Impendulo yalo mbuzo iwukuthi akukho ukuphuka kwesithende okudinga ukuxhunyelelwa kwamathambo lapho kwenziwa ukulungiswa kwangaphakathi.
kusho uSanders
Ngo-1993, uSanders et al [1] bashicilela umlando obalulekile emlandweni wokwelashwa kokuhlinzwa kokuphuka kwe-calcaneal ku-CORR ngokuhlukaniswa kwabo okusekelwe ku-CT kokuphuka kwe-calcaneal. Muva nje, uSanders et al [2] baphetha ngokuthi akukho ukufakelwa kwamathambo noma amapuleti okukhiya okudingekayo ekuqhekekeni kwezithende okungu-120 ngokulandelwa kwesikhathi eside kweminyaka eyi-10-20.
Uhlobo lwe-CT lokuphuka kwesithende olwanyatheliswa nguSanders nabanye e-CORR ngo-1993.
Ukufakelwa kwamathambo kunezinjongo ezimbili eziyinhloko: ukufakelwa kwesakhiwo sokusekela ngomshini, njengase-fibula, kanye nokufakelwa kwe-granular ukuze kugcwaliswe futhi kukhuthazwe i-osteogenesis.
USanders ukhulume ngokuthi ithambo lesithende lakhiwe igobolondo elikhulu le-cortical elimboze ithambo eli-cancellous, nokuthi ukuphuka kwethambo lesithende okususiwe kungakhiwa kabusha ngokushesha ngethambo eli-cancellous elinesakhiwo se-trabecular uma igobolondo le-cortical lingaphinde lisethwe kabusha. UPalmer et al [3] babe ngabokuqala ukubika ngokufakelwa kwamathambo ngo-1948 ngenxa yokuntuleka kwamadivayisi okulungisa angaphakathi afanele ukugcina ukuphuka kwendawo ye-articular kusendaweni ngaleso sikhathi. Ngokuthuthuka okuqhubekayo kwamadivayisi okulungisa angaphakathi njengamapuleti nezikulufo ze-posterolateral, ukusekelwa kokugcinwa kokunciphisa ngokusebenzisa i-bone graft kwaba okungadingekile. Izifundo zayo zesikhathi eside zezokwelapha ziqinisekisile lo mbono.
Ucwaningo olulawulwa yizokwelapha luphetha ngokuthi ukufakelwa kwamathambo akudingekile
ULongino nabanye [4] nabanye benze ucwaningo olulawulwayo olungase lubonwe lwama-fracture angu-40 angaphakathi kwe-articular asusiwe esithendeni okungenani iminyaka emibili yokulandelela futhi abatholanga mehluko omkhulu phakathi kokufakelwa kwamathambo kanye nokungabikho kokufakelwa kwamathambo ngokwezithombe noma imiphumela yokusebenza. UGusic nabanye [5] benze ucwaningo olulawulwayo lwama-fracture angu-143 angaphakathi kwe-articular asusiwe esithendeni ngemiphumela efanayo.
USingh nabanye [6] baseMayo Clinic benze ucwaningo lokubheka emuva kweziguli ezingu-202 futhi yize ukufakelwa kwamathambo kwakungcono kakhulu ngokwe-angle kaBohler nesikhathi sokuthwala isisindo esigcwele, kwakungekho mehluko omkhulu emiphumeleni yokusebenza kanye nezinkinga.
Ukufakelwa kwamathambo njengesici esiyingozi sezinkinga zokulimala
USolwazi uPan Zhijun kanye nethimba lakhe eZhejiang Medical Second Hospital benze ukuhlolwa okuhlelekile kanye nokuhlaziywa kwe-meta ngo-2015 [7], okwakuhlanganisa zonke izincwadi ezazingatholakala kudathabheyisi kagesi kusukela ngo-2014, kufaka phakathi ukwaphuka okungu-1651 ezigulini ezingu-1559, futhi baphetha ngokuthi ukufakelwa kwamathambo, isifo sikashukela, ukungafaki ipayipi lokudonsa amanzi, kanye nokuphuka okukhulu kwamathambo kwandisa kakhulu ingozi yezinkinga ezibuhlungu ngemva kokuhlinzwa.
Ekuphetheni, ukufakelwa kwamathambo akudingeki ngesikhathi sokulungiswa kwangaphakathi kokuphuka kwesithende futhi akusizi ngalutho ekusebenzeni noma emphumeleni wokugcina, kodwa kunalokho kwandisa ingozi yezinkinga ezibuhlungu.
1.Sanders R, Fortin P, DiPasquale T, et al. Ukwelashwa ngokuhlinzwa ekwaphukeni kwe-calcaneal okungu-120 okushintshiwe. Imiphumela isebenzisa ukuhlukaniswa kwe-prognostic computed tomography scan. Clin Orthop Relat Res. 1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, et al. Ukwelashwa ngokuhlinzwa kokuphuka kwe-calcaneal okususiwe ngaphakathi kwe-articular: isikhathi eside (Iminyaka eyi-10-20) kuphumela ekuqhekekeni okungu-108 kusetshenziswa isigaba se-CT sokubikezela. 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. Ukufakelwa kwamathambo ekwelapheni ukuhlinzwa kokuqhekeka kwe-calcaneal okususiwe ngaphakathi kwe-articular: ingabe kuyasiza? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al. Ukwelashwa ngokuhlinzwa kokuphuka kwe-calcaneal ngaphakathi kwe-articular: Umphumela wokwakheka kanye nokusebenza kwezindlela ezintathu ezahlukene zokuhlinzwa. Ukulimala. 2015;46 Suppl 6:S130-3.
6.Singh AK, Vinay K. Ukwelashwa ngokuhlinzwa kokuphuka kwe-calcaneal okususiwe ngaphakathi kwe-articular: ingabe ukufakelwa kwamathambo kuyadingeka? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, et al. Izici eziyingozi zezinkinga zamanxeba okuqhekeka kwe-calcaneal okuvaliwe ngemuva kokuhlinzwa: ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-meta. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Isikhathi sokuthunyelwe: Disemba-07-2023
