I-Distal Medial Humeral Locking Plate

Amapuleti ane-anatomically precontoured

• Idizayinelwe ukunciphisa ukucasuka kwezicubu ezithambile ngenxa yamaphrofayili ayisicaba futhi ayindilinga

• Ukwelashwa okuzinzile nge-2-plate-AO-technique, ekhishwe ngo-90°

• Isikulufu isistimu enokuqina kwe-angular, 2.7 mm no-3.5 mm, ukuze kudluliswe umthwalo ophelele

Izinketho ezibanzi zokulungiswa

• Izikulufu eziyi-angular ezingu-2.7 mm ezingafika ku-60 mm ubude ukuze zibambe iqhaza kahle kubhulokhi ekude. Kungenjalo, izikulufi ze-cortex ezingu-3.5 mm zingasetshenziswa.

• Izinketho ezinhlanu zokujikijela kubhulokhi ekude zivumela ukulungiswa kokuqhekeka okude kakhulu, ikakhulukazi kuthambo le-osteoporotic

• Izikulufu ezintathu ezengeziwe zokulungiswa kwe-capitellum

imininingwane

Imikhiqizo	REF	Ukucaciswa	Ubukhulu	Ububanzi	Ubude
I-Distal Medial Humeral Locking Plate (Sebenzisa i-2.7/3.5 Locking Screw/3.5 Cortical Screw)	5100-1801	4 izimbobo L	3	11.5	69
	5100-1802	6 izimbobo L	3	11.5	95
	5100-1803	8 izimbobo L	3	11.5	121
	5100-1804	10 izimbobo L	3	11.5	147
	5100-1805	12 izimbobo L	3	11.5	173
	5100-1806	4 izimbobo R	3	11.5	69
	5100-1807	6 izimbobo R	3	11.5	95
	5100-1808	8 izimbobo R	3	11.5	121
	5100-1809	10 izimbobo R	3	11.5	147
	5100-1810	12 izimbobo R	3	11.5	173

REF	Ukucaciswa	Ubukhulu	Ububanzi	Ubude
5100-1801	4 izimbobo L	3	11.5	69
5100-1802	6 izimbobo L	3	11.5	95
5100-1803	8 izimbobo L	3	11.5	121
5100-1804	10 izimbobo L	3	11.5	147
5100-1805	12 izimbobo L	3	11.5	173
5100-1806	4 izimbobo R	3	11.5	69
5100-1807	6 izimbobo R	3	11.5	95
5100-1808	8 izimbobo R	3	11.5	121
5100-1809	10 izimbobo R	3	11.5	147
5100-1810	12 izimbobo R	3	11.5	173

I-Distal Medial Humeral Locking Plate: Uhlolojikelele

Ukuphuka kwe-distal medial humerus kuvamile futhi ngokuvamile kunzima ukuyelapha. I-distal medial humeral locking plate (DMHLP) isivele njengendlela yokuhlinzwa ethandwayo yokwelapha lokhu kuphuka. Kulesi sihloko, sizohlinzeka ngokubukezwa kwe-DMHLP, okuhlanganisa ukwakheka kwayo, indlela yokuhlinza, izinkomba, imiphumela, kanye nezinkinga ezingaba khona.

I-Anatomy kanye namaphethini okuphuka

Ngaphambi kokuxoxa nge-DMHLP, kubalulekile ukuqonda amaphethini we-anatomy kanye nokuphuka kwe-distal medial humerus. I-distal medial humerus iyingxenye yethambo le-humerus eliseduze nomzimba. Ukuphuka kule ndawo ngokuvamile kuhilela indawo ye-articular, okuyingxenye yethambo eyakha i-joint ne-ulna bone e-forearm. Lezi ziqhekeko zingaba yinkimbinkimbi futhi zingabandakanya i-olecranon fossa, inqubo ye-coronoid, ne-epicondyle ephakathi.

