Varwere vako vanotambura nekurwadziwa, kwakaoma-kugadzirisa-gokora kuputsika? Wakaneta here nemaimplants anokundikana pasi pekumanikidzwa kana kuomesa kupora?
Ziva kuti sei machiremba ekuvhiya anotungamira achisarudza mahwendefa ekukiya anovhara-akagadzirirwa kugadzikana kwakasimba, kuiswa kuri nyore, uye nekukurumidza kupora.
Orthopedic surgeons vanowanzotarisana nedambudziko rekudzikamisa yakaoma distal humerus fractures, kunyanya iyo inosanganisira intra-articular disruption, yakaoma comminution, kana kukanganisa mapfupa ehutano nekuda kweosteoporosis.
Nzira dzechinyakare dzekugadzirisa dzinowanzo kuperevedza mukupa kugadzikana kweangular uye kutendeseka kwechimiro kunodiwa pakukurumidza kushanda kupora.
Ichi chikupiDistalLateral Humerus LockingPlateshaveiva iyo yekugadziridza sisitimu yesarudzo mune yemazuva ano elbow fracture management.
Kunzwisisa Chimiro cheDistal Humerus Fractures
Distal humerus fractures inosvika 2% yezvose zvakatyoka uye kusvika ku30% yekutyoka kwegokora muvakuru. Vanowanzo guma kubva kune-high-energy trauma muvarwere vadiki kana kuderera-simba kunowira muvarwere vakura vane osteoporotic bone.
Aya mafractures anowanzo:
Intra-articular, inosanganisira nzvimbo yegokora
Yakagadzirirwa, ine zvimedu zvakawanda zvinoita kuti kuderedzwa kweanatomical kunetse
Kusagadzikana, kunyanya muosteoporotic bone, uko masikiru echinyakare anorasikirwa nekutenga
Inoshanda inonzwira tsitsi, sezvo zvikanganiso zvidiki zvekugadzirisa zvinogona kukanganisa kufamba kwegokora, simba, uye kugadzikana.
Kurapa kunoshanda kunovavarira kudzoreredza kurongeka kweanatomical, kuchengetedza kubatana kwekubatana, kuve nekugadzirisa kwakagadzikana, uye kukurudzira kwekutanga kwekufamba.
Basa reDistal Lateral Humerus Locking Plates mune Yemazuvano Fixation
Iyo Distal Lateral Humerus Locking Plate yakagadzirirwa chaizvo kusangana ne biomechanical uye kiriniki matambudziko ekugadzirisa yakaoma distal humerus fractures. Kushandiswa kwayo pane lateral column kunogonesa:
Optimal kuratidzwa uye kuwana panguva yekuvhiyiwa
Angular kugadzikana kuburikidza nekuvhara screw-plate interface
Anatomical contouring yezviri nani bhonzo-implant fit
Multidirectional screw sarudzo kugadzirisa zvidimbu zvakaderedzwa
Ongorora kuti nei sisitimu iyi iri kuramba ichifarirwa nevarapi vekushungurudzika uye vemapfupa pasi rese.
1. Angular Stability muOsteoporotic uye Comminuted Bone
Muvarwere vane osteoporotic, kuwana yakavimbika screw fixation idambudziko rinoramba riripo. Kukiya ndiro tekinoroji inopa kugadzikana kweangular nekuvhara screw musoro mundiro, kugadzira yakagadziriswa-ekona yekuvaka. Izvi zvinobvumira:
Kuramba kwakakura kusunungura screw kana kutenderedza
Zvirinani kugovera mutoro, kunyanya kumhiri kwemetaphyseal comminution
Yakaderedzwa kudiwa kweiyo chaiyo screw-bone kutenga, yakakosha mumapfupa asina kusimba
Iyi ficha inonyanya kubatsira muhuwandu hwevanhu vakuru, uko echinyakare asiri-kukiya screws anogona kusapa zvakakwana kubata.
2. Superior Fixation muIntra-articular Fractures
Gorofu basa rinoenderana nechaiyo yekubatana kwepamusoro pekuvakazve. Mune intra-articular distal humerus fractures (seAO mhando C mafracture), iyo distal lateral humerus yekuvhara ndiro inopa:
Multiple locking screw trajectories kugadzirisa articular zvidimbu zvakachengeteka
Yakaderera-mbiri dhizaini yekudzikisa nyoro kushatirwa kwetishu
Kuvandudza kusimba kwekugadzirisa kwekutanga kuunganidza
Chimiro chayo cheanatomical uye kugona kushandisa kuchinjika kana diverging screws inobvumira chiremba anovhiya kuti atore zvidimbu zvidiki zvisina kugadzikana zvinobudirira.
