Anatomy ea Distal Humerus
The distal humerus e arotsoe ka kholomo e bohareng le kholomo ea lateral.
Kholomo e Bohareng
Karolo e bohareng e kenyelletsa karolo e bohareng ea metaphysis ea humerus, epicondyle e bohareng, le condyle e bohareng, ho akarelletsa le trochlea ea humerus.
Kholo ea ka morao
Karolo ea lateral e kenyelletsa karolo ea lateral ea metaphysis ea humerus, epicondyle ea lateral, le lateral condyle, ho akarelletsa le capitulum ea humerus.
Coronoid Fossa le Olecranon Fossa
Lipakeng tsa litšiea tse peli ke karolo e ka pele ea coronoid fossa le posterior olecranon fossa.
Distal Humeral Extraarticular Locking Plate
Letlapa lena le etselitsoe ho robeha ha extraarticular ea distal humerus, e lebisang sebakeng sa metaphyseal ntle le ho kenyelletsa bokaholimo bo kopaneng. Li-screws tsa eona tsa ho notlela li fana ka botsitso ba angular, e leng se etsang hore e tšoanelehe ka ho khetheha bakeng sa bakuli ba osteoporotic kapa mekhoa e rarahaneng ea ho robeha.
Extraarticular Fixation
Multi-directional Locking Screw
Anatomic Contouring
Combination Holes
Mokhoa oa Kotsi ho Distal Humerus Fractures
The distal humerus e arotsoe ka kholomo e bohareng le kholomo ea lateral.
Ke hobane'ng ha humerus ea distal e atisa ho robeha?
E le karolo ea bohlokoa ea lenonyeletso la setsoe, hangata ho robeha ha humerus hangata ho bakoa ke 'ts'oaetso e tobileng' (joalo ka ho oela ka setsoe) kapa 'ts'oaetso e sa tobang' (e kang ho sotha kapa ho lahla).
- Matla a Ho Hula MesifaLateral Column
Karolo e bohareng e kenyelletsa karolo e bohareng ea metaphysis ea humerus, epicondyle e bohareng, le condyle e bohareng, ho akarelletsa le trochlea ea humerus. ·Ho kopana ho matla ha mesifa ea rotator ka hare · Ho koenya ho matla ha mesifa ea setsoe ea flexor
- Tlokotsi ea Matla a Phahameng
Matla a kantle joalo ka likotsi tsa sephethephethe kapa ho oa ho tloha bophahamong ho ka baka ho robeha ho sa feleng kapa ho kenyelletsa bokaholimo ba marang-rang.
Coronoid Fossa le Olecranon Fossa
·Likotsi tsa sephethephethe ·Ho oa ho tloha bophahamong
Letlapa la ho notlela la Distal Lateral Humeral Locking
E etselitsoe bakeng sa fractures ea lateral column, poleiti ena e loketse bakeng sa fractures ea capitellar kapa supracondylar, e fana ka tšehetso ea mechine ka mokhoa oa lateral ho thusa ho tsosolosa pele.
Lateral Column Stabilization
Articular Fragment Fixation
Radial Nerve Protection
Dynamic Compression
AO Classification: Mongolo o Nepahetseng ho Tataisa Liqeto tsa ho Buoa
Ho latela sistimi ea AO, fractures ea distal humerus e arotsoe ka tsela e latelang, e amang khetho ea maano a kalafo ka kotloloho:
Mofuta oa A: Ho robeha ho eketsehileng
- A1: Ho robeha ho bonolo, ha ho na karolo ea articular. - A2 / A3: Ho robeha ha metaphyseal ho amehang kapa ho fallisitsoeng, tlhokomelo e hlokahalang bakeng sa bokooa ba angular.
Mofuta oa B: Ho robeha ha karolo e itseng ea articular
Mohala oa ho robeha o kenyelletsa bokaholimo bo kopaneng empa ntle le karohano e felletseng; phokotso ea anatomical ho hlokahala ho tsosolosa kopanelo conngruency.
Mofuta oa C: Ho robeha ho feletseng ha articular
- C1 / C2: Ho robeha habonolo ha intra-articular ka ho kenya letsoho ha metaphyseal. - C3: Li-fractures tsa intra-articular, tse thata ka ho fetisisa ho li phekola; ho lokisoa ho tsitsitseng hoa hlokahala ho fokotsa kotsi ea ramatiki ea morao-rao .. Loc
Bohlokoa ba Khethollo:
Sehlopha sa AO se hlakisa ho teba ha ho robeha le ho fana ka tataiso bakeng sa khetho ea poleiti (mohlala, lipoleiti tse le 'ngoe khahlanong le tse peli, meralo ea li-screws) ho netefatsa matla a ho lokisa le ho leka-lekana ha likokoana-hloko.
