I-Anatomy ye-Distal Humerus
I-distal humerus ihlukaniswe yaba yikholomu emaphakathi kanye nekholomu esemaceleni.
Ikholomu Emaphakathi
Ikholomu ephakathi ihlanganisa ingxenye ephakathi ye-metaphysis ye-humerus, i-epicondyle ephakathi, kanye ne-condyle ephakathi, kuhlanganise ne-trochlea ye-humerus.
Ikholomu Yangemuva
Ikholomu yangemuva ihlanganisa ingxenye esemaceleni ye-metaphysis ye-humerus, i-epicondyle ehlangene, ne-condyle ehlangene, kuhlanganise ne-capitulum ye-humerus.
I-Coronoid Fossa ne-Olecranon Fossa
Kutholwe phakathi kwamakholomu amabili i-anterior coronoid fossa kanye ne-posterior olecranon fossa.
I-Distal Humeral Extraarticular I-locking plate
★★★★★
4.9/5 (128Buyekeza)
Leli cwecwe lenzelwe ukuphuka kwe-extraarticular humerus distal, eqondise isifunda se-metaphyseal ngaphandle kokubandakanya indawo ehlangene. I- Izikulufu zokukhiya ihlinzeka ngokuzinza kwe-angular, okuyenza ifaneleke ikakhulukazi iziguli ze-osteoporotic noma amaphethini ayinkimbinkimbi okuphuka.
I-Extraarticular Fixation
Multi-directional Izikulufu zokukhiya
-Anatomic Contouring
Izimbobo Zokuhlanganiswa Kwe
Indlela Yokulimala Ekuqhekekeni Kwe-Distal Humerus
I-distal humerus ihlukaniswe yaba yikholomu emaphakathi kanye nekholomu esemaceleni.
Kungani i-distal humerus ijwayele ukuphuka?
Njengengxenye ebalulekile yendololwane, ukuphuka kwe-distal humerus kuvame ukubangelwa 'ukuhlukumezeka okuqondile' (njengokuwa endololwaneni) noma 'ukuhlukumezeka okungaqondile' (okufana nokusonteka noma ukujikijela).
- Amandla Adonsa ImisiphaLateral Ikholomu
Ikholomu ephakathi ihlanganisa ingxenye ephakathi ye-metaphysis ye-humerus, i-epicondyle ephakathi, kanye ne-condyle ephakathi, kuhlanganise ne-trochlea ye-humerus. ·Ukufinyela okuqinile kwemisipha yangaphakathi ejikelezayo ·Ukufingqwa okuqinile kwemisipha enwebekayo yendololwane
- High-Energy Trauma
Amandla angaphandle njengezingozi zethrafikhi noma ukuwa ukusuka ekuphakameni kungaholela ekuqhekekeni okunciphile noma kuhilele indawo engaphezulu.
I-Coronoid Fossa ne-Olecranon Fossa
·Izingozi zomgwaqo ·Ukuwa ukusuka phezulu
I-Distal Lateral Humeral I-locking plate
★★★★★
4.9/5 (128Buyekeza)
Idizayinelwe ukuqhekeka kwekholomu yangemuva, leli cwecwe lifanele ukuphuka kwe-capitellar noma i-supracondylar, linikeza ukusekelwa komshini ngendlela ye-lateral ukuze kube lula ukuvuselelwa kwangaphambi kwesikhathi.
Ikholomu Yangemuva Yokuqinisa
I-Articular Fragment Fixation
Ukuvikelwa Kwezinzwa Zokucindezelwa
Okunamandla
Ukuhlelwa Kwe-AO: Ukuthayipha Okunembile Ukuqondisa Izinqumo Zokuhlinza
Ngokohlelo lokuhlukaniswa kwe-AO, ukuhlukana kwe-distal humerus kuhlukaniswa kanjena, okunomthelela ngokuqondile ekukhethweni kwamasu okwelapha:
Uhlobo A: Ukuphuka kwe-articular eyengeziwe
- A1: Ukuphuka okulula, akukho ukubandakanyeka kwe-articular. - A2/A3: Ukuphuka kwe-metaphyseal okunomthelela noma okususiwe, ukunakwa okudingekayo ngokukhubazeka kwe-angular.
Uhlobo B: Ukuphuka kwe-articular ingxenye
Umugqa wokuphuka uhilela indawo ehlangene kodwa ngaphandle kokuhlukana okuphelele; ukuncishiswa kwe-anatomical kuyadingeka ukuze kubuyiselwe ukuhambisana okuhlangene.
Uhlobo C: Qedela ukuphuka kwe-articular
- C1/C2: Ukuphuka okulula kwe-intra-articular ngokubandakanyeka kwe-metaphyseal. - C3: Ukuphuka kwe-intra-articular, okuyinselele kakhulu ukukwelapha; ukulungiswa okuzinzile kuyadingeka ukuze kuncishiswe ingozi ye-post-traumatic arthritis.. Loc
Ukubaluleka Kokuhlukanisa:
Ukuhlukaniswa kwe-AO kucacisa ubukhali bokuphuka futhi kunikeza isiqondiso sokukhethwa kwepuleti (isb., amapuleti awodwa uma aqhathaniswa namakabili, amadizayini Isikulufu sokukhiya ) ukuze kuqinisekiswe kokubili amandla okulungisa kanye nebhalansi yezinto eziphilayo.
