Proximal Humeral Greater Tuberosity Locking Plate

Kodi Proximal Humeral Greater Tuberosity Locking Plate ndi chiyani?

Kuthyoka kwa proximal humerus ndi kuvulala kofala, komwe kumakhala pafupifupi 5% ya fractures zonse. Pafupifupi 20% imakhudza kukula kwa tuberosity ndipo nthawi zambiri imagwirizanitsidwa ndi kuvulala kosiyanasiyana kwa rotator. Kuchuluka kwa tuberosity ndi malo omwe amamangiriridwa ndi chikhomo cha rotator, chomwe nthawi zambiri chimakokera kupatukanako pambuyo pa kugwedezeka. Kuphulika kwakukulu kwa tuberosity kumachiritsa popanda opaleshoni, koma kuphulika kwakukulu kwa tuberosity kumakhala ndi chidziwitso chochepa chifukwa cha kupweteka kwa mapewa, kuyenda kochepa, kupindika kwa acromion, kufooka kwa miyendo, ndi zina zofooka. Njira zazikuluzikulu zopangira ma opaleshoni osavuta avulsion fractures ndi screw fixation, suture anchor fixation ndi plate fixation.

mfundo

Zogulitsa	REF	Kufotokozera	Makulidwe	M'lifupi	Utali
Proximal Humeral Greater Tuberosity Locking Plate (Gwiritsani ntchito 2.7/3.5 Locking Screw, 2.7/3.5 Cortical Screw/4.0 Cancellous Screw)	5100-1601	5 ziwombe L	1.5	13	44
	5100-1602	5 ziwomba R	1.5	13	44

Proximal Humeral Greater Tuberosity Locking Plate: Kuwunika Kwambiri

Proximal humers ndi fupa lofunika kwambiri lomwe limagwira ntchito yofunikira kwambiri pakugwira ntchito kwa mwendo wakumtunda. Kuthyoka m'derali kungayambitse kuwonongeka kwakukulu kwa ntchito ndi kulemala. M'zaka zaposachedwa, kupanga mbale zotsekera kwasintha kasamalidwe ka ma proximal humeral fractures. Proximal humeral great tuberosity locking plate (PHGTLP) ndi mtundu wa mbale zokhoma zomwe zadziwika kwambiri m'zaka zaposachedwa chifukwa cha zotsatira zake zabwino zachipatala. M'nkhaniyi, tipereka ndemanga yathunthu ya PHGTLP, kuphatikiza mawonekedwe ake, zisonyezo, njira ya opaleshoni, zotsatira zake, ndi zovuta zake.

Anatomy

The proximal humer ili ndi magawo anayi: mutu wa humeral, chubu chachikulu, chocheperako, ndi shaft ya humeral. The tuberosity yaikulu ndi fupa lodziwika bwino lomwe lili pafupi ndi mutu wa humeral, ndipo limapereka malo olumikizira minofu ya rotator cuff. PHGTLP idapangidwa kuti ikonze zothyoka za chubu chachikulu, chomwe chimakhala chofala pakuphulika kwa humeral.

Zizindikiro

PHGTLP imasonyezedwa pakuwongolera ma proximal humeral fractures omwe amakhudza kuchuluka kwachubu. Kuphulika kumeneku nthawi zambiri kumagwirizanitsidwa ndi kuvulala kwa rotator cuff ndipo kungayambitse kuwonongeka kwakukulu kwa ntchito. PHGTLP imapereka kukhazikika kokhazikika, komwe kumalola kusonkhanitsa koyambirira ndi kukonzanso.

Njira Yopangira Opaleshoni

Njira yopangira opaleshoni ya PHGTLP imaphatikizapo njira yochepetsera komanso kukonza mkati. Wodwalayo amaikidwa pampando wa m'mphepete mwa nyanja kapena lateral decubitus malo, ndipo malo opangira opaleshoni amakonzedwa ndi zokometsera zosabala. Kudulidwa kwautali kumapangidwira pa tuberosity yayikulu, ndipo kupasuka kumachepetsedwa. PHGTLP imayikidwa pambali ya mutu wa humeral, ndipo zomangira zimalowetsedwa kupyolera mu mbale kupita ku fupa. Mbaleyi imapereka kukhazikika kokhazikika, komwe kumalola kusonkhanitsa koyambirira ndi kukonzanso.

Zotsatira

PHGTLP yawonetsedwa kuti ili ndi zotsatira zabwino kwambiri zachipatala pakuwongolera ma proximal humeral fractures. Maphunziro angapo awonetsa kuchuluka kwa mgwirizano wosweka, zotsatira zabwino zogwirira ntchito, komanso kutsika kwazovuta. Mukuwunika mwadongosolo maphunziro 11, PHGTLP idalumikizidwa ndi 95% kuchuluka kwa mgwirizano, 92% zabwino kapena magwiridwe antchito abwino kwambiri, komanso 6% zovuta.

