1. Anatomy ea Distal Humerus
The distal humerus e na le litšiea tse bohareng le tse ka morao, tse kenyelletsang li-epicondyles le li-condyles.
2. Mokhoa oa Kotsi
Ho robeha ha distal humerus ho bakoa ke ts'oaetso e tobileng (mohlala, ho oa) kapa matla a sa tobang (mohlala, ho sotha kapa ho hula mesifa).
3. AO Classification
AO classification e arola distal humerus fractures ka mefuta e meraro e meholo: A , B , le C .
4. Kalafo ea Opereishene
Kalafo ea ho buuoa e latela melao-motheo ea AO: ho fokotseha ha anatomical, ho lokisoa ho tsitsitseng, le ho tsosolosoa pele.
5. Bohlokoa ba Clinical
Locking plates fana ka botsitso bo phahameng ba biomechanical, haholo-holo ho osteoporotic bone.
6. CZMEDITECH Meetso ea Plate
CZMEDITECH e fana ka mefuta e meraro: extraarticular (01.1107), lateral (5100-17), le lipoleiti tsa medial (5100-18).
Ke hobane'ng ha humerus ea distal e atisa ho robeha?
E le karolo ea bohlokoa ea lenonyeletso la setsoe, ho robeha ha distal humerus hangata ho bakoa ke 'trauma e tobileng' (e kang ho oela holim'a setsoe) kapa 'ts'oaetso e sa tobang' (e kang ho sotha kapa ho lahla).
- Mesifa e Hulang Matla
Karolo e bohareng e kenyelletsa karolo e bohareng ea metaphysis ea humerus, epicondyle e bohareng, le condyle e bohareng, ho kenyelletsa le trochlea ea humerus.
· Ho kopana ho matla ha mesifa ea ka hare ea rotator
·Ho honyela ho matla ha mesifa ea setsoe ea flexor
- Tlokotsi ea Matla a Phahameng
Matla a ka ntle a kang likotsi tsa sephethephethe kapa ho oa ho tloha bophahamong ho ka fella ka ho robeha ho sa feleng kapa ho kenyelletsa bokaholimo ba articular.
Coronoid Fossa le Olecranon Fossa
· Likotsi tsa sephethephethe
·Ho oela ho tloha bophahamong
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 ka ntle a kang likotsi tsa sephethephethe kapa ho oa ho tloha bophahamong ho ka fella ka ho robeha ho sa feleng kapa ho kenyelletsa bokaholimo ba articular.
Melao-motheo ea Kalafo
Phokotso ea anatomical
Ho lokisa ho tsitsitseng
Boikoetliso ba pele bo sebetsang
Lipontšo Tsa ho Buoa
Ho falla ha Articular> 2mm
Ho robeha ha fractures
Kotsi e kopantsoeng ea methapo ea kutlo
Ho hloleha hoa kalafo e bolokang nako
Plate Fixation Strategie
Theknoloji ea lipoleiti tse peli
E loketse mofuta oa C fractures. Ho lokisoa ho tloha mahlakoreng a mabeli a mahareng (mohlala, anatomical Locking plate ) le lateral (mohlala, parallel plate) mahlakoreng a fana ka botsitso ba 3D le ho fokotsa kotsi ea ho senyeha ha potoloho ka mor'a ho sebetsa.
Mokhoa o le mong oa Plate
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.
Mokhoa o sa Hlaseheng Hanyenyane
E kopantsoe le percutaneous screw placement ho fokotsa kotsi ea tšoaetso le ho boloka phepelo ea mali ea periosteal.
Molemo oa Biomechanical
Locking plates 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 ho isa tekanyong e kholo, 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.
Letoto la rona la distal humerus Locking plate le etselitsoe ka ho khetheha bakeng sa fractures e rarahaneng ea distal humeral. Ka theknoloji ea anatomical contouring, Sekurufu se notlelang thekenoloji, le litlhaloso tse ngata, e fana ka litharollo tse sireletsehileng, tse tsitsitseng le tse bonolo bakeng sa ho buuoa ka bongaka.
