Azịza nye ajụjụ a bụ na ọ dịghị mgbawa ikiri ụkwụ ọ bụla chọrọ ka a kpụnye ọkpụkpụ mgbe a na-etinye ya n'ime.
Sanders kwuru
Na 1993, Sanders na ndị otu ya [1] bipụtara ihe dị mkpa n'akụkọ ihe mere eme nke ọgwụgwọ ịwa ahụ nke mgbawa akwara na CORR site na nhazi CT ha nke mgbawa akwara na-agba. N'oge na-adịbeghị anya, Sanders na ndị otu ya [2] kwubiri na ọ dịghị mkpa ịkpụkọta ọkpụkpụ ma ọ bụ itinye efere mkpọchi na mgbawa ikiri ụkwụ 120 yana nlekọta ogologo oge nke afọ 10-20.
Ụdị CT nke mgbawa ikiri ụkwụ nke Sanders et al. bipụtara na CORR na 1993.
Nkwụnye ọkpụkpụ nwere isi ihe abụọ: nkwụnye nhazi maka nkwado igwe, dịka na fibula, na nkwụnye granular maka ijupụta na ịkwalite osteogenesis.
Sanders kwuru na ọkpụkpụ ikiri ụkwụ nwere nnukwu cortical shell nke gbara ọkpụkpụ cancellous gburugburu, nakwa na ọkpụkpụ cancellous nwere usoro trabecular nwere ike ịrụgharị ọkpụkpụ ikiri ụkwụ ngwa ngwa ma ọ bụrụ na enwere ike ịtọgharịa cortical shell ahụ. Palmer et al [3] bụ ndị mbụ kọrọ akụkọ gbasara ịkpụkọta ọkpụkpụ na 1948 n'ihi enweghị ngwaọrụ ndozi dị n'ime iji nọgide na-enwe mgbawa dị n'elu articular n'oge ahụ. Site na mmepe na-aga n'ihu nke ngwaọrụ ndozi dị n'ime dị ka efere na skru posterolateral, nkwado nke ibelata site na ịkpụkọta ọkpụkpụ ghọrọ ihe na-adịghị mkpa. Ọmụmụ ihe ogologo oge ya egosila echiche a.
Nnyocha a na-achịkwa n'ụlọ ọgwụ kwubiri na ọ dịghị mkpa ịkpụpụta ọkpụkpụ
Longino na ndị otu ya [4] na ndị ọzọ mere nnyocha a na-achịkwa nke agbaji ...
Singh na ndị otu ya [6] si Mayo Clinic mere nnyocha banyere ndị ọrịa 202, ọ bụ ezie na ịkpụcha ọkpụkpụ dị mma karịa n'ihe gbasara nkuku Bohler na oge ibu ibu zuru oke, ọ dịghị nnukwu ọdịiche dị na nsonaazụ arụmọrụ na nsogbu.
Ịkpụcha ọkpụkpụ dịka ihe egwu maka nsogbu mmerụ ahụ
Prọfesọ Pan Zhijun na ndị otu ya na Zhejiang Medical Second Hospital emeela nyocha na meta-analysis na 2015 [7], nke gụnyere akwụkwọ niile enwere ike ịchọta site na nchekwa data eletrọniki ruo na 2014, gụnyere mgbawa 1651 na ndị ọrịa 1559, ma kwubie na ịkpụcha ọkpụkpụ, ọrịa shuga, enweghị itinye drain, na mgbawa siri ike na-eme ka ohere nke nsogbu mberede mgbe ịwa ahụ gasịrị dịkwuo elu nke ukwuu.
Na mmechi, ọ dịghị mkpa ịkpụcha ọkpụkpụ n'oge a na-edozi ọkpụkpụ ikiri ụkwụ n'ime ahụ, ọ naghịkwa enye aka na ọrụ ma ọ bụ ihe ga-esi na ya pụta, kama ọ na-eme ka ohere nke nsogbu ndị na-akpata mmerụ ahụ dịkwuo elu.
1.Sanders R, Fortin P, DiPasquale T, na ndị ọzọ. Ọgwụgwọ ịwa ahụ na mgbawa akwara dị n'ime akwara 120 gbapụrụ agbapụ. Nsonaazụ site na iji nhazi nyocha tomography nke a na-eme n'oge amụma. Clin Orthop Relat Res. 1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, na ndị ọzọ. Ọgwụgwọ ịwa ahụ nke mgbawa akwara dị n'ime akwara: ogologo oge (Afọ 10-20) na-ebute mgbawa 108 site na iji nhazi CT amụma. J Orthop Trauma. 2014;28(10):551-63.
3. Palmer I. Usoro na ọgwụgwọ nke mgbawa nke akwara calcaneus. J Bone Joint Surg Am. 1948;30A:2–8.
4.Longino D, Buckley RE. Ọkpụkpụ a na-etinye n'ọkpụkpụ n'ọgwụgwọ ịwa ahụ nke mgbawa akwara dị n'ime akwara: ọ bara uru? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al. Ọgwụgwọ ịwa ahụ nke mgbawa akwara dị n'ime akwara: Nsonaazụ nke usoro ịwa ahụ atọ dị iche iche. Mmerụ ahụ. 2015;46 Suppl 6:S130-3.
6.Singh AK, Vinay K. Ọgwụgwọ ịwa ahụ nke mgbawa akwara dị n'ime akwara: ọ dị mkpa ka a kpụpụ ọkpụkpụ? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, na ndị ọzọ. Ihe ndị nwere ike ịkpata nsogbu ọnya nke mgbawa akwara olu mechiri emechi mgbe a wachara ya ahụ: nyocha usoro na nyocha meta-analysis. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Oge ozi: Disemba-07-2023
