Ukukhishwa okuvulekile okuhlanganiswe nokulungiswa kwerediyasi e-distal kanye nokulungiswa kwangaphandle okuncike ekwelapheni i-e

Abstract

Inhloso: Lolu cwaningo luhlose ukuhlola ukusebenza kahle kokuhlinzwa okuvulekile nokukhulula okuhlanganiswe nokulungiswa kwerediyasi eyi-distal kanye nokulungiswa kwangaphandle okunamaphiko ekwelapheni ukuqina kwendololwane.

Izindlela: Ucwaningo olulawulwa ngokungahleliwe lomtholampilo lwenziwa ngo-Okthoba 2015. Ingqikithi yeziguli ze-77 ezinokuqina okuhlangene kwe-elbow okubangelwa ukuhlukumezeka zahlukaniswa ngokungahleliwe zibe iqembu lokubuka (n = 38) neqembu lokulawula (n = 39). Iqembu elilawulayo lathola ukuhlinzwa kokukhishwa kwendabuko, kuyilapho iqembu lokubuka lithole ukuhlinzwa kokukhululwa okuvulekile okuhlanganiswe nokulungiswa kwe-distal radius kanye nokulungiswa kwangaphandle okunezinsika. Idatha evamile, ehlanganisa ubulili, ubudala, imbangela yokulimala, uhlobo lokuxilongwa kokulimala kwasekuqaleni, isikhathi kusukela ekulimazeni kuya ekusebenzeni, ukuguquguquka kwangaphambili nokwandiswa kwe-elbow joint, kanye ne-Mayo elbow joint scores, zaqoqwa futhi zaqhathaniswa. Ukubuyiselwa kokusebenza kwendololwane kwahlolwa kusetshenziswa izilinganiso zokuguquguquka nokunwetshwa kanye nezinga lokuhlola umsebenzi wendololwane we-Mayo.

Imiphumela: Ukusikwa kwawo womabili amaqembu kuphole ngaphandle kwezinkinga. Iqembu lokubuka linecala le-1 lokutheleleka kwe-nail tract, amacala angu-2 wezimpawu ze-ulnar nerve, icala le-1 le-heterotopic ossification ye-elbow joint, kanye ne-1 icala lobuhlungu obulinganiselwe ekuhlanganyeleni kwe-elbow. Iqembu elilawulayo lalinamacala angu-2 okutheleleka kwe-nail tract, amacala angu-2 ezimpawu ze-ulnar nerve, kanye namacala angu-3 obuhlungu obuphakathi emgodleni wendololwane. Ekulandeleni kokugcina, ububanzi bokunyakaza kokuguquguquka nokunwetshwa kwendololwane kanye nesilinganiso sokusebenza kwendololwane ye-Mayo kuwo womabili amaqembu kuthuthuke kakhulu uma kuqhathaniswa nangaphambi kokuhlinzwa (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).

Ukukhululwa okuvulekile okuhlanganiswe nokulungiswa kwe-distal radius kanye nokulungiswa kwangaphandle okulengayo kokuqina kwendololwane okudabukisayo kungathuthukisa kakhulu ukusebenza kwamalunga endololwane futhi kunikeze imiphumela engcono kunokuhlinzwa okuvamile kokukhishwa.

Ukuqina kwendololwane kuwumphumela ovamile wokuhlukumezeka okukhulu kwendololwane, okuholela ekulimaleni kwethambo elibambayo kanye nezicubu ezithambile.

Ukukhululwa okuvulekile okuhlanganiswe nokulungiswa kwerediyasi eyi-distal kanye nokulungiswa kwangaphandle okulengayo ekwelapheni ukuphuka kwe-distal radius kunikeza indlela ebanzi nephumelelayo yokubuyisela umsebenzi nokuzinza esihlakaleni. Lesi sihloko sikhuluma ngemibuzo evamile kanye nokukhathazeka mayelana nale ndlela yokwelapha.