Iikhrayitheriya ezamkelekileyo zokuphilisa amaHimeral Shaft Prictures zizinto ezingasemva kwe-20 °, i-Ang kateret engaphantsi kwe-30 °, kwaye ijikelezile ingaphantsi kwe-3cm. Kwiminyaka yakutshanje, eneemfuno zokwanda komsebenzi welungu eliphezulu kunye nokuvuselela kwangaphambili kubomi bemihla ngemihla, unyango lwe-rogol shaft luxhaphake kakhulu. Iindlela eziphambili ze-witstriam zibandakanya i-andler, i-anterolates, okanye impahla yasemva kokulungiswa ngaphakathi, kunye nokubethwa kwe-intramellary. Izifundo zibonisa ukuba inqanaba elingeyonyani lokunciphisa ukuncitshiswa kwangaphakathi kwefuko lezikhuselo limalunga ne-4-16%, nge-IAtrogenic Rinerage Foren yenzekile malunga ne-7% yamatyala.
Ukuthintela i-iatrogenic radial radial nerve yethambo kwaye unciphise inqanaba lokunciphisa, abafundi basekhaya e-China bamkele indlela yokusebenza, kwaye baphulukene nemiphumo emihle.
IINKQUBO ZOQOQOSHO
Inyathelo lokuqala: Ukuma. Isigulana silele kwindawo yesiseko, kunye nelungu elichaphazelekayo lithathwe ngama-90 degrees kwaye babekwe kwitafile esebenzayo.
Inyathelo lesiBini: I-Acketion. Kwisiqhelo seplate ye-Medial-iplate (i-khanghui) kwizigulana, izigulana ezinde ezinde emalunga ne-3cm nganye yenziwa kufutshane ne-proximal kunye neziphelo ezikhulu. I-proximal isebenza njengomnyango wendlela ye-Detoid kunye ne-Pecctoralis, ngelixa i-Erial the Epicondley ye-humeri, phakathi kwe-biceps brachii.
▲ Umzobo we-Schematic wento ebalulekileyo.
①: Ukuncitshiswa koqhaqho; ②: I-chithalic vein; ③: I-pectolis enkulu; ④: Isihlunu seDeltoid.
▲ Umzobo we-Schematic we-distation.
①: nerve ephakathi; ②: Ilnar nerve; ③: Isihlunu se-brachialis; ④: Uhlaselo lwe-sundocal.
Inyathelo lesithathu: Ukufakwa kweplate kunye nokulungiswa. Iplate ifakwe kwi-proximal i-proximal, i-snug ngokuchasene nethambo, idlula ngaphantsi komsipha we-brachialis. Iplate ikhuselwe kuqala kwisiphelo se-proximal ye-chaft shaft. Emva koko, ngokugquma ngokujikeleza kumlenze ongaphezulu, ukwaphuka kuvalwa kwaye kuhambelana. Emva kokuncitshiswa okwanelisayo phantsi kwe-Fluoroscopy, isikere esisezantsi sifakwe kwi-distation ye-distal ukukhusela ipleyiti ngokuchasene nethambo. Isikhafu sokutshixa siqiniswe, sigqibe ukulungiswa kweplate.
▲ Umzobo we-Schematic we-uppener ephezulu yeplate.
①: Isihlunu se-brachialis; ②: I-Biceps Brachiiiiii; ③: Iinqanawa zeMedial kunye ne-nerve; ④: I-pectorali inkulu.
▲ Umzobo we-Schematic we-distnel ye-distal.
①: Isihlunu se-brachialis; ②: nerve ephakathi; ③: Ilnar nerve.
IXESHA LOKUQALA: UNv-10 ukuya kwi-1023
