I-Proximal Humeral Greater Tuberosity Locking Plate: Uphononongo oluBanzi
I-proximal humerus sisakhiwo esibalulekileyo samathambo esidlala indima ebalulekileyo ekusebenzeni kwelungu eliphezulu. Ukuqhekeka kule ndawo kunokukhokelela ekuphazamisekeni okubonakalayo kunye nokukhubazeka. Kwiminyaka yakutshanje, ukuphuhliswa kweepleyiti zokutshixa kuye kwaguqula ulawulo lwe-proximal humeral fractures. I-proximal humeral enkulu ye-tuberosity plate yokutshixa (PHGTLP) luhlobo lwepleyiti yokutshixa ethe yafumana udumo kwiminyaka yakutshanje ngenxa yeziphumo zayo ezibalaseleyo zeklinikhi. Kweli nqaku, siza kubonelela ngophononongo olubanzi lwe-PHGTLP, kubandakanya i-anatomy, imiqondiso, ubuchule botyando, iziphumo, kunye neengxaki.
I-Anatomy
I-proximal humerus iqukethe iinxalenye ezine: intloko ye-humeral, i-tuberosity enkulu, i-tuberosity encinci, kunye ne-humeral shaft. I-tuberosity enkulu yi-bony prominence ebekwe ecaleni kwentloko ye-humeral, kwaye inika indawo yokunamathisela kwimisipha ye-rotator cuff. I-PHGTLP yenzelwe ukulungisa iifractures ze-tuberosity enkulu, eziqhelekileyo kwi-proximal humeral fractures.
Iimpawu
I-PHGTLP ibonakaliswe kulawulo lweefractures ze-humeral ezikufutshane ezibandakanya i-tuberosity enkulu. Ezi fractures zihlala zihambelana nokulimala kwe-rotator cuff kwaye kunokukhokelela ekusebenzeni okubonakalayo. I-PHGTLP ibonelela ngolungiso oluzinzileyo, oluvumela ukuhlanganisa kwangethuba kunye nokubuyisela kwisimo sangaphambili.
UbuCwangciso bokuSebenza
Ubuchule botyando be-PHGTLP bubandakanya ukunciphisa okuvulelekileyo kunye nendlela yokulungiswa kwangaphakathi. Isigulane sibekwe kwisitulo solwandle okanye indawo ye-decubitus esecaleni, kwaye indawo yotyando ilungiselelwe nge-drapes oyinyumba. I-longitudinal incision yenziwa phezu kwe-tuberosity enkulu, kwaye i-fracture iyancipha. I-PHGTLP ibekwe kwicala elisecaleni lentloko ye-humeral, kwaye izikrufu zifakwe ngepleyiti kwithambo. I-plate inikeza ukulungiswa okuzinzile, okuvumela ukuhlanganiswa kwangaphambili kunye nokuvuselelwa.
Iziphumo
I-PHGTLP ibonakaliswe ineziphumo ezigqwesileyo zeklinikhi kulawulo lokwaphuka kwe-humeral proximal. Izifundo ezininzi ziye zanika ingxelo yamazinga aphezulu omanyano lokuqhekeka, iziphumo ezilungileyo zokusebenza, kunye namazinga aphantsi obunzima. Kuphononongo olucwangcisiweyo lwezifundo ezili-11, i-PHGTLP yayanyaniswa ne-95% yereyithi yomanyano, i-92% yesiphumo esihle okanye esigqwesileyo sesiphumo sokusebenza, kunye ne-6% yobunzima.
Iingxaki
Iingxaki ezinxulunyaniswa ne-PHGTLP ziquka ukugqobhozwa kwesikrufu, ukungaphumeleli kokufakelwa, ukungadibanisi, kunye nosulelo. Izehlo zeengxaki ziphantsi, kwaye uninzi luyalawuleka ngolawulo olufanelekileyo. Kuphononongo olucwangcisiweyo lwezifundo ze-11, eyona ngxaki ixhaphakileyo yayiyi-screw perforation, eyenzeka kwi-2.2% yamatyala.
