Mgbaji ọkpụkpụ Clavicle bụ otu n'ime mgbawa ọkpụkpụ aka elu kachasị na ọgwụgwọ, ebe pasentị 82 nke mgbawa ọkpụkpụ clavicle bụ mgbawa etiti shaft. Enwere ike iji bandeeji asatọ mee ihe n'ụzọ dị mma, ebe ndị nwere nnukwu mgbanwe, anụ ahụ dị nro dị n'etiti, ihe ize ndụ nke nsogbu akwara ma ọ bụ akwara, ma ọ bụ nnukwu ọrụ nwere ike ịchọ ka e tinye ha n'ime efere. Ọnụego mgbaji ọkpụkpụ clavicle mgbe etinyere ya n'ime dị obere, ihe dị ka 2.6%. Mgbaji ọkpụkpụ clavicle na-achọkarị ịwa ahụ nyochagharị, ebe ụzọ a na-ahụkarị bụ ịkpụcha ọkpụkpụ cancellous yana ndozi n'ime. Agbanyeghị, ijikwa mgbaji ọkpụkpụ atrophic ugboro ugboro na ndị ọrịa ndị emeburu mgbanwe na-abụghị otu bụ ihe ịma aka nke ukwuu ma ka bụ nsogbu nye ma ndị dọkịta ma ndị ọrịa.
Iji dozie okwu a, otu prọfesọ na Xi'an Red Cross Hospital jiri usoro ọhụrụ nke ịkpụcha ọkpụkpụ iliac nke a na-akpọ autologous iliac structural grafting yana ịkpụcha ọkpụkpụ autologous cancellous iji gwọọ nsogbu nke clavicle fractures mgbe a wachara ya ahụ nke ọma, wee nweta nsonaazụ dị mma. E bipụtara nsonaazụ nyocha ahụ na akwụkwọ akụkọ "International Orthopaedics".
Usoro ịwa ahụ
Enwere ike ịchịkọta usoro ịwa ahụ kpọmkwem dị ka foto dị n'okpuru:
a: Wepụ ihe mbụ e ji ekpuchi clavicular ahụ, wepụ ihe ọkpụkpụ sclerotic na eriri dị na nsọtụ gbajiri agbaji nke gbajiri agbaji ahụ;
b: E jiri efere nhazi clavicle plastik mee ihe, e tinyere skru mkpọchi n'ime na nsọtụ mpụta iji mee ka clavicle kwụsie ike n'ozuzu ya, a rụzighịkwa skru n'ebe a ga-agwọ ya na nsọtụ clavicle gbajiri agbaji.
c: Mgbe etinyere efere ahụ, jiri agịga Kirschler gwuo oghere n'akụkụ nsọtụ mgbawa ahụ gbajiri agbaji gaa n'ime na n'èzí ruo mgbe oghere ahụ ga-agbapụta ọbara (akara ose uhie), nke na-egosi ezigbo mbufe ọbara ọkpụkpụ ebe a;
d: N'oge a, gaa n'ihu na-egwupụta 5mm n'ime na n'èzí, ma na-egwupụta oghere ogologo n'azụ, nke na-enyere aka na osteotomy na-esote;
e: Mgbe ọkpụkpụ ọkpụkpụ gasịrị n'akụkụ oghere mbụ ahụ, bugharịa akụkụ ọkpụkpụ dị ala ka ọ hapụ ebe ọkpụkpụ dị;
f: A tinyere ọkpụkpụ iliac bicortical n'ime oghere ọkpụkpụ, e mesịa tinye skru n'ime cortex elu, etiti iliac na cortex ala; E tinyere ọkpụkpụ iliac cancellous n'ime oghere mgbawa ahụ
Nkịtị nkịtị
ikpe:
▲ Onye ọrịa ahụ bụ nwoke dị afọ 42 nwere mgbawa etiti nke clavicle aka ekpe nke mmerụ ahụ kpatara (a); Mgbe a wachara ya ahụ (b); Mgbaji ọkpụkpụ na-adịghị ejikọta n'ime ọnwa 8 mgbe a wachara ya ahụ (c); Mgbe a rụgharịrị ya mbụ (d); Mgbaji nke efere ígwè ọnwa 7 mgbe a rụchara ya na enweghị ọgwụgwọ (e); Mgbaji ahụ gwọrọ (h, i) mgbe a kụnyesịrị ọkpụkpụ (f, g) nke cortex ilium.
N'ọmụmụ ihe onye edemede ahụ mere, e tinyere ọnụọgụgụ ikpe iri na abụọ nke enweghị njikọ ọkpụkpụ, ha niile nwetara ọgwụgwọ ọkpụkpụ mgbe a wachara ha ahụ, ndị ọrịa abụọ nwekwara nsogbu, otu ikpe nke thrombosis akwara nwa ehi na otu ikpe nke iwepụ ọkpụkpụ iliac.
Nsogbu siri ike nke na-adịghị ejikọta clavicular bụ nsogbu siri ike n'ọrụ ahụike, nke na-eweta ibu arọ dị ukwuu nye ma ndị ọrịa ma ndị dọkịta. Usoro a, tinyere nhazi ọkpụkpụ nke ọkpụkpụ cortical nke ilium na cancellous ọkpụkpụ grafting, enwetala ezigbo nsonaazụ nke ọgwụgwọ ọkpụkpụ, arụmọrụ ya ziri ezi, nke enwere ike iji dịka ntụaka maka ndị dọkịta.
Oge ozi: Maachị-23-2024
