I-Humeral enkulu ye-tuberosity fractures ukulimala kwehlombe okuvamile ekusebenzeni komtholampilo futhi kuvame ukuhambisana nokuhlukaniswa kwamahlombe ehlombe. Ngokuqhekeka kwe-humeral okukhulu kwe-tuberosity okuye kwancipha futhi kwasuswa, ukwelashwa kokuhlinzwa ukuze kubuyiselwe i-anatomy evamile yamathambo e-proximal humerus futhi kwakhiwe kabusha ingalo ye-lever yehlombe kuyisisekelo sokululama kokusebenza kwehlombe. Izindlela zomtholampilo ezijwayelekile zifaka ukusetshenziswa kwamapuleti e-anatomical e-humeral more tuberosity anatomical, i-proximal humerus anatomical plates (PHILOS), ukulungiswa kwezikulufu, noma ukulungiswa kwe-anchor suture ngebhande lokucindezela.
Kuvame kakhulu ekwelashweni kokulungisa ukuphuka kwangaphakathi ukufaka amapuleti e-anatomical, ekuqaleni aklanyelwe uhlobo olulodwa lokuphuka, kwezinye izindawo zokuphuka. Izibonelo zifaka ukusetshenziswa kwepuleti le-LISS le-distal femoral elihlanekezelwe ukwelapha ukuphuka kwe-femur proximal, namapuleti e-metacarpal ukulungisa ukuphuka kwekhanda eli-radial noma ukuphuka kwe-tibial plateau. Ngokuphuka kwe-humeral okukhulu kwe-tuberosity, odokotela baseSibhedlela Sabantu sase-Lishui (Isibhedlela Sesithupha Esihlanganisiwe sase-Wenzhou Medical University) bacabangele izinzuzo eziyingqayizivele zepuleti le-calcaneal anatomical ngokwepulasitiki kanye nokuzinza futhi balisebenzisa ku-proximal humerus ngemiphumela ebikiwe ephumelelayo.
Isithombe sibonisa amapuleti e-calcaneal anatomical anosayizi abahlukene. Lawa mapuleti anokuguquguquka okuphezulu kanye ne-plasticity eqinile, ewavumela ukuba anamathele ngokuphephile endaweni yethambo ngezikulufo.
Isithombe Esijwayelekile:
Kulesi sihloko, umbhali uqhathanise ukusebenza kahle kwamapuleti e-calcaneal anatomical ane-PHILOS fixation, okubonisa ukuthi ipuleti ye-calcaneal anatomical yayinezinzuzo ekululameni kokusebenza okuhlangene kwamahlombe, ubude bokusikwa kokuhlinzwa, nokulahlekelwa igazi ngokuhlinzwa. Ukusebenzisa amapuleti e-anatomical aklanyelwe uhlobo olulodwa lokuphuka ukwelapha ukuphuka kwezinye izindawo, empeleni, indawo empunga ekusebenzeni komtholampilo. Uma kuphakama izinkinga, ukufaneleka kwenketho yokulungiswa kwangaphakathi kungase kungabazeke, njengoba kubonakala ekusetshenzisweni okusabalele nokho kwesikhathi esifushane kwamapuleti e-LISS ahlanekezelwe ngokuphuka kwe-femur proximal, okuholele enanini elibalulekile lokwehluleka ukulungisa nezingxabano ezihlobene. Ngakho-ke, indlela yokulungisa yangaphakathi eyethulwe kulesi sihloko ihloselwe ukubhekisela kodokotela basemtholampilo futhi akuyona izincomo.
Isikhathi sokuthumela: Aug-26-2024
