Nail ailwall

Imininingwane Yokusebenza Komkhiqizo

Czmeditech humeral intramerary nail

Ukuqalisa

Izipikili ezimhumushi zikhonjiswa ngokuyinhloko ukuqhekeka kwe-shaft ethobekile engokwemvelo okungeke kuthambekele ekutholeni i-varus. Idizayini ye-Lateral Portal ivumela ukufakwa kwezinsikayo kuphela ku-rotator cuff futhi kusiza ukufakwa kwe-portal okulula nokufakwa kwezipikili. Izipikili ezinde zisukela kusuka ku-20 kuye ku-30cm ngobude kanye no-7-9mm ubukhulu.

Izipikili ezimhumushi

Ukuqalisa

I-Proximal Humerus Fractures ivamile kubantu asebekhulile futhi ingaholela ekujuleni kobukhulu nokufa kwabantu. Ukuphathwa kokuhlinzwa kwesinye isikhathi kuyadingeka ekuqhekekeni okususiwe noma okungazinzile, kanye ne-nail ethobekile kuyindlela yokwelashwa esetshenziswa kabanzi. Le ndatshana ihlinzeka ngesibukezo sokuhlinzwa kwezipikili ezithobekile, kufaka phakathi izinkomba, amasu, kanye nemiphumela.

I-anatomy ye-aumerus ephezulu

I-aumerus ephezulu ye-proximal iqukethe inhloko ethobekile, ama-tuberal amakhulu futhi ancanyana, kanye ne-shaft. Ikhanda elimunyulo liveza i-glenoid fossa ye-scapula ukwakha i-glenohumeral Joint, evumela ukunyakaza kwamahlombe. Ama-tubeosities amakhulu futhi ancanyana ahlinzeka ngokunamathiselwe kwemisipha ye-rotator cuff, ebalulekile ukuqina kwehlombe.

I-Proximal Humerus fractures

I-Proximal Humerus Fractures ngokujwayelekile ihlukaniswa ngokususelwa endaweni kanye degree of inxotha. Ama-fractures angabangelwanga avame ukuphathwa ngokusobala ngokushaya ukungasebenzi kahle kanye nobubanzi bokuqala kokuzivocavoca okunyakazayo. Kodwa-ke, ama-fractures asusiwe angadinga ukungenelela kokuhlinzwa ukuze abuyisele umsebenzi wehlombe futhi avikele izinkinga ezifana ne-avascular necrosis ne-non-Union.

Izinketho Zokuhlinza Ama-Humerus Fractures

Izinketho eziningana zokuhlinzwa zikhona ekuphathweni kwama-suumelos auterus fractures, kufaka phakathi ukuncishiswa okuvulekile nokulungiswa kwangaphakathi (i-ORIF), i-hemiarththoplasty, kanye ne-reverse ehlombe arthroplasty. Ukukhethwa kwecebo lokuhlinza kuncike ezicini ezahlukahlukene, kufaka phakathi iminyaka yokubekezela, indawo yokuqhekeka, izinga lokufuduka, kanye ne-comorbidities.

Ukuhlinzwa kwezipikili ezithobekile

Ukuhlinzwa kwezipikili ezithobeziwe kuhlanganisa ukufakwa kwe-nail ende, eyimfihlo nge-humerus ephezulu yokuzinza ukulima. Isipikili sifakwa ngokuvela okuncane eduze kwendlu ehlanganisiwe futhi siqondiswa emgodini we-medullary sisebenzisa umhlahlandlela we-fluoroscopic. Lapho isikhonzi sesisendaweni, ama-screws afakwa ngokusebenzisa izipikili nangena ekhanda elimunyulo ukuze avikele ukuqhekeka.

Izinkomba zokuhlinzwa kwezipikili ezimthethweni

Ukuhlinzwa kwezipikili ezithobekile kuboniswa ngenxa yokuhlaselwa okususiwe noma okungazinzile kwe-humerus fractures okungakwazi ukuphathwa ngokulondoloziwe. Lokhu kufaka phakathi ama-fractures ane-1 cm yokufuduka noma ukuqhekeka nge-angle yokuqhekeka okukhulu kwama-degree angama-45. Ukuhlinzwa kwezipikili ezithobeziwe nakho kungakhonjiswa neziguli ezingakwazi ukubekezelela izinqubo zokuhlinzwa ezihlaselayo, njenge-hemiarththeplasty noma i-reverse ehlombe i-arthroplasty.

