1. I-Anatomy ye-Distal Humerus
I-distal humerus iqukethe iikholomu zangaphakathi kunye necala, ezibandakanya i-epicondyles kunye ne-condyles.
2. Inkqubo yokwenzakala
Ukuqhekeka kwe-distal humerus kubangelwa kukwenzakala ngokuthe ngqo (umzekelo, ukuwa) okanye amandla angathanga ngqo (umzekelo, ukujija okanye ukutsalwa kwezihlunu).
3. Ukuhlelwa kwe-AO
Uluhlu lwe-AO luhlula i-distal humerus fractures kwiintlobo ezintathu eziphambili: A, B, kunye noC.
4. Unyango lotyando
Unyango lotyando lulandela imigaqo ye-AO: ukunciphisa i-anatomical, ukulungiswa okuzinzile, kunye nokuvuselelwa kwangaphambili.
5. Ixabiso loNyango
Iipleyiti zokutshixa zinika uzinzo oluphezulu lwe-biomechanical, ngakumbi kwithambo le-osteoporotic.
6. Iimodeli zePlati zeCZMEDITECH
I-CZMEDITECH inikezela ngeemodeli ezintathu: i-extraarticular (01.1107), i-lateral (5100-17), kunye ne-medial (5100-18) iipleyiti.
Kutheni i-distal humerus ithanda ukuphuka?
Njengenxalenye ebalulekileyo ye-elbow joint, i-distal humerus fractures idla ngokuphuma 'kwi-trauma ethe ngqo' (efana nokuwa phantsi kwengqiniba) okanye 'i-indirect trauma' (efana nokujija okanye ukujula).
- Izihlunu Ukutsalwa Forces
Ikholamu ephakathi ibandakanya inxalenye ephakathi ye-metaphysis ye-humerus, i-epicondyle ephakathi, kunye ne-condyle ephakathi, kuquka i-trochlea ye-humerus.
·Ukunyanzeliswa okuqinileyo kwezihlunu zangaphakathi ezijikelezayo
·Ukuqina okuqinileyo kwezihlunu ze-elbow flexor
-I-High-Energy Trauma
Amandla angaphandle afana neengozi zendlela okanye ukuwa ukusuka kumphakamo kunokubangela ukuphuka okuncinciweyo okanye ukubandakanya umphezulu we-articular.
I-Coronoid Fossa kunye ne-Olecranon Fossa
· Iingozi zendlela
·Ukuwa ukusuka phezulu
Imigaqo yoNyango:
Ukulandela ifilosofi ye-AO: 'Ukunciphisa i-anatomical, ukulungiswa okuzinzile, kunye nokuzivocavoca kwangaphambili.'
I-High-Energy Trauma
Amandla angaphandle afana neengozi zendlela okanye ukuwa ukusuka kumphakamo kunokubangela ukuphuka okuncinciweyo okanye ukubandakanya umphezulu we-articular.
Imigaqo yoNyango
Ukunciphisa i-anatomical
Ukulungiswa okuzinzileyo
Ukuzivocavoca kwangaphambili kokusebenza
Iimpawu zotyando
Ukufuduswa kwe-Articular> 2mm
Vula iifractures
Ukulimala kwe-neurovascular kudibaniswe
Ukungaphumeleli kunyango olulondolozayo
Isicwangciso soLungiso lwePlate
Ubuchwephesha bePlati ezimbini
Ilungele uhlobo lwe-C fractures. Ukulungiswa ukusuka kumabini aphakathi (umzekelo, i-anatomical locking plate) kunye necala (umzekelo, i-parallel plate) emacaleni anikezela ukuzinza kwe-3D kunye nokunciphisa umngcipheko wokukhubazeka okujikelezayo emva kokusebenza.
Indlela yePlati enye
Isetyenziselwa uhlobo A kunye nohlobo B lwezahlulo. Iipleyiti ezilungiselelwe kwangaphambili ezihambelana ne-distal humerus anatomy zinciphisa ukuchithwa kwezicubu ezithambileyo.
Indlela eHlangeneyo encinci
Idityaniswe ne-percutaneous screw placement ukunciphisa umngcipheko wosulelo kunye nokugcina unikezelo lwegazi lweperiosteal.
Inzuzo yeBiomechanical
Iipleyiti zokutshixa zibonelela ngokuzinza kwe-angular, ngakumbi kunenzuzo kwizigulana ze-osteoporotic.
Isiqinisekiso soBuyiselo esiSebenzayo
Ukunciphisa i-anatomical kugcina ukuhamba kwe-elbow joint ukuya kwinqanaba elikhulu, ukunciphisa iingxaki ezifana ne-nonunion okanye i-malunion.
Uyilo olulungiselelweyo
Iipleyiti ezibunjiweyo zeentlobo ezithile zokuphuka (umzekelo, iipleyiti zenkxaso ye-intercondylar ridge) ziphakamisa ukuhanjiswa kwamandla kunye nokukhawulezisa ukuphiliswa kwamathambo.
Uluhlu lwethu lwe-distal humerus lokutshixa ipleyiti yenzelwe ngokukodwa ukuqhekeka kwe-distal humeral fractures. Nge-anatomical contouring, itekhnoloji yokutshixa isikhonkwane, kunye neenkcukacha ezininzi, ibonelela ngezisombululo ezikhuselekileyo, ezizinzileyo, neziguquguqukayo zokulungiswa kotyando lweklinikhi.
