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Ulapha: Ikhaya » Izindaba » Abakhiqizi Abaphezulu Ukuhlukumezeka Abahlanu eMpumalanga Ephakathi: I-Distal Humerus Locking Plates ( May 2025 )

Abakhiqizi Abaphezulu Abahlanu eMpumalanga Ephakathi: Amapuleti Okukhiya i-Distal Humerus ( May 2025 )

Ukubuka: 0     Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2025-05-22 Umsuka: Isayithi

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肱骨近端主图-1

I-Distal humerus fractures iwuhlobo oluvamile lokulimala kwamandla aphezulu kuma-orthopedics. Ubunzima bokwelashwa buyinkimbinkimbi yesakhiwo se-anatomical kanye nesidingo sokubuyisela umsebenzi ohlangene. Njengomhlinzeki wesisombululo ochwepheshe emkhakheni wokulungiswa kwangaphakathi kwamathambo, sihlinzeka ngokuhlaziywa okujulile kwezinqubo zokulimala, ukuhlukaniswa kwe-AO, namasu okulungisa amapuleti e-distal humerus fractures ukusekela ukwelashwa okunembile komtholampilo.


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1. I-Anatomy ye-Distal Humerus

I-distal humerus iqukethe amakholomu aphakathi nendawo, afaka ama-epicondyles nama-condyles.

2. Indlela Yokulimala

Ukuphuka kwe-distal humerus kubangelwa ukuhlukumezeka okuqondile (isb, ukuwa) noma amandla angaqondile (isb., ukusonteka noma ukudonsa kwemisipha).

3. Ukuhlelwa kwe-AO

Ukuhlukaniswa kwe-AO kuhlukanisa ukuhlukana kwe-distal humerus zibe izinhlobo ezintathu eziyinhloko: A , B , kanye no-C.

      

4. Ukwelashwa Ngokuhlinza

Ukwelashwa kokuhlinzwa kulandela izimiso ze-AO: ukuncishiswa kwe-anatomical, ukulungiswa okuzinzile, nokuvuselelwa kusenesikhathi.

       

5. Inani Lomtholampilo

Amapuleti okukhiya anikeza ukuzinza okuphezulu kwe-biomechanical, ikakhulukazi kuthambo le-osteoporotic.

       

6. CZMEDITECH Plate Models

I-CZMEDITECH inikeza amamodeli amathathu: extraarticular (01.1107), lateral (5100-17), kanye namapuleti aphakathi (5100-18).


          

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I-Anatomy ye-Distal Humerus

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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.                  

    肱骨解剖示意图    

Indlela Yokulimala Ekuqhekekeni Kwe-Distal Humerus

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 Imisipha

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

·Ukufinyela okuqinile kwemisipha yokuguquguquka kwendololwane

- 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

·Iwa ukusuka ekuphakameni

产品链接素材 产品链接素材2


肱骨解剖示意图

   

Ukuhlelwa Kwe-AO: Ukuthayipha Okunembile Ukuqondisa Izinqumo Zokuhlinza

Ngokohlelo lokuhlukaniswa kwe-AO, ukuhlukana kwe-distal humerus kuhlukaniswa ngale ndlela elandelayo, okuthonya ngokuqondile ukukhethwa 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.

Ukubaluleka Kokuhlukanisa:

Isigaba se-AO sicacisa ubukhali bokuphuka futhi sinikeza isiqondiso sokukhethwa kwepuleti (isb., amapuleti awodwa uma aqhathaniswa namakabili, imiklamo yezikulufu zokukhiya) ukuze kuqinisekiswe kokubili amandla okulungisa kanye nebhalansi yezinto eziphilayo.

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肱骨解剖示意图    

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

      • Ukuncishiswa kwe-anatomical

      • Ukulungiswa okuzinzile

      • Ukuzivocavoca kokuqala kokusebenza

    • Izinkomba Zokuhlinza

      • Ukususwa kwe-Articular> 2mm

      • Vula ama-fracture

      • Ukulimala kwe-neurovascular okuhlanganisiwe

      • Ukwehluleka kokwelashwa okuvamile

    • I-Plate Fixation Strategie

      • I-Dual Plate Technique

        Ifanele uhlobo C lokuphuka. Ukulungiswa kusuka kokubili okuphakathi (isb., ipuleti lokukhiya le-anatomical) kanye nezinhlangothi ezingemuva (isb, ipuleti elihambisanayo) kunikeza ukuzinza kwe-3D futhi kunciphisa ingozi yokukhubazeka kokujikeleza kwangemva kokuhlinzwa.

      • I-Single Plate Technique

        Isetshenziselwa uhlobo A kanye nengxenye ye-B yokuphuka. Amapuleti enziwe ngaphambilini ahambisana ne-distal humerus anatomy anciphisa ukuhlukaniswa kwezicubu ezithambile.

      • Indlela Engenelela Kancane

        Kuhlanganiswe nokubekwa kwesikulufu se-percutaneous ukunciphisa ingozi yokutheleleka kanye nokulondoloza ukutholakala kwegazi kwe-periosteal.

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Inani Lomtholampilo Lokulungiswa Kwe-Plate

  • Inzuzo ye-Biomechanical

  • Amapuleti okukhiya ahlinzeka ngokuzinza kwe-angular, enenzuzo ikakhulukazi ezigulini 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.

    肱骨解剖示意图    

I-CZMEDITECH Distal Humerus Locking Plate Models

Uchungechunge lwethu lwepuleti lokukhiya i-distal humerus luklanyelwe ngokukhethekile ukuqhekeka kwe-distal humeral. Nge-anatomical contouring, ubuchwepheshe bezikulufu zokukhiya, kanye nokucaciswa okuningi, kunikeza izixazululo zokulungisa eziphephile, ezizinzile, nezivumelana nezimo zokuhlinzwa komtholampilo.


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I-Distal Humeral Extraarticular Locking Plate

Imodeli: 01.1107

Ukucaciswa: 4-9 izimbobo, 144-184 mm


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产品图1

I-Distal Lateral Humeral Locking Plate

Imodeli: 5100-17

Ukucaciswa: 4-12 izimbobo, 86-190 mm


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产品图3

I-Distal Medial Humeral Locking Plate

Imodeli: 5100-18

Ukucaciswa: 4-12 izimbobo, 69-173 mm


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