Iyo Humeral Nail: Mhedziso Yekuvhiya Kurapwa kweProximal Humerus Fractures
Nhanganyaya
Proximal humerus fractures inowanzoitika muhuwandu hwevanhu vakwegura uye inogona kukonzera kurwara kwakanyanya uye kufa. Kuvhiya manejimendi kunowanzodikanwa kune vakadzingwa kana kusagadzikana kuputsika, uye humeral chipikiri inzira inoshandiswa zvakanyanya kurapwa. Ichi chinyorwa chinopa mucherechedzo wekuvhiya kwehumeral mbambo, kusanganisira zviratidzo, maitiro, uye mhedzisiro.
Anatomy yeProximal Humerus
Iyo proximal humerus ine musoro wehumeral, yakakura uye shoma tuberosities, uye shaft. Musoro wehumeral unotaura ne glenoid fossa ye scapula kuti iite glenohumeral joint, iyo inobvumira kufamba kwefudzi. Iyo yakakura uye yakaderera tuberosities inopa kubatanidzwa kune inotenderera cuff tsandanyama, iyo yakakosha pakugadzikana kwepafudzi.
Proximal Humerus Fractures
Proximal humerus fractures inowanzoiswa zvichienderana nenzvimbo uye dhigirii rekutamiswa. Kutyoka kusiri-kutamiswa kunogona kuwanzo kudzorwa nekuchengetedza nekusafamba-famba uye kwekutanga kwekutanga kwemaitiro ekufambisa. Zvisinei, kuputsika kwakadzingwa kunogona kuda kupindira kwekuvhiya kudzorera basa repafudzi uye kudzivirira matambudziko akadai seavascular necrosis uye isiri-mubatanidzwa.
Kuvhiya Sarudzo dzeProximal Humerus Fractures
Nzira dzinoverengeka dzekuvhiya dziripo dzekutonga kweproximal humerus fractures, kusanganisira kuderedzwa kwakavhurika uye kugadzirisa kwemukati (ORIF), hemiarthroplasty, uye reverse shoulder arthroplasty. Kusarudzwa kwemaitiro ekuvhiya kunoenderana nezvinhu zvakasiyana, zvinosanganisira zera remurwere, nzvimbo yekutyoka, dhigirii rekutamiswa, uye comorbidities.
Humeral Nail Surgery
Kuvhiyiwa kwehumeral nail kunosanganisira kuiswa kwembambo refu, intramedullary kuburikidza neproximal humerus kudzikamisa kuputsika. Chipikiri chinopinzwa kuburikidza nekachekwa kadiki pedyo nejojo yebendekete uye chinotungamirwa kupinda mugero re medullary uchishandisa fluoroscopic direction. Kana chipikiri chave panzvimbo, screws inopinzwa kuburikidza nembambo uye mumusoro wehumeral kuchengetedza pakatyoka.
Zviratidzo zveHumeral Nail Surgery
Kuvhiyiwa kwehumeral mbambo inoratidzwa kune yakadzingwa kana isina kugadzikana proximal humerus fractures iyo isingagone kutarisirwa nekuchengetedza. Izvi zvinosanganisira matyoka ane makuru kupfuura 1 cm ekutamiswa kana kutyoka ane kona yekutyoka inodarika 45 madhigirii. Kuvhiyiwa kwehumeral nail kunogonawo kuratidzwa kune varwere vasingakwanisi kushivirira maitiro ekuvhiya akawandisa, akadai sehemiarthroplasty kana reverse shoulder arthroplasty.
Matekiniki eHumeral Nail Surgery
Kuvhiya kwehumeral chipikiri kunogona kuitwa uchishandisa angave antegrade kana retrograde nzira. Nzira yeantegrade inosanganisira kuisa mbambo kuburikidza nekuguma kwehumerus, nepo nzira yekudzorera inosanganisira kuisa mbambo kuburikidza nekuguma kwehumerus. Kusarudzwa kwemaitiro kunoenderana nenzvimbo yekutyoka uye zvinodiwa nachiremba.
Migumisiro yeHumeral Nail Surgery
Kuvhiyiwa kwehumeral mbambo kwakaratidzwa kuva nzira yekurapa inoshanda kune proximal humerus fractures, ine huwandu hwepamusoro hwekutyoka mubatanidzwa uye mhedzisiro yakanaka inoshanda. Nekudaro, zvinonetsa senge screw cutout, isiri-mubatanidzwa, uye hutachiona zvinogona kuitika. Kungwarira kusarudzwa kwevarwere uye nzira yekuvhiya yakakosha mukuderedza matambudziko aya.
Mhedziso
Proximal humerus fractures inogona kukanganisa zvakanyanya kurwara nekufa kwemurwere, kunyanya muhuwandu hwevanhu vakura. Humeral nail kuvhiyiwa inzira inoshandiswa zvakanyanya yekurapa iyo inogona kunyatso kudzorera basa remapfudzi uye kudzivirira matambudziko. Kungwarira kusarudzwa kwevarwere uye nzira yekuvhiya yakakosha pakugadzirisa mhedzisiro uye kuderedza matambudziko.
FAQs
Zvinotora nguva yakareba sei kuti apore kubva pakuvhiyiwa kwehumeral nail? Nguva yekudzorera inosiyana zvichienderana nezera remurwere uye hutano hwose, pamwe nekuoma kwekuputsika. Kazhinji, varwere vanogona kutarisira kupfeka chipfuramabwe kwemavhiki akati wandei mushure mekuvhiyiwa uye vangangoda mwedzi yakati wandei yekurapa kwemuviri kuti vadzore zvizere basa repafudzi.
Pane chero njodzi dzine chekuita nekuvhiya kwehumeral mbambo here? Sezvinoita chero nzira yekuvhiya, kune njodzi dzine chekuita nekuvhiya kwehumeral mbambo. Izvi zvinogona kusanganisira utachiona, kukuvara kwetsinga, uye kukuvara kwetsinga yeropa. Pamusoro pezvo, kune njodzi yekunetsekana senge screw cutout, isiri-mubatanidzwa, uye kutadza kuisirwa.
Kusarudzwa kwemurwere pakuvhiya kwezvipikiri kunogadziriswa sei? Kusarudzwa kwemurwere kwekuvhiyiwa kwehumeral mbambo kunotarwa zvichibva pane zvakati wandei, zvinosanganisira zera remurwere uye hutano hwese, kuoma uye nzvimbo yekutyoka, uye kuvapo kwechero comorbidities inogona kukanganisa mhedzisiro yekuvhiya.
Kuvhiya kwezvipikiri kunogona kushandiswa kune ese proximal humerus fractures? Aiwa, kuvhiyiwa kwembambo yezvipikiri kunowanzo chengeterwa kune akatamiswa kana kusagadzika mafracture ayo asingakwanisi kutarisirwa nekuchengetedza. Zvimedu zvine kutama kudiki kana izvo zvisingabatanidzi musoro wehumeral zvinogona kutariswa nematanho ekuchengetedza akadai senge sling immobilization uye yekutanga mhando yekufamba maekisesaizi.
Iyo humeral nail inowanzogara munzvimbo kwenguva yakareba sei? Iyo humeral chipikiri inowanzosiiwa munzvimbo kwemwedzi yakati wandei kubvumira kuporeswa kwekutyoka. Urefu hwenguva iyo chipikiri inoramba iripo inogona kusiyana zvichienderana nekuoma kwekutyoka uye kurapa kwemurwere ega.
