I-Femoral neck fractures yenza i-50% ye-hip fractures. Ezigulini ezingezona asebekhulile ezine-femoral neck fractures, ukwelashwa kokulungiswa kwangaphakathi kuvame ukunconywa. Kodwa-ke, izinkinga zangemva kokuhlinzwa, njengokungahlukani kokuphuka, i-femoral head necrosis, kanye nokuncipha kwentamo yesifazane, zivame kakhulu emisebenzini yomtholampilo. Njengamanje, ucwaningo oluningi lugxile endleleni yokuvimbela i-femoral head necrosis ngemva kokulungiswa kwangaphakathi kwe-femoral neck fractures, kuyilapho ukunakekelwa okuncane kunikezwa endabeni yokunciphisa intamo yesifazane.
Njengamanje, izindlela zokulungisa zangaphakathi zokuphuka kwentamo ye-femoral, okuhlanganisa ukusetshenziswa kwezikulufu ezintathu ze-cannulated, i-FNS (Isistimu ye-Femoral Neck), nezikulufu ze-hip ezinamandla, zonke zihlose ukuvimbela i-varus yentamo ye-femoral futhi inikeze ukucindezelwa kwe-axial ukuze kugwenywe ukungahambisani. Nokho, ukucindezelwa kokuslayida okungalawuleki noma okweqile kuholela ekufinyezweni kwentamo yesifazane. Ngenxa yalokhu, ochwepheshe beSibhedlela Sesibili Sabantu Esihlobene Ne-Fujian University of Traditional Chinese Medicine, becabangela ukubaluleka kobude bentamo ye-femoral ekuphulukiseni ukuphuka kanye nomsebenzi we-hip, bahlongoza ukusetshenziswa kwe-"anti-shortening screw" ngokuhambisana ne-FNS yokulungiswa kwe-femoral neck fracture. Le ndlela ibonise imiphumela ethembisayo, futhi ucwaningo lwanyatheliswa kumagazini wakamuva we-Orthopedic Surgery.
I-athikili ikhuluma ngezinhlobo ezimbili "zezikulufu zokunqanda ukufinyeza": enye iyisikulufu esishicilele esivamile futhi enye isikulufu esinomklamo wezintambo ezimbili. Kumakesi angu-53 eqenjini lesikulufu esinqanda ukufinyeza, amakesi angu-4 kuphela asebenzise isikulufu esinemicu ekabili. Lokhu kuphakamisa umbuzo wokuthi ingabe isikulufu esifakwe uchungechunge lwe-cannulated kancane sinomphumela omelene nokufinyeza.
Lapho zombili izikulufu ezithungelwe kancane ze-cannulated nezikulufu ezinezintambo ezimbili zihlaziywa ndawonye futhi ziqhathaniswa nokulungiswa kwangaphakathi kwe-FNS evamile, imiphumela yabonisa ukuthi izinga lokufinyeza eqenjini lesikulufu esilwa nokufinyeza laliphansi kakhulu kuneqembu le-FNS elivamile ngenyanga engu-1, izinyanga ezingu-3, kanye namaphoyinti okulandelela onyaka ongu-1, ngezibalo zokubaluleka. Lokhu kuphakamisa umbuzo: Ingabe umphumela ungenxa yesikulufu esijwayelekile esifakwe ngamathini noma isikulufu esinemicu ekabili?
I-athikili yethula izehlakalo ezingu-5 ezihlanganisa izikulufu ezinqanda ukufinyeza, futhi lapho kuhlolisiswa eduze, kungabonakala ukuthi ezimweni ezingu-2 no-3, lapho kusetshenziswe khona izikulufu ze-cannulated ingxenye, kube nokuhoxiswa nokufinyezwa kwesikulufu (izithombe ezilebulwe ngenombolo efanayo zihambisana necala elifanayo).
Ngokusekelwe ezithombeni zekesi, ukusebenza kahle kwesikulufu esinemicu ekabili ekuvimbeleni ukufinyeza kubonakala impela. Ngokuqondene nezikulufu ezifakwe amathini, i-athikili ayinikezi iqembu elihlukile lokuqhathanisa lazo. Kodwa-ke, lesi sihloko sinikeza umbono obalulekile wokulungiswa kwangaphakathi kwentamo ye-femoral, egcizelela ukubaluleka kokugcina ubude bentamo yesifazane.
Isikhathi sokuthumela: Sep-06-2024
