Zotsatira za chithandizo chamankhwala zimatengera mtundu wa chotchinga cha fercraucal, kukhazikika kwamphamvu kwa kuwonongeka, kuteteza kwa minofu yofewa komanso masewera olimbitsa thupi.
Thupi
Akusokoneza humerusamagawidwa kukhala mulingo wa pakati ndi mzati woyamba (Chithunzi 1).
Chithunzi 1 Humerus Humerus ali ndi nambala yazitsulo komanso yotsatira
Chingwe cha medial chimaphatikizapo gawo la zigawo za epiphysis epiphysis, epicont ya ma epicondle ya Humerus ndi Humel Cydyle kuphatikiza ku Herside.
Cholinga chakumapeto kwa gawo la a Humeral Epiphysis, epicont yakunja ya Humerus ndi zikopa zakunja za humerus kuphatikizapo chiwongola dzanja.
Pakati pa mikwingwirima iwiri yofananira ndi anteronod Parna ndi Phirter fossal fossa.
Kuvulala
Supracondylar fractures a humerus nthawi zambiri zimayambitsidwa ndi mathithi kuchokera m'malo okwezeka.
Odwala a intra omwe ali ndi zonunkhira bwino nthawi zambiri amayamba chifukwa chovulala kwambiri, koma odwala okalamba amatha kukhala ndi zotupa zamkati kuchokera kumavulala kocheperako chifukwa cha osteoperosis.
Kulemba
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Chithunzi 2 AO Kulemba
AO Humeral Frackiper Kulemba (Chithunzi 2)
Lembani: zowonjezera zowonjezera.
Lembani B: Fracture yokhudzana ndi mawonekedwe a articular (imodzi-fedity).
Lembani C: kulekanitsa kwathunthu kwa artular pamtunda wa hurassi ya ku Humeal kuchokera ku Humeral tsinde (bicolnar fractar).
Mtundu uliwonse umagawikanso m'magawo atatu malinga ndi kuchuluka kwa chiwongoleredwa cha kusokonekera, (1 ~ 3 bartypes ndi digiri yowonjezereka mwa lamuloli).
Chithunzi3 Ndege-radin Kulemba
Kukula kwa BUREBUOGY-radin Kulemba kwa ma incrater a humerus (mitundu yonse ndi gawo la Suprandylar gawo la Humerus)
Lembani I: Kuwonongeka Popanda kusamukira pakati pa chiwongola dzanja chakumaso ndi Talus.
Lembani II: Intcondslar Frecture of the humerus ndikuthamangitsidwa kwa misa yazomera popanda kusinthika kwakanthawi.
Lembani III: INTCOMNYR FORTER ya Humerus ndikuthamangitsidwa kwa chidutswa cha kuthyolako kwa ozungulira ndi kusokonekera kwakanthawi.
Lembani IV: Kuwonongeka kwamphamvu kwa thupi la mmodzi kapena zonse ziwiri (Chithunzi 3).
Chithunzi 4 Mtundu wa Thierral Trumpre
Chithunzi 5 Humeral Trurder Fracraurs
Kuwonongeka kwa khutu la Humeral Jurder: Kuvulala kwa Humersol Humerus
Lembani I: Kuwonongeka kwa chiwongola dzanja chonse kuphatikiza m'mphepete mwa a Humeral Talus (Hahn-Steinhal fracture) (Chithunzi 4).
Lembani II: SubCHondral kuwonongeka kwa cartilage ya matenda a Humeral Turder (korer-lorenz fracture).
Lembani III: Kuyimitsa kwa matenda a khutu (Chithunzi 5).
Chithandizo chogwiritsira ntchito
Njira zosagwiritsira ntchito mankhwala osokoneza bongo a Hermal ali ndi gawo lochepa. Cholinga cha chithandizo chogwiritsira ntchito chogwiritsira ntchito ndi: Kuyenda koyambirira kuti mupewe kuwuma; Okalamba odwala, omwe amadwala kwambiri matenda osiyanasiyana, ayenera kuthandizidwa ndi njira yosavuta yopangira chingwe cha erbow mu 60 ° masana 2-3, kutsatiridwa ndi ntchito yowunikira.
Mankhwala othandizira
Cholinga cha chithandizo ndikubwezeretsa mayendedwe amtundu wa zowawa (30 ° ya ophatikizira) Kukhazikika kwamphamvu komanso kokhazikika kwa kuwonongeka kwa kuwonongeka kumapangitsa kuyamba kwa luso la matalala pambuyo pochiritsa; Kukhazikika kawiri kwa Humerus Humerus kumaphatikizapo: Medial ndi Posterior Ficter Place Stutetion, kapenaMedial ndi FayiloKukhazikika kwapawiri.
Njira Yochita Zochita
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chizindikiritso ndi chitetezo cha mitsempha ya median ndi ma radial exralangely.
Kholoboya lomwe limatha kuwunikiridwa: Ulnar Hawk Osteotomy kapena ma triceps obwezeretsanso kuti aulule zozama zakuya
Ulnar Hawkeyme Osteotomy: Kuonekera kokwanira, makamaka kwa mapangidwe amphamvu amtundu wa articular. Komabe, kuwonongeka kwa mgwirizano nthawi zambiri kumachitika pamalo osungira nyama. Kuchuluka kwa Union-Union komwe kumachepa kwambiri ndikusintha kwa ulnar hawk osteotomy (herringbone osteymy) ndi waya wosinthira baji kapena kukhazikika kwa mbale.
