Ama-Clavicle Fractures angenye yezingubo ezivame kakhulu eziphezulu eziphezulu ekusebenzeni kwemitholampilo, ngama-82% ama-clavicle fractures abe milshaft fractures. Ama-Clavicle aqhekezwa kakhulu ngaphandle kokufuduka okuthe xaxa angaphathwa ngokulondolozwa ngamabhandeshi angu-8, kuyilapho lezo ezinokuthunyelwa okuthe xaxa, izicubu ezithambile ezithambekele, ubungozi bokuyekethisa okuphezulu, noma izimfuno eziphakemeyo, noma izimfuno eziphakemeyo zingadinga ukulungiswa kwangaphakathi ngamapuleti. Izinga le-nonunion ngemuva kokulungiswa kwangaphakathi kokuqhekeka kwe-Clavicle kuphansi, cishe ngo-2.6%. Izimpawu ezibonakalayo zivame ukudinga ukuhlinzwa kabusha, ngendlela esetshenziswayo esondela ekukhanyiseni kwamathambo okuxhunyelelwa okuhlanganiswe nokulungiswa kwangaphakathi. Kodwa-ke, ukuphatha okujwayelekile kwe-atrophic ezigulini ezivele zivele zidingida ukubuyekeza ziyinselele enkulu futhi zihlala ziyinkinga kubo bobabili odokotela neziguli.
Ukubhekana nalolu daba, uprofesa esibhedlela i-X''an Red Cross Hospital esetshenziswe ngokuxhunyelelwa kwe-Iliac Iliac I-Iliac ithambo ngokuxhunyelelwa kuhlanganiswe nethambo lokukhanselwa kwe-autololous kuhlangene nokwelapha izingqungquthela zokuphazamiseka kwe-clavicle okulandelayo, kufinyelela imiphumela evuselelekayo. Imiphumela yocwaningo yashicilelwa e-The Journal "Amazwerthopedics".
Inqubo yokuhlinzwa
Izinqubo ezithile zokuhlinzwa zingafingqa njengoba isibalo esingezansi:
A: Susa ukulungiswa kwe-clavicular yasekuqaleni, susa ithambo le-sclerotic kanye nesibazi sefifu ekugcineni kwe-fracture;
B: Kwasetshenziswa amapuleti akwakheka amapulasitiki, kufakwe amapuleti akhiyiwe, afakwe emaphethelweni angaphakathi nawokungaphandle ukuze alondoloze ukuqina okuphelele kwe-clavicle, futhi ama-screws awalungiswa endaweni ephethwe ekugcineni kwe-clavicle.
C: Ngemuva kokulungiswa kwepuleti, izimbobo zokumba ngenaliti yeKirschler ngasekupheleni okuphukile kokuqhekeka okungaphakathi nangaphandle kuze kube yilapho umgodi ophuma ngegazi (uphawu olubomvu lwepelepele), okubonisa ukuthuthwa kwegazi kwamathambo amahle lapha;
D: Ngalesi sikhathi, qhubeka nokushayela i-5mm ngaphakathi nangaphandle, bese ugaya izimbobo ezinde ezinde ngemuva, okulungele i-osteotomy elandelayo;
E: Ngemuva kwe-Osteotomy emgodini wokumba wokuqala, hambisa i-cortex ephansi phansi ukuze ushiye umkhombe wamathambo;
F: I-Bicortical Iliac Bone yafakwa emgqeni wamathambo, bese kuthi i-cortex ephezulu, i-Iliac Crest kanye ne-cortex engezansi yalungiswa ngezikulufo; Ithambo le-Iliac elikhanyiselwe lifakwe esikhaleni se-Fracture
-Fana na-
Amacala:
Isiguli sasingowesilisa oneminyaka engama-42 ubudala owayephakathi nesigaba sokuqhekeka kwe-clavicle yangakwesobunxele ebangelwa usizi (a); Ngemuva kokuhlinzwa (b); Ukwaphuka okulungisiwe kanye nethambo elingeyona inyunyana kungakapheli izinyanga eziyi-8 ngemuva kokuhlinzwa (c); Ngemuva kokuvuselelwa kokuqala (d); Ukwaphuka kwepuleti lensimbi 7 izinyanga ngemuva kokuvuselelwa nokungaphuluki (e); I-Fracture yaphulukiswa (h, i) ngemuva kokuxhunyelelwa kwethambo lesakhiwo (F, g) se-ilium cortex.
Esifundweni somlobi, kufakwe amacala ayi-12 e-decractory bone nodon
I-Defractory Clavicular Nonunion iyinkinga enzima kakhulu ekusebenzeni kwemitholampilo, okuletha umthwalo osindayo wezengqondo kuzo zombili iziguli nodokotela. Le ndlela, ehlanganiswe nokuxhunyelelwa kwethambo lesakhiwo sethambo le-cortical of the ilium kanye nokukhanyisa amathambo, selitholile imiphumela emihle yokuphulukiswa kwamathambo, futhi ukusebenza kahle kutholakala njengereferensi yodokotela.
Isikhathi sePosi: Mar-23-2024
