Iziphumo zonyango zixhomekeka kwindawo yokugcina i-anatomical yebhloko ye-fackisure, ukulungiswa okuqinileyo kokuqhekeka, ukugcinwa kwe-raction ye-tishu eyomeleleyo kunye nokuzilolonga kwangoko.
I-anatomy
II-humersis ye-distarsyahlulwe yaba yikholamu yeMedi yeMedi kunye nekholamu ye-1).
Umzobo 1 I-distal humerus iqulathe ikholamu yeMedial ne-Lateral
Ikholamu yeMedial ibandakanya inxenye ye-hitial epiphysis, iMedical Epicondy ye-humersus kunye ne-humeral ye-humeral ye-medial kubandakanya i-humeral glide.
Ikholamu ye-Lateral ibandakanya indawo ye-humeral epiphysis, i-Epicondy ye-humersus kunye ne-humeryus yangaphandle ye-humerus kubandakanya i-huberasity ye-humeral.
Phakathi kweekholamu ezimbini ze-STALL yifossare engaphandle ye-coronoid kunye ne-possal fossal fossal.
Indlela yokulimala
I-Supracondylar Practures ye-humerus ihlala ibangelwa kukuwa kwiindawo eziphakamileyo.
Izigulana eziselula ezinesifo se-intra
Ukuchwetheza
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(c) Ukuqhekeka kwe-hinder
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Umzobo 2 AO UCHUPHA
I-AO HUTRAL YOKUGQIBELA IXESHA (Umzobo 2)
Chwetheza i
Chwetheza B: Ukuqhekeka kubandakanya umphezulu wobugcisa (ukuqhekeka kwekholamu enye).
Chwetheza C: Ukwahlukana ngokupheleleyo komgangatho wobugcisa we-humersus ukusuka kwisiqu se-humeral (i-Bikolundi Frature).
Uhlobo ngalunye luqhubekekahlukaniswe ngezityholo ezi-3 ngokwamanqanaba omsebenzi wokuqhekeka, (1 ~ 3 ophuma kwinqanaba lokwandiswa kwe-odolo kuloo myalelo).
Umzobo3 Ringborough-Radin typeng
I-RiesCough-Radin Teiping ye-Proclondylar Pratus ye-humers (zonke iintlobo zibandakanya inxenye ye-humersus)
Chwetheza i
Chwetheza i-II: I-Intercondylar Fracture ye-humerus enendawo yokulahla inkunkuma ye-fectled ngaphandle kokungasebenzi.
Chwetheza ii-III III: I-Intercondylar Fracture ye-humerus enendawo yokuqhekeka kwesahlulo se-picle yothutho kunye nokungasebenzi.
Chwetheza i-IV: Ukuqhekeka okukhulu kwe-articture yomphezulu we-articular yenye okanye ezimbini (umzobo 3).
Umzobo 4 Uhlobo I-Himeral Tuberosity Fracture
Umzobo o-5 we-huberal tuberosity foraction
Ukwaphuka kwe-huberal tuberosity: ukwenzakala kwe-shear humersus
Chwetheza i-IT
Chwetheza i-II: Ukuqhekeka kwe-subchondral ye-cartilage ye-articular ye-huberal tuberosity (i-Koren-Lorenz Fracture).
Chwetheza ii-III III: Ukuqhekeka kwe-suctures ye-huberal tuberosity (umzobo 5).
Unyango olungasebenziyo
Iindlela ezingasebenzi kakuhle zonyango zokuqhekezwa kwe-distal humeral kunendima encinci. Injongo yonyango olungelulo Abaguli abalupheleyo, abajamelana nezifo ezininzi ezihlanganisiweyo, kufuneka baphathwe ngendlela elula yokutshisa i-Elbow Joint i-60 ° eyokuguqulwa kweeveki ezingama-2-3, ilandelwa ngumsebenzi wokukhanya.
Unyango lonyango
Injongo yonyango kukubuyisela uluhlu lwe-PARE-REAL-REAL-REALD STEALT ye-Joint yeNtlawulo (i-30 ° ye-130 ° Slexion, i-50 ° yokujikeleza engasemva nangokujikeleziswanga engasemva naphakathi kunye nokujikeleza engasemva nangokujikeleziswa okungasemva naphakathi. ukuqina nokulungiswa kwangaphakathi okuqhelekileyo kwesaphulelo kuvumela ukuqalisa kokuzivocavoca okwenziwayo emva kokuphilisa ulusu; Ukulungiswa kweplate ephindwe kabini kwe-humerus ye-humersus kubandakanya: I-Medial kunye nePostal Topteral i-Plates ePhezulu, okanyeIMedial kunye ne-AdvalUkulungiswa kweplate ephindwe kabini.
Indlela yokuhlinqwa
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Ukuchongwa kunye nokukhuselwa kwe-medic kunye ne-neradial nervespelly.
I-Posteringar Elbow ingandiswa ngokufikelela
I-Ulnar HawkeyE Osteotomy: Ukuvezwa okwaneleyo, ngakumbi kwiqhekeza le-arhente lomhlaba. Nangona kunjalo, ukwaphuka komanyano kuhlala kwenzeka kwindawo ye-osteotomy. Ireyithi ye-Fraturety Ireyithiwe incitshisiwe kakhulu nge-Ulnar ye-rawk osteotomy (i-herringbone osteotomy) kunye ne-wire ye-wires yodidi okanye ukulungiswa kweplate.
Ukuvezwa kweRhafu yeTriceps kunokusetyenziswa kwi-difol ye-hikol ye-hikoral ye-hikoral ye-hikoral ye-quinores kunye nokuvezwa kwesilayidi se-humeral kungayinqumla i-1 cm.
