Clavicle fracture ndechimwe chezvakanyanya kutsemuka, kuverenga kwe2.6% -4% yezvose zvakaputsika.Nekuda kweiyo anatomical maitiro eiyo midshaft ye clavicle, midshaft fractures inowanzoitika, inoverengera 69% yeclavicle fractures, nepo fractures ye lateral uye medial magumo eclavicle account ye28% uye 3% zvichiteerana.
Sezvo rudzi rusina kujairika rwekuputsika, kusiyana ne midshaft clavicle fractures iyo inokonzerwa nekushungurudzika kwepafudzi zvakananga kana kumanikidzira kutapurirana kubva kumusoro kwemakumbo ekurema-kuremera kukuvara, kuputsika kwepakati pekupedzisira kwe clavicle kunowanzobatanidzwa nekukuvara kwakawanda.Munguva yakapfuura, nzira yekurapa yekutyoka kwepakati pekupedzisira kwe clavicle yagara ichichengetedza.Zvisinei, zvidzidzo zvakaratidza kuti 14% yevarwere vane mafractures ekupedzisira ekupedzisira vanogona kuwana zviratidzo zvekusaziva.Nokudaro, mumakore achangopfuura, nyanzvi dzakawanda dzakatsamira pakurapa kwekuvhiyiwa kwekuputsika kwepakati pekupedzisira kunosanganisira sternoclavicular joint.Nekudaro, iyo medial clavicular zvidimbu zvinowanzo diki, uye pane zvisingakwanisi kugadzirisa uchishandisa mahwendefa uye screws.Nharaunda yekushungurudzika kwenzvimbo inoramba iri nyaya yakaoma kune vanachiremba vemapfupa maererano nekunyatsogadzirisa kuputsika uye kudzivisa kukanganisa kugadzirisa.
I.Distal Clavicle LCP Inversion
Iyo distal yekupedzisira ye clavicle inogovera zvakafanana anatomical zvimiro neinoperera magumo, ese ane hwaro hwakafara.Iyo distal yekupedzisira ye clavicle locking compression plate (LCP) ine akawanda ekuvhara screw maburi, achibvumira kugadzirisa kunoshanda kweiyo distal fragment.
Tichifunga nezvekufanana kwechimiro pakati pezviviri izvi, dzimwe nyanzvi dzakaisa ndiro yesimbi yakachinjika pakona ye 180 ° kumucheto kure kwe clavicle.Vakapfupisawo chikamu chakatanga kushandiswa kudzikamisa distal end ye clavicle uye vakaona kuti iyo yemukati implant inokodzera snugly pasina kudiwa kwekuumbwa.
Kuisa iyo clavicle's distal end in inverted position uye kuigadzirisa nepfupa ndiro padivi repakati yakawanikwa ichipa zvinogutsa.
Muchiitiko chemurwere wechirume ane makore makumi mana ane kuputsika pamucheto wepakati we clavicle yakarurama, inverted distal clavicle steel plate yakashandiswa.Ongororo yekutevera 12 mwedzi mushure mekuvhiyiwa kwakaratidza mhedzisiro yakanaka yekuporesa.
Inverted distal clavicle locking compression plate (LCP) inowanzoshandiswa mukati mekugadzirisa nzira mumakiriniki maitiro.Kubatsira kweiyi nzira ndeyekuti medial bone fragment inobatwa neakawanda screws, ichipa yakachengeteka kugadzirisa.Nekudaro, iyi nzira yekugadzirisa inoda yakakura zvakakwana yepakati pfupa chimedu kuti mhedzisiro yakakwana.Kana chidimbu chepfupa chiri chiduku kana kune intra-articular comminution, kugadzirisa kugadzirisa kunogona kukanganisa.
II.Dual Plate Vertical Fixation Technique
Iyo mbiri yeplate tekinoroji inzira inowanzoshandiswa kune yakaoma comminuted fractures, senge fractures ye distal humerus, comminuted fractures yeradius uye ulna, zvichingodaro.Kana kugadzirisa kunobudirira hakugone kuwanikwa mune imwe ndege, mahwendefa maviri ekuvhara simbi anoshandiswa pakugadzirisa vertical, kugadzira dhizaini-ndege yakagadzikana.Biomechanically, dual plate fixation inopa mabhenefiti emakanika pamusoro pekugadzirisa ndiro imwe chete.
Iyo yepamusoro fixation ndiro
Iyo yepasi yekugadziridza ndiro uye ina misanganiswa yehuviri plate magadzirirwo
Nguva yekutumira: Jun-12-2023
