Kusweka kwa mafupa a humeral greater tuberosity ndi kuvulala kwa mapewa komwe kumachitika kawirikawiri m'chipatala ndipo nthawi zambiri kumayenderana ndi kusweka kwa mafupa a phewa. Pa kusweka kwa mafupa a humeral greater tuberosity komwe kwachotsedwa ndi kusunthika, chithandizo cha opaleshoni chobwezeretsa fupa labwinobwino la proximal humerus ndikumanganso mkono wa phewa ndiye maziko a kubwezeretsa bwino kwa phewa. Njira zodziwika bwino zachipatala zimaphatikizapo kugwiritsa ntchito ma humeral greater tuberosity anatomical plates, proximal humerus anatomical plates (PHILOS), screw fixation, kapena anchor suture fixation ndi band yolimba.
Kawirikawiri pochiza matenda a mkati mwa fracture, kugwiritsa ntchito ma anatomical plates, omwe poyamba adapangidwira mtundu wina wa fracture, kumalo ena osweka. Zitsanzo zikuphatikizapo kugwiritsa ntchito inverted distal femoral LISS plate pochiza fractures proximal femur, ndi metacarpal plates kukonza radial head kapena tibial plate fractures. Pa ma fractures a humeral greater tuberosity, madokotala ochokera ku Lishui People's Hospital (The Sixth Affiliated Hospital of Wenzhou Medical University) adaganizira za ubwino wapadera wa calcaneal anatomical plate pankhani ya plasticity ndi fixation stability ndipo adagwiritsa ntchito ku proximal humerus ndi zotsatira zabwino zomwe zanenedwa.
Chithunzichi chikuwonetsa mbale za anatomical za kukula kosiyanasiyana. Ma mbale awa ali ndi kusinthasintha kwakukulu komanso pulasitiki yamphamvu, zomwe zimawalola kuti azilumikizidwa bwino pamwamba pa fupa ndi zomangira.
Chithunzi Chachikulu Chachikulu:
Munkhaniyi, wolembayo anayerekeza mphamvu ya ma calcaneal anatomical plates ndi PHILOS fixation, kusonyeza kuti calcaneal anatomical plate inali ndi ubwino pakuchira kwa ntchito ya mapewa, kutalika kwa kudula kwa opaleshoni, komanso kutaya magazi ochitidwa opaleshoni. Kugwiritsa ntchito ma plates a anatomical omwe adapangidwira mtundu wina wa kusweka kuti athetse kusweka m'malo ena, kwenikweni, ndi gawo lovuta kwambiri pakuchita zachipatala. Ngati mavuto abuka, kuyenerera kwa kusankha kwa internal fixation kungakayikidwe, monga momwe zikuonekera ndi kugwiritsa ntchito kwapafupi kwa ma inverted LISS plates kwa ma proximal femur fractures, zomwe zidapangitsa kuti pakhale kulephera kwakukulu kwa fixation ndi mikangano yokhudzana nayo. Chifukwa chake, njira ya internal fixation yomwe yatchulidwa m'nkhaniyi cholinga chake ndi kutchulidwa ndi madokotala azachipatala ndipo si malangizo.
Nthawi yotumizira: Ogasiti-26-2024
