Kusweka kwa akakolo amkati nthawi zambiri kumafuna kuchepetsa kudula ndi kulumikiza mkati, kaya ndi kulumikiza screw kokha kapena kuphatikiza mbale ndi screws.
Mwachikhalidwe, kuswekako kumakonzedwa kwakanthawi ndi pini ya Kirschner kenako kumakonzedwa ndi sikulu yamphamvu yochotsa ulusi, yomwe ingaphatikizidwenso ndi bande lamphamvu. Akatswiri ena agwiritsa ntchito zomangira zodzaza ndi ulusi kuti athetse kusweka kwa akakolo apakati, ndipo mphamvu yawo ndi yabwino kuposa ya zomangira zodzaza ndi ulusi wochotsa ulusi. Komabe, kutalika kwa zomangira zodzaza ndi ulusi ndi 45 mm, ndipo zimakhazikika mu metaphysis, ndipo odwala ambiri amakhala ndi ululu m'kakolo wapakati chifukwa cha kutuluka kwa chomangira chamkati.
Dr. Barnes, wochokera ku Dipatimenti Yoona za Matenda a Mafupa ku Chipatala cha Yunivesite ya St Louis ku USA, amakhulupirira kuti zomangira zomangira zopanda mutu zimatha kukonza kusweka kwa bondo lamkati molunjika pamwamba pa fupa, kuchepetsa kusasangalala chifukwa cha kukhazikika kwa bondo lamkati, komanso kulimbikitsa kuchira kwa kusweka kwa bondo. Zotsatira zake, Dr. Barnes adachita kafukufuku wokhudza momwe zomangira zomangira zopanda mutu zimathandizira pochiza kusweka kwa bondo lamkati, zomwe zidasindikizidwa posachedwapa mu Injury.
Kafukufukuyu adaphatikizapo odwala 44 (apakati pa zaka 45, 18-80) omwe adalandira chithandizo cha kusweka kwa bondo lamkati pogwiritsa ntchito zomangira zopanda mutu ku chipatala cha Saint Louis University pakati pa 2005 ndi 2011. Pambuyo pa opaleshoni, odwalawo adatsekedwa ndi zingwe, zingwe kapena zomangira mpaka atapeza umboni wosonyeza kuti kusweka kwa bondo kwachira asanayende bwino.
Ambiri mwa anthu omwe anasweka anali chifukwa chogwa poyimirira ndipo ena onse anali chifukwa cha ngozi za njinga zamoto kapena masewera ndi zina zotero (Table 1). Anthu 23 mwa iwo anali ndi mabala awiri a akakolo, 14 anali ndi mabala atatu a akakolo ndipo ena 7 otsalawo anali ndi mabala amodzi a akakolo (Chithunzi 1a). Pa opaleshoni, odwala 10 analandira chithandizo ndi screw imodzi yopanda mutu chifukwa cha mabala a akakolo, pomwe odwala ena 34 anali ndi screw ziwiri zopanda mutu (Chithunzi 1b).
Gome 1: Njira yovulazira
Chithunzi 1a: Kusweka kwa chigongono chimodzi; Chithunzi 1b: Kusweka kwa chigongono chimodzi komwe kwakonzedwa ndi zomangira ziwiri zopanda mutu.
Pa nthawi yotsatila ya masabata 35 (masabata 12-208), umboni wosonyeza kuti ming'alu yathyoka unapezeka mwa odwala onse. Palibe wodwala amene anafunika kuchotsa screw chifukwa cha kutuluka kwa screw, ndipo wodwala m'modzi yekha ndiye anafunika kuchotsa screw chifukwa cha matenda a MRSA asanachite opaleshoni m'munsi mwa mwendo komanso cellulitis pambuyo pa opaleshoni. Kuphatikiza apo, odwala 10 anali ndi kusasangalala pang'ono akamakoka bondo lamkati.
Chifukwa chake, olembawo adatsimikiza kuti chithandizo cha kusweka kwa akakolo amkati ndi zomangira zopanda mutu chinapangitsa kuti kusweka kwa akakolo kuchiritsidwe bwino, kuchira bwino kwa akakolo, komanso kuchepetsa ululu pambuyo pa opaleshoni.
Nthawi yotumizira: Epulo-15-2024
