Kuwonongeka kwa maziko a fatimer wachisanu

Chithandizo cha osayenera cha ma metatastal cha ma metatar

AtundicalSphalae

Chachisanu chimapereka ndi gawo lofunikira kwambiri pa phazi lotsatirali, ndipo limagwira ntchito yofunika kwambiri poyerekeza ndi kulemera komanso kukhazikika kwa phazi. Chitsulo chachinayi ndi chachisanu komanso Cuboid chimapanga celearsal cout.

Pali mafuko atatu omwe adaphatikizidwa ndi pansi pa metatastal, peroneus brevis utoto wake umayika mbali yopanga ivesmal m'munsi mwa metatastantal wachisanu; Minofu yachitatu yopepuka, yomwe si wamphamvu monga perioneus tendon, imayika pa diaphys distal mpaka kukachisi wachisanu; CRORS Fascia Yachinthu yam'mawa

Kugawidwa kwa Bracture

Mafuta apansi pamunsi a metatastaal adawerengedwa ndi Dameron ndi Lawrence,

Zone ndimangokhala ndi zowoneka bwino za chibayo;

Zone II ili pa kulumikizana pakati pa diaphis ndi proximal metaphysis, kuphatikizapo mafupa pakati pa mafupa a 4 ndi 5;

Zone III Fractures ndi nkhawa za proximal metataryal diaphys distal ku 4th / 5th intermetastaal.

Mu 1902, Robert Jones adalongosola koyamba mtundu wa zone ii fracture ya pansi pa metatastal, kotero kuti ones ii frature amatchedwanso Jones Fructure.

Kuwonongeka kwa ma melsion a metatoarch turder kuderali ine ndi mtundu wamba wa metatarsal base fratives, amawerengera pafupifupi 93% ya zonunkhira za 93%, ndipo zimayambitsidwa ndi chiwawa chambiri.

Ma fracratures mu zone Indi akaunti ya 4% ya ma fractures onse m'munsi mwa zitsulo zazisanu, ndipo zimayambitsidwa ndi phazi lophulika. Chifukwa ali pamalo opezeka m'madzi m'munsi mwa ma metatastal, zotupa pa malowa zimakonda kuperewera kapena kuchedwa kuzengereza.

Zone III Fractures a akaunti pafupifupi 3% ya ma metatarnal batal.

Chithandizo cha Conservative

Zizindikiro zazikulu za chithandizo chamankhwala chophatikizira zimaphatikizapo kusamukira kwa Frecreur zosakwana 2 mm kapena zokhazikika. Zithandizo zodziwika bwino zimaphatikizapo kusachita bwino ndi mabasiki owoneka bwino, nsapato zokhazikika, zosasunthika ndi ma pulasitala, makhadi ophatikizika mapepala, kapena nsapato zoyenda.

Ubwino wa mankhwala osokoneza bongo amaphatikiza mtengo wotsika, palibe zowawa, komanso kuvomereza kosavuta kwa odwala; Zoyipa zimaphatikizapo kuchuluka kwa zakudya zopanda pake kapena zovuta zina, komanso kuuma kosavuta.

ZaopelesheniTkubwezera

Zisonyezedwe ntchito zopaleshoni ya Filing Metatarsal Mafuta apansi amaphatikizapo:

1. Kuwonongeka kwa oposa 2 mm;

1. Kutenga nawo gawo> 30% ya armilarlar pamtunda wa mangowo akomweko wachisanu wachisanu;

1. Kuwonongeka kwamphamvu;

1. Kuwonongeka kochedwetsa kapena kusamvana pambuyo pozunza opaleshoni;

1. Ochita masewera olimbitsa thupi kapena othamanga masewera.

Pakadali pano, njira zochitira opaleshoni zopangira ma fractures a pansi cha ma metatals yachisanu zimaphatikizapo masitepe amkati, anchir suction yokhazikika ndi ulusi, screw portition, ndi hook yanyumba.

1. Kirchchner waya wamatsenga

Kanema wa kanjeme kampikisano ndi njira yopangira opaleshoni yachikhalidwe. Ubwino wa njirayi mankhwalawa umaphatikizapo mwayi wosavuta kuyika zida zokhazikika zamkati, mtengo wotsika, komanso zovuta zina. Zoyipa zimaphatikizapo kukwiya kwa khungu ndi chiopsezo cha waya wa ma krschner.

2. Kukhazikika kosakhazikika ndi mangulu opindika

Anchor Sukulu Yophatikizidwa ndi ulusi ndioyenera odwala omwe ali ndi ma avlsion frattures m'munsi mwa zitsulo zazisanu kapena ndi zidutswa zazing'ono zakuthwa. Ubwino umaphatikizapo kukhazikika pang'ono, kugwira ntchito kosavuta, ndipo palibe chifukwa chochotsa sekondale. Zoyipa zimaphatikizapo chiopsezo cha chiwopsezo cha nangula odwala omwe ali ndi mafupa. .

3. Kukhazikika kwa msomali

Chotupa cha Hollow ndi chithandizo chothandiza padziko lonse lapansi cha maluwa a metatastantal, ndipo maubwino ake amaphatikizapo kukhazikika motsimikiza komanso kukhazikika kwabwino.

Zachipatala, kwa zojambula zazing'ono m'munsi mwa metatastal, ngati zomangira ziwiri zimagwiritsidwa ntchito pokonzekera, pamakhala chiopsezo chokana. Ngati cholakwika chimodzi chikugwiritsidwa ntchito pokonzekera, mphamvu yotsutsa imafooka, ndi kupezekanso ndikotheka.

4. Hook mbale yokhazikika

Kukhazikika kwa Hook Groute kuli ndi zisonyezo zingapo, makamaka kwa odwala omwe ali ndi ma avlsion fraction kapena zotupa za osteoporiti. Kapangidwe kake kamakamatira maziko a fupa lachisanu, ndipo mphamvu yolimba imakhazikika. Zoyipa za kukonzekera kwa mbale zimaphatikizapo mtengo wokwera mtengo komanso zovuta zazikulu.

Swammanda

Mukamachita zokongoletsera m'munsi mwa metatastantal, ndikofunikira kusankha mosamala malinga ndi momwe munthu aliyense wazolowera payekhapayekha, zomwe zachitika ndi luso la dokotala komanso luso laukadaulo, komanso muziganizira zofuna za wodwalayo.