Incazelo Yomkhiqizo
I-Proximal humeral fractures ijwayelekile, ibalwa ku-5% kuya ku-9% yazo zonke iziphuka. Isigameko sabo siphezulu kakhulu ezigulini ezingaphezu kweminyaka engama-65 ubudala, futhi zingenye yezinhlobo ezivame kakhulu zokuphuka. Iningi lokuphuka kwe-humeral eliseduze lizinzile, aligudluki kancane, futhi lingelashwa ngendlela efanele.
I-Proximal humeral Ama-locking plate , njenge-proximal humeral inter Ama-locking plate , inikeza izinzuzo ezimbalwa ezingaba khona ekwelapheni lokhu kulimala. Angamapuleti amancane, aqondene nendawo ethile. Amapuleti enziwe ngaphambili e-proximal humerus futhi ukufakwa kwe Izikulufu zokukhiya kugwema isidingo sokucindezelwa kwethambo ngepuleti, ngaleyo ndlela kugcinwe ukunikezwa kwegazi ethanjeni. Ukufakwa kwe-multiaxial Izikulufu zokukhiya kubhulokhi yokuphuka kwekhanda le-humeral ngokusebenzisa idivayisi ethile yokukhomba kunikeza ukusekela okungaguquki kwe-angular ezindizeni eziningi futhi kufanele ngokombono kugcine ukuncipha okuzuziwe kuyilapho kuvumela ukuhlanganisa kwangaphambi kwesikhathi.

| Imikhiqizo | REF | Ukucaciswa | Ubukhulu | Ububanzi | Ubude |
| I-Proximal Humeral I-locking plate (Sebenzisa 3.5 Isikulufu sokukhiya /3.5 Cortical Screw/4.0 Cancellous Screw ) | 5100-1501 | 3 izimbobo | 4 | 12 | 90 |
| 5100-1502 | 4 izimbobo | 4 | 12 | 102 | |
| 5100-1503 | 5 izimbobo | 4 | 12 | 114 | |
| 5100-1504 | 6 izimbobo | 4 | 12 | 126 | |
| 5100-1505 | 7 izimbobo | 4 | 12 | 138 | |
| 5100-1506 | 8 izimbobo | 4 | 12 | 150 | |
| 5100-1507 | 10 izimbobo | 4 | 12 | 174 | |
| 5100-1508 | 12 izimbobo | 4 | 12 | 198 |
Isithombe Sangempela

Ibhulogi
I-proximal humeral I-locking plate iyisisetshenziswa sezokwelapha esisetshenziselwa ukwelapha ukuphuka kokuphuka ku-proximal humerus, okuyithambo lengalo engenhla elixhuma ihlombe nendololwane. Lesi sihloko sizohlinzeka ngombono obanzi we-proximal humeral I-locking plate , okuhlanganisa ukusetshenziswa kwayo, izinzuzo, kanye nezingozi ezingaba khona.
I-proximal humeral I-locking plate iyidivayisi yezokwelapha eyenziwe nge-titanium noma insimbi engagqwali esetshenziselwa ukwelashwa kokuhlinzwa kokuphuka kwe-proximal humerus. Ipuleti lenzelwe ukubekwa endaweni engaphandle yethambo futhi liqiniswe endaweni ngezikulufo. I- I-locking plate inezimbobo zezikulufu eziningi ezivumela ukulungiswa okuvikelekile kwezingcezu zethambo, inikeze ukuzinza phakathi nenqubo yokuphola.
I-proximal humeral I-locking plate isetshenziswa ngokuyinhloko ekwelapheni ukuphuka kwe-proximal humerus, okungabangelwa izici ezihlukahlukene ezifana nokuhlukumezeka, i-osteoporosis, noma umdlavuza. I- I-locking plate ingasetshenziselwa kokubili ukuphuka okususiwe nokungasuswanga futhi inganikeza ukuzinza ethanjeni phakathi nenqubo yokuphola.
Ukwengeza, i-proximal humeral I-locking plate ingasetshenziswa ezimeni lapho ukwelashwa okungezona ukuhlinzwa, njengokuphonsa noma ukuvimbela ukuhamba, kuhlulekile ukunikeza ukuphulukiswa okwanele. Ingase futhi isetshenziselwe ukwelashwa kwe-avascular necrosis, isimo lapho ukunikezwa kwegazi ethanjeni kuphazamiseka, okuholela ekufeni kwethambo futhi okungase kuholele ekuqhekekeni.
