Mokhoa oa ho lokisa fractures ea Distal Humerus u sebelisa lipoleiti?

Ho senyeha ha fractures ea distal humerus ho batho ba baholo ke bothata bo boima ka lebaka la sebōpeho se rarahaneng sa motsoako oa setsoe, likaroloana tse nyenyane tsa fracture, le palo e fokolang ea lesapo la subchondral. Litšiea tse ka morao le tse bohareng tsa humerus ea distal li etsa foreimi e tsitsitseng ea kgutlotharo. Moralo ona o tsitsitseng oa khutlo-tharo o senyeha ka mor'a ho robeha ha distal humerus, haholo-holo mefuta e rarahaneng ea mofuta oa AO C-fractures.

Tšimoloho

Bukeng ea AO Internal Fixation Technique e hatisitsoeng ka 1979, bakeng sa ho robeha ha distal humerus, sehlopha sa AO se khothalelitse hore lipoleiti li behoe ka 90 ° ho tse ling, e le 'ngoe e bohareng kapa e ka morao le e ka morao (1).

Mehato ea tekheniki (Melao-motheo ea AO bakeng sa kalafo ea fracture)

a: Ho tsosolosoa ha trochlear le capitellum.

bc: Ka mor'a ho fokotsa likhechana tse tharo tsa masapo, cheka terata ea Kirschner ka lehlakoreng le leng. Mohala oa Kirschner o ka sebelisoa e le terata ea tataiso bakeng sa thapo e entsoeng ka makotikoti ea 3.5mm, kapa sekoti se ka kenngoa ho bapa le terata ea Kirschner.

d: Sebelisa terata ea nakoana ea Kirschner ho hokela sekhechana sa lesapo la articular ho shaft ea humeral.

e: Ho lokisa sekhechana sa articular ho humerus, LCP ea anatomic e lokela ho qala ho behoa karolong e ka morao ea humerus, 'me poleiti e ka behoa ka mor'a capitulum ntle le lefuba. LCP ea bohareng ea anatomical e ka behoa karolong e bohareng ea humerus ho matlafatsa botsitso. Bakeng sa tahlehelo e matla ea masapo kapa ts'ebetso e matla ea metaphyseal, ho behoa ha LCP tse peli ho 90 ° ho e mong ho kgothaletswa, kaha tlhophiso ena e fana ka botsitso bo ntlafetseng ba biomechanical. Tlhokomelo e lokela ho nkoa ho qoba ho phunyeletsa lenonyeletso ha ho sebelisoa li-angle stabilization screws.

humerus anatomy

Papiso ea lipoleiti tsa tšepe tse bapileng le tse otlolohileng

Thutong ea Mechanics ea 1995 ho Bapisa Plates tse peli bakeng sa Kalafo ea Distal Humeral Fractures, liphello tsa ho behoa ha lipoleiti tse tšeletseng li ile tsa bapisoa (A, poleiti e ka morao ea mahlakoreng a mabeli; B, poleiti e ka morao ea ulnar, lateral ho ea ho radial plate; C, medial le lateral plate; D, e bohareng ho ea ho plate ea ulnar, plateerior ho ea ka morao, le mahlakore a mane a marang-rang; fracture; F, mohlala oa fractures e matla e entsoeng ka li-screws tse ka hare le tsa morao), a bontša hore fractures tse ngata li ka phekoloa ka lipoleiti tse peli libakeng tse fapaneng tsa phekolo, empa bakeng sa ho robeha ho matla, thuto ena e ile ea etsa qeto ea hore ho lokisa poleiti ea medial-lateral ho kopantsoe le screw fixation haholo ho ntlafatsa ho satalla le matla a ho qetela (3).

Ata C (4) et al e bontšitse hore poleiti e otlolohileng e nang le poleiti ea posterolateral hammoho le li-screw tse 'nè tsa distal tsa 2.7 mm li ne li e-na le botsitso bo tšoanang le tsamaiso ea poleiti e tšoanang ha ho phekoloa ho robeha ha intra-articular ea distal humerus. Boikutlo bo sa thabiseng ba mokuli ka lebaka la ho halefa ha letlalo la lateral plate, haholo-holo bakuli ba tšesaane le ba tsofetseng, ba ka felisoa ka poleiti ea posterolateral.

Mokhoa oa ho Reka Li-implants tsa Orthopedic le Lisebelisoa tsa Orthopedic?

Bakeng sa CZMEDITECH , re na le sehlahisoa se felletseng haholo sa li-implants tsa opereishene ea masapo le lisebelisoa tse tsamaellanang, lihlahisoa tse kenyelletsang. li-implants tsa mokokotlo, lipekere tsa intramedullary, letlapa la tsietsi, ho notlela poleiti, cranial-maxillofacial, setho sa maiketsetso, lisebelisoa tsa matla, lisebelisoa tsa ka ntle, arthroscopy, tlhokomelo ea bongaka ba liphoofolo le lisebelisoa tsa bona tse tšehetsang.

Ho feta moo, re ikemiselitse ho tsoela pele ho hlahisa lihlahisoa tse ncha le ho atolosa mela ea lihlahisoa, e le ho finyella litlhoko tsa ho buuoa tsa lingaka le bakuli ba bangata, le ho etsa hore k'hamphani ea rona e be le tlhōlisano lefapheng lohle la lefats'e la li-implants le lisebelisoa tsa lisebelisoa.

Re romela lefatšeng ka bophara, e le hore u ka khona ikopanye le rona atereseng ea lengolo-tsoibila song@orthopedic-china.com bakeng sa qotso ea mahala, kapa u romelle molaetsa ho WhatsApp bakeng sa karabo e potlakileng +86- 18112515727 .

Haeba u batla ho tseba haholoanyane, tlanya CZMEDITECH ho fumana lintlha tse ling.