Sida loo hagaajiyo jabka Humerus ee fog iyadoo la isticmaalayo taarikada?

Burburka jaban ee jaban ee humerus fog ee dadka qaangaarka ah waa dhibaato adag sababtoo ah anatomy kakan ee wadajirka suxulka, jajab yar oo jaban, iyo qadar xaddidan oo lafta-hoosaadka ah. Tiirarka dambe iyo kuwa dhexe ee humerus fog waxay sameeyaan qaab saddex geesood ah oo deggan. Qaab-dhismeedkan saddex-geesoodka ah ee deggan waa la carqaladeeyey ka dib jabka humerus ee fog, gaar ahaan jabka nooca AO C-ga adag.

Asal ahaan

Buugga Farsamada Hagaajinta Gudaha ee AO ee la daabacay 1979-kii, jabka jaban ee humerus fog, kooxda AO waxay ku talisay in taarikada la dhigo 90 ° midba midka kale, hal dhexdhexaad ah ama lateral iyo hal gadaal (1).

Tallaabooyinka farsamada (mabaadi'da AO ee daaweynta jabka)

a: Dib u dhiska trochlear iyo capitellum.

bc: Ka dib marka la dhimo saddexda jajab ee lafaha articular, u qod siliga Kirschner jihada ka soo horjeeda. Siliga Kirschner waxa loo isticmaali karaa silig hage ah oo ah 3.5mm caarada qasacadaysan, ama furaha waxa la gelin karaa barbar socda siliga Kirschner.

d: Isticmaal silig Kirschner ku meel gaadh ah si aad ugu xidhid jajabka lafaha articular iyo shafka xumeral

e: Si loo hagaajiyo jajabka articular ee humerus, LCP anatomic waa in marka hore la saaraa dusha dambe ee humerus, saxanna waxaa la dhigi karaa gadaasha capitulum iyada oo aan carjaw lahayn. Dhexdhexaadiyaha anatomical LCP waxaa la dul dhigi karaa jilibka dhexe ee humerus si kor loogu qaado xasilloonida. Lafaha daran ama metaphyseal-ka-baxa daran, meelaynta laba LCPs 90 ° midba midka kale ayaa lagula talinayaa, maadaama qaabeyntani ay bixiso xasillooni biomechanical oo ka wanaagsan. Waa in taxaddar la sameeyaa si looga fogaado in la geliyo kala-goysyada marka la isticmaalayo boolal xasilinta xagasha.

humerus anatomy

Isbarbardhigga taarikada birta ah ee isku midka ah iyo kuwa taagan

Sannadkii 1995-kii Daraasadda Makaanikada Isbarbardhigga Labada Taarikada ee Daaweynta Distal Humeral Fractures, saameynta lix saxan meeleyn ayaa la barbardhigay (A, saxan dambe oo labajibbaaran; B, saxan ulnar dambe, saxan saxan radial ah; C, saxan dhexdhexaad ah iyo lateral; D, dhexdhexaad ah saxanka ulnar, radial ka mid ah warbaahinta; boolal iyo afar qaybood oo jaban; F, qaabka jabka daran ee jaban oo leh boolal dhexdhexaad ah iyo lateral), oo tilmaamaya in jajabyo badan lagu daweyn karo taarikada labanlaab ah ee meelo kala duwan oo daaweyn ah, laakiin jabka jaban ee daran, daraasaddan ayaa soo gabagabeysay in saxanka dhexdhexaadka ah ee dhexdhexaadka ah oo ay weheliso hagaajinta xoogga si weyn u hagaajinaysa (3)

Ata C (4) et al waxay muujisay in saxan toosan oo leh saxan dambe oo lagu daray afar 2.7 mm screws fogaan ah ay leeyihiin xasillooni la mid ah nidaamka saxanka barbar-dhigga ee daaweynta jabka gudaha-goynta ee humerus fog. Xanuunka bukaanka sababtoo ah cuncunka maqaarka ee saxanka lateral, gaar ahaan bukaanka dhuuban iyo waayeelka, ayaa lagu tirtiri karaa saxanka dambe.

Sidee loo Iibsadaa Maqaarka Lafaha iyo Qalabka Lafaha?

Waayo CZMEDITECH , waxaan haynaa khad wax soo saar aad u dhameystiran oo qalliinka lafaha ah iyo qalab u dhigma, alaabooyinka ay ka mid yihiin lafaha laf dhabarta, ciddiyaha intramedullary, saxan dhaawac, saxan quful, cranial-maxillofacial, sanaaci, qalabka korontada, hagaajinta dibadda, arthroscopy, daryeelka caafimaadka xoolaha iyo qalabkooda taageera.

Intaa waxaa dheer, waxaa naga go'an in aan si joogto ah u horumariyo alaabta cusub iyo ballaarinta khadadka alaabta, si ay u daboolaan baahida qalliin ee dhakhaatiir iyo bukaanno badan, iyo sidoo kale samaynta shirkadeena mid ka sii tartan ee dhammaan lafaha caalamiga ah ee implants iyo warshadaha qalab.

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