Humiera mbambo

Chigadzirwa Chigadzirwa Chinyorwa Vhidhiyo

Czmeditech humeral intramedullary mbambo

Nhanganyaya

Chipikiri zvehurumende zvinonyatsoratidza zvehukama hwehukama hwekuvhara izvo zvisingaverengeki zvisingaonekwe kune varus kusagadzikana. Iyo yakazotevera portal dhizaini inobvumira kuisirwa kungoisa mbozha kune iyo rotator cuff uye inofambisa zviri nyore portal kusvika uye nail yekuisa. Zvipikiri zvekare kubva pamakumi maviri kusvika makumi matatu kusvika makumi matatu pakureba uye 7-9mm mune diameter.

Iyo Humeral Chikiri: Kuongorora kwekurapa kwekuvhiya kweProximal Humerus Fractures

Nhanganyaya

Proximal Humerus Fractures yakajairika muvanhu vakweguru uye inogona kuguma nekukosha kuoma uye kufa. Kuvhiya manejimendi kunowanzo kuve kwakakodzera kwekutakurwa kana kusagadzikana zvibodzwa, uye zvipikiri zvehukadzi isarudzo yakashandiswa zvakanyanya kurapwa. Chinyorwa ichi chinopa kutarisisa kwekuvhiyiwa kwevashandi, kusanganisira zviratidzo, maitiro, uye zvibodzwa.

Anatomy yeiyo Proximal Humerus

Iyo proximal humerus yakaverengerwa mumusoro wevhu, yakakura uye yakaderera uye yakaderera terubirosities, uye shaft. Iyo humal heal inodzora ne glenoid fossa ye scapula yekuumba iyo glenohuhaumerral Joint, inobvumidza kufamba kwefudzi. Iyo nzvimbo yakakura uye yakaderera uye inoderera inopa kubatanidzwa kweiyo rotator cuff tsandanyama, izvo zvakakosha kuti zvigadzikane.

Proximal Humerus Fractures

Proximal Humerus Fractures inowanzo kuve yakadzama kubva panzvimbo uye degree rekutenderera. Zvisingarukwa zvisingaitike kazhinji zvinogona kuganhurirwa nechengetedzo nekupfura kusagadzikana kwehusimbe uye kutanga kwehuwandu hwekudzidzira. Nekudaro, zvakadzingwa zvingangoda kupindira kwekuvhiya kuti vadzore zvigunwe zvekushandisa uye kudzivirira matambudziko akadai saVascular necrosis uye asiri-mubatanidzwa.

Sarudzo dzekuvhiya dzeProximal Humerus Fractures

Sarudzo dzinoverengeka dzekuvhiya dzinowanikwa kune manejimendi eProximal humerus Kusarudzwa kwekuvhiya kwehunyanzvi kunoenderana nezvinhu zvakasiyana siyana, kusanganisira nezera remurwere, nzvimbo dzinovhiringidza, degree rekuratidzira, uye comorbidities.

Hunyanzvi hwechisimba kuvhiyiwa

Vhimani dzehurumende inosanganisira kuiswa kweiyo nguva refu, intramedullary yechidimbu kuburikidza neiyo proximal humerus kuti isimbise kupwanya. Chikombama chakaiswa kuburikidza nekwere diki padhuze nepabhizi mubatanidzwa uye inotungamirwa mumubatanidzwa weChigiri uchishandisa fluoroscopic kutungamira. Kamwe mbambo iri munzvimbo, screws inoiswa kuburikidza nemikombi uye mumusoro wevhu kuti uchengetedze kupwanya.

Zviratidzo zveVashandi vehukama

Humial nail surgery inoratidzwa yekudzingwa kana kusagadzikana proximal humerus Izvi zvinosanganisira zvikanganiso zvakakura kupfuura 1 cm yekudzingwa kana kupunzika nekona yakakwenenzverwa yakakura kupfuura 45 madhigirii. Varidzi vehurumende vanogona zvakare kuratidzwa kune varwere vasingakwanise kushivirira mamwe maitiro ekuvhiya, akadai seHemiarthroplasty kana reverse pfudzi Arthroplasty.

