Ulungisa njani i-distarsus humersis?

Ukuphinda ubeke kwakhona ulungiso oluzinzileyo xa useto lwe-osteopororoc okanye iqhekeza le-proction, indlela yokuthambisa iplate kunyango lwe-hitral humeral isekwe kumgaqo wokuqhekezwa kwesahlulo se-raction. Eyona nto iphambili kuzinzo kolu luhlu lweso silungiso kukuba idibanisa izinto kunye nokuzinza kwe-ARTAL NOKWENZA INDAWO YOKUGQIBELA YENGQONDO YASEKHAYA.

Isakhiwo se-Arch Bridge

Izikrikhi zeziqwengana ze-distal zivaliwe ngokuchaseneyo, zibonelela ngozinzo olongezelelweyo nge-Bridge '. Ukunxibelelana kakuhle kufezekisiwe ngokudibana phakathi kwezikrelem. I-CRUST STARRCRORORs esondeleleneyo, kwaye amathambo phakathi kwabo 'entsha ' (eyomelezwe kwikhonkrithi) yohlobo lwekhonkrithi.

Amanyathelo ezobugcisa

Inyathelo lokuqala: Utyando oludibeneyo. Iziqwenga ezidibeneyo ezinomdla wokujikeleza ngokuhambelana nomnye kwindiza ye-axial zincitshisiwe kwaye zilungisiwe okwethutyana ngeengcingo zeKirschner. Ngokubalulekileyo, iingcingo ze-K nganye kufuneka zibekwe kufutshane nenqanaba le-subcholral ukunqanda ukubekwa kwindawo elandelayo ye-screw kunye nokude apho iipleyiti zibekwe khona kwiikholamu ezilandelayo kunye nezendlela. I-kirschner enye okanye ezimbini ze-kirschner i-kirschner ingekasetyenziswa ukulungisa okwethutyana i-diaphysure ihambelana ne-diaphysis.

Inyathelo lesibini: Isicelo se-SETEL PLAOL kunye nokulungiswa okwethutyana. Iipleyiti zeMedial kunye ne-Lateral zabekwa kwaye zilungisiwe kwi-distal humerus, ngelixa i-2 mm okanye i-2,5 mm yecandelo (i-25 mm (i-Epicondyle, kunye nesiqwengana sethambo kwiplate nganye. Izikhonkwane zokugcina ukulungiswa kweplate yethutyana kunye nokuqhekeka kwe-distal. Isikere sabekwa kumngxunya otshixekileyo (umngxunya we-5) kwiplate nganye, kodwa ayiqine ngokupheleleyo, ishiya inkululeko ethile kwiplate ukuba ihambe ngendlela ethe tye ngexesha lokucinezelwa. Ukusukela kumphezulu ongezantsi weplate nganye kukho i-tubimar kwi-metaphyseal kunye ne-diaphyseal kuphela, ukuqiniswa kokuqiniswa kwezikrelem ezivela kwi-humer elungileyo ye-humersus efanelekileyo.

Inyathelo 3: Ukulungiswa okudibeneyo. Isikere sidluliselwa kwi-1 hile kwiplate ye-Latelit, ngokusebenzisa isiqwenga se-distal sobugcisa ukusuka ku-Adelial ukuya kwiMedial, kwaye iqinile. Phinda eli nyathelo usebenzisa i-HoLE 3 ngaphakathi. Kwizigulana ezincinci, ii-3.5 mm ze-ratical ziyasetyenziswa (ukuthintela ukuqhekezwa), ngelixa kwizigulana ze-osteororororothorous, i-2.7 mm isetyenziswa. I-discy e-distal kufuneka ibe logama ixesha elide kwaye kufuneka idlule kwiindawo ezininzi kangangoko kunokwenzeka.

Inyathelo 4 A: Uxinzelelo kwi-conderle. Ukuxinezeleka okungakumbi kwi-phraction kwi-phraction inikezelwa kwinqanaba lesiteji usebenzisa i-proces enkulu yokunciphisa, kunye nekholamu ye-Lateral ilungelelaniswe kuqala. Beka isikhafu emngxunyeni we-4 kwiplate ye-Lateral kwimodi yokugcina uxinzelelo Ukuqinisa ngakumbi ukuphucula uxinzelelo lobuchule (utolo) kwinqanaba le-Supracondylar, kubangela ukolula (utolo) kwi-medial supracondylar roge.

Inyathelo 4B: Kwimfazwe efanayo, sebenzisa amandla amakhulu okunciphisa ukucinezela ikholamu yeMedial kwaye ufake isikhafu kwipleyiti yeMedial kwimowudi yeMedial kwimodi yokucinezelwa kweMedial kwimowudi yokucinezelwa kwimodi yokucinezela. Ukuba iprofayili yeplate incinci i-suboptimal, i-bone enkulu yethambo ingasetyenziselwa ukuyicinezela ngokuchasene ne-metaphysis yokuqhubela phambili uxinzelelo lwe-conderegy.

