tuta

"Kayyade na ciki na humeral shaft fractures ta amfani da fasaha na tsakiya na ciki osteosynthesis (MIPPO)."

Sharuɗɗan da aka yarda da su don warkar da ɓarna na humeral shine angulation na baya-baya wanda bai wuce 20 ° ba, angulation na gefe na ƙasa da 30 °, jujjuya ƙasa da 15 °, da rage ƙasa da 3cm.A cikin 'yan shekarun nan, tare da karuwar buƙatun aikin babban gaɓoɓin hannu da farfaɗowa a rayuwar yau da kullun, aikin tiyata na ɓangarorin humeral ya zama ruwan dare gama gari.Hanyoyi na yau da kullun sun haɗa da na gaba, na gaba, ko plating na baya don gyaran ciki, da kuma ƙusa cikin medullary.Nazarin ya nuna cewa adadin rashin haɗin kai don buɗe raguwa na ƙayyadaddun ƙayyadaddun humeral shine kusan 4-13%, tare da raunin jijiya radial iatrogenic yana faruwa a kusan 7% na lokuta.

Don guje wa raunin jijiya na radial na iatrogenic da rage raguwar rashin haɗin kai na raguwar buɗewa, malaman gida a kasar Sin sun amince da tsarin tsaka-tsaki, ta yin amfani da fasahar MIPPO don gyara raguwar shinge na humeral, kuma sun sami sakamako mai kyau.

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Hanyoyin tiyata

Mataki na daya: Matsayi.Majinyacin yana kwance a kwance, tare da sace sashin da abin ya shafa a matakin digiri 90 kuma an sanya shi kan tebirin aiki na gefe.

zagi (2)

Mataki na biyu: Yin tiyata.A cikin gyare-gyaren tsaka-tsaki na al'ada guda ɗaya (Kanghui) don marasa lafiya, an yi ƙugiya biyu na tsayin daka na kusan 3cm kowannensu kusa da kusa da iyakar nesa.Ƙarƙashin kusanci yana aiki azaman ƙofar gaɓar ɓangaren deltoid da babban tsarin pectoralis, yayin da ɓangarorin nesa yana saman tsakiyar epicondyle na humerus, tsakanin biceps brachii da triceps brachii.

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▲ zane-zane na ƙwanƙwasa kusanci.

①: Yin tiyata;②: Jijin Cephalic;③: manyan pectoralis;④: tsokar tsoka.

▲ zane-zane na ƙwanƙwasa mai nisa.

①: Jijiya na tsakiya;②: Jijiya na Ulnar;③: tsokar Brachialis;④: Yin tiyata.

Mataki na uku: Saka faranti da gyarawa.Ana shigar da farantin ne ta wurin da ke kusa, manne da saman kashi, yana wucewa ƙarƙashin tsokar brachialis.Farantin yana da farko a tsare zuwa kusa da ƙarshen raƙuman humeral.Daga baya, tare da jujjuyawar jujjuyawar a kan babba, karaya yana rufe kuma yana daidaitawa.Bayan ragi mai gamsarwa a ƙarƙashin fluoroscopy, ana shigar da madaidaicin dunƙule ta cikin ɓangarorin nesa don amintaccen farantin a saman kashi.Sa'an nan kuma an ƙara kulle kulle, yana kammala gyaran farantin.

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▲ Tsarin tsari na babban rami farantin karfe.

①: tsokar Brachialis;②: Biceps brachii tsoka;③: Medial tasoshin da jijiyoyi;④: Pectoralis babba.

▲ Tsarin tsari na rami mai nisa.

①: tsokar Brachialis;②: Jijiya na tsakiya;③: Jijiya na Ulnar.


Lokacin aikawa: Nuwamba-10-2023