AC joint dislocation leh Titanium Plate hian danglamna a thlen dan te

Ac joint dislocation i hmachhawn hunah titanium plate leh tunlai fixation device te hian siamthatna kawngah hmasawnna lian tak a pe a ni. Heng hmanraw changkang tak takte hian technique hlui aiin stability chak zawk leh recovery rang zawk a thlen che a ni. System thar zawk hmanga enkawl damlote hian shoulder function score sang zawk leh hun kal zelah joint change tlem zawk an nei tih hriain inrintawkna i nei thei.

• MSTC ang chi fixation method hmanlai hmangtu damlote chuan Constant-Murley score 95.8 an hmu a, hei hi hook plate hlui zawka hmuh 76.7 aiin a sang zawk hle.

• MSTC vei zinga 12.5% ​​chauhvin joint change an nei a, hook plate vei 66.7% chuan an nei thung.

Heng surgical option thar zawkte hian result him leh tangkai tak pe turin i ring thei a, chu chuan traditional repairs aiin danglamna chiang tak a siam thei a ni.

Key Takeaways te pawh a awm

• Titanium plate siamthat hian hmanraw hlui nena khaikhin chuan ac joint dislocations te tan stability chak zawk leh recovery rang zawk a pe a ni.

• Tunlai fixation technique hmanga damlote chuan hun kal zelah shoulder function score sang zawk leh joint change tlem zawk an report thin.

• Hliam na tak takte tan chuan operation neih a ngai thei a, a bik takin naupang zawk, active tak takte tan chuan operation neih a ngai thei a, hliam na lo tak takte erawh chu conservative treatment hmangin a dam fo thung.

• Operation hnuah rehabilitation hi a pawimawh hle a; ruahmanna felfai tak zawm hian a khauh loh nan a pui a, damna a thlawp bawk.

• A hlawkna leh hlauhawmna hriatthiamna titanium plate siamthat hian i enkawl dan tur chungchangah thutlukna dik siam turin a pui thei che a ni.

AC joint dislocation chungchang thlirletna

Eng nge a nih

I kekawr i hliam laiin i doctor-in ac joint dislocation chungchang a sawi i hre mai thei. He hliam hi acromioclavicular (AC) joint-ah a thleng a, chutah chuan i collarbone chu i shoulder blade sang ber nen a inhmu a ni. Joint hian i kut a ti che a, i shoulder chu a nghet reng bawk.

• Shoulder hliam sawm zinga pakhat chu ac joint dislocation a ni.

• Mipui zawng zawng hian kum tin mi 100,000 zingah hri kai 3 atanga 4 vel an hmu thin.

• Heng hliam zinga a chanve aia tam hi infiamna, a bik takin contact sports-ah a thleng thin.

• Tlangval, a bik takin kum 10 leh 30 inkar te hi an hlauhawm ber. He group-ah hian shoulder injury panga zinga pakhat vel chu ac joint injury a ni.

Ac joint dislocation hi thil engemaw zat avang hian i nei thei a:

• I kekawr chunglam thlenga direct blow

• I kekawrte chunga na taka tlu emaw, kut phar emaw

• Thil rit tak tak chawi emaw, overhead activity tih nawn fo emaw

• Infiamna lama hliam, a bik takin contact sports-ah

• Arthritis emaw, ruh ruh tliak emaw a awm

Movement-a nghawng a neih dan

Ac joint dislocation i neih chuan i na ngei ang, a bik takin i kut i rilru i sawn emaw, i lu chungah i chawi emaw chuan. I AC joint inzawmkhawmtu ligament te hian i shoulder nghet taka awm tir turin hmun pawimawh tak an chang a ni. Heng ligament te hi a hliam a nih chuan i kekawrte chu a nghet lo thei a, a na thei bawk.

Note: Mi tam tak chuan nitin thil tih, shelf-a thil pakhat kut phar emaw, infiamna khelh emaw ang chi chu he hliam hnu hian a harsa thin tih an hmuchhuak. Physics therapy hmang pawhin, ligaments a dam tha lo a nih chuan harsatna engemaw zat leh chetna tlemte chu a la awm chhunzawm zel thei.

I kekawrte chu a chak lo emaw, a nghet lo emaw tih i hmu mai thei. Hna awlsam tak, kawr hak emaw, bag ken emaw ang chi chu thil harsa tak a lo ni thei a. Hun a kal zel a, ruh chu a dam tha lo a nih chuan, i lu chunga chetna avanga natna chhunzawm zel emaw, harsatna emaw i nei thei bawk.

