Ukuqhekeka kwe-humeral greater tuberosity kukwenzakala okuqhelekileyo kwamagxa kwindlela yokwelapha kwaye kudla ngokuhamba nokuqhekeka kwamalungu egxalabeni. Kwii-comminuted and displaced humeral greater tuberosity fractures, unyango lotyando lokubuyisela i-anatomy eqhelekileyo yamathambo e-proximal humerus kunye nokwakha kwakhona ingalo ye-shoulder lever sisiseko sokubuyiselwa kokusebenza kwegxala. Iindlela eziqhelekileyo zonyango ziquka ukusetyenziswa kwee-humeral greater tuberosity anatomical plates, ii-proximal humerus anatomical plates (PHILOS), i-screw fixation, okanye i-anchor suture fixation ene-tension band.
Kuqhelekile kakhulu kunyango lokufakelwa kwangaphakathi kwe-fracture ukusebenzisa iiplate ze-anatomical, ezazilungiselelwe uhlobo oluthile lwe-fracture, kwezinye iindawo ze-fracture. Imizekelo ibandakanya ukusetyenziswa kweplate ye-LISS ye-distal femoral eguqulweyo ukunyanga i-proximal femur fractures, kunye neeplate ze-metacarpal ukulungisa i-radial head okanye i-tibial plate fractures. Kwi-humeral greater tuberosity fractures, oogqirha abavela kwiLishui People's Hospital (iSibhedlele seSixth Affiliate saseWenzhou Medical University) baqwalasele iingenelo ezikhethekileyo zeplate ye-calcaneal anatomical ngokubhekiselele kwi-plasticity kunye nozinzo lwe-fixation kwaye bayisebenzisa kwi-humerus ye-proximal ngeziphumo ezisebenzayo ezixeliweyo.
Umfanekiso ubonisa iipleyiti ze-calcaneal anatomical zobukhulu obahlukeneyo. Ezi pleyiti zinokuguquguquka okuphezulu kunye ne-plasticity eqinileyo, nto leyo evumela ukuba zinamathele ngokukhuselekileyo kumphezulu wethambo ngezikrufu.
Umfanekiso oQhelekileyo weTyala:
Kwinqaku, umbhali uthelekise ukusebenza kakuhle kweepleyiti ze-anatomical ze-calcaneal kunye nokulungiswa kwe-PHILOS, ebonisa ukuba ipleyiti ye-anatomical ye-calcaneal ineengenelo ekubuyiseleni ukusebenza kwamalungu egxalabeni, ubude bokusika ngotyando, kunye nokulahleka kwegazi ngotyando. Ukusebenzisa iipleyiti ze-anatomical ezenzelwe uhlobo oluthile lokwaphuka ukunyanga ukwaphuka kwezinye iindawo, eneneni, yindawo engwevu kwizonyango. Ukuba kuvela iingxaki, ukufaneleka kokukhetha ukulungiswa kwangaphakathi kunokuthandatyuzwa, njengoko kubonakala ngokusetyenziswa okubanzi kodwa okwethutyana kweepleyiti ze-LISS eziguqulweyo kwiimfanta ze-femur ezikufutshane, nto leyo ekhokelele kwinani elikhulu lokusilela kokulungiswa kunye neengxabano ezinxulumene noko. Ke ngoko, indlela yokulungiswa kwangaphakathi evezwe kweli nqaku yenzelwe ukubhekiswa koogqirha bezonyango kwaye ayisiyongcebiso.
Ixesha lokuthumela: Agasti-26-2024