3. Kuwedzeredzwa Kwekuvhiya Kuchinja uye Anatomical Fit
Dhizaini yeplate inowanzo sanganisira pre-contoured profile yakagadzirirwa kune distal humerus lateral column. Izvi zvinoderedza kudiwa kwekukotama kwemukati uye zvinobatsira kuchengetedza periosteal ropa. Zvimwe zvakanakira zvinosanganisira:
Multiple kureba sarudzo kuti ienderane akasiyana fracture mazinga
Kuenderana nemaitiro mashoma ekupinda
Suture maburi kana K-waya maburi ekubatsira nekugadzirisa kwechinguvana kana matishu akapfava anchorage
Aya maficha anoderedza nguva yekushanda uye anowedzera kuberekana.
4. Kukurudzira Early Functional Recovery
Kugadziriswa kwakagadzikana kwakakosha pakugadzirisa kwekutanga, izvo zvakakosha kudzivirira kuoma kwemajoini uye kudzorera kufamba kwegokora. Iyo biomechanical simba inopihwa nekuvhara yekuvaka inobvumira vanachiremba vanovhiya ku:
Tanga maekisesaizi emugokora ekutanga-asina kuita kana anoshanda-anobatsira
Deredza kudiwa kwekurebesa immobilization
Deredza njodzi ye malunion kana hardware kukundikana
Kuunganidza kwekutanga kunonyanya kukosha kune vakwegura kana varwere vepolytrauma kuti vaderedze matambudziko nekuvandudza migumisiro yose.
5. Clinical Evidence uye Surgeon Preference
Zvidzidzo zvekiriniki zvakagara zvichiratidza zvakavandudzwa mhedzisiro ine distal lateral yekuvhara ndiro masisitimu mune yakaoma magokora fracture. Benefits inocherechedzwa inosanganisira:
Mitemo yakaderera yekusashanda uye kutadza kwehardware
Kudzoreredza kurinani kwegokora rekufamba
Mashandiro mashoma kana achienzaniswa neakajairika plating
Vanachiremba vekuvhiya vanokoshesa kufungidzira uye kuvimba neplate yekuvhara inopa, kunyanya mumatambudziko ekutyoka mapatani.
6. Kushandisa muDual Plating Techniques
Mukusagadzikana kwakanyanya kana kuputika kuputsika, kunyanya mu distal humerus ine bicondylar kubatanidzwa, lateral locking mahwendefa anowanzoshandiswa pamwe chete nepakati mahwendefa mune 90-90 configuration. Mumamiriro ezvinhu akadaro, iyo lateral ndiro inopa yakakosha columnar rutsigiro, nepo kukiya screws inovimbisa kuchengetedzwa kwakachengeteka kune dzakasiyana ndege.
Iyo Yakangwara Sarudzo yeComplex Elbow Fracture Fixation
Mukuvhiyiwa kwemazuva ano kushungurudza, Distal Lateral Humerus Locking Plates yakabuda senzira yakasarudzwa yekugadzirisa nekuda kwekukwana kwavo kweanatomical, kugadzikana kweangular, uye kukwanisa kuchengetedza kugadzirisa mu osteoporotic uye comminuted bone. Dhizaini yavo inogonesa kudzikisira chaiko uye kudzikamisa kwakasimba, kutsigira kudzoreredza kwekutanga uye mhedzisiro yekiriniki yepamusoro.
Kune vanachiremba vemapfupa vari kutsvaga mhinduro yakavimbika yekutyoka kwegokora, kunyanya mubhonzo risina kusimba, iyi implant inopa kushanda, kugadzikana, uye kuvhiya kwakasiyana-siyana kunodiwa kuti uwane mhedzisiro yakanaka.
Semugadziri ane hunyanzvi hwekugadzira orthopedic implant, Jiangsu Shuangyang Medical Instrument Co., Ltd. inopa huwandu hwakasiyana hwekuvhara ndiro mhinduro dzekutambudzika kugadzirisa. Yedu Distal Lateral Humerus Locking Plates yakanyatso-engineered kuti ienderane neanatomical uye kushanda kwekiriniki, inovimbwa nevarapi vekuvhiya muzvipatara uye nzvimbo dzekushungurudza pasi rese. Rega tikubatsire iwe kukwidziridza mhedzisiro yako yekuvhiya neyakasimbiswa fixation masisitimu.
Nguva yekutumira: Jul-18-2025