Whakatuwheratia te tuku me te whakatikanga radius radius me te hinged o waho i te maimoatanga o te e

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Whāinga: Ko te whainga o tenei rangahau ki te tuhura i te whai huatanga o te pokanga tuwhera me te tuku i te taha ki te whakatika i te radius radius me te whakatika i waho o te hiwi i roto i te maimoatanga o te maro o tuke.

Tikanga: I whakahaerehia he rangahau haumanu i te marama o Oketopa 2015. Katoa 77 nga turoro me te maro o nga hononga tuke na te whara i wehea matapōkeretia ki te roopu tirotiro (n=38) me te roopu whakahaere (n=39). I whiwhi te roopu whakahaere i nga pokai tuku tuku iho, i te wa i whakawhiwhia e te roopu tirotiro nga pokanga tuku tuwhera me te whakatikanga radius distal me te hiwi o waho. Ko nga raraunga whanui, tae atu ki te ira tangata, te tau, te take o te whara, te momo o te taatai ​​whara taketake, te wa mai i te whara ki te mahi, te whakawhitinga o mua me te toronga o te hononga o te kaki, me nga tohu mahi tahi a Mayo, i kohia me te whakataurite. I arotakea te whakaora mahi o te hononga tuke ma te whakamahi i nga inenga whakaheke me te toronga me te paerewa arotakenga mahi a te kaki Mayo.

Hua: Ko nga werohanga o nga roopu e rua kua ora kaore he raruraru. Ko te roopu tirotiro he 1 te keehi o te mate nail tract, 2 nga keehi o nga tohu nerve ulnar, 1 te keehi o te heterotopic ossification o te hononga tuke, me te 1 o te mamae ngawari i roto i te hononga tuke. Ko te roopu whakahaere e 2 nga keehi o te mate nail tract, 2 nga keehi o nga tohu nerve ulnar, me nga keehi e 3 o te mamae ngawari i roto i te hononga tuke. I te whainga whakamutunga, kua tino pai ake te awhe o te nekehanga o te whakakorikori me te toronga o nga hononga tuke me te kaute mahi a te kaki Mayo i roto i nga roopu e rua ki te whakarite i mua i te mahi (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).

Ko te tuku tuwhera me te whakatikanga radius radius me te whakahianga o waho mo te maro o te kaki ka taea te whakapai ake i te mahi tahi o te tuke me te pai ake o nga hua i te pokanga tuku tuku iho.

Ko te maro o te kaki he hua noa o te whara kino ki te hononga o te tuke, ka pa te kino ki te taura here me te kiko ngohe.

Ko te tuku tuwhera i honoa me te whakatikanga o te radius distal me te whakahiato o waho i te maimoatanga o nga whati orotoro tawhiti e whakarato ana i te huarahi matawhānui me te whai hua ki te whakaora i te mahi me te pumau i roto i te ringaringa. Ka korero tenei tuhinga ki nga paatai ​​​​me nga awangawanga mo tenei tikanga maimoatanga.