Ama-ankle fractures angukulimala okuvamile komtholampilo. Ngenxa yezicubu ezithambile ezithambile ezizungeze i-ankle Joint, kukhona ukuphazamiseka okubalulekile kwegazi ngemuva kokulimala, okwenza ukuphulukiswa kuyinselele. Ngakho-ke, ezigulini ezinokulimala okuvulekile kwe-ankle noma izicubu ezithambile ezingakwazi ukutholakala ngokushesha kwangaphakathi, ozimele bangaphandle bahlanganiswa nokuncishiswa okuvaliwe kanye nokulungiswa kwe-kirschner izintambo zivame ukuqashwa ukuzenza izinzizi zesikhashana. Ukwelashwa okuchazayo kwenziwa esigabeni sesibili uma isimo sezicubu esithambile sesithuthukile.
Ngemuva kokuqhekeka okuhlanganisiwe kwe-malleolus latelal, kukhona ukuthambekela kokunciphisa nokujikeleza kwe-fibula. Uma kungalungiswa esigabeni sokuqala, ukuphatha ukufunwa okuningana okungamahlalakhona kwezingalile nokushintshana kwaba yinselele ngokwengeziwe esigabeni sesibili. Ukubhekana nalolu daba, izazi zakwamanye amazwe zihlongoze indlela yenoveli yokwehliswa kwesigaba esisodwa kanye nokulungiswa kwama-malleolus fractures ahambisana nokulimala kwezicubu ezithambile, okuhlose ukubuyisela zombili ubude nokujikeleza.
Iphoyinti eliyisihluthulelo 1: Ukulungiswa kokufushanisa nokushintshana.
Ama-Fractures amaningi noma ama-fractures ahlanganisiwe we-FIBLA / MALALAAL MALLEOLUS evame ukuholela ekunciphiseni ngomunyu nokuguquguquka kwangaphandle kokushintshana kwangaphandle:
▲ umfanekiso wokufushanisa ngomunyu (a) nokujikeleza kwangaphandle (b).
Ngokucindezela ngesandla iziphetho ezikhubazekile ngeminwe, kuvame ukwenzeka ukufeza ukuncishiswa kokuqhekeka kwe-malleolus yamuva. Uma ingcindezi eqondile inganele ukuncishiswa, ukuvela okuncane onqenqemeni lwangaphandle noma olungemuva lwe-fibula, futhi ama-forces wokunciphisa angasetshenziselwa ukubopha nokubeka phansi ukwaphuka.
▲ umfanekiso wokujikeleza kwangaphandle kwe-malleolus lateral (a) kanye nokwehliswa ngemuva kokucindezelwa okubhaliwe ngeminwe (b).
▲ Umfanekiso wokusebenzisa incikeli elincane nokunciphisa amandla okunciphisa okusizwayo.
Iphuzu eliyisihluthulelo 2: Ukulungiswa kokuncishiswa.
Ngemuva kokuncishiswa kokuqhekeka kwe-malleolus elteliolus, izintambo ezimbili ze-kirschner ezingenamsebenzi zifakwa ngesiqephu se-distal se-malleolus lateral. Zibekwe ngqo ukulungisa i-lateral Malleolus Fragment eTibia, zigcina ubude nokujikeleza kwe-malleolus lateral nokuvimbela ukuthuthwa okwalandela ngesikhathi sokunye ukwelashwa.
Ngesikhathi sokulungiswa okuchazayo esigabeni sesibili, izintambo zeKistschner zingafakwa ngezimbobo ezisepuletini. Lapho ipuleti selilungisiwe ngokuphephile, izintambo ze-kirschner ziyasuswa, futhi ama-screws afakwe ngezimbobo ze-kirschner wire ukuze zisinze ezinye izinziselo.
Isikhathi sePosi: Dec-11-2023
