Ukuphuka kwe-humeral greater tuberosity kuyimbangela evamile yokulimala kwamahlombe emtholampilo futhi kuvame ukuhambisana nokuhlukana kwamalunga ehlombe. Kwama-comminute and displaced humeral greater tuberosity fractures, ukwelashwa kokuhlinzwa ukubuyisela i-anatomy evamile yamathambo e-proximal humerus nokwakha kabusha ingalo ye-shoulder lever kuyisisekelo sokululama okusebenzayo kwehlombe. Izindlela ezivamile zezokwelapha zifaka phakathi ukusetshenziswa kwama-humeral greater tuberosity anatomical plates, ama-proximal humerus anatomical plates (PHILOS), i-screw fixation, noma i-anchor suture fixation ene-tension band.
Kuvamile kakhulu ekwelashweni kokubopha kwangaphakathi kokuphuka ukusebenzisa amapuleti anomzimba ngendlela eguquguqukayo, ekuqaleni ayenzelwe uhlobo olulodwa lokuphuka, kwezinye izindawo zokuphuka. Izibonelo zifaka phakathi ukusetshenziswa kwepuleti le-LISS eliyi-distal femoral eliyi-inverted ukwelapha ukuphuka kwe-proximal femur, kanye namapuleti e-metacarpal ukulungisa ukuphuka kwekhanda noma kwe-tibial plate. Ngokuphuka kwe-humeral greater tuberosity, odokotela baseLishui People's Hospital (Isibhedlela Sesithupha Esihlangene saseWenzhou Medical University) bacabangele izinzuzo eziyingqayizivele zepuleti enomzimba ye-calcaneal ngokwe-plasticity kanye nokuqina kokuqina futhi balisebenzisa ku-humerus eseduze nemiphumela ephumelelayo ebikiwe.
Isithombe sibonisa amapuleti e-calcaneal anatomical osayizi abahlukene. Lawa mapuleti anokuguquguquka okuphezulu kanye ne-plasticity eqinile, okuvumela ukuthi anamathele ngokuphephile ebusweni bethambo ngezikulufo.
Isithombe Esijwayelekile Sekesi:
Kulesi sihloko, umbhali uqhathanise ukusebenza kahle kwamapuleti e-anatomical e-calcaneal nokufakwa kwe-PHILOS, okubonisa ukuthi ipuleti le-anatomical le-calcaneal linezinzuzo ekubuyiseleni ukusebenza kwamalunga ehlombe, ubude bokusika ngokuhlinzwa, kanye nokulahlekelwa igazi ngokuhlinzwa. Ukusebenzisa amapuleti e-anatomical aklanyelwe uhlobo olulodwa lokuphuka ukwelapha ukwaphuka kwezinye izindawo, empeleni, kuyindawo empunga emtholampilo. Uma kuvela izinkinga, ukufaneleka kokukhetha ukufakwa kwangaphakathi kungangatshazwa, njengoba kubonakala ngokusetshenziswa okubanzi kodwa kwesikhathi esifushane kwamapuleti e-LISS aguquliwe ekuqhekekeni kwe-proximal femur, okwaholela enanini elikhulu lokwehluleka kokufakwa kanye nezingxabano ezihlobene. Ngakho-ke, indlela yokufakwa kwangaphakathi eyethulwe kulesi sihloko ihloselwe ukubhekisela kodokotela bezokwelapha futhi akuyona incomo.
Isikhathi sokuthunyelwe: Agasti-26-2024
