Indlela Yokuhlinzwa | Ukwethula indlela yokunciphisa okwesikhashana nokugcina ubude beqakala langaphandle kanye nokujikeleza kwalo.

Ukuphuka kweqakala kuyimbangela evamile yokulimala. Ngenxa yezicubu ezithambile ezibuthakathaka ezizungeze iqakala, kukhona ukuphazamiseka okukhulu kwegazi ngemva kokulimala, okwenza ukuphulukiswa kube nzima. Ngakho-ke, ezigulini ezinezilima zeqakala ezivulekile noma amanxeba ezicubu ezithambile angakwazi ukufakelwa ngokushesha ngaphakathi, ozimele bokufakelwa kwangaphandle abahlanganiswe nokunciphisa okuvaliwe kanye nokufakelwa kusetshenziswa izintambo zeKirschner ngokuvamile basetshenziswa ukuze kuqiniswe okwesikhashana. Ukwelashwa okuqondile kwenziwa esigabeni sesibili uma isimo sezicubu ezithambile sesithuthukile.

Ngemva kokuphuka kwe-lateral malleolus okuphukile, kuba nokuthambekela kokufinyeza nokujikeleza kwe-fibula. Uma kungalungiswanga esigabeni sokuqala, ukuphatha ukufinyeza kwe-fibular okungapheli okulandelayo kanye nokukhubazeka kokujikeleza kuba nzima kakhulu esigabeni sesibili. Ukuze kuxazululwe le nkinga, izazi zakwamanye amazwe ziphakamise indlela entsha yokunciphisa kanye nokulungisa ukuphuka kwe-lateral malleolus okuhambisana nomonakalo omkhulu wezicubu ezithambile, okuhlose ukubuyisela ubude kanye nokujikeleza.

Iphuzu Eliyinhloko 1: Ukulungiswa kokufinyezwa kwe-fibular kanye nokujikeleza.

Ukuqhekeka okuningi noma ukuqhekeka okufushane kwe-fibula/lateral malleolus kuvame ukuholela ekufinyezweni kwe-fibular kanye nokukhubazeka kokujikeleza kwangaphandle:

▲ Umfanekiso wokunciphisa i-fibular (A) kanye nokujikeleza kwangaphandle (B).

Ngokucindezela ngesandla iziphetho eziphukile ngeminwe, ngokuvamile kungenzeka ukufeza ukwehla kokuphuka kwe-lateral malleolus. Uma ingcindezi eqondile inganele ukunciphisa, kungenziwa ukusika okuncane eceleni komphetho wangaphambili noma wangemuva we-fibula, futhi kungasetshenziswa i-reduction forceps ukubopha nokubeka kabusha ukuphuka.

▲ Umfanekiso wokujikeleza kwangaphandle kwe-lateral malleolus (A) kanye nokunciphisa ngemva kokucindezelwa ngesandla yiminwe (B).

▲ Umfanekiso wokusebenzisa i-incision encane kanye ne-reduction forceps ukuze kuncishiswe ngokusiza.

Iphuzu Eliyinhloko 2: Ukugcinwa kokunciphisa.

Ngemva kokuncipha kokuqhekeka kwe-lateral malleolus, izintambo ezimbili ze-Kirschner ezingangezintambo ezingu-1.6mm zifakwa ngengxenye ekude ye-lateral malleolus. Zibekwa ngqo ukuze ziqinise ingxenye ye-lateral malleolus ku-tibia, zigcine ubude nokujikeleza kwe-lateral malleolus futhi zivimbele ukufuduka okulandelayo ngesikhathi sokwelashwa okuqhubekayo.

Ngesikhathi sokulungiswa okuqondile esigabeni sesibili, izintambo zeKirschner zingafakwa ngentambo ngokusebenzisa izimbobo ezisepuletini. Uma ipuleti seliqiniswe kahle, izintambo zeKirschner ziyasuswa, bese kufakwa izikulufo ngemigodi yezintambo zeKirschner ukuze kuqiniswe okwengeziwe.