Ingabe iziguli zakho zihlushwa ukuphuka kwendololwane okubuhlungu, okunzima ukulungisa? Ingabe ukhathele ama-implants ahlulekayo ngaphansi kwengcindezi noma alulame kanzima?
Zitholele ukuthi kungani odokotela abahlinzayo abahamba phambili bekhetha amapuleti okukhiya asemaceleni—enzelwe ukuzinza okuqinile, ukubekeka kalula, kanye nokuphulukiswa okusheshayo.
Odokotela abahlinzayo bamathambo bavame ukubhekana nenselele yokuzinzisa ukuhlukana kwe-distal humerus eyinkimbinkimbi, ikakhulukazi lezo ezibandakanya ukuphazamiseka kwe-intra-articular, ukuqina okukhulu, noma ikhwalithi yamathambo esengozini ngenxa ye-osteoporosis.
Izindlela zokulungisa zendabuko ngokuvamile ziyasilela ekunikezeni ukuzinza kwe-angular nobuqotho besakhiwo obudingekayo ukuze kutholakale ukusebenza kwangaphambi kwesikhathi.
LokhulaphoI-DistalI-Lateral Humerus LockingAmapuletibabeube uhlelo lokulungisa olukhethwayo ekulawuleni ukuphuka kwendololwane yesimanje.
Ukuqonda Isimo Se-Distal Humerus Fractures
I-Distal humerus fractures yenza cishe amaphesenti angu-2 akho konke ukuphuka kanye nama-30% okuphuka kwendololwane kubantu abadala. Ngokuvamile zibangelwa ukuhlukumezeka kwamandla aphezulu ezigulini ezisencane noma ukuwa kwamandla aphansi ezigulini esezikhulile ezine-osteoporotic bone.
Lezi ziphuka ngokuvamile ziyi:
I-Intra-articular, ehlanganisa indawo ehlangene yendololwane
Ihlanganiswe, ngezingcezu eziningi ezenza ukunciphisa umzimba kube nzima
Ayizinzile, ikakhulukazi ku-osteoporotic bone, lapho izikulufu zendabuko zilahlekelwa ukuthengwa
Izwela ngokusebenza, njengoba ngisho namaphutha amancane okuqondanisa angaba nomthelela ekunyakazeni kwendololwane, amandla, nokuzinza
Ukwelashwa okuphumelelayo kuhloswe ukubuyisela ukuqondanisa kwe-anatomical, ukugcina ukuhlangana okuhlangene, ukuqinisekisa ukulungiswa okuzinzile, nokukhuthaza uhla lwangaphambi kwesikhathi lokunyakaza.
Iqhaza Le-Distal Lateral Humerus Locking Plates Ekulungisweni Kwesimanjemanje
I-Distal Lateral Humerus Locking Plate iklanyelwe ngokukhethekile ukuhlangabezana nezinselelo ze-biomechanical nezomtholampilo zokulungisa ukuphuka kwe-distal humerus. Ukusetshenziswa kwayo kukholamu esemaceleni kunika amandla:
Ukuchayeka okuphelele nokufinyelela phakathi nokuhlinzwa
Ukuzinza kwe-angular ngokusebenzisa isixhumi esibonakalayo se-screw-plate yokukhiya
I-anatomical contouring yokulingana okungcono kwethambo-implant
Izinketho zesikulufu se-multidirectional ukubhekana nezingcezwana ezisusiwe
Hlola ukuthi kungani lolu hlelo luthandwa kakhulu odokotela abahlinza abantu abahlukumezekile namathambo emhlabeni jikelele.
1. Ukuzinza kwe-Angular ku-Osteoporotic ne-Comminuted Bone
Ezigulini ezine-osteoporotic, ukufeza ukulungiswa okuthembekile kwesikulufa kuyinselele eqhubekayo. Ubuchwepheshe bepuleti lokukhiya bunikeza ukuzinza kwe-angular ngokukhiya isikulufu sekhanda epuleti, udale isakhiwo esine-engeli engashintshi. Lokhu kuvumela:
Ukumelana okukhulu nokukhulula izikulufu noma ukuguqula
Ukusatshalaliswa komthwalo okungcono, ikakhulukazi kuyo yonke i-metaphyseal comminuation
Isidingo esincishisiwe sokuthenga okuqondile kwe-screw-bone, okubalulekile ethanjeni elintekenteke
Lesi sici sizuzisa kakhulu kubantu asebekhulile, lapho izikulufu zendabuko ezingakhiyi zingase zinganikezeli ukubamba okwanele.
2. Ukulungiswa Okuphezulu Ku-Intra-articular Fractures
Ukusebenza kwendololwane kuncike ekwakhiweni kabusha kwendawo ehlangene eqondile. Ezingxenyeni ze-intra-articular distal humerus fractures (njengokuphuka kohlobo C lwe-AO), ipuleti lokukhiya le-distal lateral humerus linikeza:
Ama-trajectories wesikulufu sokukhiya amaningi ukulungisa izingcezu ze-articular ngokuphephile
Idizayini enephrofayili ephansi yokunciphisa ukucasuka kwezicubu ezithambile
Ukuqina okuthuthukisiwe kokulungiswa kokuhlanganisa kusenesikhathi
Ukuma kwayo kwe-anatomical kanye nekhono lokusebenzisa izikulufu eziguqukayo noma eziphambukayo kuvumela udokotela ohlinzayo ukuthi abambe izingcezwana ezincane nezingazinzile ngempumelelo.