Engvangin nge surgery tih hi?

A tul hunah

Ac joint dislocation atan engtikah nge surgery hi duhthlanna tha ber a nih tih i ngaihtuah mai thei. Doctor-te chuan Rockwood classification hmangin operation i mamawh leh mamawh loh an rel thin. He system hian hliamte chu a ruh (joint) a che nasat dan leh i kekawrte a nghet lo tih a zirin a thliar hrang thin.

Hliam na lo (Type I emaw II emaw) i neih chuan zai a ngai lo tlangpui. Chawlh hahdam, ice, leh physical therapy te hian mi tam zawk chu an dam leh thei a ni. Type III hliam tan chuan i kum leh activity level a pawimawh hle. Infiammi naupang emaw, taksa lama mamawhna sang tak nei emaw chuan operation hi an hlawkpui thei a ni. Type IV leh V te hian surgical repair an mamawh fo thin a, a chhan chu joint hi a nghet lo hle emaw, a hmun atanga a chhuah loh vang emaw a ni.

Note: Natna nasa tak, taksa piansualna langsar tak, emaw, i kut hman harsatna te hi operation hmanga i dinhmun pangngaia i awm leh theihna tur chhinchhiahna a ni.

Surgery tih theih a ni

Ac joint dislocation avanga operation i mamawh chuan duhthlan tur engemaw zat i nei. Surgeon-te chuan open emaw arthroscopic (minimally invasive) technique emaw an hmang thei. Heng kawng pahnih hian i ruh (joint) dinhmun pangngaia siam that leh i kekawrte nghet taka awmtirtu ligament te siam thar leh a tum a ni.

• Surgeon-te chuan hliam grade sang tak nei tan chuan suture-button reconstruction an thlang fo thin. Hetiang method hian shoulder function tha zawk leh sports lama kir leh thuai theihna a pe che a ni.

• Open leh arthroscopic surgery-ah pawh result inang chiah chiah a awm. I surgeon chuan i hliam leh i mamawh dan azirin approach tha ber a thlang ang.

• Tunlai siamthatna hian coracoclavicular leh acromioclavicular ligament pahnih siam thar leh hi a ngaih pawimawh ber a ni. Hei hian i kekawrte chakna leh nghetna a siam leh theih nan a pui a ni.

Operation i hmachhawn a nih chuan i doctor chuan duhthlan tur a hrilhfiah ang che a, i dam lehna tur ruahmanna tha ber thlang turin a pui ang che.

Traditional repair dan hrang hrang

Technique hman tlanglawn tak tak

Doctor-te’n ac joint dislocation an enkawl dan i en chuan surgical method hman tlanglawn tak tak engemaw zat i hmu a. Surgeon-te chuan ruh chu a hmuna vawn tlat nân K-wire, hook plate emaw, suspensory fixation device emaw an hmang fo ṭhîn. K-wire hi ruh inzawmkhawmtu metal pin te tak te a ni. Hook plate te hi collarbone chungah an thu a, acromion hnuaiah an hook a, chu chuan joint chu a nghet reng thei a ni. Suspensory fixation devices te hian endobutton system hmasa ang bawkin ruh te chu suture leh button chak tak tak hmangin ruh te chu an khih khawm thin.

Doctor thenkhat chuan synthetic materials, LARS ligament ang chi te pawh an enchhin a, i taksa emaw, donor emaw atanga biological grafts an hmang bawk. Heng hmanrua te hian ligament chhe tawhte siam thar leh a, an chetna pangngai siam leh a tum a ni.

Note: Heng technique tin hian i shoulder-ah stability leh function rawn thlen leh an tum a, mahse anmahni set of challenges nen an rawn thleng a ni.

A tihkhawtlai theihna

Traditional repair method hian tihkhawtlai pawimawh engemaw zat a nei tih i hriat a ngai. Damlo tam tak chuan operation an neih hnuah harsatna an tawk a, hei hian an dam lehna leh hun rei tak chhunga an result a nghawng a ni.

• K-wire technique hmang hian harsatna a thlen fo thin a, chu chu pin breakage emaw, joint-a degenerative changes emaw te hi a ni.

• Endobutton systems hian a chang chuan joint hi a hmunah a vawng reng thei lo a, zirchiannaah chuan damlo 24% thlengin reduction an hloh tih hmuhchhuah a ni.

• Suspensory fixation device-ah hian failure rate chu 16.6% atanga 50% inkar a ni. Hei hian damlo tam takin enkawlna tam zawk an mamawh tihna a ni.

