Kutyoka kwechidzitiro chemukati kunowanzoda kuderedzwa kwemukati uye kugadzirisa kwemukati, kungave ne screw fixation chete kana nemusanganiswa wemaplate uye screws.
Sechinyakare, kuputsika kunogadziriswa kwekanguva nepini yeKirschner uye yozogadziriswa nehafu-yakarukwa cancellous tension screw, iyo inogona zvakare kusanganiswa ne tension bhendi.Dzimwe nyanzvi dzakashandisa zvikwiriso zvine shinda yakazara kurapa tension dzemakumbo epakati, uye kushanda kwawo kuri nani pane kuya kwechinyakare hafu-yakarukwa cancellous tension screws.Zvisinei, kureba kwe-screws-threaded screws ndeye 45 mm, uye yakasungirirwa mune metaphysis, uye vazhinji vevarwere vachave nemarwadzo mumakumbo emukati nekuda kwekuputika kwekugadzirisa kwemukati.
Dr Barnes, kubva kuDhipatimendi reOrthopedic Trauma paSt Louis University Hospital muU.SA, anotenda kuti masikirini asina musoro anogona kugadzirisa mukati memakumbo matyoka zvakanyanyisa kutarisana nepamusoro pebhonzo, kuderedza kusagadzikana kubva pakubuda kwemukati kugadzirisa, uye kukurudzira kuporeswa kwekutyoka.Nekuda kweizvozvo, Dr Barnes vakaita chidzidzo pamusoro pekushanda kweasina musoro compression screws mukurapa mukati memakumbo mafractures, iyo ichangobva kubudiswa muKukuvara.
Chidzidzo chacho chaisanganisira varwere ve44 (kureva zera remakore 45, 18-80 makore) avo vakarapwa mukati memakumbo emakumbo nemakumbo emakumbo asina musoro paSaint Louis University Hospital pakati pe 2005 ne 2011. Mushure mekushanda, varwere vakanga vasina kusimba mumakumbo, makanda kana mabhanhire kusvikira pave. kufungidzira humbowo hwekutyoka kupora kusati kwazara huremu-inotakura ambulation.
Mazhinji ekutyoka kwacho kwakakonzerwa nekudonha kwakamira uye mamwe aikonzerwa netsaona dzemudhudhudhu kana mitambo nezvimwe (Tafura 1).Makumi maviri nematatu avo aive nekaviri ankle fractures, 14 yaive nekatatu ankle fractures uye yakasara 7 yaive neimwe ankle fractures (Mufananidzo 1a).Intraoperatively, varwere ve10 vakabatwa nekamwe chete isina musoro compression screw ye medial ankle fractures, nepo varwere makumi matatu nemana vakasara vaine maviri asina musoro compression screws (Figure 1b).
Tafura 1: Nzira yekukuvara
Mufananidzo 1a: Kuputsika kwegumbo rimwe chete;Mufananidzo 1b: Kutyoka kwegumbo rimwe chete kunobatwa ne 2 isina musoro compression screws.
Pane imwe nzira yekutevera kwemavhiki e35 (masvondo e12-208), uchapupu hwekufungidzira hwekuporesa kuputsika hwakawanikwa kune varwere vose.Hapana murwere aida kubviswa sikuru nekuda kwe screw protrusion, uye murwere mumwe chete aida kubviswa screw nekuda kwe preoperative MRSA utachiona muzasi kumucheto uye postoperative cellulitis.Pamusoro pezvo, varwere ve10 vaive nekusagadzikana kwakapfava papalpation yemukati chiuno.
Nokudaro, vanyori vakagumisa kuti kurapwa kwemukati kuputika kwemakumbo nemakumbo asina musoro ekugadzirisa screws kwakaguma nepamusoro pekuputsika kupora, kupora zviri nani kwechidzitiro chekushanda, uye kuderera kunorwadza shure.
Nguva yekutumira: Kubvumbi-15-2024
