I-Ankle Fractures kukwenzakala okuqhelekileyo kweklinikhi. Ngenxa yezicubu ezibuthathaka ezityebileyo ezijikeleze i-ankle idibeneyo, kukho ukuphazamiseka kwegazi okuphazamisekileyo emva kokulimala, wenza ukuba uphilise umngeni. Ke ngoko, kwizigulana ezinokulimala i-ankle okanye i-tissies ye-tisme yezicubu ezingenakulungiswa kwangoko, iifreyimu zangaphandle ezihlanganisiweyo zokuncitshiswa okuvaliweyo kunye nokulungiswa kwe-kirschner kusetyenziswa ukusetyenziswa okwethutyana. Unyango oluchazayo lwenziwa kwinqanaba lesibini kanye xa imeko yezicubu ethambileyo iphuculwe.
Emva kokuqhekeka kwe-malleolis Malleolus, kukho utyekelo lokuncitshiswa nokujikeleza ifibula. Ukuba ayilungiswa kwiSigaba sokuqala, ukulawulwa kwe-fibure ye-fibure engapheliyo kunye nokujikeleza okujikelezayo kuya kuba ngumngeni ngakumbi kwinqanaba lesibini. Ukujongana nale mbambano, abafundi bamanye amazwe baphakamise indlela yeNovel yokuncitshiswa kwinqanaba elinye kunye nokulungiswa kwe-Mancual Malleous Fracture ehamba nomonakalo wezicubu ezithambileyo, ejolise ekubuyiseleni ubude kunye nokujikeleza.
Inqaku lesitshixo 1: Ukulungiswa kwe-Fibratur ukuyifihla kunye nokujikeleza.
I-quares ezininzi okanye isaphulelo esenziwe nge-fibula / i-Malleol Malleous ihlala ikhokelela ekuthinteleni i-Fibratur Liveling kunye nokujikeleziswa kwangaphandle:
▲ Umzekeliso wokutshintshwa kwe-fibbur (a) kunye nokujikeleza kwangaphandle (b).
Ngokucinezelikisa ngesandla iziphelo ezixineneyo ngeminwe, zihlala zinokwenzeka ukufezekisa ukuncitshiswa kwe-Mancleal Malleols. Ukuba uxinzelelo ngqo alonelanga ukuncitshiswa, ukuncipha okuncinci ecaleni kwe-ANTARE okanye i-Poptula-Porturemers yeFibula inokwenziwa, kwaye amaqhuqhuva anokusetyenziselwa ukuqhwaba kunye nokuphindaphinda.
▲ Umzekeliso wokujikeleza ngaphandle kwe-Malleolus yangaphandle (a) kunye nokuNikelwa emva kokucinezelwa kwencwadi ngeminwe (b).
▲ Imifanekiso esetyenziswayo isebenzisa inzuzo encinci kunye neendlela zokunciphisa ukuncitshiswa okuncedisayo.
Inqaku lesitshixo 2: Ukulungiswa kokuncitshiswa.
Ukulandela ukuncitshiswa kwe-Mancual Malleous Fracture, i-1.6mm ye-1.6mm ye-Tirschner ifakwe kwi-distal ye-Manc yoolual. Babekwa ngokuthe ngqo ukulungisa isiqwenga se-Mancual Malleous kwi-tibia, ukugcina ubude kunye nokujikeleza kwe-Mancural Malleolus kunye nokuthintela ukufuduka emva konyango.
Ngexesha lokulungiswa okuqinisekileyo kwinqanaba lesibini, iingcingo zeKirschner zinokupheliswa kwimingxunya kwiplate. Nje ukuba ipleyiti ilungiswe ngokukhuselekileyo, iingcingo zeKirschner zisusiwe, kwaye isikrelem zonke zifakwe kwi-wirecner wire yemingxunya ye-kirschner wire yomilo eyongezelelweyo.
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