Indlela Yokuhlinzwa | “Indlela Yokubopha Ibhande Lokucindezela Intambo KaKirschner” Yokulungisa Kwangaphakathi Ekwelapheni Ukuphuka Kwethambo LikaBennett

Ukuphuka kukaBennett kubangela u-1.4% wokuphuka kwesandla. Ngokungafani nokuphuka okuvamile kwesisekelo samathambo e-metacarpal, ukufuduka kokuphuka kukaBennett kuhlukile impela. Ingcezu engaphezulu ye-articular proximal igcinwa isesimweni sayo sokuqala somzimba ngenxa yokudonswa kwe-ligament ye-oblique metacarpal, kuyilapho ingcezu ekude, ngenxa yokudonswa kwemisipha ye-abductor pollicis longus kanye ne-adductor pollicis, ihlukana ngemuva futhi ibheke phezulu.

Kwama-fracture kaBennett asusiwe, ukwelashwa ngokuhlinzwa kuvame ukunconywa ukuze kugwenywe ukungalingani kokusebenza kwejoyinti le-carpometacarpal kanye nesithupha. Ngokuphathelene nezindlela zokwelapha ngokuhlinzwa, izinhlelo zokulungisa amapuleti nezikulufo, kanye nokulungiswa kwangaphakathi kwentambo kaKirschner, kusetshenziswa kabanzi emtholampilo. Izazi ezivela eSibhedlela Sesithathu saseHebei ziphakamise indlela yebhande lokucindezela ucingo likaKirschner, ehilela ukusikwa okuncane okungangenisi lutho ukulungisa ama-fracture kaBennett, okuholela emiphumeleni emihle.

Isinyathelo 1: Yenza ukusika okungu-1.3 cm ohlangothini oluqondile lwejoyinti le-carpometacarpal, uhlukanise ungqimba ngengqimba ukuze uveze indawo, ubuyisele i-abductor pollicis longus ohlangothini lwe-ulnar, bese uveza uhlangothi lwangemuva lwejoyinti le-carpometacarpal.

Isinyathelo sesi-2: Faka intambo ngesandla bese ucindezela isithupha ukuze unciphise ukuphuka. Faka intambo ye-Kirschner engu-1 mm ekugcineni kokuphuka okukude, okuqhele ngo-1-1.5 cm ukusuka ejoyintini le-carpometacarpal, ukuze ulungise ingcezu yethambo eliseduze. Ngemva kokuba intambo ye-Kirschner ingena kungcezu yethambo, qhubeka uyiqhubekisele phambili ngo-1 cm.

Isinyathelo 3: Thatha ucingo bese uluhlanganisa ngendlela efana nephethini yesishiyagalombili nxazonke zombili izinhlangothi zocingo lweKirschner, bese uluqinisa.

Indlela ye-Kirschner wire tension band isetshenziswe ezifweni eziningi ezaphukile, kodwa ekwaphukeni kukaBennett, ukusikwa okuncane kuvame ukuholela ekuboneni okungekuhle futhi kwenza inqubo ibe nzima. Ngaphezu kwalokho, uma ukwaphuka kuqedwa, intambo eyodwa kaKirschner ingase ingaqinisi kahle ingxenye yethambo eliseduze. Ukusebenza kwayo kwezokwelapha kungase kulinganiselwe. Ngaphandle kwendlela yokulungisa i-tension band eshiwo ngenhla, kukhona futhi i-Kirschner wire fixation ehlanganiswe nendlela ye-tension band, nayo ebikwe ezincwadini.