Ukuqukumbela
I-PHGTLP lukhetho olusebenzayo nolukhuselekileyo kulawulo lweefractures ze-humeral ezikufutshane ezibandakanya i-tuberosity enkulu. I-plate inikeza ukulungiswa okuzinzile, okuvumela ukuhlanganiswa kwangaphambili kunye nokuvuselelwa. I-PHGTLP ibonakaliswe ineziphumo ezigqwesileyo zeklinikhi ezinamazinga asezantsi okuxakeka. Ukusetyenziswa kwe-PHGTLP kufuneka kuthathelwe ingqalelo kulawulo lweefractures ze-humeral proximal.
Ii-FAQs
Kuthatha ixesha elingakanani ukuchacha kwi-proximal humeral fractures elawulwa nge-PHGTLP?
Ixesha lokubuyisela lixhomekeke kwizinto ezininzi, ezifana nobunzima bokuphuka, ubudala besigulane, kunye neemeko zonyango esele zikhona. Ngokuqhelekileyo, izigulane ezininzi zinokulindela ukubuyela kwimisebenzi eqhelekileyo phakathi kweenyanga ze-6-12 emva kokuhlinzwa.
Ngaba ukusetyenziswa kwe-PHGTLP kunxulunyaniswa nazo naziphi na iingxaki zexesha elide?
Iingxaki zexesha elide ezinxulumene ne-PHGTLP zinqabile. Nangona kunjalo, izigulane kufuneka ziqaphele umngcipheko wokungaphumeleli kokufakelwa, okwenzeka kwiminyaka emininzi emva kokuhlinzwa. Ukulandelela rhoqo kunye nogqirha onyangayo kunokuncedisa ukuchonga naziphi na iingxaki ezinokuthi zenzeke kwaye zijongane nazo ngokukhawuleza.
Ngaba i-PHGTLP ingasetyenziswa kuzo zonke iimeko zokwaphuka kwe-humeral ekufutshane?
Hayi, i-PHGTLP yenzelwe ngokukodwa ukulungisa iifractures ze-tuberosity enkulu. Kwiimeko apho ukuphuka kubandakanya ezinye iindawo ze-humerus ehamba phambili, ezinye iindlela zokuhlinzwa zingadinga ukuqwalaselwa.
Lithini ixesha lokubuyisela kwizigulana ezenza utyando lwe-PHGTLP?
Ixesha lokubuyisela liyahluka ngokuxhomekeke kubunzima bokuphuka, ubudala besigulane, kunye naziphi na iimeko zonyango esele zikhona. Uninzi lwezigulane zinokulindela ukubuyela kwimisebenzi eqhelekileyo phakathi kweenyanga ezi-6-12 emva kokuhlinzwa.
Izigulana zingakwenza njani ukuchacha kwazo emva kotyando lwe-PHGTLP?
Izigulana zinokwandisa ukuchacha kwazo ngokulandela inkqubo yokuvuselela eyenzelwe ngugqirha wabo onyanga. Oku kunokubandakanya unyango lomzimba, ukuzivocavoca ukuphucula uluhlu lwentshukumo kunye namandla, kunye nezicwangciso zokulawula iintlungu. Kubalulekile ukulandela yonke imiyalelo emva kokuhlinzwa ebonelelwa ngugqirha onyangayo ukuqinisekisa ukubuyiswa ngempumelelo.
Ukuqukumbela, i-PHGTLP lukhetho olukhuselekileyo nolusebenzayo kulawulo lweefractures ze-humeral proximal ezibandakanya i-tuberosity enkulu. I-plate inikeza ukulungiswa okuzinzile, okuvumela ukuhlanganiswa kwangaphambili kunye nokuvuselelwa, kwaye kuboniswe ukuba kuneziphumo ezihle kakhulu zeklinikhi kunye namazinga aphantsi obunzima. Izigulana kufuneka zixoxe ngokusetyenziswa kwe-PHGTLP kunye nogqirha wabo onyangayo ukufumanisa ukuba lukhetho olufanelekileyo lokwaphuka kwabo. Ngolawulo olululo kunye nolandelelo, izigulana zinokulindela ukubuyela kwimisebenzi yesiqhelo kwaye zonwabele umgangatho wobomi obulungileyo emva kotyando olusondeleyo lwe-humeral fracture nge-PHGTLP.