Letlapa la ho notlela la Humeral la Distal Medial
Letlapa lena ke tharollo ea ho lokisa ka hare bakeng sa fractures ea li-medial column ea distal humerus, e fanang ka tšehetso ka mokhoa oa ho thibela varus deformity, e atisang ho sebelisoa maemong a nang le fractures ea sefofane sa coronal.
Tšehetso ea Mehala
e Bohareng ea Moqapi
oa Sefofane sa Coronal Screw
Dual-plating Compatible
Phekolo ea ho Buoa: Melemo ea Bohareng ea Plate Fixation
Melao-motheo ea Kalafo:
Ho latela filosofi ea AO: 'Phokotso ea anatomical, fixation e tsitsitseng, le boikoetliso ba pele ba ts'ebetso.'
Tlokotsi ea Matla a Phahameng
Matla a kantle joalo ka likotsi tsa sephethephethe kapa ho oa ho tloha bophahamong ho ka baka ho robeha ho sa feleng kapa ho kenyelletsa bokaholimo ba marang-rang.
Melao-motheo ea Kalafo
Lipontšo Tsa ho Buoa
Ho falla ha Articular> 2mm
Maqeba a bulehileng
Kotsi e kopantsoeng ea methapo ea kutlo
Ho hloleha hoa kalafo e bolokang nako
Plate Fixation Strategie
E loketse mofuta oa C fractures. Ho lokisa ho tloha mahlakoreng a mabeli a bohareng (mohlala, poleiti ea ho notlela ea anatomical) le mahlakoreng a mahlakoreng a mabeli (mohlala, parallel plate) e fana ka botsitso ba 3D le ho fokotsa kotsi ea ho senyeha ha potoloho ka mor'a ho sebetsa.
E sebelisoa bakeng sa fractures ea mofuta oa A le mofuta oa B. Lipoleiti tse entsoeng esale pele tse lumellanang le distal humerus anatomy li fokotsa ho arohana ha lisele tse bonolo.
E kopantsoe le percutaneous screw placement ho fokotsa kotsi ea tšoaetso le ho boloka phepelo ea mali ea periosteal.
Bohlokoa ba Kliniki ea ho Lokisoa ha Plate
Molemo oa Biomechanical
Lipoleiti tsa ho notlela li fana ka botsitso ba angular, haholo-holo ho molemo ho bakuli ba osteoporotic.
Tiisetso ea Ts'ebetso ea Ts'ebetso
Phokotso ea anatomical e boloka ho sisinyeha ha manonyeletso a setsoe ka mokhoa o fetisisang, ho fokotsa mathata a kang ho se kopane kapa malunion.
Moralo o ikhethileng
Lipoleiti tse entsoeng bakeng sa mefuta e itseng ea ho robeha (mohlala, lipoleiti tsa li-intercondylar ridge support) li matlafatsa phetiso ea matla le ho potlakisa ho fola ha masapo.
Anatomy ea Distal Humerus
The distal humerus e arotsoe ka kholomo e bohareng le kholomo ea lateral.
Kholomo e Bohareng
Karolo e bohareng e kenyelletsa karolo e bohareng ea metaphysis ea humerus, epicondyle e bohareng, le condyle e bohareng, ho akarelletsa le trochlea ea humerus.
Kholo ea ka morao
Karolo ea lateral e kenyelletsa karolo ea lateral ea metaphysis ea humerus, epicondyle ea lateral, le lateral condyle, ho akarelletsa le capitulum ea humerus.
Coronoid Fossa le Olecranon Fossa
Lipakeng tsa litšiea tse peli ke karolo e ka pele ea coronoid fossa le posterior olecranon fossa.
Anatomy ea Distal Humerus
The distal humerus e arotsoe ka kholomo e bohareng le kholomo ea lateral.
Kholomo e Bohareng
Karolo e bohareng e kenyelletsa karolo e bohareng ea metaphysis ea humerus, epicondyle e bohareng, le condyle e bohareng, ho akarelletsa le trochlea ea humerus.
Kholo ea ka morao
Karolo ea lateral e kenyelletsa karolo ea lateral ea metaphysis ea humerus, epicondyle ea lateral, le lateral condyle, ho akarelletsa le capitulum ea humerus.
Coronoid Fossa le Olecranon Fossa
Lipakeng tsa litšiea tse peli ke karolo e ka pele ea coronoid fossa le posterior olecranon fossa.
