Impendulo yalo mbuzo ukuthi akukho phutha eliyisithende esidinga ukuthathwa kwamathambo lapho wenza ukulungiswa kwangaphakathi.
USanders uthe
Ngo-1993, ama-sanders et al [1] ashicilele uphawu lomlando emlandweni wokuhlinzwa kwe-carctaneal fractures ku-cr-based crap nge-calcaneal fractures yabo. Muva nje, ama-sanders et al [2] aphetha ngokuthi ukungaxhunyeli kwamathambo noma okukhiya amapuleti adingekayo ekulandeleleni isikhathi eside kweminyaka eyi-10 - 20.
Ukuthayipha kwe-CT kokugcwala kwesithende okushicilelwe ngamaSanders et al. ngo-1993.
Ukuxhunyelelwa kwamathambo kunenhloso emibili eyinhloko: Ukuxhunyelelwa kwesakhiwo ngokuxhaswa kwemishini, njengaseFibula, kanye nokuxhunyelelwa kwe-granular kokugcwalisa kanye nokufuya i-osteogenesis.
Ama-sanders asho ukuthi ithambo lesithende liqukethe igobolondo elikhulu le-cortical ehlanganisa ithambo elikhanyisiwe, futhi lahlaselwa amathambo e-heel akhiwa ngokushesha ngethambo elikhanyiselwe ngo-1948 ngenxa yokuntuleka kwamadivayisi afanelekayo okulungiswa kwangaphakathi ukuze alondoloze Ukuqhekeka komhlaba we-articular endaweni ngaleso sikhathi. Ngokuthuthuka okuqhubekayo kwamadivaysi angaphakathi angemuva anjengamapuleti ezinduna nezikulufo, ukulungiswa kokuncishiswa kokuncishiswa kwethambo kwakungadingekile. Izifundo zayo zesikhathi eside zemitholampilo zikuqinisekisile lo mbono.
Ucwaningo olulawulwa emtholampilo luphetha ngokuthi ukuxhunyelelwa kwamathambo akudingekile
ULongino et al [4] futhi abanye baqhuba isifundo esilawulwa sokukhishwa kwezinduna ezingabanjwa yiminyaka emi-2 elandelwa ngokuhambisana nokuxhumeka kwamathambo noma okulandelayo.
USingh et al [6] Umtholampilo waseMayo uqhube umtholampilo ovuselelayo weziguli ezingama-202 futhi yize ukuxhunyelelwa kwethambo kwakuphezulu ngokuhambisana ne-angle ye-borler kanye nesikhathi sokuthwala isisindo esigcwele, kungenazinkinga ezisebenzayo.
Ithambo lixhunyelelwa njengento enobungozi yezinkinga ezibuhlungu
USolwazi Pan Zhijun nethimba lakhe eZhejiang Second Cloge Hospital benze ukuhlola okuhlelekile kanye nokuhlaziywa kwe-meta ngonyaka ka-1559, futhi baphatha lokho kugcwele amathambo, futhi abanaka amandla, futhi ama-fractilus abubi kakhulu akhulisa ubungozi bokubambisana izinkinga ezihlukumezanayo.
Ekuphetheni, ukuxhunyelelwa kwamathambo akudingekile ngesikhathi kulungiswa kwangaphakathi kokuqhekeka kwesithende futhi akunamthelela ekusebenzeni noma kumphumela wokugcina, kodwa kunalokho kwandisa ingozi yezinkinga ezinzima.
1.Sanders R, Fortin P, Diphasquale t, et al. Ukwelashwa okusebenzayo ku-calcaneal e-calcaneal ephakathi nendawo. Imiphumela isebenzisa i-cognostic complen tomography scan ukuhlukaniswa. I-DRETHOP RELAT RES. 1993; (290): 87-95.
2.Sanders R, Vaupel zm, erdogan m, et al. Ukwelashwa okusebenzayo kwe-intraarticular calcaneal frapecis: isikhathi eside (iminyaka eyi-10 - 20) kuphumela kuma-108 fractures usebenzisa ukuhlukaniswa kwe-pt ye-progrestic. J Orthop Trauma. 2014; 28 (10): 551-63.
3.Palmer I. Indlela kanye nokwelashwa kwama-fractures e-calcaneus. I-JOne yokuhlalisana ye-j. Ngo-1948; 30a: 2-8.
U-4.Longino D, Buckley Re. Ithambo ngokuxhunyelelwa ekwelashweni okusebenzayo kwe-intraarticular calcaneal frapecitures: Kuyasiza? J Orthop Trauma. 2001; 15 (4): 280-6.
5.usic n, fedeli i, darabos n, et al. Ukwelashwa okusebenzayo kwe-intraartiaricular calcaneal fractures: Umphumela we-anatomical nowokusebenza kwamasu amathathu ahlukene wokusebenza. Ukulimala. Ngo-2015; 46 Valuza 6: S130-3.
6.Singh AK, Vinay K. Ukwelashwa okuhlile kwe-intra-arvicular calcaneal fractures: Ingabe ukuxhunyelelwa kwethambo kuyadingeka? J Orthop Traumatol. 2013; 14 (4): 299-305.
7. UZhang W, Chen E, Xue D, et al. Izici zobungozi zezinkinga zokulimala kwezilonda ezivalekile ze-calcaneal fractures ngemuva kokuhlinzwa: Ukubuyekezwa okuhleliwe kanye nokuhlaziywa kwe-meta. I-Scand J Trauma Resuasus resful med. 2015; 23: 18.
Isikhathi sePosi: Dec-07-2023
