Proximal Humeral Greater Tuberosity Locking Plate: Ongororo Yakakwana
Iyo proximal humerus chimiro chebhonzo chakakosha chinoita basa rakakosha mukushanda kwenhengo yepamusoro. Kutyoka munzvimbo iyi kunogona kutungamirira kukukanganisa kwekushanda uye kuremara. Mumakore achangopfuura, kuvandudzwa kwemahwendefa ekukiya kwakashandura manejimendi eproximal humeral fractures. Iyo proximal humeral yakakura tuberosity yekuvhara ndiro (PHGTLP) imhando yekukiya ndiro iyo yakawana mukurumbira mumakore achangopfuura nekuda kwemhedzisiro yayo yekiriniki. Muchikamu chino, tichapa wongororo yakazara yePHGTLP, kusanganisira anatomy, zviratidzo, maitiro ekuvhiya, mhedzisiro, uye matambudziko.
Anatomy
Iyo proximal humerus ine zvikamu zvina: iyo humeral musoro, iyo yakakura tuberosity, yakaderera tuberosity, uye humeral shaft. Iyo yakakura tuberosity ndeye bony mukurumbira unowanikwa nechekumberi kune humeral musoro, uye inopa nzvimbo yekubatanidza ye rotator cuff tsandanyama. Iyo PHGTLP yakagadzirirwa kugadzirisa kuputsika kweiyo yakakura tuberosity, iyo inowanzoitika mune proximal humeral fractures.
Zviratidzo
Iyo PHGTLP inoratidzwa kune manejimendi yeproximal humeral fractures inosanganisira iyo yakakura tuberosity. Izvi zvakaputsika zvinowanzobatanidzwa nekukuvara kwe rotator cuff uye zvinogona kutungamirira kuhutano hunokosha hwekushanda. Iyo PHGTLP inopa yakagadzikana kugadzirisa, iyo inobvumira kukurumidza kuunganidza uye kugadzirisa.
Kuvhiya Technique
Nzira yekuvhiya yePHGTLP inosanganisira nzira yakavhurika yekudzikisa uye yemukati kugadzirisa. Murwere anoiswa muchigaro chemahombekombe kana lateral decubitus chinzvimbo, uye nzvimbo yekuvhiya inogadzirirwa neine sterile drapes. A longitudinal incision inoitwa pamusoro pehuputi yakakura, uye kuputsika kunoderedzwa. Iyo PHGTLP inozoiswa padivi pemusoro wehumeral, uye screws inopinzwa kuburikidza neplate mubhonzo. Iyo ndiro inopa kugadzirisa kwakagadzikana, iyo inobvumira kutanga kuunganidza nekugadzirisa.
Migumisiro
Iyo PHGTLP yakaratidzwa kuve ine yakanakisa mhedzisiro yekiriniki mukutonga kweproximal humeral fractures. Ongororo dzinoverengeka dzakashuma huwandu hwepamusoro hwekutyoka mubatanidzwa, mhedzisiro yakanaka inoshanda, uye yakaderera complication rates. Mukuwongorora kwakarongeka kwezvidzidzo gumi nechimwe, PHGTLP yakabatana nechikamu che95% chemubatanidzwa, 92% yakanaka kana yakanakisa mashandiro emhedzisiro, uye 6% complication rate.
Matambudziko
Matambudziko ane chekuita nePHGTLP anosanganisira screw perforation, kutadza kudyara, kusabatana, uye kutapukira. Chiitiko chematambudziko chakaderera, uye mazhinji anogadziriswa nekutarisira kwakakodzera. Mukuongorora kwakarongeka kwezvidzidzo gumi nechimwe, complication yakajairika yaive screw perforation, iyo yakaitika mu2.2% yezviitiko.
Mhedziso
Iyo PHGTLP isarudzo inoshanda uye yakachengeteka yekutonga kweproximal humeral fractures inosanganisira iyo yakakura tuberosity. Iyo ndiro inopa kugadzirisa kwakagadzikana, iyo inobvumira kutanga kuunganidza nekugadzirisa. Iyo PHGTLP yakaratidzwa kuve ine yakanakisa mhedzisiro yekiriniki ine yakaderera complication rates. Iko kushandiswa kwePHGTLP kunofanirwa kutariswa mukutarisira kweproximal humeral fractures.
FAQs
Zvinotora nguva yakareba sei kupora kubva kuproximal humeral fractures inotungamirwa nePHGTLP?
Nguva yekudzorera inoenderana nezvinhu zvakati wandei, sekuoma kwekutyoka, zera remurwere, uye mamiriro ezvehutano akange aripo. Kazhinji, varwere vazhinji vanogona kutarisira kudzokera kumabasa akajairwa mukati memwedzi ye6-12 mushure mekuvhiyiwa.
Iko kushandiswa kwePHGTLP kwakabatana nechero dambudziko renguva refu?
Matambudziko enguva refu ane hukama nePHGTLP haawanzo. Nekudaro, varwere vanofanirwa kuziva nezve njodzi yekutadza kuisirwa, iyo inogona kuitika makore akati wandei mushure mekuvhiyiwa. Kugara uchitevera nachiremba anorapa kunogona kubatsira kuona chero matambudziko anogona kuitika uye kugadzirisa iwo nekukurumidza.
Ko PHGTLP inogona kushandiswa mune zvese zviitiko zveproximal humeral fractures?
Kwete, PHGTLP yakanyatsogadzirirwa kugadzirisa kuputsika kweiyo yakakura tuberosity. Mumamiriro ezvinhu apo kuputsika kunosanganisira zvimwe zvikamu zveproximal humerus, dzimwe nzira dzokuvhiya dzingada kufungwa.
Ndeipi nguva yekupora yevarwere vari kuvhiyiwa PHGTLP?
Nguva yekudzorera inosiyana zvichienderana nekuoma kwekutyoka, zera remurwere, uye chero mamiriro ezvehutano agara aripo. Varwere vazhinji vanogona kutarisira kudzokera kumabasa akajairwa mukati memwedzi ye6-12 mushure mekuvhiyiwa.
Varwere vanogona sei kukwidziridza kupora kwavo mushure mekuvhiyiwa kwePHGTLP?
Varwere vanogona kukwidziridza kupora kwavo nekutevera chirongwa chekuvandudza chakagadzirwa nachiremba wavo anorapa. Izvi zvinogona kusanganisira kurapwa kwemuviri, maekisesaizi ekuvandudza huwandu hwekufamba uye simba, uye nzira dzekugadzirisa marwadzo. Izvo zvakakosha kutevedzera zvese post-operative mirairo yakapihwa nachiremba anorapa kuti uve nechokwadi chekupora kunobudirira.
Mukupedzisa, iyo PHGTLP isarudzo yakachengetedzeka uye inoshanda kune manejimendi yeproximal humeral fractures inosanganisira yakakura tuberosity. Iyo ndiro inopa kugadzirisa kwakagadzikana, iyo inobvumira kuunganidza kwekutanga nekugadzirisa, uye yakaratidzwa kuva nemigumisiro yakaisvonaka yekiriniki ine mazinga akaderera. Varwere vanofanirwa kukurukura nezvekushandiswa kwePHGTLP nachiremba wavo anovarapa kuti vaone kana iri sarudzo yakakodzera yekutyoka kwavo chaiko. Nekutarisira kwakaringana uye nekutevera, varwere vanogona kutarisira kudzokera kuzvinhu zvakajairwa uye kunakidzwa nehupenyu hwakanaka mushure mekuvhiyiwa kwehumeral kuputsika nePHGTLP.
