Ukuqhekeka kweqakala langaphakathi kudla ngokufuna ukunciphisa ukunqunyulwa kunye nokufakelwa kwangaphakathi, nokuba kukufakelwa izikrufu kuphela okanye kudityaniswe iipleyiti kunye nezikrufu.
Ngokwesiko, ukwaphuka kulungiswa okwethutyana ngephini yeKirschner kuze kulungiswe ngesikrufu soxinzelelo lwe-cancellous esinemisonto engangesiqingatha, esinokudityaniswa nebhendi yoxinzelelo. Abanye abaphengululi basebenzise izikrufu ezinemisonto epheleleyo ukunyanga ukwaphuka kweqakala eliphakathi, kwaye ukusebenza kwazo kungcono kunokwezikrufu zoxinzelelo lwe-cancellous ezinemisonto engangesiqingatha. Nangona kunjalo, ubude bezikrufu ezinemisonto epheleleyo yi-45 mm, kwaye zinamathele kwi-metaphysis, kwaye uninzi lwezigulane luya kuba neentlungu kwiqakala eliphakathi ngenxa yokuphuma kwe-fixation yangaphakathi.
UGqr. Barnes, ovela kwiSebe le-Orthopaedic Trauma kwiSibhedlele saseYunivesithi iSt. Louis e-USA, ukholelwa ukuba izikrufu zokucinezela ezingenantloko zinokulungisa ukwaphuka kwangaphakathi kweqakala kakuhle kumphezulu wethambo, zinciphise ukungonwabi ngenxa yokuqina kwangaphakathi okuphumayo, kwaye zikhuthaze ukuphiliswa kwamathambo. Ngenxa yoko, uGqr. Barnes wenze uphando malunga nokusebenza kakuhle kwezikrufu zokucinezela ezingenantloko kunyango lwamathambo angaphakathi, olupapashwe kutshanje kwi-Injury.
Olu phononongo luquke izigulana ezingama-44 (ubudala obuphakathi kweminyaka engama-45, iminyaka eli-18-80) ezanyangwa ngenxa yokuqhekeka kwamathambo eqakaleni ngee-screws zokucinezela ezingenantloko kwiSibhedlele saseYunivesithi yaseSaint Louis phakathi kowama-2005 nowama-2011. Emva kotyando, izigulana zavalwa zifake ii-splint, ii-cast okanye ii-braces de kwabonakala ubungqina bokuphola kwamathambo ngaphambi kokuba zihambe zithwele ubunzima.
Uninzi lwazo zaphuka ngenxa yokuwa kwindawo yokuma kwaye ezinye zazibangelwa ziingozi zeebhayisekile okanye imidlalo njl.njl. (Itheyibhile 1). Amashumi amabini anesithathu kuwo aphuka iqatha kabini, ali-14 aphuka iqatha kathathu kwaye asixhenxe aseleyo aphuka iqatha elinye (Umfanekiso 1a). Phakathi kotyando, izigulana ezili-10 zanyangwa ngesikrufu esinye esingenantloko sokucinezela ukwaphuka kweqatha eliphakathi, ngelixa ezinye izigulana ezingama-34 zafumana izikrufu ezimbini zokucinezela ezingenantloko (Umfanekiso 1b).
Itheyibhile 1: Indlela yokwenzakala
Umfanekiso 1a: Ukwaphuka kweqatha elinye; Umfanekiso 1b: Ukwaphuka kweqatha elinye kuphathwe ngezikrufu ezimbini zokucinezela ezingenantloko.
Emva kokulandela iiveki ezingama-35 (iiveki ezili-12-208), kwafunyanwa ubungqina bokuphola kwamathambo kuzo zonke izigulana. Akukho sigulana sasifuna ukususwa kwesikrufu ngenxa yokuphuma kwesikrufu, kwaye sisigulane esinye kuphela esasifuna ukususwa kwesikrufu ngenxa yosulelo lwe-MRSA ngaphambi kotyando kwinxalenye esezantsi yesisu kunye ne-cellulitis emva kotyando. Ukongeza, izigulana ezili-10 zazinobunzima obuncinci xa ziphathwa nge-palpation ye-inner ankle.
Ngenxa yoko, ababhali bagqibe kwelokuba unyango lwezaphuko zangaphakathi zeqakala ngee-screws zokucinezela ezingenantloko lubangele ukuba izinga lokuphiliswa kwazaphuko libe phezulu, ukusebenza kakuhle kweqakala kubuyele esiqhelweni, kwaye iintlungu zasemva kotyando zibe zincinci.
Ixesha leposi: Epreli-15-2024