Enye yezinzuzo eziyinhloko ze-proximal humeral I-locking plate ukuzinza ekunikezayo ethanjeni eliphukile. Lokhu kuzinza kunganciphisa ubuhlungu futhi kusize ukuphulukiswa ngokushesha. Ukwengeza, ukusetshenziswa kwe I-locking plate kunganciphisa ingozi yokugudluzwa noma ukungahambi kahle kwezicucu zamathambo, okungenzeka ngokwelashwa okungahlinzeki.
Enye inzuzo ye-proximal humeral I-locking plate ukuthi ivumela ukuhlanganisa nokuvuselelwa kwangaphambili, okungaholela emiphumeleni engcono yesiguli. I- I-locking plate ingasetshenziswa futhi ezigulini ezine-osteoporosis, lapho ukuminyana kwamathambo kuncipha, njengoba inikeza ukuzinza okwengeziwe ethanjeni.
Nakuba ukusetshenziswa kwe-proximal humeral I-locking plate kunganikeza izinzuzo ezibalulekile, kukhona ubungozi obunamandla obuhlobene nokusetshenziswa kwayo. Izingozi ezivame kakhulu zihlanganisa ukutheleleka, ukulimala kwezinzwa, kanye nokungahlangene (lapho ithambo lihluleka khona ukuphulukisa kahle).
Kwezinye izimo, i I-locking plate ingase idinge ukususwa ngenxa yezinkinga, njengokuxega noma ukucasuka kwezicubu ezizungezile. Ukwengeza, ukusetshenziswa kwe I-locking plate kungase kungafaneleki kuzo zonke iziguli, futhi isinqumo sokusebenzisa eyodwa kufanele senziwe esimweni ngasinye.
I-proximal humeral I-locking plate iyisisetshenziswa sezokwelapha esisetshenziselwa ukwelapha ukuphuka kokuphuka kwe-proximal humerus. Ukusetshenziswa kwayo kunganikeza izinzuzo ezibalulekile, okuhlanganisa ukuzinza kwethambo eliphukile kanye nokuhlanganisa kwangaphambili nokuvuselelwa. Nokho, kunezingozi ezingaba khona ezihlobene nokusetshenziswa kwayo, okufanele kucatshangelwe ngokucophelela ngaphambi kokwenza isinqumo sokusebenzisa i I-locking plate .
Q: Kuthatha isikhathi esingakanani ukuthi i-humerus ephukile iphole ngokusebenzisa i I-locking plate ? IMP: Isikhathi sokuphulukisa singahluka kuye ngobunzima bokuphuka nezinye izici. Ngokuvamile, kuthatha izinyanga ezimbalwa ukuze ithambo liphole ngokugcwele.
Q: Ingabe ukusetshenziswa kwe-proximal humeral I-locking plate kubuhlungu? A: Ukusetshenziswa kwe- I-locking plate kungase kubangele ukungakhululeki okuthile, kodwa ubuhlungu bungalawuleka ngemithi yezinhlungu ebekwe udokotela.
Q: Ingabe i- I-locking plate ingasetshenziswa ekwelapheni ukugudluka kwehlombe? A: Cha, i- I-locking plate ayisetshenziselwa ukwelapha ukugudluka kwehlombe. Isetshenziselwa ukwelashwa kokuhlinzwa kwama-fractures ku-proximal humerus.
Q: Yisiphi isikhathi sokutakula ngemva kokuhlinzwa nge-proximal humeral I-locking plate ? IMPENDULO: Isikhathi sokululama singahluka ngokuya ngobunzima bokuphuka nezinye izici, kodwa ngokuvamile kuthatha izinyanga ezimbalwa ukuze ithambo liphole ngokugcwele. Ukwelashwa ngokomzimba kungase futhi kudingeke amasonto ambalwa noma izinyanga ngemva kokuhlinzwa.
Q: Ingabe ikhona imikhawulo emisebenzini ngemva kokusetshenziswa kwe-proximal humeral I-locking plate ? A: Ngokuya ngobunzima bokuphuka kanye nesiguli ngasinye, kungase kube nemingcele emisebenzini ethile, njengokuphakamisa izinto ezisindayo noma ukubamba iqhaza emidlalweni yokuxhumana. Udokotela wakho uzokunikeza imiyalelo ethile yemikhawulo yomsebenzi phakathi nenqubo yokuphulukisa.
Q: I-proximal humeral I-locking plate idinga isikhathi esingakanani ukuhlala endaweni ngemva kokuhlinzwa? A: I- I-locking plate ivamise ukushiywa isendaweni unomphela ngaphandle kwalapho idala izinkinga noma iba yinkinga esigulini. Udokotela wakho uzonquma ukuthi ukususwa kuyadingeka yini ngokusekelwe esimweni sakho ngasinye.