I-Broken Bone kwi-Ankle Joint
Ukuqhekeka kwe-tibial plafond (ekwabizwa ngokuba yi-tibial pilon fracture) kwenzeka ekupheleni kwesifo se-shin kwaye kubandakanye ukudibana kwesikhumba. Njengoko kunjalo nangamaqabunga e-tibial fractures , le nzakala iqhutywe kufuphi kunye kunye kwaye kufuneka iphathwe ngophethiloli lwengxowankulu engqondweni.
Izibhamu ze-Tibial zifakwe ngaphandle kwe-ankle kunye kwaye zibandakanya loo ndawo ebaluleke kakhulu emagqabini.
Enye into ebalulekileyo ekufuneka iqwalaselwe ngale nzakalo yinkxu e-soft-around around the region. Ngaphandle kwonyango olufanelekileyo, kunokubakho inkxalabo emfutshane kunye nexesha elide lomsebenzi ohlanganyelwe ngamagxa. Abantu abahlala bekhutshelwe i-tibial plafond fracture basengozini enkulu yokuphucula i- arthritis ye-ankle esheshayo.
Iisisiti ezinobumba ezungeze iAnkle
Ngenxa yokuba kukho i-muscle encinci kunye nesikhumba ejikeleze ukudibanisa kwe-ankle, ukuphuka okukhulu kwe-tibial plafond kunokuba yingxaki. Ukuba izicubu ezithambileyo ziyavuvukala kwaye zonakaliswe, utyando lungenakwenzeka ngokusebenzisa ezi zicubu ezinobungozi. Kule meko, utyando oluchanekileyo lunokulibazisa kuze kube yilapho ukuxhamla kwe-inflammation kunye ne-soft-tissue condition kuphucula.
Ngelixa i-tissue-tissue iyaphilisa, ithambo elityhukileyo kunye ne-ankle joint liyakunqandwa. Oku kunokwenziwa ngokusetyenziswa kwe-cast, ubuqaqawuli, okanye i-external fixator. I-fixator yangaphandle idivaysi efakwe kwi-tissue-tissues ezikhubekileyo kwaye zonakaliswe.
I-fixator yangaphandle isindisa ithambo ngaphantsi nangaphantsi kweqhekeza ngelixa uphepha i-tissue tissue efuna ukuphulukiswa. Ukuxhamla kwe-fixator yangaphandle kukuba ithintela amathambo enqabileyo kwaye ivumela ugqirha wakho ukuba aqaphele ukuphulukiswa kwezicubu.
Utyando lweZilaphulo zeMihlaba
Xa ama-tissus adibeneyo aya kuvumela unyango oluchanekileyo, kukho iindlela ezininzi ezitholakalayo kunyango lwamaqhekeza.
- Ukugxotha
Ukugxilwa kusetyenziswa kwizigulane ezinokuhamba ngokukhawuleza kweziqhekeza eziqhekekileyo. Ukugxotha kunokuthandwa kwizigulane ezinobungozi obunzima bokuzilimaza xa ukuhlinzwa kungenakwenzeka. - Ukulungiswa kwangaphandle
Izilungiso zangaphandle zisetyenziselwa ukulungiswa kwiindawo eziqhekezayo ezinomonakalo obalulekileyo obunobunzima. Ezi zibandakanya iziqhekeza ezivulekileyo okanye iintlobo zokuvuvukala ezingenakuvumela ugqirha wakho ukuba enze izibilini. Izilungiso zangaphandle zingasetyenziselwa okwethutyana kwimeko ye-tissue-tissue imeko iphuculwe okanye ukunyangwa kokugqibela kweziqhekeza ezisezantsi. - UkuKhutshwa kwangaphakathi
Ukulungiswa kwangaphakathi kwemida kuye kwaba yinto ekhethekileyo kwizigulane eziza kuxhamla kwi-operesheni, kodwa zibe neengxaki eziphathambileyo zokuhlinzwa. Kule meko, ukusetyenziswa okuncinci kusetshenziselwa ukukhusela iziqhekeza, kunye nonyango luyongezwa kunye nokusetyenziswa kwe-cast or external fixator. Olu hlobo lonyango lubhanqa isithuba phakathi kwamanyathelo angonyango angaphangeliyo nangaphantsi. - UkuPhakanyiswa kwangaphakathi
Ukulungiswa kwangaphakathi kweziqhekeza ezifake izibilini kungavumela ukubuyiswa okulungelelanisiweyo kokulungelelaniswa kweziqhekeza. Ngelishwa, nangona iziqheba zethambo zixhamle kakuhle, i-ankle arthritis inokubangela ukulandela ezi fractures. Oku kuthiwa 'i-arthritis post-traumatic' ngenxa yomonakalo we-cartilage ogcinwe ngexesha lokulimala.
- I-Ankle Fusion
I-Ankle fusion igcinwe kwiintlobo ezinzima kakhulu ezingenalo ithemba elithile lokubuyisela isangqa esisebenzayo. Inzuzo ye-fusion ye-ankle yile nto inokubonelela ngesiteji esihamba ngokuzinzileyo esinentlungu encinci.
Bonar SK & Marsh JL. "I-Tibial Plafond Fractures: Ukutshintsha Iimigaqo Zonyango" J Am Acad Orthop Surg November ka-1994; 2: 297-305.