Incazelo Yomkhiqizo
Ipuleti lokukhiya i-distal humeral ye-GPC enokusekelwa kwe-lateral ikhonjiswe ukulungisa ikholomu yangemuva ekuqhekekeni kwe-intercondylar kanye ne-supracondylar ye-humerus futhi njengepuleti elilodwa ekuqhekekeni kwe-humerus distal. Itholakala ngensimbi engagqwali kanye ne-titanium.Itholakala ngezimbobo ezi-4 kuya kweziyi-12 (2 ukukhuphuka kwezimbobo).
I-Intercondylar fracture distal humerus
I-Supracondylar fracture distal humerus
I-osteotomy ezungeze i-distal humerus
Ukuphuka kwe-distal humerus engahlangene
I-anatomically shaped- kwesokudla noma kwesokunxele
Amapuleti abunjwe ngaphambili ukuze afane ne-anatomy ye-distal humerus enomklamo olinganiselwe wephrofayili ephansi yokuxhumana.
Ithiphu ecijile yokufakwa kwe-submuscular enezicubu ezincane ezithambile
Ukuqina okufanayo kwazo zonke izingxenye, ukwandisa impilo yokukhathala kokufakelwa
Indawo encane ye-post-fixation avascularity
Inhlanganisela yezikulufo ezijwayelekile nezikhiyayo ihlinzeka ngokulungiswa okuhle kungakhathalekile ukuthi amathambo angakanani
Ama-Screw-heads aphindele emuva ezimbobeni zamapuleti ukuze kubonakale ubuncane bezikulufu ezivelele
I-Screw trajectory edizayinelwe ukulungisa kahle ukuphuka okungapheli
Ukugoba ingxenye ekude kuyanconywa ukuze kulungiswe indawo efanele yepuleti ukuze kubekwe izikulufu ezinde ngebhulokhi ye-articular.
Ukugoba okufanele kwenziwe endaweni yezimbobo ezihlanganisiwe njengoba kuvame ukuguqula iphethini yomucu yembobo yokukhiya
Itholakala kokubili kwe-Titanium ne-Stainless steel
| Imikhiqizo | REF | Ukucaciswa | Ubukhulu | Ububanzi | Ubude |
| I-Distal Lateral Humeral Locking Plate (Sebenzisa i-2.7/3.5 Isikulufu sokukhiya/3.5 Isikulufu SeCortical) | 5100-1701 | 4 izimbobo L | 3.2 | 12 | 86 |
| 5100-1702 | 6 izimbobo L | 3.2 | 12 | 112 | |
| 5100-1703 | 8 izimbobo L | 3.2 | 12 | 138 | |
| 5100-1704 | 10 izimbobo L | 3.2 | 12 | 164 | |
| 5100-1705 | 12 izimbobo L | 3.2 | 12 | 190 | |
| 5100-1706 | 4 izimbobo R | 3.2 | 12 | 86 | |
| 5100-1707 | 6 izimbobo R | 3.2 | 12 | 112 | |
| 5100-1708 | 8 izimbobo R | 3.2 | 12 | 138 | |
| 5100-1709 | 10 izimbobo R | 3.2 | 12 | 164 | |
| 5100-1710 | 12 izimbobo R | 3.2 | 12 | 190 |
Isithombe Sangempela

Ibhulogi
Odokotela abahlinzayo bamathambo bahlangabezana nezinhlobonhlobo zokuphuka okuyinselele ngesikhathi sokusebenza kwabo, okuhlanganisa nalezo ze-distal humerus. Ukuphuka kwe-distal humeral kuvame ukubangelwa ukuhlukumezeka komthelela omkhulu futhi kungaba inselele ukuyilawula. Ipuleti lokukhiya i-distal lateral humeral liwukuthuthuka okusha emkhakheni wokuhlinzwa kwamathambo futhi sekuvele njengendlela yokwelapha ephumelelayo yokuqhekeka kwe-distal humeral. Kulesi sihloko, sizohlinzeka ngomhlahlandlela ophelele wepuleti lokukhiya i-distal lateral humeral, ukwakheka kwalo, izinkomba, indlela yokuhlinza, izinkinga, kanye nemiphumela.
Ngaphambi kokuxoxa ngepuleti lokukhiya i-distal lateral humeral, kubalulekile ukuqonda i-anatomy ye-distal humerus. I-distal humerus iyithambo elitholakala ekugcineni kwe-humerus, ithambo elisengalo engenhla. Iqukethe ama-condyle amabili: i-condyle ephakathi kanye ne-lateral condyle, ehlukaniswe i-groove ebizwa ngokuthi i-trochlea. I-distal humerus ihlangana ne-radius kanye namathambo e-ulna engalweni ukuze kwakhe i-elbow joint. I-distal humerus ibalulekile ekusebenzeni kwendololwane, futhi noma yikuphi ukuphuka kulesi sifunda kungathinta kakhulu ukuhamba kwesiguli.
Ipuleti lokukhiya i-distal lateral humeral locking liboniswa ngokuyinhloko ekuqhekekeni kwe-distal humeral okuyinselele yokuphatha kusetshenziswa izindlela ezijwayelekile ezifana nokuphonswa, ama-splints, noma i-percutaneous pinning. Lokhu kuphuka kuvame ukuba yinkimbinkimbi, okubandakanya ukugudluka, ukuqala, noma ukubandakanyeka kwe-intra-articular. Ipuleti lokukhiya le-distal lateral humeral linikeza ukulungiswa okuqinile nokuzinza endaweni yokuphuka, okuvumela ukuhlanganisa kusenesikhathi kanye nokululama ngokushesha.
