Clavicle fracture yog ib qho ntawm cov pob txha feem ntau, suav txog 2.6% -4% ntawm tag nrho cov pob txha.Vim yog cov yam ntxwv ntawm lub midshaft ntawm lub clavicle, midshaft fractures yog ntau dua, accounting rau 69% ntawm clavicle fractures, thaum fractures ntawm sab thiab nruab nrab kawg ntawm lub clavicle account rau 28% thiab 3% feem.
Raws li ib qho tsis tshua muaj tshwm sim ntawm pob txha, tsis zoo li midshaft clavicle fractures uas yog tshwm sim los ntawm lub xub pwg nyom ncaj qha los yog kev quab yuam sib kis los ntawm kev raug mob ntawm lub cev hnyav, pob txha ntawm qhov nruab nrab ntawm lub clavicle feem ntau cuam tshuam nrog ntau yam kev raug mob.Yav dhau los, txoj kev kho mob rau pob txha ntawm qhov kawg ntawm lub clavicle feem ntau yog kev saib xyuas.Txawm li cas los xij, cov kev tshawb fawb tau pom tias 14% ntawm cov neeg mob uas muaj cov pob txha tawg ntawm qhov nruab nrab ntawm qhov kawg yuav muaj cov tsos mob tsis zoo.Yog li ntawd, nyob rau hauv xyoo tas los no, ntau thiab ntau tus kws tshawb fawb tau leaned mus rau kev kho mob phais rau kev tshem tawm pob txha ntawm qhov nruab nrab kawg uas koom nrog sternoclavicular sib koom.Txawm li cas los xij, qhov nruab nrab clavicular fragments feem ntau yog me me, thiab muaj kev txwv rau fixation siv daim hlau thiab screws.Kev ntxhov siab hauv cheeb tsam tseem yog ib qho teeb meem nyuaj rau cov kws kho mob orthopedic nyob rau hauv cov nqe lus ntawm kev ruaj ntseg ntawm pob txha thiab zam kev kho tsis ua hauj lwm.
I.Distal Clavicle LCP Inversion
Lub distal kawg ntawm lub clavicle qhia cov qauv anatomical zoo sib xws nrog rau qhov kawg, ob qho tib si muaj lub hauv paus dav.Lub distal kawg ntawm clavicle locking compression phaj (LCP) yog nruab nrog ntau lub qhov rooj xauv qhov, tso cai rau kev kho kom zoo ntawm cov khoom tawg.
Muab rau hauv tus account qhov zoo sib xws ntawm ob qho tib si, qee cov kws tshawb fawb tau muab lub phaj steel horizontally ntawm 180 ° lub kaum sab xis ntawm qhov kawg ntawm lub clavicle.Lawv kuj tau ua luv luv ntawm qhov qub siv los ua kom ruaj khov qhov kawg ntawm lub clavicle thiab pom tias qhov kev cog hniav sab hauv fits snugly yam tsis tas yuav tsum tau shaping.
Muab lub clavicle lub distal kawg nyob rau hauv ib tug inverted txoj hauj lwm thiab kho nws nrog ib tug pob txha phaj nyob rau hauv nruab nrab sab tau pom kom muab txaus haum.
Nyob rau hauv ib rooj plaub ntawm ib tug txiv neej 40-xyoo-laus tus neeg mob uas muaj pob txha nyob rau hauv nruab nrab kawg ntawm txoj cai clavicle, ib tug inverted distal clavicle steel phaj tau siv.Kev soj ntsuam xyuas tom qab 12 lub hlis tom qab kev phais tau pom tias muaj txiaj ntsig zoo.
Inverted distal clavicle locking compression phaj (LCP) yog ib txoj hauv kev siv kho qhov muag hauv kev kho mob.Qhov kom zoo dua ntawm txoj kev no yog tias cov pob txha nruab nrab ntawm cov pob txha yog tuav los ntawm ntau cov ntsia hlau, muab kev ruaj ntseg ntau dua.Txawm li cas los xij, cov txheej txheem fixation no yuav tsum muaj cov pob txha loj txaus rau qhov zoo tshaj plaws.Yog hais tias cov pob txha tawg me me los yog muaj kev sib koom ua ke hauv kev sib txuas, qhov kev kho kom zoo yuav raug cuam tshuam.
II.Dual Phaj Vertical Fixation Technique
Cov txheej txheem dual phaj yog ib txoj kev siv feem ntau rau cov pob txha comminuted, xws li pob txha ntawm lub distal humerus, comminuted fractures ntawm lub vojvoog thiab ulna, thiab lwm yam.Thaum kho tsis tau zoo nyob rau hauv ib lub dav hlau, dual locking steel daim hlau yog siv rau ntsug fixation, tsim ib tug dual-dav hlau ruaj khov qauv.Biomechanically, dual phaj fixation muab cov neeg kho tshuab zoo dua ib phaj fixation.
Sab saum toj fixation phaj
Lub phaj fixation qis thiab plaub kev sib txuas ntawm ob lub phaj configurations
Post lub sij hawm: Jun-12-2023
