Ngaba izigulana zakho zihlupheka ngenxa yokwaphuka kwe-elbow ebuhlungu, kunzima ukulungisa? Ngaba ukhathele zizifakelo ezisilelayo phantsi koxinzelelo okanye nzima ukuchacha?
Fumanisa ukuba kutheni oogqirha abakhokelayo bekhetha iipleyiti zokutshixa ezisecaleni-ezenzelwe uzinzo olomeleleyo, ukubekwa lula, kunye nokuphiliswa ngokukhawuleza.
Oogqirha bamathambo bahlala bejongene nomngeni wokuzinzisa i-distal humerus fractures, ngakumbi ezo zibandakanya ukuphazamiseka kwe-intra-articular, ukunyanzeliswa okukhulu, okanye ukuchithwa kwethambo ngenxa ye-osteoporosis.
Iindlela zokulungisa zemveli zihlala zisilela ekuboneleleni ukuzinza kwe-angular kunye nengqibelelo yesakhiwo efunekayo ekubuyiseleni ukusebenza kwangaphambili.
Yi leaphoDistalI-Lateral Humerus LockingAmacwecwebabeibe yinkqubo yokulungisa ekhethwayo kulawulo lwangoku lokwaphuka kwengqiniba.
Ukuqonda ubume beDistal Humerus Fractures
I-distal humerus fractures i-akhawunti malunga ne-2% yazo zonke iifractures kunye ne-30% ye-elbow fractures kubantu abadala. Zihlala ziphumela kumonzakalo wamandla aphezulu kwizigulana ezincinci okanye amandla aphantsi awela kwizigulana ezisele zikhulile ezine-osteoporotic bone.
Ezi zaphuka rhoqo:
I-Intra-articular, ebandakanya indawo edibeneyo ye-elbow
Ukunyuswa, kunye namaqhekeza amaninzi enza ukunciphisa i-anatomical kube nzima
Ukungazinzi, ngakumbi kwithambo le-osteoporotic, apho izikrufu zemveli ziphulukana nokuthengwa
Ubuthathaka obusebenzayo, njengoko iimpazamo ezincinci zokulungelelanisa zinokuchaphazela intshukumo yengqiniba, amandla, kunye nokuzinza.
Unyango olusebenzayo lujolise ekubuyiseleni ukulungelelaniswa kwe-anatomical, ukugcina i-congruity edibeneyo, ukuqinisekisa ukulungiswa okuzinzile, kunye nokukhuthaza uluhlu lwangaphambili lokunyakaza.
Indima yeDistal Lateral Humerus yokutshixa iiPlati kuLungiso lwangoku
I-Distal Lateral Humerus Locking Plate yenzelwe ngokukodwa ukuhlangabezana nemingeni ye-biomechanical kunye nekliniki yokulungisa i-distal humerus fractures. Ukusetyenziswa kwayo kwikholamu esecaleni kwenza ukuba:
Ukuvezwa ngokufanelekileyo kunye nokufikelela ngexesha lotyando
Uzinzo lwe-angular ngokutshixa i-screw-plate interface
I-anatomical contouring yokulungelelaniswa okungcono kwamathambo
Iinketho ezininzi ze-screw ukujongana namaqhekeza adibeneyo
Phonononga ukuba kutheni le nkqubo ithandwa ngakumbi ngoogqirha bomonzakalo kunye noogqirha bamathambo kwihlabathi liphela.
1. Ukuzinza kwe-Angular kwi-Osteoporotic kunye ne-Comminuted Bone
Kwizigulane ze-osteoporotic, ukufezekisa ukulungiswa kwe-screw ethembekileyo ngumngeni oqhubekayo. Itekhnoloji yokutshixa ipleyiti ibonelela uzinzo lwe-angular ngokutshixa intloko ye-screw kwipleyiti, ukwenza ulwakhiwo olusisigxina. Oku kuvumela:
Ukuxhathisa okukhulu kwi-screw ukukhulula okanye ukuguqula
Ukusasazwa komthwalo ongcono, ngakumbi kuyo yonke i-metaphyseal comminution
Isidingo esincitshisiweyo sokuthengwa kwe-screw-bone, kubalulekile kwithambo elibuthathaka
Olu phawu luluncedo kakhulu kubantu abadala, apho izikrufu zemveli ezingatshixwanga zisenokungaboneleli ngokwaneleyo.
2. Ukulungiswa okuPhezulu kwi-Intra-articular Fractures
Umsebenzi we-elbow uxhomekeke ekwakhiweni ngokutsha komphezulu odibeneyo. Kwi-intra-articular distal humerus fractures (njenge-AO uhlobo lwe-C fractures), ipleyiti yokutshixa ye-distal humerus ibonelela:
Iitrajethi zokutshixa ezininzi zokutshixa ukulungisa amaqhekeza e-articular ngokukhuselekileyo
Uyilo lweprofayili ephantsi yokunciphisa ukucaphuka kwezicubu ezithambileyo
Ukuphuculwa kokuqina kokulungiswa kokuhlanganiswa kwangaphambili
Ubume bayo be-anatomical kunye nokukwazi ukusebenzisa izikrufu eziguqukayo okanye ezidiverging zivumela ugqirha wotyando ukuba abambe amaqhekeza amancinci, angazinzanga ngokufanelekileyo.