Ipuleti lokukhiya le-distal lateral humeral liyipuleti eselijikijelwe ngaphambili, elakhiwe ngendlela ye-anatomically elibekwa engxenyeni engemuva ye-distal humerus. Ipuleti linezimbobo zezikulufu eziningi kanye nezindlela zokukhiya ezivumela ukuqiniswa okuvikelekile ethanjeni. Ipuleti lenziwe nge-titanium noma insimbi engagqwali futhi litholakala ngobukhulu obuhlukahlukene ukuze likwazi ukumumatha ama-anatomi esiguli ahlukene.
Indlela yokuhlinzwa ye-distal lateral humeral locking plate ihilela indlela yokunciphisa evulekile kanye ne-internal fixation (ORIF). Isiguli sifakwa ngaphansi kwe-anesthesia ejwayelekile, futhi imbobo yenziwa engxenyeni engemuva yendololwane ukuze kuvezwe indawo yokuphuka. Ukuphuka kuncishisiwe, futhi ipuleti lokukhiya i-distal lateral humeral libekwe engxenyeni engemuva ye-distal humerus. Ipuleti livikelwe ethanjeni kusetshenziswa izikulufu zokukhiya, futhi i-incision ivaliwe. Ukunakekelwa kwangemva kokuhlinzwa kuhilela ukunganyakazi, ukwelashwa ngokomzimba, nokulandelela eduze.
Njenganoma iyiphi inqubo yokuhlinzwa, kunezinkinga ezingaba khona ezihlobene ne-distal lateral humeral locking plate. Lokhu kuhlanganisa ukutheleleka, ukwehluleka kokufakelwa, ukulimala kwezinzwa, nokulahlekelwa ukuncipha. Ingozi yezinkinga ingancishiswa ngokukhetha ngokucophelela isiguli, indlela yokuhlinzwa efanele, kanye nokulandelela eduze kwangemva kokuhlinzwa.
Imiphumela ye-distal lateral humeral locking plate ibilokhu ithembisa, kanti izifundo eziningi zibika amazinga aphezulu enyunyana yokuphuka, imiphumela emihle kakhulu yokusebenza, namazinga aphansi ezinkinga. Kodwa-ke, imiphumela yesikhathi eside yale nqubo isahlolwa, futhi ucwaningo olwengeziwe luyadingeka ukuze kutholwe ukusebenza kwayo esikhathini eside.
Ukuphuka kwe-distal humeral kuyinselele ukuphatha, futhi ipuleti lokukhiya i-distal lateral humeral selivele njengendlela yokwelapha ephumelelayo yokuphuka okuyinkimbinkimbi. Ipuleti li-pre-contoured futhi liklanywe ngokwe-anatomically, linikeza ukulungiswa okuqinile kanye nokuzinza endaweni yokuphuka. Inqubo yokuhlinzwa ihilela ukunciphisa okuvulekile kanye nendlela yokulungisa yangaphakathi, futhi ukunakekelwa kwangemva kokuhlinzwa kuhilela ukungakwazi ukuhamba, ukwelapha ngokomzimba, nokulandela eduze. Nakuba kunezinkinga ezingase zibe khona ezihlobene nenqubo, imiphumela ibilokhu ithembisa, ngezinga eliphezulu lenyunyana yokuphuka, imiphumela emihle kakhulu yokusebenza, namazinga aphansi ezinkinga. Odokotela abahlinzayo bamathambo kufanele bacabangele ipuleti lokukhiya i-distal lateral humeral njengenketho yokwelapha yokuphuka kwe-distal humeral okuyinselele.
Kuyini ukuphuka kwe-distal humeral?
I-distal humeral fracture ukuphuka kwethambo ekugcineni okuphansi kwe-humerus, ngokuvamile okubangelwa ukuhlukumezeka komthelela omkhulu.
Liyini ipuleti lokukhiya le-distal lateral humeral?
Ipuleti lokukhiya le-distal lateral humeral liyipuleti elikhonjiswe ngaphambili, eliklanywe ngokwemvelo elibekwe engxenyeni esemaceleni ye-distal humerus ukuze linikeze ukulungiswa okuqinile kanye nokuzinza endaweni yokuphuka.
Yiziphi izinkomba ze-distal lateral humeral locking plate?
Ipuleti lokukhiya i-distal lateral humeral locking liboniswa ngokuyinhloko ekuqhekekeni kwe-distal humeral okuyinselele yokuphatha kusetshenziswa izindlela ezijwayelekile ezifana nokuphonswa, ama-splints, noma i-percutaneous pinning.
Yiziphi izinkinga ezingaba khona ezihlobene ne-distal lateral humeral locking plate?
Izinkinga ezingaba khona ezihlobene ne-distal lateral humeral locking plate zihlanganisa ukutheleleka, ukwehluleka kokufakelwa, ukulimala kwenzwa, nokulahlekelwa ukuncishiswa.
Iyini imiphumela ye-distal lateral humeral locking plate?
Imiphumela ye-distal lateral humeral locking plate ibilokhu ithembisa, ngezinga eliphezulu lenyunyana yokuphuka, imiphumela emihle kakhulu yokusebenza, namazinga aphansi ezinkinga. Kodwa-ke, imiphumela yesikhathi eside yale nqubo isahlolwa, futhi ucwaningo olwengeziwe luyadingeka ukuze kutholwe ukusebenza kwayo esikhathini eside.