Kutyoka kweClavicle ndeimwe yemitsetse yakajairika, ichikonzera 2.6%-4% yemitsetse yese yakatyoka. Nekuda kwehunhu hwemukati mechikamu checlavicle, mitsetse yepakati pechikamu checlavicle inowanzo kuve yakawanda, ichikonzera 69% yemitsetse yakatyoka yeclavicle, nepo mitsetse yemativi eparutivi nepakati peclavicle ichikonzera 28% ne3% zvichiteerana.
Semhando isingawanzoitiki yekutyoka, kusiyana nekutyoka kwe clavicle yepakati peshaft kunokonzerwa nekukuvara kwepafudzi zvakananga kana kupfuudzwa nesimba kubva mukukuvara kwemakumbo ekumusoro kunorema, kutyoka kwechikamu chepakati che clavicle kunowanzo batanidzwa nekukuvara kwakawanda. Kare, nzira yekurapa kutyoka kwechikamu chepakati che clavicle yaiwanzove yakachengetedza. Zvisinei, zvidzidzo zvakaratidza kuti 14% yevarwere vane kutyoka kwechikamu chepakati vanogona kusangana nezviratidzo zvisina kubatana. Nokudaro, mumakore achangopfuura, nyanzvi dzakawanda dzakaramba dzichida kurapwa kwekutyoka kwechikamu chepakati che sternoclavicular joint. Zvisinei, zvidimbu zve clavicle zvepakati zvinowanzova zvidiki, uye kune zvipingamupinyi pakugadziriswa uchishandisa maplates nema screws. Kuwanda kwekushushikana kwenzvimbo kuchiri dambudziko rakaoma kune vanachiremba vemapfupa maererano nekudzikamisa kutyoka uye kudzivirira kutadza kwekugadziriswa.
Kuchinja kweDistal Clavicle LCP
Mugumo wekumashure weclavicle une maumbirwo akafanana nemugumo wekumberi, ese aine hwaro hwakafara. Mugumo wekumashure weclavicle locking compression plate (LCP) une maburi akawanda anokiya, zvichibvumira kuti chikamu chekumashure chigadzike zvakanaka.
Vachifunga nezvekufanana kwemaumbirwo aripo pakati pezviviri izvi, vamwe vaongorori vakaisa ndiro yesimbi yakatwasuka pakona ye180° pamucheto we clavicle. Vakapfupisawo chikamu chaishandiswa pakutanga kudzikamisa mugumo we clavicle uye vakaona kuti chinhu chemukati chaikwana zvakanaka pasina chikonzero chekuumbwa.
Kuisa magumo e clavicle panzvimbo yakatenderedzwa uye kuigadzirisa ne bone plate parutivi rwepakati kwakaonekwa kuti kunokwana zvakanaka.
Muchiitiko chemurwere wechirume ane makore makumi mana ekuberekwa ane kutyoka kwechikamu chepakati che clavicle yekurudyi, simbi ye clavicle yakatenderedzwa yakashandisa plate yesimbi. Kuongorora kwakatevera mushure memwedzi gumi nemiviri yekuvhiyiwa kwakaratidza kuti mhedzisiro yakanaka yekupora.
Inverted distal clavicle locking compression plate (LCP) inzira inoshandiswa zvakanyanya mukurapa. Chinhu chakanaka nezvenzira iyi ndechekuti chikamu chemapfupa chepakati chinobatwa ne screws dzakawanda, zvichiita kuti chigadzike zvakachengeteka. Zvisinei, nzira iyi yekubatanidza inoda chikamu chemapfupa chepakati chakakura zvakakwana kuti chiwane mhedzisiro yakanaka. Kana chikamu chemapfupa chiri chidiki kana kuti paine intra-articular comminution, kushanda kwekugadzirisa kunogona kukanganiswa.
II. Nzira yeKugadzirisa Mapurati maviri Akarembera
Nzira yekushandisa ma "dual plate" inzira inowanzo shandiswa pakupwanyika kwakaomarara, sekupwanyika kwe "distal humerus", kupwanyika kwe "comminute" kwe "radius" ne "ulna", nezvimwewo. Kana kupwanyika kusingagone kuitwa mu "single plane", ma "dual locking steel plates" anoshandiswa pa "vertical fixation", zvichigadzira chimiro chakagadzikana che "dual-plane". Panyaya ye "biomechanics", kupwanyika kwe "dual plate" kunopa zvakanakira zve "mechanical" pane kupwanyika kwe "single plate".
Ndiro yepamusoro yekugadzirisa
Ndiro yekugadzika yepasi uye musanganiswa mina wezvimiro zvendiro mbiri
Nguva yekutumira: Chikumi-12-2023
