Clavicle Fracture ndeimwe yeanonyanya kukanganisika, accounting ye2,6% -4% yezvakakomberedzwa. Nekuda kwehunhu hweAnatomical of the midshing of the clavicle, midhaft fractures yakajairika, neyakafembera zveClavicle Frales, nepo magumo eClavicle yeClavicle account ye 28% uye 3% zvichiteerana.
Semhando isina kujairika yekupwanya, kusiyana nedvavicle zvikamu zvekutengesa zvakarukwa kubva pakurwiswa kwemukati Munguva yakapfuura, iyo nzira yekurapa yekupwanya kwemugwagwa wepamhepo ye clavicle inowanzo kuve inochengetedza. Nekudaro, zvidzidzo zvakaratidza kuti 14% yevarwere nevarwere vakadzingwa vevaridzi vemuMu medial magumo anogona kuona chiratidzo nonunion. Naizvozvo, mumakore achangopfuura, vadzidzi vakawanda vakatsaukira pakurapa kwekuvhiya kwekuratidzirwa kwemugumo wemugumo unosanganisira iyo sternoclular yakabatanidzwa. Nekudaro, zvidimbu zvemukati zvinowanzoitika zvidiki zvidiki, uye pane zvataurwa kugadziridzo uchishandisa mahwendefa uye screws. Kushungurudzika kwenzvimbo kunoramba kuri nyaya yakaoma kune vanorwiswa zveOrthopedic vanovhiya maererano nekuita zvinobudirira kupwanyika uye kudzivisa kukundikana.
I.Distal clavicle lcp inversion
Iko kuguma kwechokwadi kweClavicle kunogovana zvakafanana zvimiro zvezvivakwa zvine proximal mugumo, zvese zvine chigadziko chakafara. Iko kupera kweiyo Clavicle Locking concepes conate (LCP) yakagadzirirwa neakawanda kukiya marara, kubvumira kugadziriswa kwekubudirira kwechitima che discal.
Kufunga kuenderana nechimiro chakafanana pakati pevaviri ava, vamwe vadzidzi vakaisa ndiro yesimbi yakatwasuka pane 180 ° ° ° ° yekupera kweiyo clavicle. Ivo zvakare vakapfupitsa chikamu chakatanga kusimbisa mugumo weKristic yeClavicle uye vakawana kuti iyo yemukati yekuisa inokodzera zvisina kufanira kana kudiwa kwekuumba.
Kuisa iyo clavicle's distal yekupedzisira munzvimbo yakatsanangurwa uye kuigadzirisa neine mapapu emugwagwa pane iyo medial padivi yakawanikwa kuti ipe zvinogutsa kukwana.
Mune imwe nyaya yemurume ane makore makumi mana emurume ane bracture pamifananidzo yemubatanidzwa weiyo clavicle chaiyo, inverted distal clavicle simbi simbi yakashandiswa. Kuongorora kwekutevera kwemwedzi gumi nemaviri mushure mekuvhiyiwa kwairatidza mhedzisiro yakanaka yekuporesa.
Inverted distal clavicle locking concepes conate (LCP) chinhu chinowanzoshandiswa pakushandisa nzira yemukati yekugadzirisa mumhando yekiriniki. Kubatsira kwenzira iyi ndekwekuti chidimbu cheMial bone chinobatwa neakawanda screws, ichipa iyo yakachengeteka yekugadziriswa. Nekudaro, iyi nzira yekugadzirisa inoda iyo yakakwana yakakura medial yepafupa yemugove wekodzero. Kana chidimbu chepfupa chiri diki kana kune intra-chinyengeri chekusimbisa, kushanda kwekubudirira kunogona kukanganiswa.
Ii. Dual Plate Vertical Fixation maitiro
Iyo Dual Plate nzira inowanzo shandiswa kune yakaomarara makomputa, sekukanganiswa kweiyo humerus humerus, yakakomberedza radius uye ulna, zvichingodaro. Kana gadziriso inoshanda isingakwanisi kuwanikwa mune imwe ndege, inokwereta masimbi mahwendefa anoshandiswa gadziriro yekugadzirisa, kugadzira iyo nzira mbiri-mbiri yakagadzikana. Biomichanical, Dual Plate Fixation inopa manyoro zvakanakira pamusoro peimwe plate yekugadziriswa.
Iyo yepamusoro yekugadzirisa plate
Iyo yepazasi yekugadzirisa plate uye mina musanganiswa weCoual Plate gadziriro
Kutumira Nguva: Jun-12-2023
