Kutyoka kwegumbo remukati kunowanzoda kuderedzwa kwekucheka uye kugadzika mukati, kungave nekugadzika sikuruu chete kana nekubatanidzwa kwemaplate nemasikuruu.
Setsika, kutyoka kunogadziriswa kwenguva pfupi neKirschner pin uye kunogadziriswa nehafu-thread cancellous tension screw, iyo inogonawo kusanganiswa ne tension band. Vamwe vaongorori vakashandisa full-thread screws kurapa medial ankle breakdowns, uye kushanda kwavo kuri nani pane kwekare half-thread cancellous tension screws. Zvisinei, kureba kwe full-thread screws i45 mm, uye dzakanamirwa mu metaphysis, uye vazhinji vevarwere vacharwadziwa mu medial ankle nekuda kwekubuda kwe internal fixation.
Dr Barnes, vekuDhipatimendi reMatambudziko eMabvi paSt Louis University Hospital muUSA, vanotenda kuti masikuruu asina musoro anogona kugadzirisa kutyoka kwemugumbo zvakanaka pamapfupa, zvichideredza kusagadzikana kwekunamira kwemugumbo, uye kukurudzira kupora kwekukuvara. Nekuda kweizvozvo, Dr Barnes vakaita ongororo pamusoro pekushanda kwemasikuruu asina musoro pakurapa kutyoka kwemugumbo, iyo yakaburitswa munguva pfupi yapfuura muInjury.
Chidzidzo ichi chaisanganisira varwere makumi mana nevana (makore avhareji makumi mana nemashanu, makore gumi nemasere kusvika makumi masere) vakarapwa kutyoka kwemakumbo nemidziyo isina musoro isina masikuruu paSaint Louis University Hospital pakati pa2005 na2011. Mushure mekuvhiyiwa, varwere vakamiswa kufamba vakapfeka masimbi, masimbi kana masimbi kusvika pava nehumbowo hwekuti makumbo akapora vasati vafamba vachitakura huremu.
Mazhinji emapundu acho aikonzerwa nekudonha panzvimbo yakamira uye mamwe aikonzerwa netsaona dzemudhudhudhu kana mitambo nezvimwewo (Tafura 1). Makumi maviri nematatu avo akatyoka makumbo kaviri, gumi nemana akatyoka makumbo katatu uye vamwe vanomwe vakatyoka makumbo kamwe chete (Mufananidzo 1a). Pakuvhiyiwa, varwere gumi vakarapwa nesikuruu imwe chete isina musoro yekumanikidzwa kwemakumbo ekutyoka, nepo vamwe varwere makumi matatu nevana vakasara vaine masikuruu maviri asina musoro ekumanikidzwa (Mufananidzo 1b).
Tafura 1: Maitiro ekukuvara
Mufananidzo 1a: Kutyoka kwegumbo kamwe chete; Mufananidzo 1b: Kutyoka kwegumbo kamwe chete kwakarapwa nezvikuruu zviviri zvisina musoro.
Paavhareji yemavhiki makumi matatu nemashanu (mavhiki gumi nemaviri kusvika makumi maviri nemasere), humbowo hwekuti kukuvara kwacho kwakarapwa hwakawanikwa muvarwere vese. Hapana murwere aida kubviswa sikuruu nekuda kwekubuda kwesikuruu, uye murwere mumwe chete ndiye aida kubviswa sikuruu nekuda kwehutachiona hweMRSA usati wavhiyiwa muchikamu chezasi uye mushure mekuvhiyiwa cellulitis. Pamusoro pezvo, varwere gumi vaive nekusanzwa zvakanaka pakubata patsinga dzemukati megumbo.
Saka, vanyori vakagumisa kuti kurapwa kwekutyoka kwemukati megumbo nekushandisa masikuruu asina musoro kwakaita kuti kutyoka kwegumbo kupore zvakanyanya, kupora kwebasa regumbo zviri nani, uye marwadzo mashoma mushure mekuvhiyiwa.
Nguva yekutumira: Kubvumbi-15-2024
