Kodi odwala anu amavutika ndi zowawa, zovuta kukonza zigongono? Kodi mwatopa ndi ma implants omwe amalephera kupsinjika kapena kupangitsa kuchira?
Dziwani chifukwa chake maopaleshoni otsogola amasankha mbale zokhoma zam'mbali-zopangidwa kuti zikhazikike mwamphamvu, kuziyika mosavuta, komanso kuchira mwachangu.
Madokotala ochita opaleshoni ya mafupa nthawi zambiri amakumana ndi vuto la kukhazikika kwa distal humerus fractures, makamaka zomwe zimaphatikizapo kusokonezeka kwa intra-articular, kupweteka kwambiri, kapena kuwonongeka kwa mafupa chifukwa cha kufooka kwa mafupa.
Njira zokometsera zachikhalidwe nthawi zambiri zimakhala zochepa popereka kukhazikika kwapang'onopang'ono ndi kukhulupirika kwadongosolo komwe kumafunikira pakuchira koyambirira.
Izi ndikuDistalLateral Humerus LockingMbalekukhalakukhala njira yokonzekera yosankha mu kasamalidwe kamakono kakuphwanyidwa kwa chigongono.
Kumvetsetsa Chikhalidwe cha Distal Humerus Fractures
Distal humerus fractures imakhala pafupifupi 2% ya zothyoka zonse ndipo mpaka 30% ya fractures ya chigongono mwa akuluakulu. Nthawi zambiri amabwera chifukwa cha kuvulala kwamphamvu kwa odwala achichepere kapena kuchepa kwamphamvu kwa odwala okalamba omwe ali ndi mafupa osteoporotic.
Ma fractures awa nthawi zambiri amakhala:
Intra-articular, yokhudzana ndi chigongono pamwamba
Kukhazikika, ndi zidutswa zingapo zomwe zimapangitsa kuchepa kwa anatomical kukhala kovuta
Osakhazikika, makamaka osteoporotic bone, pomwe zomangira zachikhalidwe zimataya kugula
Zogwira ntchito, chifukwa ngakhale zolakwika zazing'ono zimatha kukhudza kuyenda kwa chigongono, mphamvu, ndi kukhazikika.
Chithandizo chogwira mtima chimafuna kubwezeretsanso kusinthika kwa thupi, kusunga mgwirizano, kuonetsetsa kukhazikika kokhazikika, ndikulimbikitsa kuyenda koyambirira.
Udindo wa Distal Lateral Humerus Locking Plates mu Kukonzekera Kwamakono
Distal Lateral Humerus Locking Plate idapangidwa makamaka kuti ikwaniritse zovuta za biomechanical ndi zachipatala pakukonza zovuta za distal humerus fractures. Kugwiritsa ntchito kwake pazanja zam'mbali kumathandizira:
Kuwonekera mulingo woyenera ndi mwayi pa opaleshoni
Kukhazikika kwa angular kudzera mu kutseka kwa screw-plate interface
Anatomical contouring kuti agwirizane bwino ndi fupa-implant
Multidirectional screw options kuti athane ndi zidutswa zomwe zawonongeka
Onani chifukwa chake dongosololi likukondedwa kwambiri ndi madokotala ovulala ndi mafupa padziko lonse lapansi.
1. Kukhazikika kwa Angular mu Osteoporotic ndi Comminuted Bone
Odwala osteoporotic, kukwaniritsa zokhazikika zokhazikika ndizovuta. Ukadaulo wa mbale zokhoma umapereka kukhazikika kwamakona potsekera wononga mutu mu mbale, kupanga chomangira chokhazikika. Izi zimalola kuti:
Kukana kwakukulu kumasula zomangira kapena toggling
Kugawa bwino katundu, makamaka kudutsa metaphyseal comminution
Kuchepetsa kufunikira kwa kugula koyenera kwa fupa-fupa, kofunikira m'mafupa osalimba
Izi ndizothandiza makamaka kwa okalamba, pomwe zomangira zachikhalidwe zosatseka sizingagwire mokwanira.
2. Kukonzekera Kwapamwamba Kwambiri mu Intra-articular Fractures
Kugwira ntchito kwa chigongono kumatengera kumangidwanso bwino kwa pamwamba. Mu intra-articular distal humerus fractures (monga AO mtundu C fractures), distal lateral humerus locking mbale amapereka:
Ma screw trajectories angapo okhoma kuti akonze zidutswa za articular motetezeka
Mapangidwe otsika kuti achepetse kukwiya kwa minofu yofewa
Kukhazikika kwabwino kwa kukonza kwa kusonkhanitsa koyambirira
Maonekedwe ake a anatomical komanso kuthekera kogwiritsa ntchito zomangira kapena zomangira zimalola dokotala kuti agwire tiziduswa tating'ono, osakhazikika bwino.
