Impendulo yalo mbuzo kukuba akukho fracture yesithende idinga ukuxutywa kwethambo xa usenza ukulungiswa kwangaphakathi.
Watsho uSanders
Ngo-1993, u-Sanders et al [1] bapapasha indawo ephawulekayo kwimbali yonyango lotyando lwe-calcaneal fractures kwi-CORR kunye ne-CT-based classifications ye-calcaneal fractures.Ngoku kutshanje, uSanders et al [2] baphetha ngokuthi akukho kufakelwa kwamathambo okanye iiplate zokutshixa kwakuyimfuneko kwi-120 isithende sokuphuka kunye nokulandelwa kwexesha elide le-10-20 iminyaka.
Ukuchwetheza kwe-CT yokuphuka kwesithende epapashwe nguSanders et al.kwiCORR ngo-1993.
Ukuxutywa kwethambo kuneenjongo ezimbini eziphambili: ukufakwa kwesakhiwo sokuxhaswa kwemishini, njenge-fibula, kunye ne-granular grafting yokuzaliswa kunye nokunyanzeliswa kwe-osteogenesis.
USanders ukhankanye ukuba ithambo lesithende liqulathe iqokobhe elikhulu lecortical encasing cancellous bone, kwaye oko kwaphunywa kwi-intra-articular fractures of the heel bone kungalungiswa ngokukhawuleza ngethambo elirhoxisiweyo kunye nesakhiwo se-trabecular ukuba iqokobhe le-cortical linokusetwa kwakhona.Palmer et al [ I-3] yayingabokuqala ukunika ingxelo malunga nokufakwa kwamathambo kwi-1948 ngenxa yokungabikho kwezixhobo ezifanelekileyo zokulungiswa kwangaphakathi ukuze kugcinwe i-articular surface fracture endaweni ngelo xesha.Ngophuhliso oluqhubekayo lwezixhobo zokulungiswa kwangaphakathi ezifana neeplate ze-posterolateral kunye ne-screws, ukugcinwa kwenkxaso yokunciphisa ngokusebenzisa i-bone graft yaba yimfuneko.Izifundo zayo zeklinikhi zexesha elide ziqinisekisile le mbono.
Uphononongo olulawulwa yiklinikhi lugqibe kwelokuba ukufakwa kwamathambo akuyomfuneko
U-Longino et al [4] kunye nabanye baqhube uphando olulindelekileyo olulawulwayo lwe-40 yokufuduka kwe-intra-articular fractures yesithende ubuncinane ubuncinane be-2 iminyaka yokulandelelana kwaye abafumananga mahluko abalulekileyo phakathi kokufakelwa kwamathambo kunye nokungabikho kwamathambo ngokubhekiselele kwimifanekiso okanye ukusebenza. iziphumo.I-Gusic et al [5] yenza uphando olulawulwayo lwe-143 yokufuduka kwe-intra-articular fractures yesithende kunye neziphumo ezifanayo.
U-Singh et al [6] ovela kwiKliniki yaseMayo uqhube uphando lwe-retrospective yezigulane ze-202 kwaye nangona ukufakwa kwamathambo kwakuphezulu ngokubhekiselele kwi-angle ye-Bohler kunye nexesha lokuthwala ubunzima obupheleleyo, kwakungekho mahluko abalulekileyo kwiziphumo zokusebenza kunye neengxaki.
Ukufakwa kwamathambo njengomngcipheko weengxaki zokwenzakala
UNjingalwazi uPan Zhijun kunye neqela lakhe kwiSibhedlele seSibini seZhejiang Medical baye baqhuba uvavanyo olucwangcisiweyo kunye nohlalutyo lwe-meta ngo-2015 [7], olubandakanya lonke uncwadi olunokufunyanwa kwiinkcukacha ze-elektroniki ukususela ngo-2014, kubandakanywa ukuphuka kwe-1651 kwizigulane ze-1559, kunye wagqiba ukuba ukuxutywa kwamathambo, isifo sikashukela, ukungafaki i-drain, kunye nokwaphuka okukhulu kakhulu kwandisa umngcipheko weengxaki ezibuhlungu emva kokuhlinzwa.
Ukuququmbela, ukuxutywa kwethambo akuyimfuneko ngexesha lokulungiswa kwangaphakathi kwesithende sokuphuka kwaye akuncedi kumsebenzi okanye umphumo wokugqibela, kodwa kunoko kwandisa umngcipheko weengxaki ezibuhlungu.
1.Sanders R, Fortin P, DiPasquale T, et al.Unyango olusebenzayo kwi-120 efudukayo kwi-intraarticular calcaneal fractures.Iziphumo zisebenzisa ulwahlulo lwe-prognostic computed tomography scan.I-Clin Orthop Relat Res.1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, et al.Unyango olusebenzayo lwe-intraarticular calcaneal fractures: ixesha elide (i-10-20 Years) liphumela kwi-108 fractures usebenzisa i-prognostic CT classification.J Orthop Trauma.2014;28(10):551-63.
3.Palmer I. Inkqubo kunye nokunyangwa kweefractures ze-calcaneus.J Bone Joint Surg Am.1948;30A:2–8.
4.Longino D, Buckley RE.Ukufakelwa kwethambo kunyango olusebenzayo lwe-intraarticular calcaneal fractures: ngaba luncedo?J Orthop Trauma.2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al.Unyango olusebenzayo lwe-intraarticular calcaneal fractures: Isiphumo se-anatomical kunye nokusebenza kweendlela ezintathu ezahlukeneyo zokusebenza.Ukwenzakala.2015;46 Suppl 6:S130-3.
6.Singh AK, Vinay K. Unyango lotyando lwe-intra-articular calcaneal fractures: ngaba ukufakwa kwamathambo kuyimfuneko?J Orthop Traumatol.2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, et al.Imiba yomngcipheko weengxaki zezilonda ze-calcaneal fractures ezivaliweyo emva kokuhlinzwa: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta.Scand J Trauma Resusc Emerg Med.2015;23:18.
Ixesha lokuposa: Dec-07-2023
