufotokozera | Makulidwe | M'lifupi | Utali |
| Distal Medial Humeral Locking plate (Gwiritsani ntchito 2.7/3.5 Chomangira chokhoma /3.5 Cortical Screw) | 5100-1801 | 4 zibowo L | 3 | 11.5 | 69 |
| 5100-1802 | 6 ziwombe L | 3 | 11.5 | 95 | |
| 5100-1803 | 8 dzulo L | 3 | 11.5 | 121 | |
| 5100-1804 | 10 mabowo L | 3 | 11.5 | 147 | |
| 5100-1805 | 12 mabowo L | 3 | 11.5 | 173 | |
| 5100-1806 | 4 ziwomba R | 3 | 11.5 | 69 | |
| 5100-1807 | 6 ziwomba R | 3 | 11.5 | 95 | |
| 5100-1808 | 8 dzulo R | 3 | 11.5 | 121 | |
| 5100-1809 | 10 mabowo R | 3 | 11.5 | 147 | |
| 5100-1810 | 12 zibowo R | 3 | 11.5 | 173 |
Kufotokozera
| REF | Kufotokozera | Makulidwe | M'lifupi | Utali |
| 5100-1801 | 4 zibowo L | 3 | 11.5 | 69 |
| 5100-1802 | 6 ziwombe L | 3 | 11.5 | 95 |
| 5100-1803 | 8 dzulo L | 3 | 11.5 | 121 |
| 5100-1804 | 10 mabowo L | 3 | 11.5 | 147 |
| 5100-1805 | 12 mabowo L | 3 | 11.5 | 173 |
| 5100-1806 | 4 ziwomba R | 3 | 11.5 | 69 |
| 5100-1807 | 6 ziwomba R | 3 | 11.5 | 95 |
| 5100-1808 | 8 dzulo R | 3 | 11.5 | 121 |
| 5100-1809 | 10 mabowo R | 3 | 11.5 | 147 |
| 5100-1810 | 12 zibowo R | 3 | 11.5 | 173 |
Chithunzi Chenicheni

Blog
Kuphulika kwa distal medial humerus ndizofala ndipo nthawi zambiri zimakhala zovuta kuchiza. The distal medial humeral Locking plate (DMHLP) yatuluka ngati njira yotchuka ya opaleshoni yochizira zothyoka izi. M'nkhaniyi, tipereka mwachidule za DHLP, kuphatikizapo mapangidwe ake, njira zopangira opaleshoni, zizindikiro, zotsatira, ndi zovuta zomwe zingakhalepo.
Musanayambe kukambirana za DHLP, ndikofunikira kumvetsetsa mawonekedwe a anatomy ndi fracture ya distal medial humerus. The distal medial humers ndi gawo la fupa la humerus lomwe lili pafupi kwambiri ndi thupi. Kuphwanyidwa m'derali nthawi zambiri kumaphatikizapo pamwamba pa articular, yomwe ndi gawo la fupa lomwe limapanga mgwirizano ndi fupa la ulna pamphuno. Kuphulika kumeneku kungakhale kovuta ndipo kungaphatikizepo olecranon fossa, ndondomeko ya coronoid, ndi epicondyle yapakati.
DMHLP ndi mtundu wa Choyikidwa m'mafupa wopangidwa kuti akhazikitse kusweka kwa distal medial humer. Mbaleyi imapangidwa ndi titaniyamu kapena chitsulo chosapanga dzimbiri ndipo imakhala ndi mawonekedwe otsika kuti achepetse kukwiya kwa minofu yofewa. Lili ndi ma screw mabowo angapo omwe amalola kuti mbale ikhale yotetezeka ku fupa. The Zomangira zokhoma yogwiritsidwa ntchito mu DHLP imapanga mapangidwe okhazikika omwe amapereka kukhazikika kowonjezereka poyerekeza ndi mbale wamba.
Kukonza opaleshoni ya distal medial humerus fractures pogwiritsa ntchito DHLLP nthawi zambiri kumachitika pansi pa anesthesia wamba. Dokotala wa opaleshoni amadula mbali yapakati pa chigongono kuti awonetse malo ophwanyika. Pambuyo pochepetsa kusweka, DHLP imapangidwira kuti igwirizane ndi fupa kenako ndikukhazikika pogwiritsa ntchito Zomangira zokhoma . Mbaleyo nthawi zambiri imayikidwa pakatikati pa fupa kuti likhale lokhazikika.
DMHLP imasonyezedwa pochiza fractures zovuta za distal medial humerus. Izi zikuphatikizapo fractures zomwe zimaphatikizapo pamwamba pa fupa, komanso zowonongeka zomwe zimapita ku olecranon fossa, ndondomeko ya coronoid, kapena epicondyle yapakati. DMHLP ingagwiritsidwenso ntchito ngati pali chiopsezo cha kusakhazikika pambuyo pa opaleshoni, monga odwala osteoporosis.
Kafukufuku wasonyeza kuti DHLLP imapereka zotsatira zabwino kwambiri kwa odwala omwe ali ndi distal medial humerus fractures. Kugwiritsiridwa ntchito kwa DMHLP kwagwirizanitsidwa ndi chiwerengero chapamwamba cha mgwirizano wa fracture, zotsatira zabwino zogwirira ntchito, ndi kuchepa kwa zovuta zokhudzana ndi implants monga kumasula zomangira ndi kusweka kwa mbale. Komabe, monga momwe amachitira opaleshoni iliyonse, pali chiopsezo cha zovuta, kuphatikizapo matenda, kuvulala kwa mitsempha, ndi kulephera kwa implants.
Distal medial humeral Locking plate ndi njira yabwino kwambiri yopangira opaleshoni pochiza zosweka zovuta za distal medial humerus. Mapangidwe ake apadera ndi njira yokonzekera amapereka kukhazikika kowonjezereka komanso zotsatira zabwino kwambiri kwa odwala. Komabe, monga momwe zimakhalira opaleshoni iliyonse, ndikofunika kuganizira mozama zisonyezo, zoopsa zomwe zingatheke, ndi ubwino wa DHLP musanayambe opaleshoni.
Kodi DHLLP ndi chiyani?
DMHLP ndi mtundu wa Choyikidwa m'mafupa wopangidwa kuti akhazikitse kusweka kwa distal medial humer.
Kodi DHLLP imakhazikika bwanji ku fupa?
DHLP imakhazikika pamalo ake pogwiritsa ntchito Zomangira zokhoma yomwe imapanga chomanga chokhazikika.
Zizindikiro za DHLLP ndi ziti?
DMHLP imasonyezedwa pochiza fractures zovuta za distal medial humerus.
Ndizovuta zotani za DHLLP?
Mavuto omwe angakhalepo a DHLP ndi monga matenda, kuvulala kwa mitsempha, ndi kulephera kwa implant.