Incazelo Yomkhiqizo
I-Proximal humeral fractures ijwayelekile, ibalwa ku-5% kuya ku-9% yazo zonke iziphuka. Isigameko sabo siphezulu kakhulu ezigulini ezineminyaka engaphezu kwengu-65 ubudala, futhi zingenye yezinhlobo ezivame kakhulu zokuphuka. Iningi lokuphuka kwe-humeral eliseduze lizinzile, aligudluki kancane, futhi lingelashwa ngendlela efanele.
Amapuleti okukhiya ama-humeral asondelene, njengamapuleti ahlanganayo angama-humeral, anikeza izinzuzo ezimbalwa ezingaba khona ekwelapheni lokhu kulimala. Angamapuleti amancane, aqondene nendawo ethile. Amapuleti enziwe ngaphambili e-proximal humerus futhi ukufakwa kwezikulufu zokukhiya kugwema isidingo sokucindezelwa kwethambo ngepuleti, ngaleyo ndlela kugcine ukutholakala kwegazi ethanjeni. Ukufakwa kwezikulufu zokukhiya eziningi ze-multiaxial kubhulokhi yokuphuka kwekhanda le-humeral ngokusebenzisa idivayisi ethile yokukhomba kunikeza ukusekela okungaguquki kwe-angular ezindizeni eziningi futhi kufanele ngokombono kugcine ukuncipha okutholiwe kuyilapho kuvumela ukuhlanganisa kwangaphambi kwesikhathi.

| Imikhiqizo | REF | Ukucaciswa | Ubukhulu | Ububanzi | Ubude |
| I-Proximal Humeral Locking Plate (Sebenzisa i-3.5 Locking Screw/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 locking plate iyisisetshenziswa sezokwelapha esisetshenziselwa ukwelashwa kokuhlinzwa kokuphuka kwe-proximal humerus, okuyithambo lengalo engenhla elixhuma ihlombe nendololwane. Lesi sihloko sizohlinzeka ngombono obanzi wepuleti lokukhiya eliseduze, okuhlanganisa ukusetshenziswa kwalo, izinzuzo, kanye nezingozi ezingaba khona.
I-proximal humeral locking plate iyisisetshenziswa sezokwelapha esenziwe nge-titanium noma insimbi engagqwali esetshenziselwa ukwelashwa kokuhlinzwa kokuphuka kwe-proximal humerus. Ipuleti lenzelwe ukubekwa endaweni engaphandle yethambo futhi liqiniswe endaweni ngezikulufo. Ipuleti lokukhiya linezimbobo zezikulufu eziningi ezivumela ukulungiswa okuvikelekile kwezingcezu zamathambo, okunikeza ukuzinza phakathi nenqubo yokuphola.
I-proximal humeral locking plate isetshenziswa ngokuyinhloko ekwelapheni ukuphuka kwe-proximal humerus, okungabangelwa izici ezihlukahlukene ezifana nokuhlukumezeka, i-osteoporosis, noma umdlavuza. Ipuleti lokukhiya lingasetshenziselwa kokubili ukuphuka okufudukayo nokungasuswanga futhi linganikeza ukuzinza ethanjeni phakathi nenqubo yokuphulukisa.
Ukwengeza, i-proximal humeral locking plate ingasetshenziswa ezimeni lapho ukwelashwa okungahlinzeki, njengokuphonsa noma ukuvala amandla, kuhlulekile ukunikeza ukuphulukiswa okwanele. Ingase futhi isetshenziselwe ukwelapha i-avascular necrosis, isimo lapho ukunikezwa kwegazi ethanjeni kuphazamiseka, okuholela ekufeni kwethambo futhi okungase kuholele ekuqhekekeni.
Enye yezinzuzo eziyinhloko ze-proximal humeral locking plate ukuzinza elikunikezayo ethanjeni eliphukile. Lokhu kuzinza kunganciphisa ubuhlungu futhi kusize ukuphulukiswa ngokushesha. Ukwengeza, ukusetshenziswa kwepuleti lokukhiya kunganciphisa ingozi yokufuduka noma ukungahambi kahle kwezingcezu zamathambo, okungenzeka ngokwelashwa okungezona ukuhlinzwa.
Enye inzuzo ye-proximal humeral locking plate ukuthi ivumela ukugqugquzelwa kwangaphambili nokuvuselelwa, okungaholela emiphumeleni engcono yesiguli. Ipuleti yokukhiya ingasetshenziswa futhi ezigulini ezine-osteoporosis, lapho i-bone density iyancipha, njengoba inikeza ukuzinza okwengeziwe kwethambo.
Nakuba ukusetshenziswa kwe-proximal humeral locking plate kunganikeza izinzuzo ezibalulekile, kunezingozi ezingaba khona ezihlobene nokusetshenziswa kwayo. Izingozi ezivame kakhulu zihlanganisa ukutheleleka, ukulimala kwezinzwa, kanye nokungahlangene (lapho ithambo lihluleka khona ukuphulukisa kahle).
Kwezinye izimo, ipuleti yokukhiya ingase idinge ukususwa ngenxa yezinkinga, njengokukhulula noma ukucasuka kwezicubu ezizungezile. Ukwengeza, ukusetshenziswa kwepuleti lokukhiya kungase kungafaneleki kuzo zonke iziguli, futhi isinqumo sokusebenzisa eyodwa kufanele senziwe ngesisekelo secala ngalinye.
I-proximal humeral locking plate iyisisetshenziswa sezokwelapha esisetshenziselwa ukwelashwa kokuhlinzwa 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 ipuleti lokukhiya.
Q: Kuthatha isikhathi esingakanani ukuthi i-humerus ephukile iphole ngokusebenzisa ipuleti lokukhiya? IMP: Isikhathi sokuphulukisa singahluka kuye ngobunzima bokuphuka nezinye izici. Ngokuvamile, kuthatha izinyanga ezimbalwa ukuze ithambo liphole ngokugcwele.
Q: Ingabe kubuhlungu ukusetshenziswa kwepuleti lokukhiya le-humeral? A: Ukusetshenziswa kwepuleti lokukhiya kungase kubangele ukungakhululeki, kodwa ubuhlungu bungalawulwa ngemithi yobuhlungu enqunywe udokotela.
Umbuzo: Ingabe ipuleti lokukhiya lingasetshenziswa ekwelapheni ukukhishwa kwehlombe? A: Cha, ipuleti lokukhiya alisetshenziselwa ukwelapha ukukhishwa kwehlombe. Isetshenziselwa ukwelashwa kokuhlinzwa kwama-fractures ku-proximal humerus.
Q: Yisiphi isikhathi sokutakula ngemuva kokuhlinzwa ngepuleti lokukhiya le-humeral? 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 ngemuva kokusetshenziswa kwepuleti lokukhiya elinomswakama? 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: Kudingeka isikhathi esingakanani ipuleti lokukhiya i-proximal humeral ukuze lihlale endaweni ngemuva kokuhlinzwa? IMP: Ipuleti lokukhiya ngokuvamile lishiywa lisendaweni unomphela ngaphandle uma lidala izinkinga noma libe yinkinga esigulini. Udokotela wakho uzonquma ukuthi ukususwa kuyadingeka yini ngokusekelwe esimweni sakho ngasinye.