Ukuphuka kweqakala langaphakathi kuvame ukudinga ukunciphisa ukusikwa kanye nokufakwa ngaphakathi, kungaba ngokufakwa kwezikulufo kuphela noma ngenhlanganisela yamapuleti nezikulufo.
Ngokwesiko, ukuphuka kulungiswa okwesikhashana ngephini likaKirschner bese kulungiswa ngesikulufu sokucindezela esinomugqa oyingxenye, esingahlanganiswa nebhande lokucindezela. Ezinye izazi zisebenzise izikulufu ezinemigqa egcwele ukwelapha ukuphuka kweqakala eliphakathi, futhi ukusebenza kwazo kungcono kunokwezikulufu zokucindezela ezinomugqa ongxenye. Kodwa-ke, ubude bezikulufu ezinemigqa egcwele bungu-45 mm, futhi zinamathele ku-metaphysis, futhi iningi leziguli lizoba nobuhlungu eqakaleni eliphakathi ngenxa yokuphuma kokuqina kwangaphakathi.
UDkt. Barnes, ovela eMnyangweni Wezinkinga Zamathambo eSibhedlela iSt Louis University e-USA, ukholelwa ukuthi izikulufo zokucindezela ezingenamakhanda zingalungisa ukwaphuka kwangaphakathi kweqakala kahle ebusweni bethambo, zinciphise ukungakhululeki ngenxa yokuqina kwangaphakathi okuvelelayo, futhi zikhuthaze ukuphulukiswa kokuphuka. Ngenxa yalokho, uDkt. Barnes wenza ucwaningo mayelana nokusebenza kahle kwezikulufo zokucindezela ezingenamakhanda ekwelapheni ukwaphuka kwangaphakathi kweqakala, olusanda kushicilelwa ku-Injury.
Ucwaningo luhlanganise iziguli ezingu-44 (iminyaka ephakathi kuka-45, iminyaka engu-18-80) ezelashwa ngokuphuka kwangaphakathi kweqakala ngezikulufo zokucindezela ezingenamakhanda eSaint Louis University Hospital phakathi kuka-2005 no-2011. Ngemva kokuhlinzwa, iziguli zavalwa ama-splint, ama-cast noma ama-braces kwaze kwaba yilapho kuvela ubufakazi bezithombe bokuthi ukuphuka kwamathambo kwaphola ngaphambi kokuhamba ngesivinini esiphezulu.
Iningi lala maphutha labangelwa ukuwa endaweni yokuma kanti okunye kwakungenxa yezingozi zamabhayisikili noma ezemidlalo njll. (Ithebula 1). Abangamashumi amabili nantathu kubo babenezimpaphe ezimbili zamaqakala, abangu-14 babenezimpaphe ezintathu zamaqakala kanti abasele abangu-7 babenezimpaphe eyodwa zamaqakala (Isithombe 1a). Phakathi nokuhlinzwa, iziguli ezingu-10 zelashwe ngesikulufu esisodwa sokucindezela esingenakhanda ngenxa yokuphuka kweqakala, kanti abanye abangu-34 babenezikulufu ezimbili zokucindezela ezingenakhanda (Isithombe 1b).
Ithebula 1: Indlela yokulimala
Isithombe 1a: Ukuphuka kweqakala elilodwa; Isithombe 1b: Ukuphuka kweqakala elilodwa kuphathwe ngezikulufo ezimbili zokucindezela ezingenamakhanda.
Ngesikhathi sokulandelela okumaphakathi kwamasonto angu-35 (amasonto angu-12-208), kwatholakala ubufakazi bokuthi kwatholakala ukuphulukiswa kwamathambo kuzo zonke iziguli. Asikho isiguli esadinga ukususwa kwesikulufo ngenxa yokuphuma kwesikulufo, futhi isiguli esisodwa kuphela esadinga ukususwa kwesikulufo ngenxa yokutheleleka kwe-MRSA ngaphambi kokuhlinzwa emlenzeni ongezansi kanye ne-cellulitis yangemva kokuhlinzwa. Ngaphezu kwalokho, iziguli eziyi-10 zazinokungakhululeki okuncane lapho kuthinta iqakala langaphakathi.
Ngakho-ke, abalobi baphetha ngokuthi ukwelashwa kokuphuka kwangaphakathi kweqakala ngezikulufo zokucindezela ezingenamakhanda kwaholela ezingeni eliphezulu lokuphulukiswa kokuphuka, ukululama okungcono kokusebenza kweqakala, kanye nobuhlungu obuncane ngemva kokuhlinzwa.
Isikhathi sokuthunyelwe: Ephreli-15-2024
