Xiphepherhele xo pfala xa distal medial humeral .

Tipuleti ta anatomically precontoured .

• Yi endleriwe ku hunguta ku pfimba ka tinyama to olova hikwalaho ka tiphrofayili ta xiphepherhele na leti rhendzelekaka .

• Vutshunguri lebyi tiyeke hi 2-plate-ao-technique, leyi rhurhisiweke hi 90° .

• Sisiteme ya swikwirikiri leyi nga na ku tiya ka angular, 2.7 mm na 3.5 mm, ku hundzisela ndzhwalo hi ndlela leyinene .

Swihlawulekisi swo anama swo fixation .

• 2.7 mm Angular stable screws ku fika eka 60 mm hi ku leha eka anchoring ya kahle eka distal block. Handle ka sweswo, swikwirikiri swa 3.5 mm swa cortex swinga tirhisiwa.

• Swihlawulekisi swa ntlhanu swo screw eka distal block swi pfumelela ku khomiwa ka ku tshoveka ka le kule swinene, ngopfu-ngopfu eka marhambu ya osteoporotic .

• Swikwirikiri swinharhu swo engetela swa ku khomiwa ka capitellum .

Swihlawulekisi .

Swihumelerisiwa .	Ref .	Nhlamuselo .	Ku tiya .	Anama	Vulehi
Xiphemu xo pfala xa distal medial humeral (tirhisa 2.7/3.5 xikurufu xo pfala/3.5 xikurufu xa cortical) .	5100-1801 .	4 Tikhomba L .	3	11.5	69
	5100-1802 .	6 Tikhomba L .	3	11.5	95
	5100-1803 .	8 Tikhomba L .	3	11.5	121
	5100-1804 .	10 wa makhumbi l .	3	11.5	147
	5100-1805 .	12 Tiphuphu l .	3	11.5	173
	5100-1806 .	4 wa makhumbi R .	3	11.5	69
	5100-1807 .	6 wa makhumbi r .	3	11.5	95
	5100-1808 .	8 Tikhomba R .	3	11.5	121
	5100-1809 .	10 wa makhumbi r .	3	11.5	147
	5100-1810 .	12 Tikhomba R .	3	11.5	173

Ref .	Nhlamuselo .	Ku tiya .	Anama	Vulehi
5100-1801 .	4 Tikhomba L .	3	11.5	69
5100-1802 .	6 Tikhomba L .	3	11.5	95
5100-1803 .	8 Tikhomba L .	3	11.5	121
5100-1804 .	10 wa makhumbi l .	3	11.5	147
5100-1805 .	12 Tiphuphu l .	3	11.5	173
5100-1806 .	4 wa makhumbi R .	3	11.5	69
5100-1807 .	6 wa makhumbi r .	3	11.5	95
5100-1808 .	8 Tikhomba R .	3	11.5	121
5100-1809 .	10 wa makhumbi r .	3	11.5	147
5100-1810 .	12 Tikhomba R .	3	11.5	173

Distal medial humeral locking plate: Nkatsakanyo .

Ku tshoveka ka distal medial humerus swi tolovelekile naswona switala kuva switika ku switshungula. Distal medial humeral locking plate (DMHLP) yi humelerile tani hi ndlela ya vuhandzuri leyi dumeke yo tshungula ku tshoveka loku. Eka xitsalwana lexi, hi ta nyika nkatsakanyo wa DMHLP, ku katsa na dizayini ya yona, thekiniki ya vuhandzuri, swikombiso, mimbuyelo, na swiphiqo leswi nga vaka kona.

Anatomy na swivumbeko swa ku tshoveka .

Loko hi nga si burisana hi DMHLP, i swa nkoka ku twisisa anatomy na maendlelo ya ku tshoveka ka distal medial humerus. Distal medial humerus i xiphemu xa marhambu ya humerus lexi nga ekusuhi swinene na miri. Ku tshoveka eka ndzhawu leyi switala ku katsa articular surface, leyi kunga xiphemu xa marhambu lawa ya endlaka nhlonge na ulna bone eka voko ra le mahlweni. Ku tshoveka loku ku nga va loku rharhanganeke naswona ku nga ha katsa olecranon fossa, endlelo ra coronoid, na epicondyle ya le xikarhi.

Dizayini na xivumbeko xa DMHLP .

