Ọkpụkpụ Bennett bụ 1.4% nke mgbaji aka. N'adịghị ka mgbaji nkịtị nke isi ọkpụkpụ metacarpal, nchụpụ nke mgbaji Bennett bụ ihe pụrụ iche. A na-edobe iberibe elu nke dị nso n'ọnọdụ mbụ ya n'ihi nhụta nke ligamenti metacarpal oblique, ebe akụkụ dị anya, n'ihi traction nke abductor pollicis longus na adctor pollicis tendons, na-ewepụ dorsoradially na supinates.
Maka mgbaji mgbaji Bennett chụpụrụ, a na-atụkarị aro ọgwụgwọ ịwa ahụ iji zere imebi nhazi nke nkwonkwo na mkpịsị aka nke carpometacarpal. N'ihe gbasara usoro ọgwụgwọ ịwa ahụ, usoro nhazi efere na nkedo, yana Kirschner waya n'ime ime ụlọ, na-ejikarị eme ihe na ụlọ ọgwụ. Ndị ọkà mmụta sitere na ụlọ ọgwụ nke atọ nke Hebei atụpụtala usoro eriri mgbakasị waya Kirschner, nke gụnyere obere mgbawa obere mgbawa iji dozie mgbaji Bennett, na-enweta nsonaazụ dị mma.
Kwụpụ 1: Mee nbibi nke 1.3 cm n'akụkụ radial nke nkwonkwo carpometacarpal, gbasaa oyi akwa site na oyi akwa iji kpughee ebe ahụ, wepụ ihe mgbapụta pollicis longus na-aga n'akụkụ ulnar, ma kpughee akụkụ azụ nke nkwonkwo carpometacarpal.
Kwụpụ 2: Tinye traction akwụkwọ ntuziaka ma mee ka mkpịsị aka ya belata mgbaji ahụ. Tinye eriri Kirschner 1 mm site na njedebe mgbaji dị anya, 1-1.5 cm site na nkwonkwo carpometacarpal, iji dozie iberibe ọkpụkpụ dị nso. Mgbe waya Kirschner batara n'iberibe ọkpụkpụ, gaa n'ihu na-aga n'ihu na 1 cm.
Kwụpụ 3: Were waya wee kpọchie ya n'ụdị ọnụọgụ asatọ n'akụkụ nsọtụ abụọ nke waya Kirschner, wee chekwaa ya na ebe.
Ejiri usoro eriri eriri Kirschner tinye n'ọtụtụ mgbaji, mana maka mgbaji Bennett, obere mbepụ ahụ na-ebutekarị ọhụụ na-adịghị mma ma mee ka usoro ahụ sie ike. Na mgbakwunye, ọ bụrụ na agbajie mgbaji ahụ, otu waya Kirschner nwere ike ọ gaghị eme ka iberibe ọkpụkpụ dị nso kwụsị nke ọma. Ihe bara uru ya nwere ike ịdị oke. Ewezuga usoro nrụgide mgbakasị ahụ ahụ e kwuru n'elu, enwekwara ihe ndozi waya Kirschner jikọtara ya na usoro ọgba aghara, nke a kọkwara na akwụkwọ.
Oge nzipu: Sep-24-2024
