Mepee ntọhapụ jikọtara ya na mgbanaka radius dị anya na nrụzi mpụga nke hinged na ọgwụgwọ e

Abstract

Ebumnuche: Ọmụmụ ihe a na-achọ ịchọpụta ịdị irè nke ịwa ahụ mepere emepe yana ntọhapụ yana nrụnye radius dị anya na nrụzi mpụga na ọgwụgwọ nke isi ike n'ikpere.

Ụzọ: A na-eduzi ọmụmụ ihe ọmụmụ ụlọ ọgwụ na October 2015. Ngụkọta nke ndị ọrịa 77 nwere nkwonkwo aka ike nke trauma kpatara na-enweghị usoro n'ime otu nleba anya (n=38) na otu njikwa (n=39). Ndị otu njikwa ahụ nwetara ịwa ahụ ntọhapụ ọdịnala, ebe ndị otu nleba anya nwetara ịwa ahụ ntọhapụ mepere emepe yana mgbakwunye radius distal yana ndozi mpụga. A na-anakọta data n'ozuzu, gụnyere okike, afọ, ihe kpatara mmerụ ahụ, ụdị nchọpụta mmerụ ahụ mbụ, oge site na mmerụ ahụ na-arụ ọrụ, nkwụsịtụ tupu ịwa ahụ na mgbatị nke nkwonkwo aka, na Mayo elbow joint function scores, chịkọtara ma jiri ya tụnyere. A tụlere mgbake na-arụ ọrụ nke nkwonkwo ikpere site na iji nha mgbanwe na ndọtị yana ọkọlọtọ nyocha ọrụ Mayo elbow.

Nsonaazụ: Mberibe nke otu abụọ ahụ gwọrọ n'enweghị nsogbu. Otu nleba anya nwere ikpe 1 nke ọrịa ntu ntu, ikpe 2 nke mgbaàmà akwara ulnar, 1 ikpe heterotopic ossification nke nkwonkwo ikpere, na 1 ikpe mgbu na-agafeghị oke na nkwonkwo ikpere. Ndị otu na-achịkwa nwere ọrịa 2 nke ntu ntu, ọrịa 2 nke mgbaàmà akwara ulnar, na 3 nke ihe mgbu na-agafeghị oke na nkwonkwo ikpere. Na nsochi ikpeazụ, nsonye nke mmegharị nke ngbanwe nke nkwonkwo ikpere na mgbatị na akara ọrụ Mayo elbow n'ime otu abụọ ahụ ka dị mma ma e jiri ya tụnyere tupu arụ ọrụ (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).

Ntọhapụ mepere emepe jikọtara ya na nrụzi radius distal na nrụzi mpụga maka nkwụsi ike n'ikpere ụkwụ nwere ike imeziwanye ọrụ nkwonkwo ikpere ụkwụ ma nye nsonaazụ dị mma karịa ịwa ahụ ntọhapụ ọdịnala.

Isi ike n'ikpere aka bụ ihe na-ebutekarị mmerụ ahụ siri ike na nkwonkwo ikpere, na-ebute mmebi n'ọkpụkpụ nkwonkwo na anụ ahụ dị nro.

Mepee ntọhapụ jikọtara ya na nkwụsịtụ radius dịpụrụ adịpụ na nkwụsị nke dị n'èzí na-eme ka ọkpụkpụ radius dị iche iche na-enye usoro zuru oke ma dị irè iji weghachite ọrụ na nkwụsi ike na nkwojiaka. Edemede a na-aza ajụjụ na nchegbu ndị a na-ahụkarị gbasara usoro ọgwụgwọ a.