Impendulo yalo mbuzo kukuba akukho kwaphuka kwesithende okubangela ukuba kudityaniswe amathambo xa kusenziwa i-internal fixation.
USanders uthe
Ngo-1993, uSanders et al [1] wapapasha uphawu olubalulekileyo kwimbali yonyango lotyando lwezaphuko ze-calcaneal kwi-CORR ngokuhlelwa kwabo kwezaphuko ze-calcaneal ngokusekelwe kwi-CT. Kutshanje, uSanders et al [2] wagqiba kwelokuba akukho mfuneko yokufakelwa kwamathambo okanye iipleyiti zokutshixa kwizaphuko ze-120 ezithendeni kunye nokulandelelana kwexesha elide kweminyaka eli-10-20.
Uhlobo lwe-CT lokuqhekeka kwesithende olupapashwe nguSanders et al. kwi-CORR ngo-1993.
Ukufakelwa kwamathambo kuneenjongo ezimbini eziphambili: ukufakelwa kwesakhiwo sokuxhasa ngoomatshini, njengakwi-fibula, kunye nokufakelwa kwe-granular ukuze kuzaliswe kwaye kukhuthazwe i-osteogenesis.
USanders ukhankanye ukuba ithambo lesithende lenziwe liqokobhe elikhulu le-cortical eligqume ithambo elinomhlaza, kwaye ukwaphuka kwethambo lesithende okususiweyo kunokwakhiwa kwakhona ngokukhawuleza ngethambo elinomhlaza elinesakhiwo se-trabecular ukuba iqokobhe le-cortical linokulungiswa kwakhona. UPalmer et al [3] ngabokuqala ukunika ingxelo ngokufakelwa kwamathambo ngo-1948 ngenxa yokunqongophala kwezixhobo ezifanelekileyo zokufakela amathambo ukugcina ukwaphuka komphezulu we-articular endaweni ngelo xesha. Ngophuhliso oluqhubekayo lwezixhobo zokufakela amathambo ezifana neepleyiti ze-posterolateral kunye nezikrufu, ukugcinwa kwenkxaso yokunciphisa ngokusebenzisa i-bone graft kwaba yinto engeyomfuneko. Izifundo zayo zeklinikhi zexesha elide ziqinisekisile le mbono.
Uphononongo olulawulwa yiklinikhi lugqiba kwelokuba ukufakelwa kwamathambo akuyomfuneko
ULongino nabanye [4] kunye nabanye benze uphando olulawulwayo olujoliswe ekufumaneni ukwaphuka kwe-intra-articular engama-40 kwesithende okufudukileyo ubuncinane iminyaka emi-2 yokulandelela kwaye abazange bafumane mahluko ubalulekileyo phakathi kokufakelwa kwamathambo kunye nokungabikho kokufakelwa kwamathambo ngokwemifanekiso okanye iziphumo zokusebenza. UGusic nabanye [5] benze uphando olulawulwayo lwee-fractures ze-intra-articular eziyi-143 ezifudukileyo zesithende kunye neziphumo ezifanayo.
USingh et al [6] waseMayo Clinic benze uphando olujonga emva kwizigulane ezingama-202 kwaye nangona ukufakelwa kwamathambo kwakungcono ngokwe-angle kaBohler kunye nexesha lokuthwala ubunzima obupheleleyo, akukho mahluko ubalulekileyo kwiziphumo zokusebenza kunye neengxaki.
Ukufakelwa kwamathambo njengesizathu esinokubangela iingxaki zokulimala
UNjingalwazi uPan Zhijun kunye neqela lakhe kwiZhejiang Medical Second Hospital benze uvavanyo olucwangcisiweyo kunye nohlalutyo lwe-meta ngo-2015 [7], oluquka zonke iincwadi ezazinokufunyanwa kwiidathabheyisi ze-elektroniki ukusukela ngo-2014, kuquka ukwaphuka kwamathambo ali-1651 kwizigulana ezili-1559, baza bagqiba kwelokuba ukufakelwa kwamathambo, isifo seswekile, ukungafaki umsele wokuhambisa amanzi, kunye nokuqhekeka okukhulu kwamathambo kwandisa kakhulu umngcipheko weengxaki ezibuhlungu emva kotyando.
Ukuqukumbela, ukufakelwa kwamathambo akufuneki ngexesha lokulungiswa kwangaphakathi kwezithende kwaye akuncedi ekusebenzeni okanye kwisiphumo sokugqibela, kodwa kunoko kwandisa umngcipheko weengxaki ezibuhlungu.
1.Sanders R, Fortin P, DiPasquale T, et al. Unyango lotyando kwiintsholongwane ezili-120 eziqhekekileyo ze-intraarticular calcaneal. Iziphumo zisebenzisa udidi lwe-prognostic computed tomography scan. Clin Orthop Relat Res. 1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, et al. Unyango lotyando lokwaphuka kwe-calcaneal intraarticular: ixesha elide (iminyaka eli-10-20) lubangela ukwaphuka kwe-108 kusetyenziswa udidi lwe-CT oluxela kwangaphambili. J Orthop Trauma. 2014;28(10):551-63.
3. Palmer I. Indlela kunye nonyango lokuqhekeka kwe-calcaneus. J Bone Joint Surg Am. 1948;30A:2–8.
4.Longino D, Buckley RE. Ukufakelwa kwamathambo kunyango lotyando lwezaphuko ze-intraarticular calcaneal ezisusiweyo: ngaba kuyanceda? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al. Unyango lotyando lokwaphuka kwe-calcaneal ngaphakathi kwe-articular: Isiphumo sokwakheka kunye nokusebenza kweendlela ezintathu ezahlukeneyo zotyando. Ukulimala. 2015;46 Suppl 6:S130-3.
6.Singh AK, Vinay K. Unyango lotyando lokuqhekeka kwe-calcaneal intra-articular: ngaba kuyimfuneko ukufakelwa kwamathambo? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, et al. Izinto ezibangela umngcipheko kwiingxaki zamanxeba okuqhekeka kwe-calcaneal emva kotyando: uphononongo olucwangcisiweyo kunye nohlalutyo lwe-meta. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Ixesha lokuthumela: Disemba-07-2023