3. Kupititsa patsogolo Kusinthasintha kwa Opaleshoni ndi Anatomical Fit
Mapangidwe a mbale nthawi zambiri amakhala ndi mbiri yokonzedweratu yogwirizana ndi gawo la distal humerus lateral. Izi zimachepetsa kufunika kopindika kwa intraoperative ndikuteteza magazi a periosteal. Ubwino wowonjezera ndi:
Zosankha zingapo zazitali kuti zigwirizane ndi magawo osiyanasiyana ophwanyika
Kugwirizana ndi njira zowononga pang'ono
Mabowo a Suture kapena ma K-waya kuti athandizire kukonza kwakanthawi kapena kuzimitsa minofu yofewa
Zinthu izi zimachepetsa nthawi yogwira ntchito ndikuwonjezera kuberekanso.
4. Kulimbikitsa Kuchira Koyambirira Kwantchito
Kukhazikika kokhazikika ndikofunikira pakukonzanso koyambirira, komwe ndikofunikira kuti tipewe kuuma kwamagulu ndikubwezeretsa kuyenda kwa chigongono. Mphamvu ya biomechanical yoperekedwa ndi malo otsekera imalola madokotala kuti:
Yambitsani masewera olimbitsa thupi ang'onoang'ono kapena achangu
Chepetsani kufunika kokhala ndi nthawi yayitali
Chepetsani chiopsezo cha malunion kapena kulephera kwa hardware
Kulimbikitsana koyambirira ndikofunikira makamaka kwa okalamba kapena odwala polytrauma kuti achepetse zovuta ndikuwongolera zotsatira zonse.
5. Umboni Wachipatala ndi Zokonda za Opaleshoni
Maphunziro azachipatala akhala akuwonetsa zotulukapo zotsogola ndi makina a distal lateral locking plates mu zovuta zothyoka zigongono. Ubwino womwe watchulidwa ndi:
Miyezo yotsika ya kulephera kwaunion ndi hardware
Kubwezeretsanso kwabwinoko kosiyanasiyana kwa chigongono
Zochita zocheperako poyerekeza ndi zokutira wamba
Madokotala amayamikira kulosera komanso chidaliro chomwe mbale yotsekera imapereka, makamaka pamachitidwe ovuta othyoka.
6. Kugwiritsa Ntchito Njira Zopangira Pawiri
M'maphwando osakhazikika kapena osasunthika, makamaka mu distal humerus yokhala ndi bicondylar, mbale zotsekera zam'mbali zimagwiritsidwa ntchito nthawi zambiri kuphatikiza ndi mbale zapakati pamakonzedwe a 90-90. Zikatero, mbale yam'mbali imapereka chithandizo chofunikira kwambiri, pomwe zomangira zotsekera zimatsimikizira kukhazikika kotetezeka pama ndege osiyanasiyana.
Kusankha Kwanzeru Kwa Complex Elbow Fracture Fixation
Pochita opaleshoni yamakono yopwetekedwa mtima, Distal Lateral Humerus Locking Plates yakhala ikuwoneka ngati njira yokonzedweratu yokonzekera chifukwa cha kukwanira kwawo kwa anatomical, kukhazikika kwa angular, komanso kukwanitsa kusunga kukhazikika kwa osteoporotic ndi comminuted bone. Mapangidwe awo amathandizira kuchepetsa molondola komanso kukhazikika kokhazikika, kuthandizira kukonzanso koyambirira komanso zotsatira zabwino zachipatala.
Kwa maopaleshoni a mafupa omwe akufuna njira yodalirika ya fractures zovuta za chigongono, makamaka m'fupa losalimba, implant iyi imapereka ntchito, kukhazikika, ndi kusinthasintha kwa opaleshoni yofunikira kuti apeze zotsatira zabwino.
Monga wopanga zida zapadera zamafupa, Jiangsu Shuangyang Medical Instrument Co., Ltd. Ma Plate athu a Distal Lateral Humerus Locking amapangidwa molondola kuti agwirizane ndi thupi komanso kuchita bwino pachipatala, odaliridwa ndi madokotala ochita opaleshoni m'zipatala ndi malo ovulala padziko lonse lapansi. Tiyeni tikuthandizeni kukweza zotsatira zanu za opaleshoni ndi machitidwe otsimikizirika okhazikika.
Nthawi yotumiza: Jul-18-2025