Icwecwe le-Y-Olecranon Fossa: Isishwankathelo seZalathiso, ubuchule, kunye nezinto eziluncedo
I-Y-Olecranon Fossa Plate (i-Y-OF ipleyiti) yinkqubo yofakelo entsha ngokwentelekiso eyenzelwe ukulungiswa kokwaphuka kunye nolunye umonzakalo ojikeleze i-elbow joint. Le pleyiti yenzelwe ngokukodwa unyango lwe-olecranon fractures, kodwa ingasetyenziselwa ezinye izibonakaliso, ezifana ne-coronoid fractures, i-nonunions, kunye ne-malunions. Kweli nqaku, siza kuxoxa ngemiqondiso ye-Y-OF yepleyiti, ubuchule, kunye neenzuzo, kunye nezinto ezinokuthi zibe khona.
Iimpawu zeY-Olecranon Fossa Plate
I-plate ye-Y-OF isetyenziselwa ngokukodwa unyango lwe-olecranon fractures. Ukuqhekeka kwe-olecranon kukulimala okuqhelekileyo okwenzekayo xa kukho ikhefu kwi-bony evelele ngasemva kwe-elbow. Ezi fractures zinokubangelwa zizinto ezahlukeneyo, ezifana nokuwa, ukubethelwa ngokuthe ngqo, okanye ukunyanzeliswa okugqithiseleyo kwi-triceps muscle. I-plate ye-Y-OF ngokukhethekileyo ifaneleke ngokufanelekileyo kwi-olecranon fractures eyinkimbinkimbi, efana ne-fractures comminuted, i-fractures kunye ne-displacement ebalulekileyo, kunye neefractures ezibandakanya indawo edibeneyo.
I-plate ye-Y-OF ingasetyenziselwa ukunyangwa kwe-coronoid fractures, eziqhekeza inkqubo yangaphambili yethambo le-ulna. Ezi fractures aziqhelekanga kune-olecranon fractures, kodwa zinokuba ngumngeni ngakumbi ukunyanga ngenxa yobukhulu obuncinci kunye ne-anatomy eyinkimbinkimbi yenkqubo ye-coronoid. Uyilo olulodwa lweplate ye-Y-OF lunokubonelela ngokuzinza ngokuzinzile kweefractures ze-coronoid, ezivumela uluhlu lwangaphambili lwentshukumo kunye neziphumo zokusebenza eziphuculweyo.
Ekugqibeleni, i-plate ye-Y-OF ingasetyenziselwa i-nonunion kunye ne-malunions ye-olecranon kunye neenkqubo ze-coronoid. I-Nonunion iyenzeka xa i-fracture ihluleka ukuphilisa, ngelixa i-malunions iyenzeka xa i-fracture iphilisa kwindawo engaqhelekanga. I-plate ye-Y-OF inokunceda ukulungisa le miba ngokubonelela ngokuzinza kunye nokukhuthaza ukuphulukiswa kwamathambo.
Ubuchwephesha be-Y-Olecranon Fossa yoLungiso lwePlati
Ipleyiti ye-Y-OF idla ngokubekwa ngendlela engasemva kwijoyinti yengqiniba. Le ndlela ivumela ukubonwa ngokuthe ngqo kwe-fracture kunye nomphezulu odibeneyo kwaye unikeze ukufikelela okugqwesileyo kwi-olecranon kunye neenkqubo ze-coronoid. Ipleyiti idityanisiwe ukuze ilingane imilo yethambo kwaye ikhuselwe ngezikrufu. I-Y-shape ekhethekileyo ye-plate inika uzinzo kwiiplani zombini kunye ne-longitudinal, evumela ukuhlanganiswa kwangaphambili kunye nokuvuselelwa komsebenzi.
Enye yeenzuzo eziphambili ze-Y-OF ipleyiti yiprofayili yayo ephantsi. Ipleyiti ihlala igungxule ithambo, inciphisa umngcipheko wokucaphuka kwezicubu ezithambileyo kunye nokunciphisa imfuno yokususwa kwehardware. Ukongezelela, uyilo lweplate ye-Y-OF ivumela ukulungiswa kwe-screw bicortical, ebonelela ngokunyuka kozinzo kunye nokuchasana nemikhosi yokukhupha.
Izinto eziluncedo zeY-Olecranon Fossa Plate Fixation
Ipleyiti ye-Y-OF ibonelela ngeengenelo ezininzi ngaphezulu kweendlela zemveli zokulungisa ii-olecranon fractures. Okokuqala, iprofayili ephantsi yepleyiti inciphisa umngcipheko wokucaphuka kwezicubu ezithambileyo kwaye inokunceda ukunciphisa iintlungu zasemva kokuhlinzwa kunye nokudumba. Ukongezelela, i-plate ye-Y-shape ekhethekileyo inikezela ukulungiswa okuzinzileyo kuzo zombini iiplani ezinqamlezayo kunye ne-longitudinal, evumela uluhlu lwangaphambili lwentshukumo kunye neziphumo zokusebenza eziphuculweyo.
I-Y-OF yeplate ye-bicortical screw fixation ikwabonelela ngokunyuka kozinzo xa kuthelekiswa neendlela zokulungiswa kwe-unicortical. Oku kunokunceda ukuthintela ukungaphumeleli kwe-hardware kunye nokukhuthaza ukuphulukiswa kwamathambo, ukunciphisa umngcipheko we-nonunion okanye i-malunion.
