Clavicle pob txha yog ib qho ntawm cov pob txha lov, suav rau 2.6% -4% ntawm tag nrho cov pob txha lov. Vim tias cov yam ntxwv anatomical ntawm nruab nrab ntawm cov nruab nrab, nruab nrab ntawm clavicle, thaum lub pob txha sib tsoo tau ntau dua, suav nrog rau cov neeg txuas ntxiv mus rau 28% thiab 3% feem.
Raws li ib qho tsis tshua muaj txiaj ntsig ntawm pob txha lov, tsis zoo li Middhaft clava lossis quab yuam kev raug mob ntawm cov clavicle yog feem ntau cuam tshuam nrog ntau qhov kev raug mob. Yav dhau los, kev kho mob rau kev ua kom tawg ntawm cov nruab nrab ntawm lub clavicle ntawm clavicle tau feem ntau tau txhaj tshuaj tiv thaiv. Txawm li cas los xij, kev tshawb fawb tau pom tias 14% ntawm cov neeg mob uas tsis muaj kev sib tsoo ntawm nruab nrab ntawm nruab nrab no yuav ua rau cov npe tsis muaj tseeb. Yog li ntawd, nyob rau hauv xyoo tsis ntev los no, ntau dua thiab ntau dua cov kws tshawb fawb tau khoov rau kev phais mob rau kev hloov kho ntawm nruab nrab ntawm nruab nrab ntawm kev sib koom ua ke. Txawm li cas los xij, nruab nrab nruab nrab clavicular yog feem ntau me me, thiab muaj cov kev txwv los kho siv daim hlau thiab screws. Cov teeb meem kev ntxhov siab hauv cheeb tsam tseem ceeb rau cov kev nyuaj siab rau Orthopedic cov surgeres nyob rau hauv cov nqe lus hais txog kev ruaj khov kev pob txha thiab zam kev txhim kho tsis ua haujlwm.
I.Distal Clavicle LCP Inversion
Qhov deb ntawm qhov kawg ntawm cov clavicic sib faib cov qauv zoo sib xws nrog qhov kawg ntawm qhov kawg, ob qho tib si muaj lub hauv paus dav. Qhov deb ntawm qhov kawg ntawm clavicle chav ntsuas phoo compression phaj (LCP) yog nruab nrog ntau qhov xauv ntsia hlau qhov, tso cai rau kev kho kom zoo ntawm qhov kev sib txawv.
Kev noj rau hauv tus account cov txheej txheem sib thooj ntawm ob, qee cov kws tshawb fawb tau muab ib lub phaj steel nyob rau ntawm qhov kawg ntawm qhov kawg ntawm cov clavicle. Lawv kuj tseem tau ua kom luv ntawm qhov pib ua kom ruaj khov rau qhov kawg ntawm cov clavicle thiab pom tias qhov kev cog hniav sab hauv yam tsis muaj qhov ua kom tiav.
Tso cov clavicle nyob hauv qhov kawg hauv txoj haujlwm inverted thiab kho nws nrog pob txha phaj ntawm nruab nrab sab tau pom zoo.
Nyob rau hauv ib kis ntawm 40-xyoo-laus txiv neej tus neeg mob nrog ib qho kev sib tsoo ntawm cov neeg muaj kev sib cav zoo, ib lub siab tawv taub hau clavle steel phaj tau siv. Kev soj ntsuam taug qab taug qab 12 lub hlis tom qab phais mob qhia qhov txiaj ntsig zoo.
Inverted Distal Clavicle Xauv Compression Phaj (LCP) yog ib qho uas nquag siv sab hauv txoj kev kho mob. Qhov zoo dua ntawm hom qauv no yog tias cov pob txha nruab nrab pob txha yog muaj los ntawm ntau cov ntsia hlau, muab kev txhim kho kom ruaj khov dua. Txawm li cas los xij, cov txheej txheem daws no yuav tsum muaj cov pob txha nruab nrab txaus rau kev ua tau zoo. Yog hais tias tus pob txha tawg yog me me lossis muaj kev ua comfa-articular, kev txhim kho tau zoo yuav ua tau zoo.
Ii. Dual Phaj Ntsug Txheej Txheem Txhim Kho
The dual plate technique is a commonly used method for complex comminuted fractures, such as fractures of the distal humerus, comminuted fractures of the radius and ulna, and so on. Thaum kev txhim kho zoo tsis tuaj yeem ua tiav hauv ib lub dav hlau, dual lub thawv xauv hlau tau siv rau kev txhim kho ntsug, tsim cov qauv siv dual-. Biomechanically, ob phaj nruab phaj muaj cov tshuab ua tau zoo dua ntawm kev sib hloov ntawm phaj.
Tus lej txhim kho
Qhov qis dua cov phaj thiab plaub sib txuas ntawm cov lej sib txuas
Lub sij hawm Post: Jun-12-2023
