Fractures yeiyo yemukati inowanzoda inconsaal kudzikisira uye yekugadziriswa kwemukati, ingave ine screw kugadzirisa yega kana ine musanganiswa wemaplate uye screws.
Tsika, kupwanya kwacho kwakarongedzwa kwenguva pfupi nekiriviri pini uye yakazotemerwa nehafu-yakamanikidzwa kushungurudzika kwekunetseka, iyo inogona zvakare kusanganiswa nedambudziko rehondo. Vamwe vadzidzi vakashandisa zviyero zvizere zvizere kuti vabate m mezvidyo zvibodzwa, uye kushanda kwavo kuri nani pane iyo yeiyo yetsika hafu-yakarongedzwa kusanzwisisika. Nekudaro, kureba kweiyo yakazara-yakadzika zviyero ndeye 45 mm, uye ivo vakamiswa mudhimoni, uye vazhinji vevarwere vachange vaine marongero ari mumifananidzo nekuda kwekutangira kwemukati.
Dr Barnes, kubva kuDhipatimendi reOrthoPedic Traugua paSt Louis University Hospital Invhushi Vanogona Kukanda Mapfuma Nekuda kweizvozvo, Dr Barnes vaiita chidzidzo pakubata kwekumanikidza kusasviba kwemusoro muchirongwa chekurapa kwemukati, chakangoburwa mukukuvara.
Chidzidzo ichi chakabatanidza varwere makumi mana nemashanu (zvinoreva zera makumi mana nemashanu, makore 18-80) avo vakarapwa nemisoro yekununura.
Zvizhinji zvezvidimbu zvaive zvichikonzerwa nekuwira munzvimbo yekumira uye zvakasara zvaive nekuda kwetsaona yemudhudhudhu kana yemitambo etc (tafura 1). Makumi maviri nevatatu vaive vaine mapepa maviri emahara, 14 vaive nematatu ekunyepedzera, uye makumi manomwe vakasara vakanga vaine fungidziro imwechete (Mufananidzo 1a). Intraaoperatily, varwere gumi vakarapwa nekusarudzika vasina musoro clwns yekukanda m meday otle fract
Tafura 1: Mechanism yekukuvara
Mufananidzo 1A: Imwe Nyaya Inopwanya; Mufananidzo 1B: Imwechete Ankle Inopwanyika Yakabatwa ne2 isina musoro compression screws.
Paze rinoreva kutevera kwemavhiki makumi matatu nemashanu (mavhiki gumi nemaviri), kufungidzira ufakazi hwekupora kupora kwakawanikwa mune vese varwere. Hapana murwere aida kubviswa kubviswa nekuda kwekupaza, uye mumwe chete murwere anodikanwa kubviswa nekuda kweiyo prewative mrsa utachiona mune yakadzika mhuru uye postoperative cellyitis. Mukuwedzera, varwere gumi vaive nekusagadzikana zvinyoro-nyoro pakuratidzira kweiyo yemukati.
Naizvozvo, vanyori vakagumisa kuti kurapwa kwemukati kweankle yekukanda nemusoro kusanzwisisika kwakonzera huwandu hwekupora kupora
Kutumira Nguva: Kubvumbi-15-2024
