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).
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
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.
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.
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.
