Izindaba - Izindlela zokulungiswa zangaphakathi zokuqhekeka kokuphela kwe-Clavicle

I-Clavicle Fracture ingenye yezimpawu ezivame kakhulu, ezibalwa yi-2.6% -4% yazo zonke izingxenyana. Ngenxa yezimpawu ze-anatomical of the Midshaft of The Clavicle, Midshaft Fractures zivame kakhulu, accounting for 69% of fravicle fractures, kuyilapho ama-fractures we-clavicle africy kanye ne-3% ngokulandelana.

Njengohlobo olungajwayelekile olungajwayelekile, ngokungafani ne-MidSshaft Clavicle Fractures ebangelwa ukulimala kwehlombe eliqondile noma ukuphoqelela ukuthengiswa okuphezulu kokulimala kwesisindo se-clavicle kuvame ukuhlotshaniswa nokulimala okuningi. Esikhathini esedlule, indlela yokwelashwa yokuqhekeka kokuphela kwe-medial ye-clavicle ngokuvamile ibilokhu iboshelwe. Kodwa-ke, izifundo zikhombisile ukuthi i-14% yeziguli ezinama-fractures ezibalekayo zokuphela komculo ingahle ibonakale ingenazimpawu. Ngakho-ke, eminyakeni yamuva nje, izazi ezengeziwe ziye zancika ekuhlinzekeni kokuhlinzwa kwamahlandla asusiwe kokuphela komculo okubandakanya ukuhlangana kwe-sternocavicular. Kodwa-ke, izingcezwana ze-medial clavicular zivame ukuba zincane, futhi kukhona ukulinganiselwa kokulungiswa kusetshenziswa amapuleti kanye nezikulufo. Ukuhlushwa kwengcindezi yendawo kuhlale kuyinkinga enzima yokwakhiwa kwamathambo ama-Orthopedic ngokuya ngokuzinzisa ngempumelelo ukuqhekeka nokugwema ukwehluleka kokulungiswa.

I.Distal Clavicle LCP HINGSIONYO
Ukuphela kwe-clavicle kuhlanganyela izakhiwo ezifanayo ze-anatomical nge-proximal ukuphela, zombili ezinesisekelo esibanzi. Isiphetho se-distal se-Clavicle Lock Plate (LCP) sifakwe izimbobo eziningi zokukhiya izikulufa, ukuvumela ukulungiswa okusebenzayo kwesiqephu se-distal.

Ukucabanga ngokufana okufanayo phakathi kwalokhu okubili, ezinye izazi zibeke ipuleti lensimbi ngokuvuselelwa nge-angle engu-180 ° ekugcineni kwe-clavicle. Baphinde banciphise ingxenye ekuqaleni esetshenziselwa ukuqinisa ukuphela kwe-clavicle futhi bathola ukuthi ukufakwa kwangaphakathi kufanelana nesidingo sokubumba.

Ukubeka isiphetho se-Clavicle's distal esikhundleni esiveziwe futhi usikulungise ngepuleti yamathambo ohlangothini lwe-medial kutholakele ukuhlinzeka ngokwanele.
Izindlela Zokulungiswa Kwangaphakathi 5

Endabeni yesiguli sowesilisa esineminyaka engama-40 esine-Fracture endaweni yokuphela kwe-Clavicle ye-Medial, yasetshenziswa ipuleti yensimbi ehlanekezelwe. Ukuhlolwa okulandelayo ezinyangeni eziyi-12 ngemuva kokuhlinzwa kwaveza umphumela omuhle wokuphulukisa.

I-distal Clavicle ekhiya i-Clavicle ekhiya ipuleti (LCP) iyindlela ejwayelekile esetshenziswa ngokujwayelekile ekusebenzeni kwemitholampilo. Inzuzo yale ndlela ukuthi isiqephu sethambo se-medial sibanjwa ngezikulufo eziningi, ukuhlinzeka ngokulungiswa okuphephe ngokwengeziwe. Kodwa-ke, le ndlela yokulungiswa kwendlela idinga isiqephu esikhulu se-mutial sone semiphumela efanelekile. Uma isiqephu sethambo sincane noma kukhona ukuqondiswa kwe-Intra-articular, ukusebenza kahle kokulungiswa kungahlekaliswa.

II. I-veal Plate vertical Fiftical Technique
Indlela esetshenziswayo yeplate iyindlela esetshenziswa kaningi yokuqhekeka okuyinkimbinkimbi, njengokuqhekeka kwe-huthierus distal, ukuqhekeka okuvuthiwe komsakazo ne-ulna, nokunye. Lapho ukulungiswa okusebenzayo akunakutholwa endizeni eyodwa, kusetshenziselwa amapuleti ensimbi okukhiyiwe okubili ngokulungiswa okuthe mpo, kudale isakhiwo esizinzile seplanethi. Ngokwezifiso, ukulungiswa kwepuleti okumbili kunikeza izinzuzo zoMkhandlu phezu kokulungiswa kwepuleti elilodwa.