• LARS ang chi synthetic ligament te hian complication rate hniam 3.3% leh hlawhtlinna sang 93.3% an nei a ni. Mahse, biological grafts hian hliam na tak takte tan result tha zawk a pe tlangpui thung.

Heng tihkhawtlai te hian doctor te chu ac joint dislocation enkawl dan tha zawk a zawng tir a ni. Tunah chuan technique thar zawkte chuan fixation chak zawk, complication tlem zawk leh dam chak zawkna lam an ngaihtuah a ni.

Titanium plate siam that a ni

A hnathawh dan

Advanced ac joint dislocation management i mamawh hunah, . titanium plate siamthat hian solution rintlak tak a pe a ni. Surgeon-te chuan i ke ruh nghet leh hnathawh dan tur siam that nan step by step-in an hmang thin. Procedure neih chhunga i beisei theih turte chu hetiang hi a ni:

1. I rilru hahdam theih nan general anesthesia i dawng thin.

2. Surgical team chuan beach chair position-ah an dah che a. I kekawrte chu padded a ni a, i lu chu hrisel lam hawiin a tilt bawk.

3. Surgeon chuan i coracoid chunglam leh i clavicle tawp lam chu a pholang a.

4. Fluoroscopy unit hian team te chu i clavicle chiang taka an hmuh theih nan a pui thin.

5. Surgeon chuan i acromioclavicular joint chhung lam kil 4-5 cm vel vun incision a siam thin.

6. Vun leh tissue te chu a inhawng a, chu chu dislocated joint a thleng thei a ni.

7. Tissue torn chu a tifai vek. I coracoid process lateral edge-ah vascular clamp dah a ni.

8. Surgeon chuan tunnel a siam a, i clavicle pawn lam tawp chu a mark a.

9. Guider chu i coracoid process hnuai lam kil khatah dah a ni a, clavicle mark-a tunnel hnung zuiin.

10. Guider awmna hmun hi C-arm fluoroscopy hmangin an finfiah a ni.

Tip: Titanium Plate siamthatnaah hian knotless construct leh... Core wire tape hmangin joint chu a nghet thei ang. Hetiang method hian knot slippage hlauhawmna a ti tlem a, hun rei tak chhunga stability a ti tha bawk.

Placement dik tak leh fixation chak tak ngaihtuah thin technique hmangin hlawkna i hmu a ni. Titanium device hman hian i ruh chu a awmna tur dik takah a dam theih nan a pui a, a hmaa i kal theihna tur a pui bawk.

Biomechanical lama a dinhmun a nghet thei

Titanium Plate siamthatna hi a biomechanical strength vangin a langsar hle. Axial leh superior plane-ah te stability i hmu a, chu chu i shoulder hian nitin activity leh sports te chu slip leh fail lovin a handle thei tihna a ni.

• Titanium plate leh suture-button construct te hian axial loading repeated hnuah fixation chak tak an pe vek a ni.

• Closed-loop double Endobutton design hi sumdawnna atana hman tur cortical button system-a biomechanical strength nen a inmil hle.

• I slippage hlauhawmna a tlahniam a, hei hian joint subluxation leh enkawlna dang mamawhna a veng thei a ni.

Hetah hian loading condition hrang hrang hnuaia biomechanical performance tehkhin dan kan rawn tarlang e:

Note: Titanium Plate siamthat hian axial plane-a stiffness tha tak leh movement resistance tha tak a pe che a ni. Hei hian i shoulder chu lifting, reaching leh rotation laiin a secure tihna a ni.

Biomechanical study atanga a lan dan chuan titanium plate leh advanced suture-button construct te hian failure thlengin load inang chiah an pe chhuak vek a ni. Heng devices te hian i ac joint dislocation chu i recovery lai leh a hnu lamah pawh stable turin i ring thei ang. Titanium Plate repair i thlan hian, damna chak tak leh shoulder function nghet tak support thei solution-ah i invest a ni.

Titanium plate hian hlawkna a nei

Dam lehna leh a rah chhuah

Ac joint dislocation management atana Titanium Plate repair i thlan hian, dam lehna chak tak leh hun rei tak chhunga result tha tak neih theihna turin i insiam a ni. Hetiang method hian shoulder strength leh function a neih leh theih nan nitin hnathawh leh infiamnaah i kir leh thei a ni.

• Method hlui nena khaikhin chuan natna tlem zawk leh range of motion tha zawk i hmu ang.

• Damlo tam tak chuan operation an neih hnuah an kekawrte chungah lungawina sang zawk an nei tih an sawi.

