The acceptable criteria for the healing of humeral shaft fractures are an anterior-posterior angulation of less than 20°, lateral angulation of less than 30°, rotation of less than 15°, and shortening of less than 3cm. Lilemong tsa morao tjena, ka litlhoko tse ntseng li eketseha tsa maoto le matsoho a kaholimo ho bophelo ba maoto le letsatsi, ho tšoaroa hampe ha likokoane le ho atile haholo. Mekhoa ea mantlha e kenyelletsa kantle ho naha, e leng sebōpeho sa tokiso sa kahare, hammoho le ho se sebetse hantle. Boithuto bo bontša hore sekhahla se sa khaotseng bakeng sa ho fokotsa litheko tse bulehileng tse tlase ho 4-13%, e nang le likotsi tsa "iatrogenic radiages tse etsahalang ka 7% ea linyeoe.
Ho qoba ho lemala ha methapo ea kutlo le fokotsa sekhahla sa phokotso e bulehileng, ho sebelisa mokhoa oa ho lokisa mediaral dracture, mme o finyeletse lilakane hantle.
Mekhoa ea ho buoa
Mohato o le mong: ho beha maemo. Mokuli o lutse boemong ba supine, ka leoto le amehileng likhato tse 90 le beoa 'me le behiloe tafoleng ea morao-rao ea ts'ebetso.
Mohato oa Bobeli: Taba ea ho buoa. Ka tokiso e tloaelehileng ea mashano a puo e tloaelehileng (Kanghui) bakeng sa bakuli, litšitiso tse peli tse telele tsa batho ba ka bang 3cm e 'ngoe le e' ngoe e etsoa haufi le lipheletso tsa proximal le tsohle. Tlhahlobo ea proximal e sebetsa e le monyako oa mokhoa o sa reng letho, ha epicomon e kholo ea Humerus, lipakeng tsa li-brachii le li-twichis brachii.
▲ ringrictic action action ea proximal.
①: Ho kenella hoa maikutlo a ho buoa; : Vehalic vein; : Pectorals e kholo; ④: Delto mesifa.
▲ ˛ stum ea setšoantšo sa lintho tse ling.
①: Median methapo; : Ulnar methapo; : Mesifa ea Brachialis; ④: Ho ikoetlisa ho buoa.
Mohato oa Boraro: Ho kenya poleiti ea poleiti le ho lokisa. Plate e kenngoa ka sebopeho sa proximal, snug le bone, e feta ka tlasa khatello ea bosira. Sebaka sa poleiti se sirelelitsoe ho ea pheletsong ea pherekano ea li-hutheral shaft. Kamora moo, ka tebello ea ho potoloha ka leoto le kaholimo, ho robeha hoa koaloa le ho hokahana. Kamora phokotso e khotsofatsang tlasa fluoroscopy, sekoti se tloaelehileng se kenngoa ka har'a thibelo ea lintho tse ling ho sireletsa poleiti. Molomo o koalang o tiisitsoe, o phethela tokiso ea poleiti.
▲ ringrictic setšoantšo sa pokello ea poleiti e phahameng ea poleiti.
: Mesifa ea Brachialis; ②: li-brachis tsa brachii; : Lijaki le methapo ea meea-me metheo; ④: Pectoralis e kholo.
▲ ringrictic setšoantšo sa pokello ea poleiti ea lintho tse fapaneng.
: Mesifa ea Brachialis; ②: Median methapo; : Ulnar methapo ea maikutlo.
Nako ea poso: nov-10-2023