Ukuklama nokubunjwa kwe-DMHLP

I-DMHLP iwuhlobo lokufakelwa kwamathambo okwenzelwe ukuzinzisa ukuphuka kwe-distal medial humerus. Ipuleti lenziwe nge-titanium noma insimbi engagqwali futhi linomklamo ophansi wokunciphisa ukucasuka kwezicubu ezithambile. Iqukethe izimbobo zezikulufu eziningi ezivumela ukuqiniswa okuvikelekile kwepuleti ethanjeni. Izikulufu zokukhiya ezisetshenziswa ku-DMHLP zenza ukwakheka kwe-engeli engaguquki okunikeza ukuqina okungeziwe uma kuqhathaniswa namapuleti avamile.

I-Surgery Technique

Ukulungiswa kokuhlinzwa kwe-distal medial humerus fractures kusetshenziswa i-DMHLP ngokuvamile kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Udokotela ohlinzayo wenza imbobo engxenyeni emaphakathi yendololwane ukuze aveze indawo yokuphuka. Ngemva kokunciphisa ukuphuka, i-DMHLP iyakhonjiswa ukuze ilingane ithambo bese imiswa endaweni kusetshenziswa izikulufu zokukhiya. Ipuleti livamise ukubekwa esicini esimaphakathi sethambo ukuze linikeze ukuzinza okukhulu.

Izinkomba ze-DMHLP

I-DMHLP ikhonjiswe ekwelapheni ukuphuka okuyinkimbinkimbi kwe-distal medial humerus. Lokhu kuhlanganisa ukuphuka okubandakanya i-articular surface yethambo, kanye nokuphuka okudlulela ku-olecranon fossa, inqubo ye-coronoid, noma i-epicondyle ephakathi. I-DMHLP ingase futhi isetshenziswe ezimeni lapho kunobungozi bokungazinzi kwangemva kokuhlinzwa, njengasezigulini ezine-osteoporosis.

Imiphumela Nezinkinga

Ucwaningo luye lwabonisa ukuthi i-DMHLP inikeza imiphumela emihle kakhulu ezigulini ezine-distal medial humerus fractures. Ukusetshenziswa kwe-DMHLP kuhlotshaniswe namazinga aphezulu enyunyana yokuphuka, imiphumela emihle yokusebenza, namazinga aphansi ezinkinga ezihlobene nokufakelwa okufana nokuxegiswa kwezikulufu nokuphuka kwamapuleti. Kodwa-ke, njenganoma iyiphi inqubo yokuhlinzwa, kunengozi yezinkinga, okuhlanganisa ukutheleleka, ukulimala kwenzwa, nokwehluleka kokufakelwa.

Isiphetho

Ipuleti lokukhiya i-distal medial humeral iyindlela yokuhlinzwa ephumelela kakhulu yokwelapha ukuphuka okuyinkimbinkimbi kwe-distal medial humerus. Ukuklama kwayo okuyingqayizivele kanye nendlela yokulungisa inikeza ukuzinza okwandisiwe kanye nemiphumela emihle kakhulu yeziguli. Kodwa-ke, njenganoma iyiphi inqubo yokuhlinzwa, kubalulekile ukucabangela ngokucophelela izinkomba, ubungozi obungaba khona, kanye nezinzuzo ze-DMHLP ngaphambi kokuqhubeka nokuhlinzwa.

Imibuzo Evame Ukubuzwa

1. Yini i-DMHLP?

I-DMHLP iwuhlobo lokufakelwa kwamathambo okwenzelwe ukuzinzisa ukuphuka kwe-distal medial humerus.

1. Ilungiswa kanjani i-DMHLP ethanjeni?

I-DMHLP igxilile endaweni kusetshenziswa izikulufu zokukhiya ezakha i-fixed-engeli yokwakha.

1. Yiziphi izinkomba ze-DMHLP?

I-DMHLP ikhonjiswe ekwelapheni ukuphuka okuyinkimbinkimbi kwe-distal medial humerus.

1. Yiziphi izinkinga ezingaba khona ze-DMHLP?

Izinkinga ezingaba khona ze-DMHLP zifaka ukutheleleka, ukulimala kwezinzwa, nokwehluleka kokufakelwa.