Okokugqibela, ukuguquguquka kwepleyiti ye-Y-OF kuyenza ibe sisixhobo esiluncedo kunyango lweentlobo ezahlukeneyo zokonzakala kwengqiniba. Uyilo lwayo luvumela ukulungiswa okuzinzile kwe-olecranon kunye ne-coronoid fractures, kunye ne-nonunion kunye ne-malunions. Oku kunokwenza lula inkqubo yotyando kunye nokunciphisa imfuno yeenkqubo ezininzi zokufakelwa.
Iingxaki ezinokuthi zenzeke kwi-Y-Olecranon Fossa Plate Fixation
Ngaphandle kweenzuzo ezininzi, ipleyiti ye-Y-OF inazo ezinye iingxaki ezinokubakho. Enye yezona zinto zixhalabisayo kumngcipheko wokulimala kwe-nerve ngexesha lotyando. Ipleyiti ibekwe ngokusondeleyo kwi-nerve ye-ulnar, enokunyusa umngcipheko wokulimala kwe-nerve. Ukucwangciswa ngononophelo kwangaphambi kotyando kunye nokubekwa esweni kwangaphakathi kunokunceda ukunciphisa lo mngcipheko.
Enye inkxalabo enokubakho kukutyhileka okulinganiselweyo okubonelelwa yindlela yangasemva. Nangona le ndlela ibonelela ngokugqwesileyo kokufikelela kwiinkqubo ze-olecranon kunye ne-coronoid, inokwenza kube nzima ukujongana nolunye ukulimala okanye ukungahambi kakuhle kwi-elbow joint. Kwezinye iimeko, indlela yotyando ebanzi ingafuneka.
Okokugqibela, ipleyiti ye-Y-OF yinkqubo entsha yokufakelwa, kwaye kusekho idatha yexesha elide elinganiselweyo malunga nokhuseleko nokusebenza kwayo. Ngelixa iziphumo zokuqala zeklinikhi bezithembisa, uphando olongezelelekileyo luyafuneka ukuze kubonwe ezona zibonakaliso kunye nobuchule bokusetyenziswa kwayo.
Ukuqukumbela
I-Y-Olecranon Fossa Plate yinkqubo yokufakelwa kwezinto ezininzi kunye nentsha yonyango lwe-olecranon kunye ne-coronoid fractures, i-nonunion, kunye ne-malunions. Ubume bayo obukhethekileyo be-Y kunye neprofayili ephantsi inika iingenelo ezininzi kwiindlela zokulungisa zendabuko, kubandakanywa uzinzo oluphuculweyo kunye nokuvuselelwa kokusebenza kwangaphambili. Nangona kunjalo, ukucwangciswa ngokucophelela kwangaphambili kunye nokubeka iliso kwi-intraoperative kubalulekile ukunciphisa umngcipheko wokulimala kwe-nerve, kwaye uphando olongezelelweyo luyafuneka ukuze uqonde ngokupheleleyo ukhuseleko lwalo lwexesha elide kunye nokusebenza kakuhle.
Ii-FAQs
Kuthatha ixesha elingakanani ukuchacha kuqhaqho usebenzisa ipleyiti yeY-OF? Ixesha lokubuyisela lingahluka ngokuxhomekeke kubukhulu bokulimala kunye nesigulane ngasinye. Nangona kunjalo, ngokunyamekela ngokufanelekileyo emva kokuhlinzwa kunye nokuvuselelwa, izigulane ezininzi ziyakwazi ukubuyisela imisebenzi eqhelekileyo kwiinyanga ezimbalwa.
Ngaba ipleyiti ye-Y-OF ifanelekile kuzo zonke iintlobo zokulimala kwe-elbow? Hayi, i-plate ye-Y-OF yenzelwe ngokukodwa unyango lwe-olecranon kunye ne-coronoid fractures, kunye ne-nonunions kunye ne-malunions. Ezinye iintlobo zokulimala kwe-elbow zingafuna iindlela ezahlukeneyo zonyango.
Ingaba ipleyiti ye-Y-OF ingasetyenziswa kunye nezinye iinkqubo zokufakelwa? Kwezinye iimeko, i-plate ye-Y-OF ingasetyenziselwa kunye nezinye iinkqubo zokufakelwa ukubonelela ukulungiswa okuzinzile kunye nokukhuthaza ukuphulukiswa kwamathambo.
Ingaba ipleyiti ye-Y-OF i-inshurensi? Ukhuseleko lwe-inshurensi lunokwahluka ngokuxhomekeke kwipolisi yesigulana ngasinye kunye nesalathiso esikhethekileyo sepleyiti ye-Y-OF. Izigulana kufuneka ziqhagamshelane nomniki-inshorensi wazo ukuze baqinisekise ngokhuseleko.
Yeyiphi imingcipheko enokubakho yokulungiswa kwepleyiti ye-Y-OF? Owona mngcipheko unokubakho kukwenzakala kwemithambo-luvo, kodwa eminye imingcipheko inokubandakanya usulelo, ukusilela kwehardware, kunye nokungatyhileki okuncinci kolunye ukwenzakala kwengqiniba okanye izinto ezingaqhelekanga.
