Ingcaciso yeMveliso
I-proximal humeral fractures ixhaphake, ibalwa kwi-5% ukuya kwi-9% yazo zonke iifractures. Iziganeko zabo ziphezulu kakhulu kwizigulane ezingaphezulu kweminyaka engama-65 ubudala, kwaye zezinye zezona ntlobo zixhaphakileyo zokuphuka. Uninzi lweefractures ze-humeral ezisondele zizinzile, zineendawo ezincinci zokufuduka, kwaye zinokunyangwa ngononophelo.
Iipleyiti zokutshixa ezixhaphakileyo, ezinje ngeproximal humeral interlocking plates, zibonelela ngeengenelo ezininzi ezinokubakho kunyango lokulimala. Zibhityile, iipleyiti ezijongene nendawo ethile. Amacwecwe aye aqulunqwa kwangaphambili kwi-humerus ehamba phambili kunye nokufakwa kwezikrufu zokutshixa kuthintela isidingo sokunyanzeliswa kwethambo ngeplate, ngaloo ndlela kugcinwe ukunikezelwa kwegazi kwithambo. Ukufakwa kwezikrufu ezininzi ze-multiaxial zokutshixa kwibhlokhi yokuqhekeka kwentloko ye-humeral ngokusebenzisa isixhobo esithile sokujolisa kubonelela ngenkxaso esisigxina ye-angular kwiindiza ezininzi kwaye kufuneka ngokwethiyori kugcinwe ukuncipha okuphunyeziweyo ngelixa uvumela ukuhlanganiswa kwangaphambili.

| Iimveliso | I-REF | Inkcazo | Ukutyeba | Ububanzi | Ubude |
| I-Proximal Humeral Locking Plate (Sebenzisa i-3.5 Locking Screw/3.5 Cortical Cortical Screw/4.0 Cancellous Screw) | 5100-1501 | Imingxuma emi-3 | 4 | 12 | 90 |
| 5100-1502 | Imingxuma emi-4 | 4 | 12 | 102 | |
| 5100-1503 | Imingxuma emi-5 | 4 | 12 | 114 | |
| 5100-1504 | 6 imingxuma | 4 | 12 | 126 | |
| 5100-1505 | 7 imingxuma | 4 | 12 | 138 | |
| 5100-1506 | 8 imingxuma | 4 | 12 | 150 | |
| 5100-1507 | 10 imingxuma | 4 | 12 | 174 | |
| 5100-1508 | Imingxuma eli-12 | 4 | 12 | 198 |
Owona Mfanekiso

Ibhlog
I-proximal humeral locking plate sisixhobo sonyango esisetyenziselwa unyango lotyando lweefractures kwi-humerus ehamba phambili, eyithambo lengalo ephezulu edibanisa ihlombe kwi-elbow. Eli nqaku liza kubonelela ngombono obanzi we-proximal humeral locking plate, kubandakanywa nokusetyenziswa kwayo, iinzuzo, kunye nobungozi obunokwenzeka.
I-proximal humeral locking plate sisixhobo sonyango esenziwe nge-titanium okanye insimbi engenasici esetyenziselwa unyango lotyando lweefractures kwi-humerus ehamba phambili. Ipleyiti yenzelwe ukuba ibekwe kwindawo yangaphandle yethambo kwaye igcinwe kwindawo enezikrufu. Isitya sokutshixa sinemingxuma emininzi ye-screw evumela ukulungiswa okukhuselekileyo kweengcezu zethambo, ukubonelela ukuzinza ngexesha lokuphulukisa.
I-proximal humeral locking plate isetyenziselwa ukunyangwa kwe-fractures kwi-humerus ehamba phambili, enokuthi ibangelwe zizinto ezahlukeneyo ezifana ne-trauma, i-osteoporosis, okanye umhlaza. I-plate yokukhiya ingasetyenziselwa zombini iifractures ezifudukayo kunye nezingafudukiyo kwaye zinokubonelela ngokuzinza kwithambo ngexesha lenkqubo yokuphulukisa.
Ukongezelela, i-proximal humeral locking plate ingasetyenziselwa kwiimeko apho unyango olungenalo utyando, olufana nokuphosa okanye ukukhutshwa, aluphumelelanga ukubonelela ngokuphilisa okwaneleyo. Ingasetyenziselwa unyango lwe-avascular necrosis, imeko apho ukunikezelwa kwegazi kwithambo kuphazamiseka, okukhokelela ekufeni kwamathambo kwaye kunokukhokelela ekuqhekekeni.