Amasu wokuhlinzwa kwezipikili ezimthethweni

Ukuhlinzwa kwezipikili ezithobeziwe kungenziwa kusetshenziswa i-AntGrade noma indlela ye-retrograde. Indlela ye-ANTRADE ifaka ukufaka izipikili ngokuphela komhlambi wezezimali, ngenkathi indlela ye-retrograde ifaka ukufaka isipikili ngokuphela kwe-nyererus. Ukukhethwa kwendlela yokusondela kuncike endaweni yokuqhekeka kanye nokuthanda udokotela ohlinzayo.

Imiphumela yokuhlinzwa kwezipikili ezithobekile

Ukuhlinzwa kwezipikili ezithobeziwe kukhonjisiwe ukuthi kuyindlela yokwelashwa esebenzayo ye-Decu Rerurus fractures, ngamanani aphezulu enyunyana ye-fracture kanye nemiphumela emihle yokusebenza. Kodwa-ke, izinkinga ezinjenge-screw cutout, okungeyona inyunyana, kanye nokutheleleka kungenzeka. Ukukhethwa kwesiguli kanye nenqubo yokuhlinzwa ngokucophelela kubalulekile ukuze unciphise lezi zinkinga.

Ukugcina

I-Proximal Humerus Fractures ingaba nemithelela ebalulekile ekujuleni kobuntu kanye nokufa kwabantu, ikakhulukazi kubantu asebekhulile. Ukuhlinzwa kwezipikili ezithobeziwe kuyindlela esetshenziswa kabanzi yokwelashwa engabuyisela ngempumelelo umsebenzi wehlombe futhi ivikele izinkinga. Ukukhethwa kwesiguli kanye nenqubo yokuhlinzwa ngokucophelela kubalulekile ekwakheni imiphumela nokunciphisa izinkinga.

Amazolumbo

1. Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kwezipikili ezimhumushi? Isikhathi sokutakula siyahlukahluka ngokuya ngeminyaka yesiguli kanye nempilo yonke, kanye nobunzima bokuqhekeka. Ngokuvamile, iziguli zingalindela ukugqoka i-sling amasonto ambalwa kuthola ukuhlinzwa futhi kungadinga izinyanga ezimbalwa zokwelashwa ngokomzimba ukuze ziphinde zithole umsebenzi wehlombe.

2. Ngabe kukhona izingozi ezihambisana nokuhlinzwa kwezipikili ezithobekile? Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezihambisana nokuhlinzwa kwezipikili ezithobekile. Lokhu kungafaka ukutheleleka, ukulimala kwezinzwa, kanye nomonakalo womthambo wegazi. Ngokwengeziwe, kunengozi yezinkinga ezinjenge-screw cutout, okungeyona inyunyana, kanye nokwehluleka ukubekezelela.

3. Ukukhethwa kwesiguli kungukuhlinzwa kwezipikili okuthobekile kunqunywe kanjani? Ukukhetha iziguli zokuhlinzwa kwezipikili ezithobekile kunqunywe ngokusekelwe ezicini eziningana, kufaka phakathi iminyaka yesiguli kanye nempilo yonke, ubulukhuni nendawo yokuqhekeka, kanye nokuba khona kokuhlaziywa okungathinta imiphumela yokuhlinza.

4. Ingabe ukuhlinzwa kwezipikili kungasetshenziselwa wonke ama-humerus aqhekezeleli? Cha, ukuhlinzwa kwezipikili okuthobekile kuvame ukugcinelwa ukuqhekeka okususiwe noma okungazinzile okungalawulwa ngokulondoloziwe. Ama-Fractures anokuthunyelwa okuncane noma lezo ezingahileli ikhanda elimnyatheli angalawulwa ngezindlela zokulondolozwa ezifana nokukhohlisa okufana nokwakhiwa kwezinto zokuzivocavoca.

5. I-nail evamile ihlala ihlala isendaweni ende? Izipikili ezimhumushi zivame ukushiywe ezinyangeni ezimbalwa ukuvumela ukuphulukiswa kwe-fracture. Ubude besikhathi isikhonkwane esihlala endaweni kungenzeka luhlukahluka ngokuya ngobulukhuni bokuqhekeka kanye nenqubo yokuphiliswa kwesiguli ngasinye.