Icebo Lokuhlinzwa | "I-Kirschner Wire Tension Technique" yokulungiswa kwangaphakathi ekwelapheni ukwaphuka kukaBennett

Ama-akhawunti ka-Bennett's Fracture angu-1.4% wezandla. Ngokungafani nokuqhekeka okujwayelekile kwesisekelo samathambo e-metacarpal, ukuthuthwa kwe-bunnett kuqhekeke kuyingqayizivele. Isiqephu se-proximal Articular Surticular Surticular Support sigcinwa esimweni saso sokuqala se-anatomical ngenxa yokudonswa kwe-metacarpal ligament, ngenkathi isiqeshana se-eblique metacarpal, ngenkathi kutholwa i-abroctor pollicis i-ondes ne-advuctor pollicis tandons, ihambisani.

Ukuqhekeka kukaBennett osusiwe, ukwelashwa kokuhlinza kuvame ukunconyelwa ukugwema ukonakalisa ukuqondanisa kwe-carpometacarpal function kanye nomsebenzi wesithupha. Mayelana nezindlela zokwelashwa okuhlinza, ama-plate kanye nezinhlelo zokulungisa isikulufa, kanye nokulungiswa kwe-kirschner wire yangaphakathi, kusetshenziswa kabanzi ekusebenzeni kwemitholampilo. Izazi ezivela esibhedlela sesithathu saseHebei zihlongoze inqubo ye-kirschner wire tension band, okubandakanya ukuvela okuncane okuhlaselayo ukulungisa ama-fractures kaBennett, ukufeza imiphumela emihle.

Isinyathelo 1: Yenza i-1.3 cm incision ohlangothini lwe-radial ye-carpometacarpal ehlanganisiwe, ungqimba ungqimba nge-ungqimba ukuze uveze indawo, uphinde uthole uhlangothi lwe-abror pollicus lubheke ohlangothini lwe-ulnar.

Isinyathelo 2: Faka isicelo se-Manual bese ubiza isithupha ukunciphisa ukuqhekeka. Faka i-1 mm kirschner wire ngokusebenzisa isiphetho se-distal fracture, 1-1.5 cm kude ne-carpometacarpal ngokuhlangene, ukulungisa isiqephu sethambo se-proximal. Ngemuva kokuthi i-kirschner wire ingena engxenyeni yethambo, iyaqhubeka nokuthuthuka nge-1 cm.

Isinyathelo 3: Thatha ucingo bese ulufaka kwiphethini yesilinganiso-eyisishiyagalombili ezungeze zombili iziphetho zocingo lwe-kirschner, bese uluvikele endaweni.

Isu le-kirschner wire tension band lisetshenzisiwe ekuqhekekeni okuningi, kepha ukuqhekeka kukaBennett, ukuvela okuncane kuvame ukuphumela ekubonakalweni okungafanele futhi kwenza inqubo inselele. Ngokwengeziwe, uma ukwaphuka kuthunyelwa, ucingo olulodwa lwe-kirschner kungenzeka kungaze luqinise ngempumelelo i-proximal bone Fragment. Ukusebenziseka kwayo kwemitholampilo kungakhawulelwa. Ngaphandle kwendlela yokulungiswa kwethempeli okungenhla, kukhona nokulungiswa kocingo lwe-kirschner oluhlanganiswe nenqubo ye-tension band, okubuye kwabikwa nezincwadi.