3. Ukuguquguquka Okuthuthukisiwe Kokuhlinzwa kanye Nokufaneleka Kwe-Anatomical
Idizayini yepuleti ngokuvamile ihlanganisa iphrofayili ekhonjiswe ngaphambili ehambisana nekholomu ehlangothini ye-distal humerus. Lokhu kunciphisa isidingo sokugoba kwangaphakathi kokuhlinzwa futhi kusiza ukulondoloza ukutholakala kwegazi kwe-periosteal. Izinzuzo ezengeziwe zifaka:
Izinketho zobude eziningi ukuze zivumelane namazinga ahlukahlukene okuphuka
Ukuhambisana nezindlela ezingenele kancane
Izimbobo ze-Suture noma izimbobo zocingo lwe-K ukusiza ngokulungisa isikhashana noma ukubambelela kwezicubu ezithambile
Lezi zici zinciphisa isikhathi sokusebenza futhi zithuthukisa ukukhiqizwa kabusha.
4. Ukukhuthaza Ukubuyiselwa Kokusebenza Kwangaphambi kwesikhathi
Ukulungiswa okuzinzile kubalulekile ekuvuseleleni kusenesikhathi, okubalulekile ukuvimbela ukuqina kwamalunga nokubuyisela ukunyakaza kwendololwane. Amandla e-biomechanical ahlinzekwa yisakhiwo sokukhiya avumela odokotela abahlinzayo ukuthi:
Qalisa ukujima kwendololwane kwangaphambi kwesikhathi noma okusebenzayo
Yehlisa isidingo sokunganyakazi isikhathi eside
Nciphisa ubungozi bokuhluleka kwe-malunion noma i-hardware
Ukugqugquzela kusenesikhathi kubaluleke kakhulu kubantu asebekhulile noma iziguli ze-polytrauma ukuze kuncishiswe izinkinga nokuthuthukisa imiphumela yonke.
5. Ubufakazi Bemitholampilo kanye Nokukhethwa Kodokotela Abahlinzayo
Ucwaningo lwezokwelapha luye lwabonisa ngokungaguquki imiphumela ethuthukisiwe nge-distal lateral locking plate systems ekuqhekekeni kwendololwane okuyinkimbinkimbi. Izinzuzo eziphawuliwe zihlanganisa:
Izilinganiso eziphansi zokungaphumeleli kwezingxenyekazi zekhompuyutha nezingezona ezivamile
Ukubuyiselwa okungcono kobubanzi bokunyakaza kwendololwane
Ukusebenza kabusha okumbalwa uma kuqhathaniswa nokucwenga okujwayelekile
Odokotela abahlinzayo bakwazisa ukubikezelwa kanye nokuzethemba okunikezwa yipuleti lokukhiya, ikakhulukazi emaphethini okuphuka okuyinselele.
6. Ukufaka isicelo ku-Dual Plating Techniques
Ezingxenyeni ezingazinzile kakhulu noma eziqhubekayo, ikakhulukazi ku-humerus e-distal ngokubandakanyeka kwe-bicondylar, amapuleti okukhiya ama-lateral avame ukusetshenziswa ngokuhambisana namapuleti aphakathi ekucushweni kwe-90-90. Ezimweni ezinjalo, ipuleti elingemuva linikeza ukwesekwa okubalulekile kwekholomu, kuyilapho izikulufo zokukhiya ziqinisekisa ukulungiswa okuphephile kuzo zonke izindiza eziguquguqukayo.
Ukukhetha Okuhlakaniphile Kokulungisa Ukuphuka Kwendololwane Eyinkimbinkimbi
Ekuhlinzweni kwesimanje kokuhlukumezeka, i-Distal Lateral Humerus Locking Plates iye yavela njengendlela yokulungisa ekhethwayo ngenxa yokulingana kwayo kwe-anatomical, ukuzinza kwe-angular, kanye namandla okugcina ukulungiswa kwethambo le-osteoporotic kanye ne-comminuted. Idizayini yabo isiza ukunciphisa okunembile kanye nokuzinza okuqinile, ukusekela ukuvuselelwa kusenesikhathi kanye nemiphumela yomtholampilo ephakeme.
Kodokotela abahlinzayo bamathambo abafuna isixazululo esithembekile sokuphuka kwendololwane okuyinkimbinkimbi, ikakhulukazi ethanjeni elintekenteke, lokhu kufakelwa kunikeza ukusebenza, ukuzinza, kanye nokuhlinzwa okuguquguqukayo okudingekayo ukuze kutholakale imiphumela emihle kakhulu.
Njengomkhiqizi okhethekile wokufakelwa kwamathambo, i-Jiangsu Shuangyang Medical Instrument Co., Ltd. inikeza izixazululo eziningi zepuleti lokukhiya ukulungisa ukuhlukumezeka. I-Distal Lateral Humerus Locking Plates yethu yenziwe ngokunemba ukuze ihambisane ne-anatomical kanye nempumelelo yomtholampilo, ethenjwa odokotela abahlinzayo ezibhedlela nasezikhungweni zokuhlukumezeka emhlabeni jikelele. Masikusize uphakamise imiphumela yakho yokuhlinzwa ngamasistimu okulungisa afakazelwe.
Isikhathi sokuthumela: Jul-18-2025