Ọkpụkpụ Clavicle bụ otu n'ime mgbaji ụkwụ dị elu na-emekarị na omume ụlọ ọgwụ, yana 82% nke mgbaji ọkpụkpụ bụ ọkpụkpụ etiti.Enwere ike ịgwọ ọtụtụ mgbaji mgbaji na-enweghị nnukwu mgbagha na bandeeji nke asatọ, ebe ndị nwere nnukwu nchụpụ, anụ ahụ dị nro agbakwunyere, ihe ize ndụ nke vaskụla akwara ma ọ bụ akwara ozi, ma ọ bụ ihe na-arụ ọrụ dị elu nwere ike ịchọ ndozi n'ime ya na efere.Ọnụ ọgụgụ enweghị otu mgbe emechara n'ime ime nke mgbaji mgbawa dị obere, ihe dịka 2.6%.Symptomatic nonununions na-achọkarị ịwa ahụ ntughari, na usoro a na-emekarị bụ ịkagbu ịtado ọkpụkpụ yana nhazi nke ime.Otú ọ dị, ijikwa atrophic nonunions ugboro ugboro n'ime ndị ọrịa na-enwetalarị ngbanwe na-enweghị isi bụ ihe siri ike ma nọgide na-enwe nsogbu maka ma ndị dọkịta na ndị ọrịa.
Iji lebara okwu a anya, onye prọfesọ na ụlọ ọgwụ Xi'an Red Cross jiri ụzọ ọhụụ jiri usoro nhazi ọkpụkpụ nke autologous iliac jikọtara ya na ịkagbu ọkpụkpụ autologous kagbuo ọkpụkpụ iji gwọọ nhụsianya nhụsianya nke mgbaji mgbaji na-esochi ịwa ahụ ngbanwe dara ada, na-enweta nsonaazụ dị mma.E bipụtara nsonaazụ nyocha na akwụkwọ akụkọ "International Orthopedics".
Usoro ịwa ahụ
Enwere ike ichikota usoro ịwa ahụ akọwapụtara dị ka foto dị n'okpuru:
a: Wepu nhazi clavicular mbụ, wepụ ọkpụkpụ sclerotic na eriri eriri na njedebe gbajiri agbaji;
b: A na-eji efere nwughari clavicle plastik mee ihe, a na-etinye skru na-ekpuchi n'ime ime na n'èzí iji nọgide na-enwe nkwụsi ike zuru ezu nke clavicle, na screws adịghị edozi na mpaghara a ga-emeso na njedebe gbajiri agbaji.
c: Mgbe edozichara efere, gbanye oghere na agịga Kirschler tinyere njedebe gbajiri agbaji n'ime na n'èzí ruo mgbe oghere ahụ na-agbapụta ọbara (akara ose na-acha uhie uhie), na-egosi ezi njem ọbara ọkpụkpụ ebe a;
d: N'oge a, na-aga n'ihu na-egwupụta 5mm n'ime na n'èzí, na-egwupụta oghere ogologo n'azụ, nke na-eme ka osteotomy na-esote;
e: Mgbe osteotomy gasịrị n'akụkụ oghere mbụ a na-egwupụta ihe, bugharịa cortex ọkpụkpụ dị ala ka ọ hapụ ebe ọkpụkpụ;
f: A na-etinye ọkpụkpụ bicortical iliac n'ime ọkpụkpụ ọkpụkpụ, mgbe ahụ, a na-edozi cortex dị elu, ọkpụkpụ iliac na cortex dị ala na kposara;A na-etinye ọkpụkpụ iliac na-akagbu n'ime oghere mgbaji
Ụdị
ikpe:
▲ Onye ọrịa ahụ bụ nwoke dị afọ 42 nwere mgbaji n'etiti akụkụ nke clavicle aka ekpe kpatara trauma (a);Mgbe ịwachara ahụ (b);Mgbaji agbaji na ọkpụkpụ na-abụghị njikọ n'ime ọnwa 8 mgbe ịwachara ahụ (c);Mgbe emezigharị nke mbụ (d);Mgbaji nke efere ígwè 7 ọnwa mgbe emezigharị na enweghị ọgwụgwọ (e);Ọkpụkpụ ahụ gwọchara (h, i) ka ọkpụkpụ arụsịchara (f, g) nke cortex ilium.
N'ime nnyocha onye edemede ahụ, a na-agụnye ngụkọta nke 12 nke ọkpụkpụ na-emegharị ahụ, nke niile na-enweta ọgwụgwọ ọkpụkpụ mgbe a wachara ya ahụ, na ndị ọrịa 2 nwere nsogbu, 1 ikpe nke nwa ehi intermuscular vein thrombosis na 1 ikpe nke mgbu iwepụ ọkpụkpụ iliac.
Refractory clavicular nounion bụ nsogbu siri ike na omume ụlọ ọgwụ, nke na-ewetara ma ndị ọrịa ma ndị dọkịta ibu arọ nke uche.Usoro a, jikọtara ya na ọkpụkpụ nhazi nke ọkpụkpụ cortical nke ilium na ịkagbu ọkpụkpụ ọkpụkpụ, emewo ka ọkpụkpụ na-agwọ ọrịa dị mma, na irè ya bụ nke ziri ezi, nke a pụrụ iji mee ihe maka ndị dọkịta.
Oge nzipu: Mar-23-2024
