Na bakuli ba hau ba na le bothata ba ho robeha ha setsoe ho bohloko, ho thata ho lokisa? Na u khathetse ke li-implants tse hlolehang tlas'a khatello kapa tse thatafatsang ho hlaphoheloa?
Fumana hore na ke hobane'ng ha lingaka tse buoang tse etellang pele li khetha lipoleiti tsa ho notlela ka morao-tse etselitsoeng botsitso bo matla, ho beoa habonolo le ho folisa kapele.
Hangata lingaka tse buoang tsa masapo li tobana le phephetso ea ho tsitsisa li-fractures tse rarahaneng tsa distal humerus, haholo-holo tse amanang le tšitiso ea intra-articular, comminution e matla, kapa boleng ba masapo a sekiselitsoeng ka lebaka la ho fokola ha masapo.
Mekhoa e tloaelehileng ea ho lokisa hangata e haelloa ke ho fana ka botsitso ba angular le botšepehi ba sebopeho se hlokahalang bakeng sa ho hlaphoheloa ha mosebetsi pele ho nako.
Sena kemooDistalLateral Humerus LockingLipoleitina lefetoha mokhoa oa ho lokisa oa khetho tsamaisong ea sejoale-joale ea fracture ea setsoe.
Ho utloisisa Sebopeho sa Distal Humerus Fractures
Distal humerus fractures e etsa hoo e ka bang 2% ea ho robeha hohle le ho fihla ho 30% ea ho robeha ha setsoe ho batho ba baholo. Hangata li bakoa ke khatello e matla ea matla ho bakuli ba banyenyane kapa ho theoha ha matla a tlase ho bakuli ba tsofetseng ba nang le osteoporotic bone.
Hangata fractures ena e ba:
Intra-articular, e kenyelletsang bokaholimo ba lenonyeletso la setsoe
E khothalelitsoe, ka likhechana tse ngata tse etsang hore phokotso ea anatomical e be thata
E sa tsitsang, haholo-holo ho osteoporotic bone, moo li-screw tsa setso li lahleheloang ke theko
E sebetsa hantle, kaha liphoso tse nyane tsa ho tsamaisana li ka ama ho sisinyeha ha setsoe, matla le botsitso.
Kalafo e sebetsang e ikemiselitse ho khutlisetsa tekano ea anatomical, ho boloka kopanelo e kopaneng, ho netefatsa tokiso e tsitsitseng, le ho khothaletsa motsamao oa pele.
Karolo ea Lipoleiti tsa Distal Lateral Humerus Locking ho Tokiso ea Sejoale-joale
The Distal Lateral Humerus Locking Plate e etselitsoe ka ho khetheha ho tobana le liphephetso tsa biomechanical le tsa kliniki tsa ho lokisa fractures e rarahaneng ea distal humerus. Tšebeliso ea eona holim'a kholomo ea lateral e thusa:
Ho pepeseha hantle le phihlello nakong ea opereishene
Angular stability ka ho notlela screw-plate interface
Anatomical contouring bakeng sa ho lekana hantle ha masapo
Multidirectional screw options ho sebetsana le likhechana tse felisitsoeng
Hlahloba hore na ke hobane'ng ha tsamaiso ena e ntse e ratoa haholo ke lingaka tsa khatello ea kelello le tsa masapo lefatšeng ka bophara.
1. Angular Stability ho Osteoporotic le Comminuted Bone
Ho bakuli ba osteoporotic, ho fumana screw fixation e tšepahalang ke phephetso e phehellang. Theknoloji ea ho notlela poleiti e fana ka botsitso ba angular ka ho notlela hlooho ea screw ka har'a poleiti, ho theha kaho e nang le angle e tsitsitseng. Sena se lumella:
Ho hanyetsa ho hoholo ha sekurufu ho lokollela kapa ho toggling
Kabo e betere ea mojaro, haholo ho pholletsa le metaphyseal comminution
Tlhokahalo e fokotsehileng ea ho reka ka nepo ea "screw-bone", e bohlokoa haholo masapong a robehileng
Ts'ebetso ena e molemo haholo ho batho ba tsofetseng, moo likurufu tsa setso tse sa notleleng li ka 'nang tsa se ke tsa tšoarella ka ho lekaneng.
2. Ho Lokisoa ka ho Fetisisa ho Li-fractures tsa Intra-articular
Ts'ebetso ea setsoe e ipapisitse le kaho e nepahetseng ea bokaholimo bo kopaneng. Ho fractures ea intra-articular distal humerus (joalo ka fractures ea mofuta oa AO), poleiti e notlelang ea distal lateral humerus e fana ka:
Li-screw trajectories tse ngata ho lokisa likhechana tsa articular ka mokhoa o sireletsehileng
Moralo oa boemo bo tlase ho fokotsa ho teneha ha lisele tse bonolo
Ho ntlafala ho thata ho lokisa bakeng sa ho bokella kapele
Sebōpeho sa eona sa sebōpeho le bokhoni ba ho sebelisa li-screw tse pota-potileng kapa tse khelohang li lumella ngaka e buoang ho tšoara likhechana tse nyenyane tse sa tsitsang ka katleho.