• Shoulder function tehna Constant-Murley score hian Titanium Plate leh Core wire tape technique te hian traditional hook plate aiin result tha zawk i hmu thei tih a tarlang.

• Nitin nunah thil tih, thil thlen, chawi sang, leh inchei danah te performance tihchangtlun i beisei thei ang.

• Forward flexion, a nih loh leh i kut chawi sang theihna hi technique hmasawn tak tak hmangin a tha chho fo thin. Suture-button emaw Titanium Plate hmanga damlote chuan 172.6° vel an thleng a, hook plate hmangte erawh chuan 166.0° vel an thleng thung.

• Subacromial erosion, shoulder bone hnuaia inthlak danglamna hi device thenkhatah a awm thei a, mahse a tlangpuiin hun rei tak chhung chu i natna emaw i hnathawh emaw a nghawng lo.

Tip: Ac joint dislocation avanga Titanium Plate repair dawng tam zawk chu hardware hlui hmanga enkawl te aiin an normal routine-ah rang zawk leh harsatna tlem zawk neiin an kir leh thin.

Hmasawnna tur thlawptu siamthatna nghet tak i neih chuan i hlawkpui a ni. Hei hian exercise nalh tak tak i tan hma thei tihna a ni a, hei hian i taksa a khauh loh nan a pui a, i damna a ti chak bawk.

Risk leh ngaihtuah tur

Surgery apiang hian risk engemaw zat a keng tel vek a ni. Ac joint dislocation atana Titanium Plate repair i thlan hian harsatna awm thei te i hriat a ngai a ni. I surgeon chuan i procedure hmain hengte hi a sawipui ang che.

• Loss of reduction a awm thei a, chu chu joint chu a hmun atanga a inthlak leh thei tihna a ni.

• Peri-implant fracture, emaw plate bula break emaw a awm thei a, mahse a awm lo.

• Acromial cut-out, plate chu ruh kal tlanga kalna hmun hi a hlauhawm lo hle.

• Hardware hian shoulder tendons a press chuan rotator cuff impingement a awm thei.

• Mi thenkhat chuan an ke ruh na reng reng an nei a, mahse a tam zawk chu an dam tha hle.

• Acromial osteolysis, emaw acromion bula ruh inthlak danglamna hi a then phei chuan a lo lang thei a ni.

Hardware nena inzawm thil hrang hrangte chu hetiang hi a ni:

Note: I doctor chuan harsatna i neih chuan emaw, plate-in harsatna a thlen chuan hardware lakchhuah a rawt thei ang. Mi tam zawk chuan operation vawi hnihna an mamawh lo a, mahse i care team te nen an inzawm khawm a pawimawh.

Titanium Plate siamthatna senso pawh i ngaihtuah tur a ni. Damdawi senso zawng zawng leh damdawi ina awm zawng zawng hi operation hmanga enkawlnaah chuan non-surgical care nena khaikhin chuan a sang zawk a ni. Mahse, stability leh function tha zawk i nei a, chu chuan mimal active tam tak tan chuan investment chu a hlut phah thei a ni.

• Medical services man hi non-surgical care ($1,163.81) aiin surgery ($11,012.39) a ni.

• Surgery nei lo enkawl damlote (ni 0) aiin damdawi ina awm rei zawk (ni 3.3).

• Damdawi hmanga enkawlna senso zawng zawng hi non-operative management ($7,833.82) aiin operative repair ($30,262.17) atan a tam zawk.

Tip: Shoulder function tihchangtlun leh rang zawka dam lehna hlawkna chu a senso sang zawk leh a hlauhawm theih dan nen tehkhin rawh. I orthopaedic surgeon nen inbia la, Titanium Plate siamthat hi i ac joint dislocation management atan a tha ber em tih ngaihtuah rawh.

A hlawkna leh a hlauhawmna zawng zawng hriatthiamna hmang hian i enkawlna chungchangah thutlukna dik tak i siam thei a ni. Titanium Plate leh Core wire tape technique te hian ac joint dislocation atan solution tunlai, rintlak tak a pe che a, i duhzawng activity te i neih leh theih nan a pui che a ni.

Damlo tawn hriat

Eng nge beisei tur

I ac joint dislocation management-a Titanium Plate siamthatna tur i inbuatsaih hian a tir atanga a tawp thlengin a kalphung chiang tak i beisei thei ang. Operation hmain i care team te chuan chaw nghei leh thlen hun tur chungchangah thupek an pe ang che. Anesthetist chuan i hriselna a enfiah ang a, i anesthesia tih theih dan tur a hrilhfiah ang. Operation room-ah chuan ECG electrode leh blood pressure cuff dah tur i nei ang. Surgery hi minute 60 atanga 75 vel a ni tlangpui.