Maitiro ezvekutangisa hutachiona

Humial nail kuvhiyiwa kunogona kuitwa uchishandisa inga gadziriso kana nzira yekudzosera. Maitiro ekusimbisa anosanganisira kuendesa zvipikiri kuburikidza neye proximal kuguma kweminyinaro, nepo nzira yekudzokorora inosanganisira kuisa mbambo kuburikidza neakapera kupera kwehuma. Sarudzo yenzira inoenderana nenzvimbo yekuvhiringidza uye yekuvhiya yekuvhiya.

Zvinyorwa zveVashandi veVashandi veVashandisi

Vhimendi dzechisimba rakaratidzwa kuve sarudzo inoshanda yekurapa yeProximal Humerus Fractus, ine huwandu hwakanyanya hwekupwanya mubatanidzwa uye zvakanaka zvinoshanda zvinobuda. Nekudaro, zvinonetsa zvakadai secrew cutout, isiri-mubatanidzwa, uye hutachiona dzinogona kuitika. Kusarudzwa kwekusarudza nemwoyo wose uye nzira dzekuvhiya dzakakosha kuti dzidzore izvi zvinonetsa.

Mhedziso

Proximal Humerus Fractures inogona kuve nehunyanzvi hwakakosha pane morasha, kunyanya muhuwandu hwevakuru. Humial nail surgery ishandare yakashandiswa kwazvo kurapwa sarudzo iyo inogona kunyatso kudzosera mari yekushanda uye kudzivirira matambudziko. Kusarudzika kwekusarudzika kwemurwere uye kuchenjera maitiro kwakakosha kuti uwedzere zvinobuda uye kuderedza matambudziko.

FAQs

1. Zvinotora nguva yakareba sei kuti udzore kubva kuhurongwa hwevanhuhwe? Nguva yekudzoreredza inosiyana zvichienderana nezera remurwere uye hutano hwese, pamwe nekuomarara kwekupwanya. Muzhinji, varwere vanogona kutarisira kupfeka chipfuramabwe kwemavhiki akati wandei vachitevera kuvhiya uye vangangoda mwedzi yakati wandei yekurapa kwemuviri kuti iwanikwe chibereko.

2. Pane chero njodzi dzinoenderana nehuremu hwehukama hwechisimba? Sezvineiwo nemaitiro chero ekuvhiya, kune njodzi dzinoenderana nehurongwa hwevanhu vehukama. Izvi zvinogona kusanganisira hutachiona, kukuvara nervuku, uye kukuvara kweropa. Pamusoro pezvo, kune njodzi yekumanikidzwa senge screw cutout, isiri-mubatanidzwa, uye kutadza kusimbisa.

3. Kusarudzwa kwemwoyo murefu sei kwehurongwa hwevakadzi chipikiri chakatsanangurwa? Kusarudzwa kwemurwere kwehukama hwehukama hwehukama hutsinye hwakavakirwa pazvinhu zvinoverengeka, kusanganisira nehutano hwemurwere uye nehutano hwakanaka, nzvimbo yekuvhiringidzika kwezvinhu zvingangoita zvingangoita zvekuvhiya.

4. Kuvhiyiwa kwevanhu vehurumende kunogona kushandiswa kune vese proximal humerus fractures? Aiwa, kuvhiyiwa kwevakadzi vanowanzo kuve kwakachengetedzwa kwekutakurwa kana kusazvibata zvisingagoneki zvisingakwanisi kutarisirwa. Fractures nekukasira kushoma kana izvo zvisingabatanidze mumusoro wevhu zvinogona kutungamirirwa nematanho ekuchengetedza senge kupfura kusagadzikana uye kutanga kwehuwandu hwekudzidzira.

5. Nguva yehurumende inowanzogara kwenguva yakareba sei? Chipikiri chehukama kazhinji chakasara munzvimbo kwemwedzi yakati wandei kuti ubve kupora kupora. Kureba kwenguva iyo zvipikiri zvinosara munzvimbo inogona kusiyana zvichienderana nekuomarara kwekupwanya uye maitiro emurwere ekurapa.