Ubuchwephesha boTyando |Ukwazisa ubuchule bokunciphisa okwethutyana kunye nokugcinwa kobude be-ankle yangaphandle kunye nokujikeleza.

I-Ankle fractures yinto eqhelekileyo yokulimala kwekliniki.Ngenxa yobuthathaka bezicubu ezithambileyo ezijikeleze i-ankle joint, kukho ukuphazamiseka okubalulekileyo kokunikezela ngegazi emva kokulimala, okwenza kube nzima ukuphilisa.Ngoko ke, kwizigulane ezinokulimala kwe-ankle evulekileyo okanye ukuxhatshazwa kwezicubu ezithambileyo ezingenakukwazi ukulungiswa ngokukhawuleza kwangaphakathi, izakhelo zokulungiswa kwangaphandle ezidityaniswe nokunciphisa okuvaliweyo kunye nokulungiswa usebenzisa iingcingo ze-Kirschner zihlala zisetyenziselwa ukuzinzisa okwethutyana.Unyango oluchanekileyo lwenziwa kwisigaba sesibini emva kokuba imeko ye-soft tissue iphuculwe.

Emva kokuqhekeka kwe-malleolus esecaleni, kukho ukuthambekela kokunciphisa kunye nokujikeleza kwe-fibula.Ukuba ayilungiswanga kwisigaba sokuqala, ukulawula ukucutha kwe-fibular okungapheliyo kunye nokukhubazeka okujikelezayo kuba ngumngeni kwisigaba sesibini.Ukujongana nalo mbandela, abaphengululi bamazwe angaphandle baye bacebisa indlela entsha yokunciphisa inqanaba elinye kunye nokulungiswa kwe-lateral malleolus fractures ehamba kunye nomonakalo omkhulu wezicubu ezithambileyo, ezijolise ekubuyiseleni zombini ubude kunye nokujikeleza.

Inqaku eliphambili 1: Ukulungiswa kokunciphisa i-fibula kunye nokujikeleza.

Ukwaphuka okuphindaphindiweyo okanye ukwaphuka kwe-fibula / i-lateral malleolus ngokuqhelekileyo kukhokelela ekunciphiseni i-fibula kunye nokukhubazeka kwangaphandle kokujikeleza:

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

Ngokucinezela ngesandla iziphelo eziqhekekileyo ngeminwe, ngokuqhelekileyo kunokwenzeka ukufezekisa ukunciphisa i-lateral malleolus fracture.Ukuba uxinzelelo oluthe ngqo alwanelanga ukunciphisa, ukucholwa okuncinci ecaleni komda wangaphambili okanye ongasemva we-fibula unokwenziwa, kwaye i-forceps yokunciphisa ingasetyenziselwa ukunyanzelisa kunye nokubeka kwakhona ukuphuka.

▲ Umzobo wokujikeleza kwangaphandle kwe-malleolus esecaleni (A) kunye nokunciphisa emva kokunyanzeliswa kwezandla ngeminwe (B).

▲ Umzobo wokusebenzisa intambo encinci yokusika kunye nezixhobo zokunciphisa ukuncedisa ukunciphisa.

Inqaku eliPhambili 2: Ugcino lokunciphisa.

Ukulandela ukuncitshiswa kwe-lateral malleolus fracture, ezimbini ze-1.6mm ezingenazintambo ze-Kirschner zifakwe kwi-distal fragment ye-lateral malleolus.Zibekwe ngokuthe ngqo ukulungisa i-lateral malleolus fragment kwi-tibia, ukugcina ubude kunye nokujikeleza kwe-malleolus esecaleni kunye nokuthintela ukufuduka okulandelayo ngexesha lonyango olongezelelweyo.

Ngexesha lokulungiswa okuqinisekileyo kwinqanaba lesibini, iingcingo zeKirschner zinokugqithiswa ngaphandle kwemingxuma kwiplate.Emva kokuba ipleyiti igxininiswe ngokukhuselekileyo, iingcingo zeKirschner ziyasuswa, kwaye izikrufu zifakwe kwimingxuma ye-Kirschner yokuqinisa okongeziweyo.