Kupwanyika kwehumeral greater tuberosity kukuvara kwakajairika pamafudzi mukiriniki uye kunowanzo perekedzwa nekutyoka kwemajoini epafudzi. Kune mapfupa akapwanyika uye akabviswa ehumeral greater tuberosity, kurapwa kwekuvhiya kudzoreredza hunhu hwemapfupa eproximal humerus uye kuvakazve ruoko rwefudzi ndiyo hwaro hwekupora kwebasa refudzi. Nzira dzakajairika dzekurapa dzinosanganisira kushandisa humeral greater tuberosity anatomical plates, proximal humerus anatomical plates (PHILOS), screw fixation, kana anchor suture fixation ne tension band.
Zvakajairika mukurapa kwekupwanyika kwemukati memapfupa kuisa maplate emuviri, ayo pakutanga akagadzirirwa rumwe rudzi rwekupwanyika, kune dzimwe nzvimbo dzakatyoka. Mienzaniso inosanganisira kushandiswa kweplate yeLISS yedistal femoral inverted kurapa kupwanyika kweproximal femur, uye metacarpal plates kugadzirisa kupwanyika kwemusoro we radial kana tibial plate. Kune kupwanyika kwehumeral greater tuberosity, vanachiremba vekuLishui People's Hospital (The Sixth Affiliated Hospital of Wenzhou Medical University) vakafunga nezvemabhenefiti akasiyana eplate ye calcaneal anatomical maererano ne plasticity uye fixation stability uye vakaishandisa kune proximal humerus nemigumisiro inoshanda yakataurwa.
Mufananidzo unoratidza mapurati emuviri ane calcaneal saizi dzakasiyana. Mapurati aya ane kuchinjika kwakanyanya uye plasticity yakasimba, zvichiita kuti akwanise kubatanidzwa zvakachengeteka pamusoro pemapfupa ne screws.
Mufananidzo Wenyaya Yakajairika:
Muchinyorwa ichi, munyori akaenzanisa kushanda kwemaplate emuviri e calcaneal nePHILOS fixation, zvichiratidza kuti plate yemuviri ye calcaneal ine zvakanakira mukupora kwebasa remajoini epafudzi, kureba kwekucheka kwepamuviri, uye kurasikirwa neropa pakuvhiyiwa. Kushandisa maplate emuviri akagadzirirwa imwe mhando yekutyoka kurapa kutyoka mune dzimwe nzvimbo, kutaura zvazviri, inzvimbo isina kunaka mukurapa. Kana matambudziko akamuka, kukodzera kwesarudzo yekuisa mukati kunogona kupokana, sezvinoonekwa nekushandiswa kwakapararira asi kwenguva pfupi kwemaplate eLISS akapindurwa pakutyoka kweproximal femur, izvo zvakakonzera kuwanda kwekukundikana kwekuisa uye kusawirirana kwakabatana nako. Nokudaro, nzira yekuisa mukati yakaunzwa munyaya ino yakagadzirirwa kushandiswa navanachiremba vekiriniki uye haisi kurudziro.
Nguva yekutumira: Nyamavhuvhu-26-2024
