Tlhaloso ea Sehlahisoa
GPC distal humeral locking plate e nang le tšehetso ea lateral e bontšoa bakeng sa ho lokisa lateral column ka intercondylar le supracondylar fractures ea humerus le e le poleiti e le 'ngoe ka distal humerus fractures. E fumaneha ka tšepe e sa hloekang le titanium. E fumaneha ka likoti tse 4 ho ea ho tse 12 (2 likoti increment).
Intercondylar fracture distal humerus
Supracondylar fracture distal humerus
Osteotomy e potolohileng distal humerus
Ho robeha distal humerus e sa kopaneng
Sebopeho sa anatomically- ka ho le letona kapa le letšehali
Lipoleiti li bōpehile esale pele ho tsamaisana le anatomy ea distal humerus e nang le sebopeho se fokolang sa boemo bo tlaase.
Ntlha e theipi bakeng sa ho kenngoa ka har'a mesifa e nang le mesifa e fokolang e fokolang
Ho satalla ka mokhoa o ts'oanang oa likarolo tsohle, ho lelefatsa bophelo ba mokhathala oa ho kenya letsoho
Sebaka se senyenyane sa post-fixation avascularity
Motsoako oa li-screws tse tloaelehileng le tse notlelang li fana ka tokiso e ntle ho sa tsotelehe hore na masapo a tenyetseha hakae
Li-Screw-heads li kentsoe ka har'a masoba a li-plate bakeng sa ho hlahella ha bonyane
Screw trajectory e etselitsoeng ho lokisa hantle ho robeha ha fractures
Ho kobeha ha karolo ea distal ho khothalletsoa ho lokisa boemo bo nepahetseng ba poleiti bakeng sa ho beoa ha li-screws tse telele ka har'a block ea articular.
Ho kobeha ho lokelang ho etsoa sebakeng sa masoba a motsoako kaha hangata ho fetola mokhoa oa khoele oa lesoba la ho notlela
E fumaneha ka bobeli ka Titanium le Stainless steel
| Lihlahisoa | REF | Tlhaloso | Botenya | Bophara | Bolelele |
| Letlapa la Locking la Distal Lateral Humeral Locking (Sebelisa 2.7/3.5 Locking Screw/3.5 Cortical Screw) | 5100-1701 | 4 masoba L | 3.2 | 12 | 86 |
| 5100-1702 | 6 masoba L | 3.2 | 12 | 112 | |
| 5100-1703 | 8 masoba L | 3.2 | 12 | 138 | |
| 5100-1704 | 10 masoba L | 3.2 | 12 | 164 | |
| 5100-1705 | 12 masoba L | 3.2 | 12 | 190 | |
| 5100-1706 | 4 masoba R | 3.2 | 12 | 86 | |
| 5100-1707 | 6 masoba R | 3.2 | 12 | 112 | |
| 5100-1708 | 8 masoba R | 3.2 | 12 | 138 | |
| 5100-1709 | 10 masoba R | 3.2 | 12 | 164 | |
| 5100-1710 | 12 masoba R | 3.2 | 12 | 190 |
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Lingaka tsa masapo li kopana le mefuta e mengata ea fractures e phephetsang nakong ea ts'ebetso ea bona, ho kenyelletsa le ea distal humerus. Distal humeral fractures hangata e bakoa ke ts'oaetso e matla haholo mme e ka ba phephetso ho e laola. Sekhahla sa distal lateral humeral locking plate ke tsoelo-pele e batlang e le ncha lefapheng la ho buuoa ka masapo 'me e hlahile e le khetho e sebetsang ea phekolo bakeng sa fractures e rarahaneng ea distal humeral. Sengoliloeng sena, re tla fana ka tataiso e felletseng mabapi le poleiti ea ho notlela ea distal lateral humeral, moralo oa eona, matšoao, mokhoa oa ho buoa, mathata le liphetho.
Pele o bua ka poleiti e notlelang ea distal lateral humeral, ho bohlokoa ho utloisisa sebopeho sa distal humerus. The distal humerus ke bony protrusion karolong e ka tlaase ea humer, lesapo karolong e ka holimo ea letsoho. E na le li-condyle tse peli: li-condyle tsa medial le lateral condyle, tse arohaneng ke groove e bitsoang trochlea. The distal humerus e kopana le radius le ulna masapo a forearm ho theha lenonyeletso la setsoe. The distal humerus e bohlokoa bakeng sa ts'ebetso ea setsoe, 'me ho robeha leha e le hofe sebakeng sena ho ka ama haholo ho tsamaea ha mokuli.
The distal lateral humeral locking plate e bontšoa haholo-holo bakeng sa fractures ea distal humeral eo ho leng thata ho e laola ho sebelisa mekhoa e tloaelehileng e kang li-casts, splints, kapa percutaneous pinning. Hangata fractures ena e rarahane, e kenyelletsa ho falla, ho qala, kapa ho kenya letsoho ka hare ho li-articular. Letlapa la distal lateral humeral locking le fana ka ts'ebetso e tsitsitseng le botsitso sebakeng sa ho robeha, ho lumella ho bokella pele le ho hlaphoheloa kapele.
