Vhura kusunungurwa kwakasanganiswa ne distal radius fixation uye hinged yekunze kugadzirisa mukurapwa kwe e

Abstract

Chinangwa: Ichi chidzidzo chine chinangwa chekuongorora kushanda kwekuvhura uye kusunungura kuvhiyiwa kwakasanganiswa ne distal radius fixation uye hinged kunze kwekugadzirisa mukurapa kwekuoma kwegokora.

Nzira: Chidzidzo chekiriniki chakarongeka chakaitwa muna Gumiguru 2015. Huwandu hwevarwere ve77 vane kuomarara kwakabatana kwegokora kunokonzerwa nekushungurudzika kwakakamurwa zvisina tsarukano kuita boka rekucherechedza (n = 38) uye boka rinodzora (n = 39). Boka rekutonga rakagamuchira kuvhiyiwa kwechinyakare kusunungurwa, nepo boka rekucherechedza rakawana kuvhiyiwa kwakavhurika kwakasanganiswa ne distal radius fixation uye yakasungirirwa kunze kwekugadzirisa. General data, kusanganisira jenda, zera, chikonzero chekukuvara, rudzi rwekutanga kukuvara kuongororwa, nguva kubva mukukuvadzwa kusvika pakushanda, preoperative flexion uye kuwedzerwa kwegokora rejoint, uye Mayo elbow joint function scores, yakaunganidzwa uye yakaenzaniswa. Kushanda kupora kwegokora rejoint kwakaongororwa uchishandisa flexion uye kuwedzera zviyero uye iyo Mayo elbow basa rekuongorora mwero.

Results: Kuchekwa kwemapoka ese maviri kwakapora pasina matambudziko. Boka rekucherechedza raiva ne1 nyaya yehutachiona hwehutachiona, 2 zviitiko zvezviratidzo zveulnar nerve, 1 kesi yeheterotopic ossification yejojo ​​yegorofu, uye 1 nyaya yekurwadziwa kwepakati mujoko regokora. Boka rekutonga raive ne2 zviitiko zvenail tract infection, 2 zviitiko zveulnar nerve zviratidzo, uye 3 zviitiko zvekurwadziwa kwepakati mujoini yegokora. Pakutevera kwekupedzisira, huwandu hwekufamba kwegokora kubatanidza kuchinjika uye kuwedzera uye Mayo elbow basa mamaki mumapoka ese ari maviri akavandudzwa zvakanyanya kana achienzaniswa neasati aitwa (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).

Kuvhura kusunungurwa kwakasanganiswa ne distal radius fixation uye yakasungirirwa kunze kwekugadziriswa kwekuomarara kwegokora kunogona kuvandudza zvakanyanya kushanda kwegokora uye kupa mhedzisiro iri nani pane yechinyakare kuburitsa kuvhiya.

Kuoma kwegororo chinhu chinowanzoitika chekukuvadzwa kwakanyanya kujoin yegokora, zvichikonzera kukuvadzwa kune collateral ligament uye nyoro.

Kuvhura kusunungurwa kwakasanganiswa ne distal radius fixation uye hinged yekunze kugadzirisa mukurapa kwe distal radius fractures inopa yakazara uye inoshanda nzira yekudzoreredza basa uye kugadzikana muchiwoko. Ichi chinyorwa chinotarisa mibvunzo yakajairika uye zvinonetsa maererano nenzira iyi yekurapa.