Ifunyenwe ukuba iipleyiti ezimbini zinokubekwa ngaphandle okanye ngokuhambelana, kuxhomekeka kuhlobo lokuqhekeka apho iipleyiti kufuneka zibekwe khona.
I-Articulature Rectures kufuneka ibuyiselwe kumgangatho wobugcisa weflethi kwaye ilungiselelwe kwisiqu se-humeral.
Umzobo 6 Ukulungiswa kwe-Post-I-PREAT
Ukulungiswa okwethutyana kwebhloko ye-Fract kwenziwa ngokusebenzisa i-kire, emva koko ipleyiti yokunyanzelwa kwamandla e-3.5 mm yancitshiswa kwikholamu ye-humer, ukuze ipleyiti yombane ihlawulwe i-humer (ipleyiti ye-RM inokuthi isebenze lula inkqubo.) (Umfanekiso 6).
Thatha inkathalo ukuba ungayilungisi isiqwenga sokuqhekeka se-articular se-screed kunye nesikrelemnqa sonke esinoxinzelelo kwi-medical ukuya kwicala elingasemva.
I-Epiphysis-humerus iwaka lendawo ibalulekile ukuba ithintele imanyano yokuqhekeka.
Ukunika i-bone graft i-graft igcwalisa kwindawo yesiphene sethambo, ukwenza i-Iliac Grafts ukugcwalisa isiphene se-proble yoxinzelelo: umphezulu wethambo le-pial kunye nethambo le-pieling piages.
Khumbula amanqaku aphambili okulungisa.
Ukulungiswa kwesiqwengana se-distal uqhekezo kunyeIzikrelemnqangokusemandleni.
Ukulungiswa kweziqwengana ezininzi zokuqhekeka kobuqhetseba kangangoko kunokwenzeka ngezikrelemnqa ukuwela ngokwasemva.
Iipleyiti zensimbi kufuneka zibekwe kumacala eMedial kunye namacala e-humersus.
Izinketho zoNyango: Iyonke i-Elthroplast
Kwizigulana ezinamaqhekeza obuqatha okanye i-osteoporosis, i-Earthroplast ye-ElthroProplast inokubuyisela i-Elbow Motion kwaye isebenze emva kokuba ifune izigulana ezifunwayo; Ubuchwephesha botyando bufana ne-orthroplasts ye-arthroplasts yenguqu ye-elbow edibeneyo.
(1) Ukusetyenziswa kohlobo lwe-stem-uhlobo lwe-stem
(2) Isishwankathelo semisebenzi yoNyango.
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Ukuxhaswa kwe-ilnar nerve.
Ukufikelela kumacala omabini amacala asuswe ithambo eliqaqambileyo (inqaku eliphambili: Musa ukusika ukuyeka amaTriceps kwi-Ilnar Hawk yendawo).
I-humerus yonke i-humerus kubandakanya i-hawk fossa inokususwa kwaye i-prosthes ifakwe, engayi kuyishiya i-sequelae ebalulekileyo ukuba isuswe i-2 cm isusiwe
Uhlengahlengiso lwengxwabangxwaba ye-onrinsic yemisipha ye-triceps ngexesha lokuqinisekiswa kwe-rostshes ye-fitural emva kokukhuphela i-figural concele.
Ukuchasana kwencam ye-proximal ilnar ilnar ukuvumela ukufikelela okungcono kokuvezwa kunye nokufakwa kwecandelo le-Ulnar Prosthesis (Umzobo 7).
Umzobo 7 I-Elbow ArthroPROPROPRY
Unonophelo lwePomative
I-Pobstoperaperative ye-Postoupetive ye-Posteriting ye-posterity yomdibaniso we-elbow kufuneka isuswe xa inxeba lesigulana, kwaye ukusebenza ngokusebenzayo ngoncedo kufuneka kuqale; Ijong ye-elbow kufuneka ichazwe ixesha elide elaneleyo emva kokutshintshwa kwenxeba lokunyanga (umdibaniso we-elbow unokuhlala kwindawo ethe nkqo emva kokufumana umsebenzi ongcono); I-splint esisusiweyo ngoku isetyenziswa ngokukuko ngokweeklinikhi ukulungiselela ukwenza imisebenzi yokuziqhelanisa xa inokukhutshwa rhoqo ukhusela ngcono umlenze ochaphazelekayo; Ukuzilolonga okusebenzayo kudla ngokuqala kwiiveki ezi-6-8 emva kokuba inxeba lolusu liphilisiwe ngokupheleleyo.
Unonophelo lwePomative
I-Pobstoperaperative ye-Postoupetive ye-Posteriting ye-posterity yomdibaniso we-elbow kufuneka isuswe xa inxeba lesigulana, kwaye ukusebenza ngokusebenzayo ngoncedo kufuneka kuqale; Ijong ye-elbow kufuneka ichazwe ixesha elide elaneleyo emva kokutshintshwa kwenxeba lokunyanga (umdibaniso we-elbow unokuhlala kwindawo ethe nkqo emva kokufumana umsebenzi ongcono); I-splint esisusiweyo ngoku isetyenziswa ngokukuko ngokweeklinikhi ukulungiselela ukwenza imisebenzi yokuziqhelanisa xa inokukhutshwa rhoqo ukhusela ngcono umlenze ochaphazelekayo; Ukuzilolonga okusebenzayo kudla ngokuqala kwiiveki ezi-6-8 emva kokuba inxeba lolusu liphilisiwe ngokupheleleyo.
IXESHA LOKUQALA: I-DEC-03-2022