3. Ho Ntlafatsoa ho Fetoha ha Opereishene le Anatomical Fit
Moralo oa poleiti hangata o kenyelletsa profil e entsoeng esale pele e etselitsoeng kholomo ea distal humerus lateral. Sena se fokotsa tlhoko ea ho kobeha ha intraoperative mme se thusa ho boloka phepelo ea mali ea periosteal. Melemo e meng e kenyelletsa:
Likhetho tse ngata tsa bolelele ho lumellana le maemo a fapaneng a fracture
Ho lumellana le mekhoa e fokolang haholo
Likoti tsa suture kapa likoti tsa terata tsa K ho thusa ka ho lokisa nakwana kapa ho thiba linama tse bonolo
Likarolo tsena li fokotsa nako ea ts'ebetso le ho ntlafatsa ho ikatisa.
4. Ho Khothalletsa Tsoelo-pele ea Ts'ebetso ea Pele
Ho lokisoa ho tsitsitseng ho bohlokoa bakeng sa tsosoloso ea pele, e leng ea bohlokoa ho thibela ho satalla ha manonyeletso le ho tsosolosa motsamao oa setsoe. Matla a biomechanical a fanoeng ke mohaho o notlellang a lumella lingaka tse buoang ho:
Qala boikoetliso ba setsoe ba nakoana kapa bo se nang letho
Fokotsa tlhoko ea nako e telele ea immobilization
Fokotsa kotsi ea ho hloleha ha malunion kapa hardware
Ho bokella pele ho bohlokoa ka ho khetheha ho bakuli ba tsofetseng kapa ba polytrauma ho fokotsa mathata le ho ntlafatsa liphello tse akaretsang.
5. Bopaki ba Tleliniki le Khetho ea Ngaka ea Opereishene
Liphuputso tsa bongaka li 'nile tsa bonts'a liphetho tse ntlafalitsoeng ka mokhoa o tsitsitseng ka lisebelisoa tsa distal lateral locking plate ka maqheka a rarahaneng a setsoe. Melemo e boletsoeng e kenyelletsa:
Litefiso tse tlase tsa ho se sebetse ha li-nonunion le hardware
Tsosoloso e betere ea ho sisinyeha ha setsoe
Liphetoho tse fokolang ha li bapisoa le plating e tloaelehileng
Lingaka tse buoang li ananela ho tseba esale pele le kholiseho eo poleiti e notlelang e fanang ka eona, haholo-holo maemong a thata a ho robeha.
6. Kopo ho Mekhoa e Meholo ea Plating
Ka fractures e sa tsitsang ka ho fetisisa kapa e sa khaotseng, haholo-holo ho distal humerus e nang le ts'ebetso ea bicondylar, lipoleiti tsa ho koala ka mahlakoreng hangata li sebelisoa hammoho le lipoleiti tse bohareng ka tlhophiso ea 90-90. Maemong a joalo, poleiti ea lateral e fana ka ts'ehetso ea bohlokoa ea li-columnar, ha li-screws tsa ho notlela li netefatsa ho ts'oaroa ho sireletsehileng ho pholletsa le lifofane tse fapaneng.
Khetho e Bohlale bakeng sa Tokiso e Felletseng ea Ho robeha ha Elbow
Nakong ea opereishene ea morao-rao ea mahlomola, Li-Plates tsa Distal Lateral Humerus Locking li hlahile e le mokhoa o khethiloeng oa ho lokisa ka lebaka la ho lekana ha bona ka sebōpeho, botsitso ba angular, le bokhoni ba ho boloka ho lokisoa ha masapo le masapo a comminuted. Moralo oa bona o thusa ho fokotsa ka nepo le ho tsitsisa ho tiileng, ho ts'ehetsa tokiso ea pele le liphetho tse phahameng tsa kliniki.
Bakeng sa lingaka tsa masapo tse batlang tharollo e ka tšeptjoang bakeng sa ho robeha ha setsoe ho rarahaneng, haholo-holo lesapong le senyehang, kemiso ena e fana ka ts'ebetso, botsitso le ho feto-fetoha ha opereishene ho hlokahalang ho fumana liphello tse babatsehang.
Joaloka moetsi ea khethehileng oa ho kenngoa ha masapo, Jiangsu Shuangyang Medical Instrument Co., Ltd. e fana ka lisebelisoa tse ngata tsa ho notlela lipoleiti bakeng sa ho lokisa mahlomola. Lipoleiti tsa rona tsa Distal Lateral Humerus Locking li entsoe ka mokhoa o nepahetseng bakeng sa ho lumellana le anatomical le katleho ea bongaka, e tšeptjoang ke lingaka tse buoang lipetlele le litsing tsa mahlomola lefatšeng ka bophara. E re re u thuse ho phahamisa liphetho tsa hau tsa ho buoa ka litsamaiso tse netefalitsoeng tsa ho lokisa.
Nako ea poso: Jul-18-2025