Zovuta

Zovuta zomwe zimalumikizidwa ndi PHGTLP ndikuphatikiza zowononga, kulephera kwa implant, kusalumikizana, komanso matenda. Zochitika zazovuta ndizochepa, ndipo zambiri zimatha kuyendetsedwa ndi kasamalidwe koyenera. Pakuwunika mwadongosolo maphunziro 11, chovuta chofala kwambiri chinali kuphulika kwa screw, komwe kunachitika mu 2.2% yamilandu.

Mapeto

PHGTLP ndi njira yabwino komanso yotetezeka pakuwongolera ma proximal humeral fractures omwe amakhudza kuchuluka kwachubu. Mbaleyi imapereka kukhazikika kokhazikika, komwe kumalola kusonkhanitsa koyambirira ndi kukonzanso. PHGTLP yawonetsedwa kuti ili ndi zotsatira zabwino zachipatala zomwe zimakhala ndi zovuta zochepa. Kugwiritsa ntchito PHGTLP kuyenera kuganiziridwa pakuwongolera ma proximal humeral fractures.

FAQs

1. Zimatenga nthawi yayitali bwanji kuti ndichire ku ma proximal humeral fractures omwe amayendetsedwa ndi PHGTLP?

• Nthawi yochira imadalira pazifukwa zingapo, monga kuuma kwa fracture, zaka za wodwalayo, ndi matenda omwe analipo kale. Nthawi zambiri, odwala ambiri amatha kuyembekezera kubwerera kuzinthu zachizolowezi mkati mwa miyezi 6-12 pambuyo pa opaleshoni.

2. Kodi kugwiritsidwa ntchito kwa PHGTLP kumalumikizidwa ndi zovuta zilizonse zazitali?

• Zovuta zanthawi yayitali zolumikizidwa ndi PHGTLP ndizosowa. Komabe, odwala ayenera kudziwa kuopsa kwa implants kulephera, zomwe zingachitike patatha zaka zingapo opaleshoni. Kutsata pafupipafupi ndi dokotala wochiza kungathandize kuzindikira zovuta zilizonse zomwe zingachitike ndikuthana nazo mwachangu.

Kodi PHGTLP ingagwiritsidwe ntchito pazochitika zonse za ma proximal humeral fractures?

             Ayi, PHGTLP idapangidwa makamaka kuti ikonze zophulika za tuberosity yayikulu. Pamene kupasuka kumakhudza mbali zina za proximal humerus, njira zina zopangira opaleshoni zingafunikire kuganiziridwa.

    Kodi nthawi yochira kwa odwala omwe akuchitidwa opaleshoni ya PHGTLP ndi iti?

• Nthawi yochira imasiyanasiyana malinga ndi kuuma kwa fracture, zaka za wodwalayo, ndi matenda aliwonse omwe analipo kale. Odwala ambiri amatha kuyembekezera kubwerera kuntchito zachizolowezi mkati mwa miyezi 6-12 pambuyo pa opaleshoni.

Odwala angakwanitse bwanji kuchira pambuyo pa opaleshoni ya PHGTLP?

• Odwala amatha kukulitsa kuchira kwawo mwa kutsatira pulogalamu yokonzanso yomwe idapangidwa ndi dokotala wawo. Izi zingaphatikizepo chithandizo chamankhwala, masewera olimbitsa thupi kuti apititse patsogolo kuyenda ndi mphamvu zosiyanasiyana, komanso njira zothandizira kupweteka. Ndikofunikira kutsatira malangizo onse a pambuyo pa opaleshoni operekedwa ndi dokotala wochizira kuti muchiritse bwino.

Pomaliza, PHGTLP ndi njira yotetezeka komanso yothandiza poyang'anira ma proximal humeral fractures okhudza kukula kwachubu. Mbaleyi imapereka kukhazikika kokhazikika, komwe kumalola kusonkhanitsa koyambirira ndi kukonzanso, ndipo zasonyezedwa kuti zimakhala ndi zotsatira zabwino zachipatala ndi zovuta zochepa. Odwala ayenera kukambirana za kugwiritsidwa ntchito kwa PHGTLP ndi dokotala wawo kuti awone ngati ili njira yoyenera pakusweka kwawo. Ndi kasamalidwe koyenera komanso kutsata, odwala amatha kuyembekezera kubwerera kuzinthu zanthawi zonse ndikukhala ndi moyo wabwino atachitidwa opaleshoni yoduka ya humeral ndi PHGTLP.