Indlela Yotyando | Ukwazisa indlela yokunciphisa nokugcina ubude kunye nokujikeleza kweqatha langaphandle okwethutyana.

Ukuqhekeka kweqakala kukwenzakala okuqhelekileyo. Ngenxa yokuba izicubu ezithambileyo ezibuthathaka ezijikeleze iqakala, kukho ukuphazamiseka okukhulu kwegazi emva kokwenzakala, nto leyo eyenza ukuba kube nzima ukuphiliswa. Ke ngoko, kwizigulana ezineengozi zeqakala ezivulekileyo okanye imivumbo yezicubu ezithambileyo ezingenakulungiswa ngaphakathi ngoko nangoko, iifreyimu zokulungisa zangaphandle ezidityaniswe nokunciphisa okuvaliweyo kunye nokulungiswa kusetyenziswa iintambo zeKirschner zihlala zisetyenziselwa ukuzinzisa okwethutyana. Unyango oluqinisekileyo lwenziwa kwinqanaba lesibini xa imeko yezicubu ezithambileyo iphucukile.

Emva kokuqhekeka kwe-lateral malleolus, kukho umkhwa wokufinyeza nokujikeleza kwe-fibula. Ukuba ayilungiswanga kwisigaba sokuqala, ukulawula ukufinyeza kwe-fibular engapheliyo kunye nokukhubazeka kokujikeleza kuba nzima ngakumbi kwisigaba sesibini. Ukujongana nale ngxaki, iingcali zamanye amazwe zicebise indlela entsha yokunciphisa kunye nokulungisa ukwaphuka kwe-lateral malleolus okuhamba nomonakalo omkhulu wezicubu ezithambileyo, ngenjongo yokubuyisela ubude kunye nokujikeleza.

Ingongoma ephambili 1: Ukulungiswa kokunciphisa i-fibular kunye nokujikeleza.

Ukuqhekeka okuninzi okanye ukwaphuka okuncinci kwe-fibula/lateral malleolus kudla ngokukhokelela ekufinyezweni kwe-fibular kunye nokukhubazeka kokujikeleza kwangaphandle:

▲ Umfanekiso wokunciphisa i-fibular (A) kunye nokujikeleza kwangaphandle (B).

Ngokucinezela iziphelo eziqhekekileyo ngesandla ngeminwe, kudla ngokuba lula ukufikelela ekunciphiseni ukwaphuka kwe-lateral malleolus. Ukuba uxinzelelo oluthe ngqo alwanelanga ukunciphisa, kungenziwa umngxuma omncinci ecaleni komphetho wangaphambili okanye ongasemva we-fibula, kwaye i-reduction forceps ingasetyenziselwa ukubamba nokubeka kwakhona ukwaphuka.

▲ Umfanekiso wokujikeleza kwangaphandle kwe-lateral malleolus (A) kunye nokunciphisa emva kokucinezelwa ngesandla ngeminwe (B).

▲ Umfanekiso wokusebenzisa i-incision encinci kunye ne-reduction forceps ukunceda ukunciphisa.

Ingongoma ephambili 2: Ukugcinwa kokunciphisa.

Emva kokuncipha kokuqhekeka kwe-lateral malleolus, iingcingo ezimbini zeKirschner ezingange-1.6mm ezingezizo intambo zifakwa kwi-distal fragment ye-lateral malleolus. Zibekwa ngqo ukuze ziqinise i-lateral malleolus fragment kwi-tibia, zigcine ubude kunye nokujikeleza kwe-lateral malleolus kwaye zithintele ukufuduka okulandelayo ngexesha lonyango olongezelelweyo.

Ngexesha lokulungiswa okuqinisekileyo kwinqanaba lesibini, iingcingo zeKirschner zinokufakwa ngemingxunya ekwipleyiti. Nje ukuba ipleyiti iqine kakuhle, iingcingo zeKirschner ziyasuswa, kwaye izikrufu zifakwa ngemingxunya yengcingo yeKirschner ukuze zihlale ixesha elide.