Kuwonekera kwa TriceSSS kumatha kugwiritsidwa ntchito pakugawa kwa Humeral Trifold Striction zokhala ndi zolumikizira, ndikuwonjezera kuwonekera kwa slider slider amatha kudula ndikuwonetsa nsonga ya ulnar hawk pafupifupi 1 cm.
Zapezeka kuti mbale ziwirizi zitha kuyikidwa bwino kapena kufanana, kutengera mtundu wa kusokonekera komwe mbale ziyenera kuyikidwa.
Zojambulajambula zapamwamba ziyenera kubwezeretsedwanso kwa mawonekedwe am'madzi ndikukhazikika ku shim.
Chithunzi cha 6 post-post-to proction of a erbow fradive
Kukhazikika kwakanthawi kwa chiwombacho chidachitika pogwiritsa ntchito nduku 6).
Samalani kuti musakonze chidutswa cha zojambulajambula zam'madzi ndi zomata zomangira zonse zokhala ndi zovuta kuchokera kumbali.
Malo a Epiphys-humersis akusamutsira zikwizikwi ndiofunika kupewa kusakhala osagwirizana.
Kuphatikizira kwamkati kumalizidwa pamalopo a chilema cha mafayilo kuti mudzaze chilema champhamvu chakuti:
Kumbukirani mfundo zazikuluzikulu zakukonzekera.
Kukonzekera kwa chiwonetsero cha kuwonongeka ndi ambirizomangiramomwe mungathere.
Kukhazikika kwa zidutswa zambiri zowonongeka momwe mungathere ndi zomata zomwe zimawoloka mwachidule.
Mphete zachitsulo ziyenera kuyikidwa pamagulu a medial komanso ofananira ndi Humerus.
Njira zosankha: zonse zokwanira arthroplasty
Kwa odwala omwe ali ndi ma fractures ozizira kapena osteoporosis, okwanira arpoplasty amatha kubwezeretsanso mayendedwe a erbow. Njira yochita opaleshoni ili yofanana ndi arthroplasty okwanira kusintha kwa ma chépt.
(1) Kugwiritsa ntchito ma prostate wamtundu wautali kuti mupewe kukulitsa.
(2) Chidule cha opaleshoni.
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Kuzungulira kwa ulnar mitsempha ya ulnar.
Kufikira mbali zonse ziwiri za ma triceps kuti muchotse fupa lambiri (mfundo zazikulu: osadula kuyimilira kwa ma triceps ku Ulnar Hawk.
Humerus yonse yosayimitsa kuphatikiza hawk fossa imatha kuchotsedwa ndipo ma prosthesis oyenerera, omwe sadzasiya sequelae iliyonse ngati zowonjezera ngati 2 cm yachotsedwa
Kusintha kwa minofu yaminyewa ya triceps pabwino kwa ma prostheris a Humeral ataudziwa kuti a Heryral Conyle.
Kuzindikira nsonga ya roxmar eminer eminess kuti mulole kuyamikiridwa ndi kukhazikitsidwa kwa chiwonetsero cha ulnar prostaris (Chithunzi 7).
Chithunzi 7 erbow arthroplasty
Chisamaliro cha postoperative
Kugawika kwa postoperative gawo loyambira la chisoti liyenera kuchotsedwa kamodzi mu bala la wodwalayo amachiritsa, zolimbitsa thupi zogwira ntchito ndi thandizo ziyenera kuyenera kuyenera kuyenera kuyenera. Kulumikizana kwa chithumbu kuyenera kukhazikitsidwa kwa nthawi yayitali kwambiri pokonzanso mabala akhungu (cholumikizira cha erbown chithakonzedwa pamalo owongoka kwa milungu iwiri atachitidwa opaleshoni); Kugulitsa kokhazikika tsopano kumagwiritsidwa ntchito kwambiri kuchipatala kuti athandize masewera olimbitsa thupi nthawi zambiri pomwe amatha kuchotsedwa pafupipafupi kuti ateteze miyendo yomwe yakhudzidwa; Kuchita masewera olimbitsa thupi nthawi zambiri kumayambika masabata 6-8 pambuyo pa zilonda zam'khungu.
Chisamaliro cha postoperative
Kugawika kwa postoperative gawo loyambira la chisoti liyenera kuchotsedwa kamodzi mu bala la wodwalayo amachiritsa, zolimbitsa thupi zogwira ntchito ndi thandizo ziyenera kuyenera kuyenera kuyenera kuyenera. Kulumikizana kwa chithumbu kuyenera kukhazikitsidwa kwa nthawi yayitali kwambiri pokonzanso mabala akhungu (cholumikizira cha erbown chithakonzedwa pamalo owongoka kwa milungu iwiri atachitidwa opaleshoni); Kugulitsa kokhazikika tsopano kumagwiritsidwa ntchito kwambiri kuchipatala kuti athandize masewera olimbitsa thupi nthawi zambiri pomwe amatha kuchotsedwa pafupipafupi kuti ateteze miyendo yomwe yakhudzidwa; Kuchita masewera olimbitsa thupi nthawi zambiri kumayambika masabata 6-8 pambuyo pa zilonda zam'khungu.
Post Nthawi: Dec-03-2022
