Ukuqhekeka kwe-clavicle yenye yezona ntlobo ziqhelekileyo, i-akhawunti ye-2.6% -4% yazo zonke iqhekeza. Ngenxa yeempawu ze-anatomical ze-midshaft ye-clavicle, i-midshaft iqhelekile, inika ingxelo nge-69% ye-akhawunti ye-Clavicle, ngelixa i-Medical ye-Akhawunti ye-8% kunye ne-3% ngokwahlukeneyo.
Njengohlobo olungaqhelekanga lokuqhekeka, ngokungafaniyo ne-midshaft clavicle iqhekeza elibangelwa kukulimala kwegxalaba okanye ukunyanzeliswa kokulimala komzimba okhethekileyo, ukwaphuka kwesiphelo se-Clavicle ihambelana nokulimala okuninzi. Kwixa elidlulileyo, indlela yonyango lwe-quations yesiphelo se-medial se-clavicle iqhele ukubamba. Nangona kunjalo, izifundo zibonise ukuba iipesenti ezili-14 zezigulana ezinamagqabi afudumeleyo zesiphelo se-medial sinokufumana uphawu lwe-nonimatic. Ke ngoko, kwiminyaka yakutshanje, uninzi lwabaphengululi luye lwaxhuma kunyango lonyango lwe-subrided quatures zesiphelo se-medial ezibandakanya ukudityaniswa kwe-cignoclaricom. Nangona kunjalo, iziqwengana zeMedical Clogicour zihlala zincinci, kwaye kukho imida yokulungisa ukusebenzisa iipleyiti kunye nezikrelemnqa. Uxinzelelo loxinzelelo lwasekhaya luhlala lungumngeni wogqirha wamathambo ngokubhekisele ekuzinziseni ngokukuko nokuthintela ukungaphumeleli.
I.DIstal Clavicle LCP
Ukuphela kwe-distal ye-clavicle isabelana ngezakhiwo ezifanayo ze-anatomical kunye nesiphelo se-proximal, zombini zinesiseko esibanzi. Ukuphela kwe-distal yepleyiti yokutshixa i-clavicle (i-LCP) ixhotywe ngemingxunya yokutshixa emininzi, ivumela ukulungiswa okusebenzayo kwesiqwengana se-distal.
Ukuthathela ingqalelo ukufakwa kwesakhiwo phakathi kwaba babini, abanye abaphengululi babeka ipleyiti yentsimbi ngokuthe tyaba kwi-180 ° engle kwisiphelo se-clavicle. Baye banqamla inxalenye esetyenziselwa ukuzinzisa isiphelo se-dispile ye-clavicle kwaye bafumanisa ukuba ukuthambeka ngaphakathi kufikelele ngaphandle kwemfuneko ngaphandle kwemfuneko yokubumba.
Ukubeka isiphelo se-clavicle se-distal kwisikhundla esingenasiphelo kwaye siyilungisa ngeplate yethambo kwindawo ye-Medial ifunyenwe ukuba ibonelele ngokufanelekileyo.
Kwimeko yesigulana esineminyaka engama-40 ubudala oneminyaka engama-40 ubudala nge-racture kwisiphelo se-medial ye-clavicle yasekunene, i-disparal i-dilval pile isetyenzisiwe. Uviwo olulandelayo lweenyanga ezili-12 emva koqhaqho lubonise iziphumo ezilungileyo zokuphilisa.
Iphepha le-distal evelikisiweyo le-disvicle lokutshixiza (LCP) yindlela eqhelekileyo yokulungiswa kwangaphakathi kwikhondo leklinikhi. Inzuzo yale ndlela kukuba isiqwenga sethambo se-Medial siqhutywa zizikrelem ezininzi, sibonelela ngokulungiswa okukhuselekileyo. Nangona kunjalo, le ndlela yokulungisa ifuna isiqwenga sethambo esikhulu sethambo ngokwaneleyo seziphumo eziphezulu. Ukuba isiqwengana sethambo sincinci okanye kukho i-intra-ethe-carticular, ukusebenza ngempumelelo kunokulalana.
II. Iplate yeplate yeplate ethe nkqo
Indlela yokutsala kabini yindlela eqhelekileyo esetyenzisiweyo yokuqhutywa kwe-suctures entlungwini, njengokuqhekeka kwe-humersus yase-humer, inyibilikisiwe yeradiyo kunye ne-ulna, njalo njalo. Xa ulungiso olusebenzayo alunakuphunyezwa kwindiza enye, iipleyiti zentsimbi ezimbini zisetyenziselwa ukulungiswa okuthe nkqo, ukudala isakhiwo esizinzileyo senqwelomoya. I-biomechachanilly, ukulungiswa kweplani ezimbini kubonelela ngeenzuzo zendlela yokulungiswa kweplate enye.
Ipleyiti yokuphakamisa ephezulu
Ipleyiti yokulungisa esezantsi kunye nokudityaniswa kwezine zocwangciso zeplate ezimbini
IXESHA LOKUQALA: Jun-12 ukuya ku-2023
