1. Anatomy yeiyo distal humerus
Iyo Distal Humreus ine medial uye yakazotevera makoramu, iyo inosanganisira epicondyles uye conyles.
2. Mechanism yekukuvara
Distal Humerus Fractures anokonzerwa nekutambudzika kwakananga (semuenzaniso, kudonha) kana masimba asina kunanga (semuenzaniso, twisting kana tsandanyama dhiri).
3. AO kuiswa
Iyo AO Classification inokamuranisa distal Humerus Fracts mumhando nhatu huru: A, B, uye C.
4. Kuvhiya Kwekurapa
Kuvhiya kwekuvhiya kunotevera nheyo dzeAo: Anatomical kuderedza, yakagadzikana kugadzirisa, uye kutanga.
5. Clinical kukosha
Mahwendefa ekuvhara anopa zvakakwirira biomechancal kugadzikana, kunyanya mune osteoporotic pfupa.
6. Czmeditech plate mhando
CZMEDICHECH inopa nhatu mhando: extarticular (01.1107), gare gare (5100-17), uye medial (5100-18) mahwendefa.
Nei iyo Distal Humerus Offone kuFraces?
Sechikamu chakakosha chemubatanidzwa wemubatanidzwa, humerus mafuru anowanzoitika kubva ku 'Direct traugua ' (seyakavhundutsa marara) kana '
- tsandanyama yekudhonza mauto
Iyo mbozhi re mediwel inosanganisira chikamu cheMidaphysis yeHumreus, Medial Epicondyle, uye kondari medial, kusanganisira iyo Trochlea yehuma.
· Simba Dhizaina yeMukati Rotator Hasha
· Simba Dhizaina yeElbow Flexor Mhasuru
- Yakakwira-simba kushungurudzika
Masimba ekunze akadai setsetse dzemumigwagwa kana kudonha kubva pakukwirira kunogona kuguma nekukanganiswa kwemari kana kuti inosanganisira iyo yehunyanzvi nzvimbo.
Cornoid fossa uye olecranon fossa
Tsaona dzemotokari
· · Odaly kubva pakukwirira
Kurapa nheyo:
Kutevera iyo Ao Philosophy: 'Anatomical kuderedza, yakagadzikana kugadzirisa, uye yekutanga kurovedza muviri. '
Yakakwira-simba kushungurudzika
Masimba ekunze akadai setsetse dzemumigwagwa kana kudonha kubva pakukwirira kunogona kuguma nekukanganiswa kwemari kana kuti inosanganisira iyo yehunyanzvi nzvimbo.
Nheyo dzekurapwa
Anatomical kuderedzwa
Kugadziriswa kwakasimba
Kutanga Kurovedza muviri
Kuvhiya Zviratidzo
Articular Kutama> 2mm
Vhura Fractures
Yakasanganiswa neurovascular kukuvara
Kukundikana kwekuchengetedza kurapwa
Plate Fixation Strategie
Dual Plate Technique
Yakakodzera mhando c fractures. Kugadziriswa kubva kune ese mepu (semuenzaniso, anatomical locking plate) uye yakazotevera (eg, zvakafanana plate) mativi inopa kugadzikana uye kuderedza njodzi yekutenderera kwekutenderera kwekutenderera.
Imwechete Plate Technique
Inoshandiswa mhando yerudzi rwe uye rusarura mhando b fractures. Pfupi dzisina kukakavara dzinoenderana ne distal humerus anatomy kuderedza zvakapfava tissue dissuction.
Zvishoma zvisingagonekwe
Yakasanganiswa nePercutaneous Screw Kuisa Kuderedza Utachiona Njodzi uye Chengetedza Perioce Ropa.
Biomechancal mukana
Mahwendefa ekuvhara anopa kusimba kwekunyatsogadzikana, kunyanya anobatsira varwere veOsteoporoti.
Inoshanda Kudzorera Guarantee
Anatomical kuderedza anochengetedza elbow Joint kufamba kusvika kune rakakura kukura, kuderedza matambudziko akadai sekunyengera kana kuonda.
Yakagadzirirwa dhizaini
Mahwendefa akaumbwa marudzi akakwenenzverwa (eg, Intercondylar ridge ridge plates) Optimize simba kutapurirana uye kukwidziridzwa kupora pfupa.
Yedu Distal Humerus Locking Plate Series yakagadzirirwa yakagadzirirwa kuomarara distal humara. Nechiratidziro chekutarisa, kuvhara tekinoroji, uye zvidzitiro zvakawanda, zvinopa zvakachengeteka, zvakagadzikana, uye zvinoshanduka-shanduka mhinduro dzekuvhiya kwekiriniki.
