Iwe unogadzira sei distal humerus inokanganisa?

Kuti ubudirire Kiyi yekugadzikana kweiyi gadziriso chimiro ndechekuti inosanganisa izvo zvimiro uye kugadzikana kweArch apo uchivhara menduru uye yakazotevera makoramu emuchindimusi ehondo pamwe chete.

Arch Bridge Chimiro

Zviyero zvezvikamu zve distal zvinokiya zvinokanda, kupa imwe kugadzikana kuburikidza ne 'yakavharwa Arch Bridge '. Kubatikana kwakanyatsokwana nekusangana pakati pezvikamu. Zvakawanda zviyero zvecrecscross pamwe chete, uye mapfupa pakati pavo anoumba a 'rebar ' (yakasimbiswa kongiri) mhando chimiro.

Matanho ehunyanzvi

Nhanho Yekutanga: Joint kuderedza kuvhiya. Zvimedu zvezvidimbu zvakajaira kutenderera hama kune mumwe nemumwe pendege yeAxial yaive anatomic yakaderedzwa uye yakarongedzwa kwenguva pfupi neKirschner Wires. ZVINOKOSHA, K-WIRY inofanirwa kuve iri padyo nechisimba pachidimbu chekudzivirira kupindira nekukonzeresa Screw Kuiswa kweScrew uye kure nepo mahwendefa akaiswa pamakwenzi ekare uye madiki. Imwe kana maviri akaiswa nenzira yakakodzera maaya maaya anogona kushandiswa kwenguva pfupi gadziriso kwenguva pfupi fungidziro yakaiswa pamwe ne diaphyis.

Nhanho yechipiri: Speel Plate application uye yekugadzirisa kwenguva pfupi. Iyo medial uye yakatevera yakagadzirirwa mahwendefa anoiswa uye akaiswa pane iyo distal humerus, nepo gomba re2,5, rakaverengerwa, Epicondyle, Epicondyle, uye Disal Bone Fragment mune imwe chete ndiro. Mapini ekuchengetedza gadziriso yenguva pfupi yeplate uye distal kupwanya. Chikwangwani chakaiswa mugomba rakarongedzwa Sezvo nzvimbo yepazasi yemapani ega ega ari kuBubular paDiguhlseal uye Dihphyseal inopera, kungo simbisa zvishoma pamabhegi akaiswa mumakomba akanaka enhemberi yekare humerus.

Nhanho 3: Joint Fixation. Iyo screw inopfuura nepakati pekodhi 1 mune imwe chete ndiro, kuburikidza neiyo discal liticular fragment kubva kune yakazaruka kubva kune yakazaruka kusvika kumashure, ndokusimbiswa. Dzokorora nhanho iyi uchishandisa Hole nhamba 3 mukati. Mune varwere vadiki, 3.5 mm cortical screws inoshandiswa (kudzivirira mapundu), nepo mune varwere veOsteoporoti, 2.7 mm refu screws vanoshandiswa. Screw yerudzi runofanira kunge yakareba sezvinobvira uye inofanira kupfuura nezvimedu zvakawanda sezvinobvira.

Nhanho 4 A: Kudzvinyirira pane kondiri. Interfragmentary kumanikidza kupatsanurana kunopihwa kuThe Suprumeral Level uchishandisa Yakakura Kuderedzwa kweRoxpression, neiyo Literal Column yakatarwa kutanga. Isa screw mune gomba 4 mune yakazotevera ndiro mune dynamic compression mode (inset). Kuisimbisa kunowedzera kuwedzeredza kusangana kwekunetseka

Nhanho 4B: Mune yakafanana fashoni, shandisa hombe kuderedzwa kweRexpress yeMedial mutsara uye isa iyo screw mupezi madiki mune dynamic compression mode. Kana iyo profil yemari iri zvishoma suboptimal, chipenga chikuru chemapfupa chinogona kushandiswa kuzvikanganisa kurwisa metaphysis yekuenderera mberi nekumhanyisa kondiri.

Nhanho 5: Kugadziriswa kwekupedzisira. Iyo k-waya yakabviswa uye zviyero zvasara zvakaiswa. Iyo distal screws inodzedzereka kuti ikudze kugadziriswa kweiyo distal majoini zvidimbu.

Yakakura pfupa kuremara - supracondlar kupfupisa

Kana metaphyseal pfupa kurasikirwa kana kutambudza kunyengerera aratomical kuvaka uye humbowo hunogona kupfupikiswa nesaipi yekukanganiswa neyakaenzana neyakaenzana uye geometry yeiyo distal humerus. Isu tinodaidzira iyi imwe nzira yekuvakazve technique suprandylar kupfupisa. Iyi nzira inonyanya kubatsira zvakanyanya mune zviitiko zvakasanganiswa zvinyoro nyoro uye kurasikirwa kwepa pfupa. Kupfupikisa ≤1 cm kushoma pane iyo yekuwedzera simba re triceps terminal, uye mukurasikirwa kwemapfupa akaomesesa uye kupfupika kusvika pamasendimita maviri kunogona kuiswa pasina kukanganisa zvakanyanya biomechanics.

Reshepe iyo distal yekupedzisira yeiyo humal shaft (kunze kweiyo yekunyepedzera chikamu) kuti uwedzere kusangana pakati pechikamu chisingaperi chechidimbu uye diaphysis. Kazhinji, chidiki chidiki chefupa yacho chinobviswa kubva pakupera kwe distal kwechaunga chehuwandu hwevanhu, uye dzimwe nguva kubva kune rimwe divi raIyo. B uye c, kupfupiswa neyekuvhiringidza saiti kuti ubvume kushamwaridzana kuenderana neTrochlear uye Disal diaphysis, pakati peCapitalum ne distal diaphysis, uye kubva padivi kuenda padivi. Kamwe nzvimbo idzi dzakateedzerwa uye dzakachengetedzwa nemapuranga echibwe, kusimba kwakasimba kwakaringana nekugadziriswa. Chikamu che distal chinogona kushandurwa pakati kana gare gare, kana zvishoma, nepo tarishyly, nepo kuchengetedza kutenderera uye valgus alignment.

6 Screws uye 2 Plate Fixation Target

screw

1: Banga rimwe nerimwe rinopinda nepasirese resimbi.

2: Chikwangwani chimwe nechimwe chinofanira kugadzirisa chidimbu chinopesana.

3: isa huwandu hwakaringana hwezviyero muzvikamu zve distal furture.

4: Banga rimwe nerimwe rinofanira kunge rakareba sezvinobvira.

5: Banga rimwe nerimwe rinofanira kugadzirisa zvidimbu zvakawanda sezvinobvira.

6: Iyo screws inofanira kukiya pamwe chete necrisscrossing, kugadzira chimiro chine angle yakatarwa.

Simbi ndiro:

1: Kune mahwendefa anoshandiswa gadziriso, zvinangwa zvekumanikidza zvinofanirwa kuwanikwa padanho rezvikadzi zvevakadzi zvekamuri mbiri.

2.

Matenga sei kuti utenge orthopedic mispende uye zviridzwa zveOrthopedic?

Nekuti Czmeditech​ Spine Implants, intramedullary zvipikiri, Traumal Plate, Locking Plate, cranial-maxillofacial, prostisesa, Zvishandiso zvine simba, vekunze taxators, arthroscopy, kutarisirwa kwevaterinary uye yavo inotsigira chiridzwa.

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