The distal lateral humeral locking plate ke poleiti e entsoeng esale pele, e entsoeng ka mokhoa oa anatomically e behiloeng karolong e ka thōko ea humerus ea distal. Letlapa le na le masoba a mangata a screw le mekhoa ea ho notlela e lumellang ho tiisa lesapo ka mokhoa o sireletsehileng. Letlapa le entsoe ka titanium kapa tšepe e sa hloekang 'me le fumaneha ka boholo bo fapaneng ho amohela libopeho tse fapaneng tsa bakuli.
Mokhoa oa ho buoa bakeng sa poleiti ea distal lateral humeral locking e kenyelletsa mokhoa o bulehileng oa ho fokotsa le ho lokisa ka hare (ORIF). Mokuli o behoa tlas'a anesthesia e akaretsang, 'me ho etsoa sekhahla karolong e ka thōko ea setsoe ho pepesa sebaka sa ho robeha. Ho robeha ho fokotsehile, 'me letlapa la distal lateral humeral locking le behoa karolong e ka thōko ea distal humerus. Letlapa le tiisitsoe lesapong ho sebelisoa li-screws tsa ho notlela, 'me sekheo se koetsoe. Tlhokomelo ea ka mor'a ts'ebetso e kenyelletsa ho itima lijo, phekolo ea 'mele, le ho latela haufi-ufi.
Joalo ka ts'ebetso efe kapa efe ea ho buoa, ho na le mathata a ka bang teng a amanang le poleiti ea ho notlela ea distal lateral humeral. Tsena li kenyelletsa tšoaetso, ho hloleha ho kenngoa ha li-implant, kotsi ea methapo le tahlehelo ea ho fokotseha. Kotsi ea mathata e ka fokotsoa ka khetho e hlokolosi ea mokuli, mokhoa o nepahetseng oa ho buoa, le ho latela mokhoa o haufi oa ho buuoa.
Liphetho tsa 'distal lateral humeral locking plate' li 'nile tsa tšepisa, 'me liphuputso tse ngata li tlaleha litekanyetso tse phahameng tsa bonngoe ba ho robeha, liphello tse babatsehang tsa ts'ebetso, le litekanyetso tse tlaase tsa mathata. Leha ho le joalo, liphello tsa nako e telele tsa mokhoa ona li ntse li hlahlojoa, 'me lipatlisiso tse ling lia hlokahala ho fumana katleho ea eona ka nako e telele.
Li-fractures tsa distal humeral li thata ho li laola, 'me letlapa la distal lateral humeral locking le hlahile e le khetho e sebetsang ea phekolo bakeng sa fractures e rarahaneng. Letlapa le entsoe esale pele 'me le entsoe ka mokhoa oa anatomically, le fana ka ts'ebetso e thata le botsitso sebakeng sa ho robeha. Mokhoa oa ho buoa o kenyelletsa mokhoa o bulehileng oa ho fokotsa le ho lokisa ka hare, 'me tlhokomelo ea ka mor'a ts'ebetso e kenyelletsa immobilization, phekolo ea' mele, le ho latela haufi-ufi. Le hoja ho na le mathata a ka 'nang a amahanngoa le mokhoa ona, liphello li' nile tsa tšepisa, ka litekanyetso tse phahameng tsa bonngoe ba ho robeha, liphello tse babatsehang tsa ts'ebetso, le litekanyetso tse tlaase tsa mathata. Lingaka tsa masapo li lokela ho nka poleiti ea distal lateral humeral locking e le khetho ea phekolo bakeng sa phephetso ea distal humeral fractures.
Ho robeha ha distal humeral ke eng?
Ho robeha ha distal humeral ke ho robeha ha lesapo karolong e ka tlaase ea humerus, hangata e bakoang ke ts'oaetso e matla haholo.
Letlapa la distal lateral humeral locking ke eng?
Letlapa la distal lateral humeral locking ke poleiti e entsoeng esale pele, e entsoeng ka mokhoa oa anatomically e behiloeng karolong e ka thōko ea humerus ea distal ho fana ka mokhoa o tsitsitseng le botsitso sebakeng sa ho robeha.
Lipontšo tsa poleiti ea ho notlela ea distal lateral humeral ke efe?
The distal lateral humeral locking plate e bontšoa haholo-holo bakeng sa fractures ea distal humeral eo ho leng thata ho e laola ho sebelisa mekhoa e tloaelehileng e kang li-casts, splints, kapa percutaneous pinning.
Ke mathata afe a ka bang teng a amanang le poleiti ea distal lateral humeral locking?
Mathata a ka 'nang a amahanngoa le poleiti ea distal lateral humeral locking e kenyelletsa tšoaetso, ho hlōleha ho kenya letsoho, kotsi ea methapo, le tahlehelo ea ho fokotseha.
Liphetho tsa distal lateral humeral locking plate ke life?
Liphetho tsa 'distal lateral humeral locking plate' li 'nile tsa tšepisa, ka litekanyetso tse phahameng tsa bonngoe ba ho robeha, liphello tse babatsehang tsa ts'ebetso, le litekanyetso tse tlaase tsa mathata. Leha ho le joalo, liphello tsa nako e telele tsa mokhoa ona li ntse li hlahlojoa, 'me lipatlisiso tse ling lia hlokahala ho fumana katleho ea eona ka nako e telele.
Lihlahisoa