Surgery i neih zawh chuan recovery room-ah hun i hmang ang. Nurse-te chuan an lo enfiah ang che a, i dinhmun a ṭhat thlengin oxygen leh tui an pe ang che. I kut chu sling-ah a chawl ang a, i hahdam theih nan natna relief i dawng ang. Damlo tam zawk chu an dam tawh chuan an haw a, damdawi ei hmangin natna an tuar thei a ni.

Mi tam zawk chuan operation hnuah hmasawnna lian tak an hmu thin. Operation hmaa natna level chu a vaiin 4.9 aṭangin a hnua 0.55 chauhah a tlahniam. Shoulder function score chu 32.8 aṭangin 95.5-ah a kai chho. Thla 15 chhungin mi zawng zawng deuhthaw chu an function tha hle.

• I natna a tlem zawk ang a, i kekawrte pawh awlsam zawkin i che thei ang.

• Complication hi a tlem hle a, joint issue tenau tlemte chauh a awm.

• Damlo tam zawk chu hna leh nitin nunah an kir leh thuai thin.

Rehabilitation neih a ni

Rehabilitation hian Titanium Plate siamthat hnuah chakna leh chetna i neih leh theih nan a pui thin. I care team chuan phase tinah an kaihruai ang che. Exercise nem tak tak hmangin i tan a, active movement-ah i kal zel a ni.

Thla 2 atanga thla 3 chhungin thil tih pangngai tam zawkah i kir leh theih i beisei thei. Mi tam tak chuan thla 6 hnuah infiamna emaw hna rit tak tak emaw an thawk leh thin. I surgeon chuan Core wire tape leh Titanium Plate hmangin repair nghet tak a pe thei che a, hei hian him leh nghet taka damna a pui thei a ni.

Tip: I rehabilitation plan kha ngun takin zawm rawh. Hei hian a khauh loh nan a pui a, ac joint dislocation management hnua damna chak tak a thlawp bawk.

Titanium Plate leh Core wire tape te hian ac joint dislocation management ah danglamna tak tak an siam tih i hmu thei ang. Heng device hmasawn tak takte hian hmanraw hlui aiin stability tha zawk, recovery rang zawk leh complication tlem zawk a pe che a ni. A hnuaia table hian tunlai technique hmanga i result tihchangtlun dan a tarlang a ni:

Orthopaedic guidelines chuan hook plate hi duhthlan tur a la ni reng tih a sawi a, mahse lakchhuah nan operation vawi hnihna neih a ngai fo thin. I mamawh ang zela ac joint dislocation management plan tha ber zawng turin i orthopedic surgeon nen inbiakna nei fo ang che.

FAQ

Ac joint dislocation management-ah Titanium Plate hian eng hlawkna ber nge a neih?

Titanium Plate hmangin fixation chak tak, nghet tak i hmu thin. He device hian i shoulder chu a awmna tur dik takah a dam theih nan a pui thin. Early movement a support a, hmanraw hlui nena khaikhin chuan joint slippage risk a ti tlem bawk.

Engtin nge Core wire tape hian surgical outcome a tihchangtlun?

Core wire tape hian i siamthatnaah chakna a belhchhah a ni. Ruhte chu nghet takin a vawng tlat a ni. Hei hian i dam chak zawk a, operation hnua ruh chu a hmun atanga a chhuah theihna a ti tlem bawk.

Titanium Plate hi a dam hnuah ka lakchhuah a ngai dawn em ni?

Mi tam zawk chuan plate lakchhuah an ngai lo. I doctor chuan i rilru a hah emaw, plate-in harsatna a siam emaw chuan a rawn rawt thei ang. Ac joint dislocation management tha ber tur chuan i care team te nen follow up fo ang che.

Ac joint dislocation surgery hnuah eng chen nge sports lama ka kir leh theih ang?

Thla 3 vel hnuah non-contact sports-ah i kir leh tlangpui. Contact sports atan chuan thla 6 nghah a ngai mai thei. I surgeon leh physical therapist te chuan i hmasawnna a zirin him taka i lo kir lehna tur chu an kaihruai ang.

Titanium Plate siamthat hi kum zawng zawng tan a him em?

Titanium Plate siamthat hian kum tam tak tan a thawk tha hle. I doctor chuan i kum, i activity level leh i hliam chi hrang hrang a ngaihtuah ang. Hei hian i ac joint dislocation avanga outcome tha ber i hmuh theih nan a pui thin.