Chiwopsezo cha Clavicle ndi chimodzi mwazinthu zodziwika bwino kwambiri, kumawerengera 2.6% -4% ya zonunkhira zonse. Chifukwa cha manatomical mikhalidwe ya Midshaft ya clavicle wa clavicle wa clavicle wa clavicle wa clavicle wafala kwambiri, maakaunti a 69% ya ma clactures a clavicle, pomwe pamathambo am'masitolo a Clavicle a 28% ndi 3% motsatana.
Monga mtundu wachilendo wa kuwonongeka, mosiyana ndi Midshaft Clavicle Claviction zomwe zimayambitsidwa ndi mapewa am'mimba kapena kutumizidwa kwa magetsi kuchokera ku clavicle, zomata zamphamvu zambiri zimagwirizanitsidwa ndi kuvulala kambiri. M'mbuyomu, njira yochizira matenda am'madzi a clavicle ya clavicy yakhala ikusamala. Komabe, kafukufuku wawonetsa kuti 14% ya odwala omwe ali ndi vuto lokhala ndi mathiramu amatha kukhala osagwirizana. Chifukwa chake, m'zaka zaposachedwa, akatswiri ochulukirachulukira angodukiza ku opaleshoni yokomedwa ndi mathanthwe amakono omwe amakhudza Stermoclavicular. Komabe, zidutswa zam'madzi zam'madzi nthawi zambiri zimakhala zazing'ono, ndipo pali malire kuti musinthe pogwiritsa ntchito mbale ndi zomata. Kupanikizika kwakomweko kumakhalabe ndi vuto la madokotala ochita opaleshoni orthopedic malinga ndi kukhazikika kwamphamvu ndikupewa kulephera kukonza.
I.distal Clavicle TCP Inversion
Mapeto a Clavicle amagawana mitundu yofananira yofananira ndi kumapeto kwenikweni, onse ali ndi maziko. Kumapeto kwa malo otsekeka kwambiri potseka mbale (LCP) kumakhala ndi mabowo ambiri otsetsereka, kuloleza kukonzekera kwa chidutswa cha chofatsa.
Poganizira kufanana pakati pa awiriwa, akatswiri ena amaika galasi lalikulu moyang'anizana ndi ma 180 ° kumatha kumapeto kwa clavicle. Afupikitsanso gawo lomwe limagwiritsidwa ntchito kukhazikika kumapeto kwa clavicle kwa clavicle ndipo adapeza kuti kuwonongeka kwamkati popanda chifukwa chosowa.
Kuyika malire a Clavicle paudindo wolumikizidwa ndikukhazikitsa ndi mbale yam'madzi pagawo la mathiko omwe apezeka kuti apereke zokwanira.
Pankhani ya wodwala wazaka 40 wokhala ndi kusokonekera pamapeto a clavicle oyenera, mbale yolumikizidwa ya clavicle slavel idagwiritsidwa ntchito. Kuwerenga Mwezi miyezi 12 Pambuyo pa opaleshoniyo kunawonetsa zotsatira zabwino zochiritsira.
Kusokonekera kwa Distal Clavicle Kutseka mbale (LCP) ndi njira yogwiritsidwa ntchito poyambira mumisonkhano. Ubwino wa njirayi ndikuti chidutswa cha mafupa chimasungidwa ndi zomata zingapo, kupereka mawonekedwe otetezeka. Komabe, njira iyi imafunikiranso kachidutswa kakang'ono kwambiri kuti ikhale yothandiza kwambiri. Ngati chidutswa cha fupa ndi chochepa kapena pali chipolopolo cha intra-articular, kugwiritsa ntchito mphamvu kungasokonezeke.
Ii. Njira Yopuma Yabwino Yokhazikika
Njira yoyendera yam'mimba ndi njira yogwiritsira ntchito mankhwala osokoneza bongo, monga maluwa a humerus, oyimbidwa ndi ma radius ndi ulna, ndi zina zotero. Kukonzanso bwino sikungatheke mu ndege imodzi, mbale ziwiri zotsekera zitsulo zimagwiritsidwa ntchito pokonza zofukizira, ndikupanga zida zokhazikika. Biomechaschantecal, kukhazikika kwapadera kwambiri kumapereka zabwino zopangira pama plate.
Mbale yapamwamba
Pulogalamu yotsika yotsika ndi kuphatikiza zinayi za mapangidwe am'mimba
Post Nthawi: Jun-12-2023
