Impendulo yalo mbuzo iwukuthi akukho ukuphuka kwesithende okudingekayo ukuxhunyelelwa kwethambo lapho kwenziwa ukulungiswa kwangaphakathi.
Kusho uSanders
Ngo-1993, uSanders et al [1] bashicilele ingqophamlando emlandweni wokwelashwa kokuhlinzwa kokuqhekeka kwe-calcaneal e-CORR ngezigaba zabo ezisekelwe ku-CT zokuqhekeka kwe-calcaneal. Muva nje, uSanders et al [2] baphetha ngokuthi akukho ukuxhunyaniswa kwamathambo noma amapuleti okukhiya kwakudingeka ekuqhekekeni kwesithende se-120 ngokulandelwa kwesikhathi eside se-10-20 iminyaka.
Ukuthayipha kwe-CT kokuphuka kwesithende eshicilelwe nguSanders et al. ku-CORR ngo-1993.
Ukuxhunyelelwa kwethambo kunezinjongo ezimbili eziyinhloko: ukuxhunyelelwa kwesakhiwo ukuze kusekelwe ngomshini, njengaku-fibula, kanye nokuxhunyelelwa kwe-granular ukuze kugcwaliswe futhi kufakwe i-osteogenesis.
USanders ukhulume ukuthi ithambo lesithende liqukethe igobolondo elikhulu le-cortical encasing ithambo lokukhansela, nokuthi ukuphuka kwe-intra-articular kwethambo lesithende kungakhiwa kabusha ngokushesha ngethambo elikhansela elinesakhiwo se-trabecular uma igobolondo le-cortical lingase lihlelwe kabusha. ukuphuka endaweni ngaleso sikhathi. Ngokuthuthukiswa okuqhubekayo kwamadivayisi okulungisa angaphakathi njengamapuleti angemuva kanye nezikulufu, ukugcinwa kokusekelwa kokunciphisa ngokuxhunyelelwa kwethambo kwaba okungadingekile. Izifundo zayo zesikhathi eside zomtholampilo ziwuqinisekisile lo mbono.
Ucwaningo olulawulwa ngumtholampilo luphetha ngokuthi ukuxhunyelelwa kwethambo akudingekile
U-Longino et al [4] kanye nabanye benza ucwaningo olulawulwayo olungase lube khona lwe-40 eyaxoshwa ngaphakathi kwe-intra-articular fractures yesithende okungenani iminyaka engu-2 yokulandelela futhi ayitholanga umehluko obalulekile phakathi kokuhlanganiswa kwamathambo futhi akukho ukuxhunyaniswa kwethambo ngokwemiphumela ye-imaging noma yokusebenza.I-Gusic et al [5] yenza ucwaningo olulawulwayo lwe-143 intractures of the displaced of the displaced intracture.
U-Singh et al [6] ovela eMayo Clinic wenze ucwaningo lokubheka emuva kweziguli ezingama-202 futhi nakuba ukuxhunyelelwa kwethambo kwakuphakeme ngokwe-engeli ka-Bohler kanye nesikhathi sokuthwala isisindo esigcwele, wawungekho umehluko ophawulekayo emiphumeleni yokusebenza kanye nezinkinga.
Ukuxhunyelelwa kwamathambo njengengcuphe yezinkinga zokuhlukumezeka
USolwazi Pan Zhijun kanye nethimba lakhe esibhedlela iZhejiang Medical Second Hospital benze ucwaningo oluhlelekile nokuhlaziywa kwemeta ngo-2015 [7], okuhlanganisa zonke izincwadi ezingatholakala kulwazi lwe-elekthronikhi kusukela ngo-2014, okuhlanganisa ukuphuka okungu-1651 ezigulini eziyi-1559, futhi baphetha ngokuthi ukuxhunyelelwa kwethambo, hhayi ukuphuka okukhulu kwesifo sikashukela. izinkinga ze-postoperative traumatic.
Ekuphetheni, ukufakwa kwamathambo akudingekile ngesikhathi sokulungiswa kwangaphakathi kokuphuka kwesithende futhi akufaki isandla ekusebenzeni noma umphumela wokugcina, kodwa kunalokho kwandisa ingozi yezinkinga ezibuhlungu.
1.Sanders R, Fortin P, DiPasquale T, et al. Ukwelashwa okusebenzayo kokuqhekeka kwe-calcaneal kwe-120 okususiwe. Imiphumela esebenzisa ukuhlukaniswa kwe-prognostic computed tomography scan. I-Clin Orthop Relat Res. 1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, et al. Ukwelashwa okusebenzayo kokuhlukana kwe-intraarticular calcaneal fractures: isikhathi eside (Iminyaka eyi-10-20) iphumela ekuqhekekeni kwe-108 kusetshenziswa ukuhlukaniswa kwe-CT okubikezelwayo. J Orthop Trauma. 2014;28(10):551-63.
3.Palmer I. Indlela kanye nokwelashwa kokuphuka kwe-calcaneus. J Bone Joint Surg Am. 1948;30A:2–8.
4.Longino D, Buckley RE. Ukufakwa kwethambo ekwelapheni okusebenzayo kokuqhekeka kwe-calcaneal ye-intraarticular: kuyasiza? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al. Ukwelashwa okusebenzayo kwe-intraarticular calcaneal fractures: umphumela we-anatomical kanye nokusebenza kwamasu amathathu ahlukene okusebenza. Ukulimala. 2015;46 Ukwesekwa 6:S130-3.
6.Singh AK, Vinay K. Ukwelashwa kokuhlinzwa kokuhlukana kwe-calcaneal kwangaphakathi kwe-intra-articular: ingabe ukuxhunyelelwa kwethambo kuyadingeka? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, et al. Izici eziyingozi zezinkinga zezilonda ze-calcaneal fractures evaliwe ngemva kokuhlinzwa: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Isikhathi sokuthumela: Dec-07-2023