Olunye uncedo oluphambili lwe-proximal humeral locking plate luzinzo olubonelela ngalo kwithambo eliqhekekileyo. Oku kuzinza kunokunciphisa intlungu kwaye kube lula ukuphilisa ngokukhawuleza. Ukongezelela, ukusetyenziswa kwesitya sokutshixa kunokunciphisa umngcipheko wokufuduka okanye ukungahambi kakuhle kwamathambo amathambo, anokuthi avele ngonyango olungenalo utyando.
Enye inzuzo ye-proximal humeral locking plate kukuba ivumela ukuhlanganiswa kwangaphambili kunye nokuvuselela, oku kunokukhokelela kwiziphumo ezingcono kwisigulane. I-plate yokuvala ingasetyenziselwa kwizigulane ezine-osteoporosis, apho ukuxinana kwamathambo kuyancipha, njengoko kunika ukuzinza okongeziweyo kwithambo.
Nangona ukusetyenziswa kwe-proximal humeral locking plate kunokubonelela ngeenzuzo ezibalulekileyo, kukho iingozi ezinokubakho ezinxulumene nokusetyenziswa kwayo. Iingozi eziqhelekileyo ziquka ukusuleleka, umonakalo we-nerve, kunye nokungabikho komanyano (apho ithambo lihluleka ukuphilisa ngokufanelekileyo).
Kwezinye iimeko, i-plate yokutshixa ingadinga ukususwa ngenxa yeengxaki, ezifana nokukhulula okanye ukucaphuka kwezicubu ezijikelezayo. Ukongezelela, ukusetyenziswa kwepleyiti yokutshixa ayinakufaneleka kuzo zonke izigulane, kwaye isigqibo sokusebenzisa enye kufuneka senziwe kwimeko-nge-case.
I-proximal humeral locking plate sisixhobo sonyango esisetyenziselwa unyango lotyando lweefractures kwi-humerus ehamba phambili. Ukusetyenziswa kwayo kunokubonelela ngeenzuzo ezibalulekileyo, kubandakanywa ukuzinza kwithambo eliqhekekileyo kunye nokuhlanganiswa kwangaphambili kunye nokuvuselelwa. Nangona kunjalo, kukho imingcipheko enokubakho ehambelana nokusetyenziswa kwayo, ekufuneka iqwalaselwe ngononophelo ngaphambi kokwenza isigqibo sokusebenzisa ipleyiti yokutshixa.
Umbuzo: Kuthatha ixesha elingakanani ukuba i-humerus ephukileyo iphilise ngokusetyenziswa kwepleyiti yokutshixa? A: Ixesha lokuphilisa lingahluka ngokuxhomekeke kubunzima bokuphuka kunye nezinye izinto. Ngokuqhelekileyo, kuthatha iinyanga ezininzi ukuba ithambo liphole ngokupheleleyo.
Umbuzo: Ngaba ukusetyenziswa kwepleyiti yokutshixa ye-humeral kubuhlungu? A: Ukusetyenziswa kwepleyiti yokutshixa kunokubangela ukuphazamiseka okuthile, kodwa intlungu inokulawulwa ngamayeza eentlungu amiselwe ngugqirha.
Umbuzo: Ngaba ipleyiti yokutshixa ingasetyenziselwa unyango lokukhutshwa kwamagxa? A: Hayi, ipleyiti yokutshixa ayisetyenziselwa ukunyangwa kwegxalaba. Isetyenziselwa unyango lotyando lweefractures kwi-humerus ehamba phambili.
Umbuzo: Liliphi ixesha lokubuyisela emva kotyando kunye ne-proximal humeral locking plate? A: Ixesha lokubuyisela lingahluka ngokuxhomekeke kubunzima bokwaphuka kunye nezinye izinto, kodwa ngokuqhelekileyo kuthatha iinyanga ezininzi ukuba ithambo liphole ngokupheleleyo. Unyango lomzimba lunokuba yimfuneko kwiiveki okanye iinyanga ezininzi emva kotyando.
Umbuzo: Ngaba kukho naziphi na izithintelo kwimisebenzi emva kokusetyenziswa kwepleyiti yokutshixa i-humeral proximal? A: Ngokuxhomekeke kubunzima bokuphuka kunye nesigulane ngasinye, kunokubakho izithintelo kwimisebenzi ethile, njengokuphakamisa izinto ezinzima okanye ukuthatha inxaxheba kwimidlalo yoqhagamshelwano. Ugqirha wakho uya kunika imiyalelo ethile yokuthintela umsebenzi ngexesha lenkqubo yokuphilisa.
Umbuzo: I-proximal humeral locking plate kufuneka ihlale ixesha elingakanani emva kotyando? A: Ipleyiti yokutshixa iqhele ukushiywa kwindawo ngokusisigxina ngaphandle kokuba ibangela iingxaki okanye ibe yingxaki kwisigulana. Ugqirha wakho uya kugqiba ukuba ukususwa kuyimfuneko ngokusekelwe kwimeko yakho.