Inyathelo 5: Ukulungiswa kokugqibela. Ii-k-iingcingo ze-k zisusiwe kwaye isikhafu esisele sifakiwe. Izikrikhi ezi-distal ziyagculelwa ukwandisa ukulungiswa kwamaqhekeza adibeneyo.

Ithambo elinzima le-bone-supracondylar lifihlakele

Ukuba ilahleko ye-metaphyseleal ye-metaphyseal okanye i-comnoninarension inyanzela ukwakhiwa kwakhona kwe-Aatomical kunye nokunxibelelana nethambo kulungile, i-humersus inokunqanyulwa kwindawo yokuqhekeka kwe-metaphyseal enesitayile esifanelekileyo se-humersus efanelekileyo. Le ndlela yokubiza ngokutsha yendlela yokwakhiwa kwakhona ye-Supowracondylar ifihla. Obu buchule buluncedo ngokukhethekileyo kwiimeko ze-tishu ezinezixhobo ezithambileyo kunye ne-bone. Ukunqunyulwa kwe-≤1 CM kunempembelelo encinci kumandla ongezelelweyo, kunye neemeko zezinto ezithambileyo zeTrices kunye nokulahleka kwethambo, ukunqunyulwa kwethambo, ukuncitshiswa kwe-2 cm kunokunyamezelwa ngaphandle kwe-biomechanics.

Phinda wenze isiphelo se-humeral shaft (ngaphandle kwecandelo lobugcisa) ukonyusa unxibelelwano phakathi kwendawo ye-distal kunye ne-diaphysis. Ngokwesiqhelo, kuphela ithambo elincinci lisuswe kwisiphelo se-himeral shaft, kwaye ngamanye amaxesha ukusuka kwelinye icala. B no-C, u-C, ofihliweyo yindawo yokuqhekeka ukuvumela ukunyanzelwa kobuchule phakathi kweTrochlear kunye ne-Diaphysis, phakathi kwe-capitulum, phakathi kwe-capitulum kunye ne-divyasis kunye nokuhamba ngecala. Nje ukuba lo mphezulu unyanzelekile kwaye uphulukane neepleyiti zentsimbi, uzinzo lomelele ngokwaneleyo ekuhambeni kwangoko nokulungiswa. Inqanaba le-distal linokuguqulelwa ngokwanecala okanye kamva, okanye lingaphandle elingaphandle, ngelixa ligcina ulungelelwaniso olujikelezayo noluthandi.

I-6 screws kunye neethagethi zeplate ezi-2

isikere

1: Isikhafu ngasinye sidlula kwipleyiti yentsimbi.

I-2: isitya ngasinye kufuneka silungiselele isiqwenga sokuqhekeka ngokuchaseneyo.

I-3: Beka inani elaneleyo lesikalo kwisahlulo se-distal uqhelise.

I-4: Isitya ngasinye kufuneka sibe ixesha elide.

I-5: Isitya ngasinye kufuneka sizimisele amaqhekeza amaninzi kangangoko kunokwenzeka.

6: Izikrikhi kufuneka zitshixe nge-crisscrouscrosscross, ukudala isakhiwo esine-engile.

Iplate yensimbi:

1: Kwiiplate ezisetyenziselwa ukulungiswa, iinjongo zokunyanzelwa kufuneka zifezekiswe kwinqanaba lemimandla yenyama yekholam.

2: Iplate yentsimbi esetyenzisiweyo kufuneka yomelele kwaye iqinile ngokwaneleyo ukuba ixhathise ukwaphuka okanye ukugoba.

Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICH , sinomgca opheleleyo wemveliso ye-Orthoric utyanSpents kunye nezixhobo ezihambelana nayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, izixhobo zombane, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

Ukongeza, sizimisele ukuqhubeka nokuphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze kuhlangatyezwane neemfuno zonyango noogqirha kunye nezigulana, kwaye zenze ukuba inkampani yethu ikhuphisane kwishishini le-Orthopenic yeHlabathi yeHlabathi.

Sithumela ilizwe liphela, ukuze unako Nxibelelana nathi kwi-imeyile ye-imeyile Ingoma Ingoma Ingoma ye-imeyile I-Ngcebiso yasimahla, okanye uthumele umyalezo kwi-whatsapp yokuphendula ngokukhawuleza + 86- 18112515727 .

Ukuba ufuna ukwazi ngakumbi ulwazi, cofa I-Czemedch ukufumana iinkcukacha ezininzi.