Humeral wamkulu tuberosity fractures ndizofala paphewa zovulala m'machitidwe azachipatala ndipo nthawi zambiri zimatsagana ndi kusweka kwa mapewa. Pakusweka kwa machubu ocheperako komanso osakhalitsa, chithandizo chamankhwala chobwezeretsa mafupa a proximal humerus ndikumanganso mkono wamapewa ndi maziko obwezeretsa magwiridwe antchito a phewa. Njira zodziwika bwino zachipatala zimaphatikizapo kugwiritsa ntchito ma plates a humeral great tuberosity anatomical plates, proximal humerus anatomical plates (PHILOS), screw fixation, kapena anchor suture fixation ndi bandi yolimba.
Ndizofala kwambiri pochiza fracture mkati kuti agwiritse ntchito mbale za anatomical, zomwe poyamba zinapangidwira mtundu umodzi wa fracture, kumalo ena othyoka. Zitsanzo zikuphatikizapo kugwiritsa ntchito mbale yotembenuzidwa ya distal femoral LISS pochiza fractures ya femur, ndi mbale za metacarpal kukonza zophulika za mutu wa radial kapena tibial plateau fractures. Pakuphulika kwa machubu ochulukirapo, madotolo aku Lishui People's Hospital (The Sixth Affiliated Hospital of Wenzhou Medical University) adawona ubwino wapadera wa mbale ya calcaneal anatomical ponena za kukhazikika kwa pulasitiki ndi kukhazikika ndikuiyika ku proximal humerus ndi zotsatira zomveka bwino.
Chithunzichi chikuwonetsa mbale za calcaneal anatomical zamitundu yosiyanasiyana. Ma mbalewa amakhala ndi kusinthasintha kwakukulu komanso pulasitiki yolimba, zomwe zimawalola kuti azimangirizidwa bwino ndi fupa pamwamba ndi zomangira.
Chithunzi Chodziwika:
M'nkhaniyi, wolembayo anayerekezera mphamvu ya mbale za calcaneal anatomical ndi PHILOS fixation, kusonyeza kuti mbale ya calcaneal anatomical inali ndi ubwino pakugwira ntchito kwa mapewa, kutalika kwa opaleshoni, komanso kutaya magazi. Kugwiritsira ntchito mbale za anatomical zomwe zimapangidwira mtundu umodzi wa fracture kuti zithetse fractures m'malo ena, kwenikweni, ndi malo otuwa muzochitika zachipatala. Ngati zovuta zibuka, kuyenera kwa chisankho chokonzekera mkati chikhoza kufunsidwa, monga momwe zikuwonekera ndi kufalikira koma kwanthawi yayitali kugwiritsiridwa ntchito kwa mabala a LISS otembenuzidwa kwa proximal fractures ya femur, zomwe zinapangitsa kuti chiwerengero chachikulu cha kulephera kwa kukonza ndi mikangano yokhudzana nayo. Chifukwa chake, njira yokonzekera mkati yomwe yafotokozedwa m'nkhaniyi idapangidwa kuti iwonetsedwe ndi madokotala azachipatala ndipo siupangiri.
Nthawi yotumiza: Aug-26-2024
