Kumasulidwa kotseguka pamodzi ndi kukhazikika kwa distal radius ndi kukhazikika kwakunja kokhazikika pochiza e

Ndemanga

Cholinga: Phunziroli likufuna kufufuza momwe opaleshoni yotsegula ndi kumasula ikugwira ntchito ndi distal radius fixation ndi kumangirira kunja kwakunja pochiza kuuma kwa chigongono.

Njira: Kafukufuku wopangidwa mwachisawawa adachitika mu Okutobala 2015. Odwala a 77 omwe ali ndi kuuma kwa chigongono chifukwa cha zoopsa adagawidwa mwachisawawa kukhala gulu loyang'ana (n = 38) ndi gulu lolamulira (n = 39). Gulu loyang'anira linalandira opaleshoni yomasulidwa yachizoloŵezi, pamene gulu loyang'anitsitsa linalandira opaleshoni yotseguka yotulutsidwa pamodzi ndi distal radius fixation ndi kukhazikika kwakunja kwa hinged. Deta yonse, kuphatikizapo jenda, zaka, chifukwa chovulala, mtundu wa matenda ovulala koyambirira, nthawi yochokera kuvulala kupita kuntchito, kuthamanga kwa preoperative ndi kutambasula kwa mgwirizano wa chigongono, ndi Mayo elbow joint ntchito scores, anasonkhanitsidwa ndikufaniziridwa. Kubwezeretsa kogwira ntchito kwa mgwirizano wa chigongono kunayesedwa pogwiritsa ntchito miyeso yopindika ndi yowonjezera komanso muyezo wowunika ntchito ya Mayo elbow.

Zotsatira: Mabala amagulu onsewa adachira popanda zovuta. Gulu loyang'anitsitsa linali ndi vuto la 1 la matenda a msomali, milandu ya 2 ya zizindikiro za mitsempha ya ulnar, vuto la 1 la heterotopic ossification la mgwirizano wa chigongono, ndi vuto la 1 la kupweteka pang'ono m'chiuno. Gulu lolamulira linali ndi milandu ya 2 ya matenda a msomali, milandu ya 2 ya zizindikiro za mitsempha ya m'mphuno, ndi milandu ya 3 ya ululu wochepa m'mphepete mwa chigongono. Pakutsatizana komaliza, kusuntha kwa chigongono ndi kutambasula ndi kufalikira kwa chigongono cha Mayo m'magulu onsewa kunasintha kwambiri poyerekeza ndi opaleshoni isanachitike (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).

Kutulutsa kotseguka kophatikizana ndi kukhazikika kwa ma radius ndi kukhazikika kwakunja kwapang'onopang'ono kwa kuuma kwa chigongono kungathe kupititsa patsogolo kugwira ntchito kwa chigongono ndikupereka zotsatira zabwinoko kuposa opaleshoni yachikhalidwe.

Kuuma kwa chigongono ndizomwe zimachitika chifukwa chovulala kwambiri pachigongono, zomwe zimapangitsa kuwonongeka kwa ligament ndi minofu yofewa.

Kumasulidwa kotseguka pamodzi ndi kukhazikika kwa distal radius ndi kukhazikika kwakunja kwa hinged pochiza ma distal radius fractures kumapereka njira yokwanira komanso yothandiza yobwezeretsa ntchito ndi kukhazikika kwa dzanja. Nkhaniyi ikuyankha mafunso omwe anthu ambiri amawafunsa okhudza njira yamankhwala iyi.