I-Distal Medial Humeral I-locking plate
★★★★★
4.9/5 (128Buyekeza)
Leli cwecwe liyisixazululo sangaphakathi sokulungisa ukuhlukana kwekholomu ye-medial ye-distal humerus, ehlinzeka ngokusekela ngendlela ephakathi ukuvimbela ukukhubazeka kwe-varus, okuvame ukusetshenziswa ezimeni zokuphuka kwendiza ye-coronal.
Isekela Ikholomu Emaphakathi Yephrofayili
Ephansi Idizayini
Yendiza EyiCoronal Izikulufu
Ezihambisana Nokucwenga Okukabili
Ukwelashwa Kokuhlinzwa: Izinzuzo Eziyinhloko Zokulungiswa Kwe-Plate
Izimiso Zokwelashwa:
Ukulandela ifilosofi ye-AO: 'Ukunciphisa kwe-anatomical, ukulungiswa okuzinzile, nokuzivocavoca kwangaphambi kwesikhathi.'
I-High-Energy Trauma
Amandla angaphandle njengezingozi zethrafikhi noma ukuwa ukusuka ekuphakameni kungaholela ekuqhekekeni okunciphile noma kuhilele indawo engaphezulu.
Izimiso Zokwelapha
Izinkomba Zokuhlinza
Ukususwa kwe-Articular> 2mm
Vula ama-fracture
Ukulimala kwe-neurovascular okuhlanganisiwe
Ukwehluleka kokwelashwa okuvamile
I-Plate Fixation Strategie
Ifanele uhlobo C lokuphuka. Ukulungiswa kusuka kokubili okuphakathi (isb, i-anatomical I-locking plate ) kanye nezinhlangothi ze-lateral (isb, i-parallel plate) kunikeza ukuzinza kwe-3D futhi kunciphisa ingozi yokukhubazeka kokujikeleza kwangemva kokusebenza.
Isetshenziselwa uhlobo A kanye nengxenye ye-B yokuphuka. Amapuleti enziwe ngaphambilini ahambisana ne-distal humerus anatomy anciphisa ukuhlukaniswa kwezicubu ezithambile.
Kuhlanganiswe nokubekwa kwesikulufu se-percutaneous ukunciphisa ingozi yokutheleleka kanye nokulondoloza ukutholakala kwegazi kwe-periosteal.
Inani Lomtholampilo Lokulungiswa Kwe-Plate
Inzuzo ye-Biomechanical
Ama-locking plate inikeza ukuzinza kwe-angular, okuzuzisa kakhulu iziguli ze-osteoporotic.
Isiqinisekiso Sokubuyisela Esisebenzayo
Ukwehliswa kwe-anatomical kulondoloza ukuhamba kwamalunga endololwane ngezinga elikhulu kakhulu, kunciphisa izinkinga ezifana nokungavumelani noma i-malunion.
Umklamo Owenziwe ngokwezifiso
Amapuleti amise okwezinhlobo ezithile zokuphuka (isb., amapuleti asekela ama-intercondylar ridge) akhulisa ukudluliswa kwamandla futhi asheshise ukuphola kwamathambo.
I-Anatomy ye-Distal Humerus
I-distal humerus ihlukaniswe yaba yikholomu emaphakathi kanye nekholomu esemaceleni.
Ikholomu Emaphakathi
Ikholomu ephakathi ihlanganisa ingxenye ephakathi ye-metaphysis ye-humerus, i-epicondyle ephakathi, kanye ne-condyle ephakathi, kuhlanganise ne-trochlea ye-humerus.
Ikholomu Yangemuva
Ikholomu yangemuva ihlanganisa ingxenye esemaceleni ye-metaphysis ye-humerus, i-epicondyle ehlangene, ne-condyle ehlangene, kuhlanganise ne-capitulum ye-humerus.
I-Coronoid Fossa ne-Olecranon Fossa
Kutholwe phakathi kwamakholomu amabili i-anterior coronoid fossa kanye ne-posterior olecranon fossa.
I-Anatomy ye-Distal Humerus
I-distal humerus ihlukaniswe yaba yikholomu emaphakathi kanye nekholomu esemaceleni.
Ikholomu Emaphakathi
Ikholomu ephakathi ihlanganisa ingxenye ephakathi ye-metaphysis ye-humerus, i-epicondyle ephakathi, kanye ne-condyle ephakathi, kuhlanganise ne-trochlea ye-humerus.
Ikholomu Yangemuva
Ikholomu yangemuva ihlanganisa ingxenye engemuva ye-metaphysis ye-humerus, i-epicondyle ehlangene, kanye ne-condyle ehlangene, kuhlanganise ne-capitulum ye-humerus.
I-Coronoid Fossa ne-Olecranon Fossa
Kutholwe phakathi kwamakholomu amabili i-anterior coronoid fossa kanye ne-posterior olecranon fossa.
