Ama-fractures we-ankle yangaphakathi adinga ukuncishiswa kwesisekelo kanye nokulungiswa kwangaphakathi, kungaba ngokulungiswa kwesikulufu kuphela noma ngenhlanganisela yamapuleti nezikulufo.
Ngokwesiko, ukuqhekeka kulungiswe okwesikhashana nge-pin ye-kirschner bese kulungiswa ngesikulufa sengxabano esinqunyelwe, esingahlanganiswa nebhendi yokungezwani. Ezinye izazi zisebenzise izikulufo ezigcwele ezigcwele ukwelapha ama-ankle ankle, futhi ukusebenza kwazo kungcono kunalokho kwengxenye yengcindezelo yengcindezelo yengxabano. Kodwa-ke, ubude bezikulufo ezigcwele ezigcwele bungama-45 mm, futhi bagxilile kwi-metaphysis, futhi iningi leziguli lizoba nobuhlungu e-ankle ye-medial ngenxa yokukhishwa kokulungiswa kwangaphakathi.
UDkt Barnes, ovela eMnyangweni we-Orthopedic Trauma esibhedlela iSt Louis University Hospital e-USA, ukholelwa ukuthi ama-ankression screpres angavuselela amandla okubumba amathambo, futhi akhuthaze ukuphulukiswa kokuphulukisa. Ngenxa yalokho, uDkt Barnes waqhubela isifundo sezenzo zokucindezela okungenazinhloko ekwelapheni ama-ankle fractures angaphakathi, esanda kushicilelwa ekulimaleni.
Lolu cwaningo lufake iziguli ezingama-44 (zisho iminyaka engama-45, iminyaka engu-18-80) ezatholwa ama-ankle fractures angaphakathi ezinhlaka ezingenamikhawulo esibhedlela iSaint Louis University esibhedlela saseSanta saseSaint University phakathi kokuphulukiswa okugcwele.
Iningi lama-fractures lalibangelwa ukuwa kwesikhundla sokuma kanti okunye kungenxa yezingozi zesithuthuthu noma ezemidlalo njll. (Ithebula 1). Amashumi amabili nantathu kubo ayenama-ankle ankle ankle, abangu-14 babenama-ankle fractures kanye nabasele abangu-7 babene-ankle fractures (isithombe 1a). I-Intraoperatively, iziguli eziyi-10 ziphathwe ngesikulufa esisodwa esingenamikhawulo se-ankle fractures, kanti iziguli ezingama-34 ezisele zinezikulufo ezimbili ezingenamikhawulo (isithombe 1b).
Ithebula 1: Inqubo yokulimala
Umdwebo we-1A: Ukuqhekeka okukodwa; Umdwebo 1b: Ukuqhekeka okukodwa kwe-ankle kuphathwe ngezikulufo ezi-2 ezingenazinhloko ezingenamakhanda.
Ekulandeleni okushoyo kwamasonto angama-35 (amasonto ayi-12-208), ubufakazi bokuthi ukuphulukiswa kokuqhekeka kwatholakala kuzo zonke iziguli. Akukho ukukhishwa kwesikhashana okudingekayo kwesikulufu ngenxa yokukhishwa kwesikulufu, futhi nesiguli esisodwa kuphela esidingekayo sokususwa kwesikulufu ngenxa yokutheleleka kwe-MRSA emaphethelweni aphansi kanye ne-portulitis ye-postulitive. Ngaphezu kwalokho, iziguli eziyi-10 zazinezinto ezinhle kakhulu ekuqondeni kwe-ankle yangaphakathi.
Ngakho-ke, ababhali baphetha ngokuthi ukwelashwa kokuqhekeka kwe-ankle yangaphakathi ngezinkulumo zokucindezela ezingenamikhawulo kwaholela ekuphulukeni kwezinga lokuphulukisa, ukululama okungcono komsebenzi we-ankle, kanye nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane be-ankle, nobuhlungu obuncane bokusebenza.
Isikhathi sePosi: APR-15-2024
