Buɗe sakin da aka haɗa tare da gyare-gyaren radius mai nisa da gyare-gyaren waje na hinged a cikin jiyya na e

Abstract

Maƙasudi: Wannan binciken yana nufin gano tasirin buɗewa da sakin aikin tiyata tare da gyaran radius mai nisa da gyare-gyare na waje a cikin maganin taurin gwiwar hannu.

Hanyoyi: An gudanar da binciken bincike na asibiti a cikin Oktoba 2015. An raba jimlar marasa lafiya 77 tare da taurin haɗin gwiwar gwiwar gwiwar hannu ta hanyar raunin da ya faru ba da gangan zuwa ƙungiyar kallo (n=38) da ƙungiyar kulawa (n=39). Ƙungiya mai kulawa ta sami aikin tiyata na gargajiya, yayin da ƙungiyar lura ta sami aikin tiyata a buɗe tare da gyaran radius mai nisa da gyare-gyare na waje. Bayanai na gaba ɗaya, ciki har da jinsi, shekaru, dalilin rauni, nau'in ganewar asali na asali, lokaci daga rauni zuwa aiki, juzu'i na farko da tsawo na haɗin gwiwar gwiwar hannu, da Mayo elbow haɗin gwiwar aiki, an tattara kuma an kwatanta su. An kimanta aikin dawo da haɗin gwiwar gwiwar hannu ta amfani da ma'aunin sassauƙa da tsawo da ma'aunin ƙimar aikin Mayo.

Sakamako: Ciwon ƙungiyoyin biyu sun warke ba tare da rikitarwa ba. Ƙungiyar lura tana da yanayin 1 na kamuwa da ƙwayar ƙusa, 2 lokuta na alamun jijiyar ulnar, 1 yanayin heterotopic ossification na haɗin gwiwar gwiwar hannu, da kuma 1 yanayin zafi mai matsakaici a cikin haɗin gwiwar gwiwar hannu. Ƙungiyar kulawa tana da lokuta 2 na kamuwa da ƙwayar ƙusa, 2 lokuta na alamun jijiyar ulnar, da kuma lokuta 3 na matsakaicin zafi a cikin haɗin gwiwar gwiwar hannu. A biyo baya na ƙarshe, kewayon motsi na ƙwanƙwasa haɗin gwiwar gwiwar hannu da haɓakawa da ƙimar aikin Mayo a cikin ƙungiyoyin biyu sun inganta sosai idan aka kwatanta da kafin aikin (P) <0.05). Furthermore, the observation group had significantly greater improvements compared to the control group (P<0.05). According to the Mayo elbow function score evaluation, the observation group had an excellent and good rate of 97.4%, while the control group had an excellent and good rate of 84.6%. However, there was no significant difference in the excellent and good rates between the two groups (P=0.108).

Buɗe sakin da aka haɗa tare da gyare-gyaren radius mai nisa da gyare-gyaren waje na hinged don taurin gwiwar gwiwar hannu zai iya inganta aikin haɗin gwiwar gwiwar hannu sosai da samar da sakamako mafi kyau fiye da aikin sakin gargajiya.

Ƙunƙarar gwiwar hannu wani sakamako ne na gama gari na mummunan rauni ga haɗin gwiwar gwiwar hannu, wanda ke haifar da lalacewa ga ligament na haɗin gwiwa da nama mai laushi.

Buɗe sakin da aka haɗa tare da gyare-gyaren radius mai nisa da gyare-gyaren waje na hinged a cikin maganin raunin radius mai nisa yana ba da cikakkiyar hanya mai mahimmanci don dawo da aiki da kwanciyar hankali a cikin wuyan hannu. Wannan labarin yana magance tambayoyin gama gari da damuwa game da wannan hanyar magani.