Mafuta amkati mwanu nthawi zambiri amafunikira kuchepetsedwa ndi kusinthika kwamkati, kaya wokhala ndi mawonekedwe okha kapena ophatikizika ndi mbale ndi zomata.
Pachikhalidwe, kuwonongeka kwakhazikika kwakanthawi ndi pini ya Kirschner kenako ndikukhazikika ndi scorel screelous scresel screw screel, yomwe imathanso kuphatikizidwa ndi gulu la kusamvana. Akatswiri ena agwiritsa ntchito zomangira zopindika zonse zokhala ndi zonunkhira za ankle, ndipo kufunikira kwawo ndikwabwino kuposa momwe zimakhalira ndi zikwangwani zosanja. Komabe, kutalika kwa zomangira zopindika ndi 45 mm, ndipo amazikika mu fanizo, ndipo odwala ambiri adzamva ululu mu chidendene cham'madzi chifukwa cha kukonzekera kwamkati.
DrRNEL, kuchokera ku Dipatimenti ya Orthopdic Vumi University ku USA, amakhulupirira kuti zingwe zosakanikiratu zitha kutsata mafupa amkati, ndikuchepetsa kusasinthika kwamkati, ndikulimbikitsa machiritso amkati. Zotsatira zake, Dr barnes adachititsa kuti aphunzire pa zomwe zimachitika mosaganizira mutu.
Phunziroli lidaphatikizapo odwala 44 (akutanthauza zaka 45, zaka 18-80) omwe adachitidwa ndi zonunkhira zamkati zam'manja ku chipatala cha Saint Louis pakati pakuchiritsa kosangalatsa kosagwirizana ndi chipolopolo.
Ambiri mwa zolengedwazo zimachitika chifukwa chakuima ndipo ena onse anali chifukwa cha ngozi zamagalimoto kapena masewera (tebulo 1). Makumi awiri ndi atatu a iwo anali ndi zonunkhira kawiri, 14 inali ndi ma tracle anle fractures ndi 7 otsala anali ndi zonunkhira za anke (Chithunzi 1A). Odwala 10, odwala 10 anathandizidwa ndi mawu amodzi opanda mutu kwa zonunkhira za ankle, pomwe odwala 34 otsala anali ndi zingwe ziwiri zokhala ndi mutu (Chithunzi 1b).
Gome 1: Makina ovulala
Chithunzi 1A: Kusanja kwamtundu umodzi; Chithunzi 1B: Kusanja kwamtundu umodzi wa ankle kuchitidwa ndi zingwe ziwiri zopindika.
Pakusintha kwa masabata 35 (masabata 12- 208), kulingalira umboni wa machiritso owuma adapezeka mwa odwala onse. Palibe wodwala kuti achotse cholakwika chifukwa chosinthira, ndipo wodwala m'modzi yekha amafunikira kuchotsedwa chifukwa cha matenda opatsirana a MrsA kumangirira. Kuphatikiza apo, odwala 10 anali ndi vuto lofatsa pa kutalika kwa phewa lamkati.
Chifukwa chake, olembawo adazindikira kuti mankhwalawa ankle fractures okhala ndi zingwe zotsekemera mutu adayambitsa bwino kwambiri, kuchira kwa ankle ntchito, komanso kupweteka kochepa.
Post Nthawi: Apr-15-2024