3. Ukuphucula ukuguquguquka koCando kunye ne-Anatomical Fit
Uyilo lwepleyiti luhlala lubandakanya iprofayili yangaphambili elungiselelwe i-distal humerus lateral column. Oku kunciphisa imfuno yokugoba kwi-intraoperative kwaye inceda ukugcina unikezelo lwegazi lwe-periosteal. Izibonelelo ezongezelelweyo ziquka:
Iinketho ezininzi zobude ukuze zilungele amanqanaba ahlukeneyo okuqhekeka
Ukuhambelana neendlela ezincinci zokuhlasela
Imingxunya ye-Suture okanye i-K-wire imingxuma yokuncedisa ukulungiswa kwexeshana okanye i-anchorage yezicubu ezithambileyo
Ezi mpawu zinciphisa ixesha lokusebenza kwaye ziphucula ukuveliswa kwakhona.
4. Ukukhuthaza uBuyiselo kwangethuba lokuSebenza
Ukulungiswa okuzinzile kubalulekile ekubuyiseleni kwangaphambili, okubalulekileyo ukukhusela ukuqina kwamalungu kunye nokubuyisela ukunyakaza kwe-elbow. Amandla e-biomechanical abonelelwe ngolwakhiwo lokutshixa avumela oogqirha botyando ukuba:
Qalisa kwangethuba umthambo wengqiniba ongenziwayo okanye oncedisayo
Nciphisa imfuno yokunyanzeliswa ixesha elide
Ukunciphisa umngcipheko we-malunion okanye ukungaphumeleli kwe-hardware
Ukuhlanganiswa kwangaphambili kubaluleke kakhulu kubantu abadala okanye izigulane ze-polytrauma ukunciphisa iingxaki kunye nokuphucula iziphumo ezipheleleyo.
5. Ubungqina beKlinikhi kunye noKhenketho loGqirha
Uphononongo lweklinikhi luye lwabonisa rhoqo iziphumo eziphuculweyo kunye neenkqubo zepleyiti zokutshixa ezikude kwi-elbow fractures. Izibonelelo eziphawuliweyo ziquka:
Amazinga asezantsi okungaphumeleli kwe-nonnunion kunye ne-hardware
Ukubuyiselwa okungcono koluhlu lwengqiniba lokushukuma
Ukwenziwa kwakhona okumbalwa xa kuthelekiswa nokucwenga okuqhelekileyo
Oogqirha botyando baxabisa ukuqikelelwa kunye nokuzithemba ipleyiti yokutshixa inikezela, ngakumbi kwiipateni zomngeni zokuqhekeka.
6. Ukusetyenziswa kwiiTekhnoloji zokuPlayitha kabini
Kwiifractures ezingazinzanga kakhulu okanye ezidibeneyo, ngokukodwa kwi-distal humerus kunye nokubandakanyeka kwe-bicondylar, iiplati zokuvala i-lateral zisetyenziswa rhoqo ngokudibanisa namacwecwe aphakathi kwi-90-90 yokucwangcisa. Kwiimeko ezinjalo, ipleyiti esecaleni ibonelela ngenkxaso ebalulekileyo yekholomu, ngelixa i-screws yokuvala iqinisekisa ukulungiswa okukhuselekileyo kwiindiza eziguquguqukayo.
UKhetho oluSmart loLungiso lweNgxaki ye-Elbow Fracture
Kwi-trauma yanamhlanje yokuhlinzwa, i-Distal Lateral Humerus Locking Plates iye yavela njengendlela yokulungiswa ekhethiweyo ngenxa yokulungelelaniswa kwe-anatomical, ukuzinza kwe-angular, kunye nokukwazi ukugcina ukulungiswa kwi-osteoporotic kunye nethambo elidibeneyo. Uyilo lwabo luququzelela ukunciphisa ngokuchanekileyo kunye nokuzinza okuqinileyo, ukuxhasa ukubuyisela kwangaphambili kunye neziphumo eziphezulu zeklinikhi.
Kuogqirha bamathambo abafuna isisombululo esithembekileyo sokuqhekeka kwengqiniba, ngakumbi kwithambo elibuthathaka, olu fakelo lubonelela ngokusebenza, ukuzinza, kunye nokuguquguquka kotyando olufunekayo ukuze kufumaneke iziphumo ezigqwesileyo.
Njengomvelisi okhethekileyo wokufakelwa kwamathambo, i-Jiangsu Shuangyang Medical Instrument Co., Ltd. inikeza uluhlu olubanzi lwezisombululo zeplate yokutshixa ukulungiswa kwe-trauma. Iipleyiti zethu zokutshixa i-Distal Lateral Humerus zichaneke-ziyinjineli ukuze zihambelane ne-anatomical kunye nokusebenza kweklinikhi, ezithenjwa ngoogqirha kwizibhedlele nakumaziko okwenzakala kwihlabathi liphela. Makhe sikuncede uphakamise iziphumo zakho zotyando ngeenkqubo eziqinisekisiweyo zokulungisa.
Ixesha lokuposa: Jul-18-2025