DMHLP i muxaka wa xirho xa marhambu lexi endleriweke ku tiyisisa ku tshoveka ka humerus ya le xikarhi ya le kule. Puleti leyi yi endliwe hi titanium kumbe nsimbi leyi nga riki na swilo swo bola naswona yi ni pulani ya xiyimo xa le hansi leswaku yi hunguta ku pfimba ka tinyama to olova. Yina ti screw holes totala leti pfumelelaka ku khomiwa loku sirhelelekeke ka plate kuya eka marhambu. Swikwirikiri swo pfala leswi tirhisiwaka eka DMHLP swi endla xivumbeko xa fixed-angle lexi nyikaka ku tiya loku engetelekeke loko ku pimanisiwa na tipuleti ta ntolovelo.

thekiniki ya vuhandzuri .

Ku khomiwa hi vuhandzuri bya distal medial humerus fractures hiku tirhisa DMHLP hi ntolovelo swi endliwa ehansi ka general anesthesia. Dokodela wa vuhandzuri u endla xiphemu eka xiphemu xa le xikarhi xa elbow leswaku a paluxa ndhawu ya ku tshoveka. Endzhaku ko hunguta ku tshoveka, DMHLP yi contoured leswaku yi ta nghena eka marhambu ivi yi vekiwa endhawini hi ku tirhisa swikwirikiri swo pfala. Puleti hi ntolovelo yi vekiwa eka xiphemu xa le xikarhi xa marhambu ku nyika ku tiya lokukulu.

Swikombiso swa DMHLP .

DMHLP yi kombisiwile eka vutshunguri bya ku tshoveka loku rharhanganeke ka distal medial humerus. Leswi swikatsa ku tshoveka loku katsaka articular surface ya marhambu, xikan’we na ku tshoveka loku hangalakaka kuya eka olecranon fossa, coronoid process, kumbe medial epicondyle. DMHLP yi nga ha tlhela yi tirhisiwa eka swiyimo leswi ku nga na khombo ra ku nga tshamiseki endzhaku ka vuhandzuri, ku fana na le ka vavabyi lava nga na vuvabyi bya marhambu.

Mimbuyelo na swiphiqo .

Mindzavisiso yi kombisile leswaku DMHLP yi nyika mimbuyelo ya kahle swinene eka vavabyi lava nga na ku tshoveka ka distal medial humerus. Ku tirhisiwa ka DMHLP swi fambelanisiwile na mimpimo ya le henhla ya ku hlangana ka ku tshoveka, mimbuyelo ya kahle ya ntirho, na mimpimo ya le hansi ya swiphiqo leswi fambelanaka na ku vekiwa ka xirho xo fana na ku olova ka swikwirikiri na ku tshoveka ka tipuleti. Hambiswiritano, ku fana ni vuhandzuri byihi na byihi, ku ni khombo ra swiphiqo, ku katsa ni ku tluleriwa hi vuvabyi, ku vaviseka ka misiha ni ku tsandzeka ka ku vekiwa ka swirho leswi nghenisiweke.

Mahetelelo

Distal medial humeral locking plate i ndlela ya vuhandzuri leyi tirhaka swinene yo tshungula ku tshoveka loku rharhanganeke ka distal medial humerus. Ndlela ya yona yo hlawuleka ya dizayini na fixation yi nyika ku engeteleka loku engetelekeke na mimbuyelo ya kahle swinene eka vavabyi. Kambe, tanihi le ka endlelo rin’wana ni rin’wana ra vuhandzuri, i swa nkoka ku kambisisa swikombiso hi vukheta, makhombo lama nga ha vaka kona ni mimpfuno ya DMHLP u nga si ya emahlweni ni vuhandzuri.

Swivutiso leswi talaka ku vutisiwa .

1. Xana DMHLP i yini?

DMHLP i muxaka wa xirho xa marhambu lexi endleriweke ku tiyisisa ku tshoveka ka humerus ya le xikarhi ya le kule.

1. Xana DMHLP yi vekiwa njhani eka marhambu?

DMHLP yi vekiwile endhawini hi ku tirhisa swikwirikiri swo pfala leswi endlaka xivumbeko xa fixed-angle.

1. Hi swihi swikombiso swa DMHLP?

DMHLP yi kombisiwile eka vutshunguri bya ku tshoveka loku rharhanganeke ka distal medial humerus.

1. Hi swihi swiphiqo leswi nga vaka kona swa DMHLP?

Swiphiqo leswi nga vaka kona swa DMHLP swi katsa ku tluleriwa, ku vaviseka ka misiha, na ku tsandzeka ka ku vekiwa ka swirho.