1. I-anatomy ye-huterus distal
I-hudistal humerus iqukethe amakholomu aphakathi nendawo nawesi-lateral, ahlanganisa ama-epicondyles nama-dychy.
2. Indlela yokulimala
I-distal humerus fractures ibangelwa usizi oluqondile (isib. Ukuwa) noma amandla angaqondile (isib., Ukusonteka noma ukudonsa kwemisipha).
3. Ukuhlukaniswa kwe-AO
Ukuhlukaniswa kwe-AO kuhlukanisa distal humerus fractures ezinhlotsheni ezintathu eziphambili: a, b, no c.
4. Ukwelashwa okuhlinzayo
Ukwelashwa okuhlinza okulandela imigomo ye-AO: ukuncishiswa kwe-anatomical, ukulungiswa okuzinzile, kanye nokuvuselelwa kusenesikhathi.
I-5. Inani Lomtholampilo
Ukukhiya amapuleti kunikeza ukuqina okuphezulu kwe-bioowokhanical, ikakhulukazi ethanjeni le-osteoporotic.
6. Amamodeli wePlate e-CZMeditech
I-CZMeditech inikezela ngamamodeli amathathu: eyengeziwe (01.1107), ipuleti ye-lateral (5100-17), ne-Medial (5100-18).
Kungani humerus distal humerus ethambekele ekuqhekekeni?
Njengengxenye ebalulekile ye-elbow ehlanganisiwe, ama-humal humerus fractures avame ukuba khona ngenxa 'eqondile trauma ' (njengokufika kokuwa ku-elbow) noma 'ukuhlunga okusobala ' (njengokujikijela noma ukulahla izenzo).
- Imisipha yokudonsa imisipha
Ikholomu ye-Medial ifaka phakathi ingxenye yempilo ye-metaphysis ye-humerus, i-epicondyle ye-medial, kanye ne-medial eyondo, kufaka ne-trochlea ye-humerus.
· Ukuqanjwa okuphezulu kwemisipha yangaphakathi ye-rotator
· Ukuqanjwa okuqinile kwemisipha ye-elbow fleeflor
- I-High-Energy Trauma
Amabutho angaphandle anjengezengozi zomgwaqo noma ukuwa kusuka ekuphakameni kungaholela ekuphumeni okuhlanganisiwe noma kubandakanya indawo enobuhlakani.
ICoronoid Fossa no-Olecranon Fossa
· Izingozi zethrafikhi
· Usuka ekuphakameni
Izimiso zokwelapha:
Ukulandela ifilosofi ye-AO: 'Ukuncishiswa kwe-anatomical, ukulungiswa okuzinzile, kanye nokuzivocavoca okusebenzayo kokuqala. '
Ukuhlukumezeka okuphezulu
Amabutho angaphandle anjengezengozi zomgwaqo noma ukuwa kusuka ekuphakameni kungaholela ekuphumeni okuhlanganisiwe noma kubandakanya indawo enobuhlakani.
Izimiso zokwelashwa
Ukuncishiswa kwe-anatomical
Ukulungiswa okuzinzile
Ukuzivocavoca okusebenzayo kokuqala
Izinkomba zokuhlinzwa
Ukuthuthwa kwe-Aricular> 2mm
Vula ama-fractures
Ukulimala kwe-neurovascular
Ukwehluleka Ukwelashwa Okulondoloziwe
Amasu wokulungiswa kwepuleti
Inqubo embaxambili yeplate
Ilungele uhlobo c fractures. Ukulungiswa okuvela ku-medial (isib. Iplate yokukhiya i-anatomical) kanye ne-lateral (isib
Inqubo eyodwa yepuleti
Isetshenziselwa ukuthayipha uhlobo lwe-TYPE LANYE NEZIMALI B. Amapuleti ahlanganisiwe avumelana ne-distal Humerus anatomy anciphise ukudilizwa kwezicubu ezithambile.
Indlela yokuhlanza kancane
Kuhlanganiswe nokubekwa kwesikulufa se-percutaneous ukunciphisa ubungozi bokutheleleka nokugcina ukunikezwa kwegazi kwe-perioustoeal.
Inzuzo ye-Biomechanical
Ukukhiya amapuleti kunikeza ukuqina kwe-angular, okuzuzisa kakhulu iziguli ze-osteoporotic.
Isiqinisekiso Sokubuyisa Okusebenzayo
Ukuncishiswa kwe-anatomical kugcina ukuhamba okuhlangene kwe-elbow ngezinga elikhulu kakhulu, kunciphisa izinkinga ezinjenge-nonnoon noma i-malonion.
Idizayini eyenziwe ngokwezifiso
Amapuleti abunjwe ngezinhlobo ezithile ze-fracture (isib. I-Intercondylar Ridge Support Plates) Ukwenza kahle ukuhanjiswa kwamandla nokusheshisa ukuphulukiswa kwamathambo.
Uchungechunge lwethu lwepuleti lokukhiya i-distal Humerus luklanyelwe ngokukhethekile ukuqhekeka okuyinkimbinkimbi edayisa amahlaya. Nge-anatomical conuring, ukukhiya ubuchwepheshe be-screw technology, kanye nokucaciswa okuningi, kunikeza izixazululo eziphephile, ezizinzile neziguqukayo zokulungiswa kwezixazululo zokuhlinzwa kwezempilo.
