Kutyoka kweClavicle ndeimwe yemitsetse yakajairika mukurapa, uye 82% yekutyoka kweclavicle kunova kutyoka kwemidshaft. Mitsetse mizhinji yekutyoka kweclavicle isina kutyoka kwakanyanya inogona kurapwa nenzira yekuchengetedza nemabhandiji e8, nepo ayo ane kutyoka kukuru, tishu dzakapfava dzakapindirana, njodzi yekukanganiswa kwetsinga dzeropa kana dzetsinga, kana kuda kushanda kwakanyanya kunogona kuda kusungirirwa mukati nemaplates. Mwero wekusabatana mushure mekugadziriswa kwemukati kweclavicle wakaderera, ungangoita 2.6%. Zviratidzo zvisingabatanidzwe zvinowanzoda kuvhiyiwa kwekudzokorora, nenzira huru iri kugadzikwa kwemapfupa pamwe chete nekugadziriswa mukati. Zvisinei, kugadzirisa kusabatana kunowanzoitika muvarwere vakatogadziriswa kusabatana kwakaoma zvikuru uye kunoramba kuri dambudziko kune vanachiremba nevarwere.
Kuti vagadzirise dambudziko iri, purofesa paXi'an Red Cross Hospital akashandisa nzira itsva yekubatanidza mapfupa e-autologous iliac pamwe chete nekubatanidza mapfupa e-autologous cancellous kuti varape mapfupa asina kugadzikana mushure mekuvhiyiwa kwekugadzirisa makumbo mushure mekukundikana, zvikaita kuti pave nemigumisiro yakanaka. Mhedzisiro yekutsvagisa yakabudiswa mumagazini inonzi "International Orthopaedics".
Maitiro ekuvhiya
Maitiro chaiwo ekuvhiya anogona kupfupikiswa semufananidzo uri pazasi:
a: Bvisai clavicular fixation yekutanga, bvisai sclerotic bone uye fiber banda riri kumucheto wakatyoka wekutyoka;
b: Maplate epurasitiki ekugadzirisa clavicle akashandiswa, masikuruu anokiya akaiswa mukati nekunze kwekunze kuchengetedza kugadzikana kwese kweclavicle, uye masikuruu haana kugadzikwa munzvimbo yekurapa pamucheto wakatyoka weclavicle.
c: Mushure mekugadzika plate, boora maburi neKirschler nepamucheto wakatyoka wepakaputsika kusvika mukati nekunze kusvika gomba rabuda ropa (chiratidzo chemhiripiri tsvuku), zvichiratidza kufamba zvakanaka kweropa remapfupa pano;
d: Panguva ino, ramba uchiboorera 5mm mukati nekunze, uye boorera maburi marefu kumashure, izvo zvinobatsira pakuita osteotomy inotevera;
e: Mushure mekuvhiyiwa kwemapfupa (osteotomy) pamwe neburi rekutanga rekuboorera, fambisa cortex repazasi remapfupa pasi kuti usiye gomba remapfupa;
f: Pfupa reBicortical iliac rakaiswa mugomba remapfupa, uye ipapo cortex yepamusoro, chikamu cheiac uye cortex yepasi zvakagadziriswa ne screws; Pfupa reiac cancellous rakaiswa munzvimbo yekutyoka.
Zvakajairika
zviitiko:
▲ Murwere wacho aive murume ane makore 42 ekuberekwa ane kutyoka kwepakati pechikamu chegokora rekuruboshwe kwakakonzerwa nekukuvara (a); Mushure mekuvhiyiwa (b); Kutyoka kwakagadziriswa uye kusabatana kwemapfupa mukati memwedzi misere mushure mekuvhiyiwa (c); Mushure mekugadziriswa kwekutanga (d); Kutyoka kwesimbi plate mwedzi 7 mushure mekugadziriswa uye kusapora (e); Kutyoka kwakapora (h, i) mushure mekuiswa kwemapfupa (f, g) kweilium cortex.
Muongororo yemunyori, nyaya gumi nembiri dzemapfupa asina kubatana dzakasanganisirwa, dzese dzakapora mushure mekuvhiyiwa, uye varwere vaviri vaiva nematambudziko, nyaya imwe chete yekurwadziwa kwetsinga yemukati memhasuru yegumbo uye imwe chete yekurwadziwa kwekubvisa mapfupa eiliac.
Kusabatana kwe clavicular ne refractory idambudziko rakaoma zvikuru mukurapa, izvo zvinounza mutoro mukuru wepfungwa kuvarwere navanachiremba. Nzira iyi, pamwe chete nekubatanidzwa kwemapfupa e cortical bone ye ilium uye kuiswa kwemapfupa e cancellous, yakawana mhedzisiro yakanaka yekupora kwemapfupa, uye kushanda kwayo kwakarurama, izvo zvinogona kushandiswa senzira yekureva vanachiremba.
Nguva yekutumira: Kurume-23-2024
