I-Broken Bone ku-Ankle Joint
Ukuqhekeka kwe-tibial cefond (okubizwa ngokuthi i-tibial pilon fracture) kwenzeka ekupheleni kwesithambo se-shin futhi kuhilela ukuhlanganiswa kwe-ankle. Njengoba kunjalo nge- tibial plateau fractures , lokhu kulimala kwenzeka eduze kokujoyina futhi kumele kuphathwe ngophethiloli engxenyeni ye-ankle engqondweni.
I-Tibial fracture cefond ivele ngenhla ngaphezu kokuhlangana kwe-ankle futhi ihilela leyo ndawo ebaluleke kakhulu yokuqothulwa kwesikhumba.
Esinye isici esiyinhloko okumelwe sicatshangelwe ngalezi zingozi yizicubu ezithambile ezungeze esifundeni se-ankle. Ngisho nangokwelashwa okufanele, kungaba khona izinkinga ezimfushane nezesikhathi eside zomsebenzi wamajoyini ohlangene. Abantu abasebenzisa i-tibial fracture cefond bayengozini enkulu yokuthuthukisa isifo samathambo esheshayo.
Izishukela Eziqinile Emhlabeni We-Ankle
Ngenxa yokuthi kukhona imisipha encane nesikhumba esizungezile ukuhlanganiswa kwe-ankle, ukuqubuka okukhulu kwe-tibial cefond kungaba yinkinga. Uma izicubu ezithambile zivuvukala futhi zilimazekile, ukuhlinzwa kungenzeki ngalezi zicubu ezonakalisiwe. Kulezi zimo, ukuhlinzekwa okucacile kungase kubambezeleke kuze kube yilapho ukuvuvukala kwehla nokugcizelela isimo sesishukela.
Ngesikhathi izicubu ezithambile ziphulukisa, ithambo eliphukile kanye ne-ankle joint ngeke likwazi ukungena. Lokhu kungenziwa ngokusetshenziswa kwe-cast, splint, noma yangaphandle fixator. I-fixator yangaphandle idivaysi efakwe ngokuzenzekelayo ezungeze izicubu ezithambile ezivuvukile futhi zonakalisiwe.
I-fixator yangaphandle ivikela ithambo kokubili nangaphansi kwe-fracture ngenkathi igwema izicubu ezithambile ezidinga ukuphulukiswa. Inzuzo ye-fixator yangaphandle yukuthi ithinta amathambo ngokungenakulinganiswa futhi ivumela udokotela wakho ohlinzayo ukuba aqaphele ukuphulukiswa kwezicubu ezithambile.
Ukwelashwa kwe-Plafond Fractures
Uma izicubu ezithambile zizovumela ukwelashwa okuqondile, kunezinketho eziningana ezitholakalayo ekwelapheni iziphuphutheka eziphansi.
- Ukukhipha
Ukusakaza kusetshenziselwa iziguli ezinokuhamba okuncane kwezingcezu zokuhlukana. Ukukhipha kungase kwamukeleke kwiziguli ezinezifo ezibucayi ezibonakalayo lapho ukuhlinzwa kungenzeki. - Ukulungiswa kwangaphandle
Ama-fixator angaphandle asetshenziselwa ukulungiswa emaqabeni anomonakalo obalulekile we-tissue tissue. Lezi zingabandakanya ukuqubuka okuvulekile noma ukuqhuma okuvuvukala okungeke kuvumele udokotela wakho ohlinzayo ukuba enze okufakiwe emathangeni. Izilungisi zangaphandle zingasetshenziswa okwesikhashana kuze kube yilapho isimo sesishukela sithuthukisiwe noma sithole ukwelashwa kokugcina kwamaphutha e-tibial fractures. - Ukulungiswa kwangaphakathi okulinganiselwe
Ukulungiswa kwangaphakathi okulinganiselwe kuye kwaba yindlela ethandwayo yeziguli ezizozuza ngokuhlinzwa, kodwa ube nokukhathazeka okunamathelayo okuhlinzekwa. Kulesi simo, ukusetshenziselwa okuncane okusetshenziselwa ukuvikela iziqhekeko zokuhlukana, futhi lokhu kukwelashwa kwandiswa ngokusetshenziswa kwe-cast noma yangaphandle yokulungisa. Lolu hlobo lwezokwelapha ludonsa igebe phakathi kwezinketho zokwelashwa ezingenasidingo ezincane kakhulu. - Ukulungiswa kwangaphakathi
Ukulungiswa kwangaphakathi kweziphazamiso ezifakwe emanzini kungavumela ukubuyiswa okuhle kakhulu kokulungiswa kweziqhekeko zokuphuka. Ngeshwa, ngisho nezicucu zamathambo zihlanganisiwe kahle, isifo samathambo singabangela ukulandela lezi zintambo. Lokhu okuthiwa 'i-arthritis post-traumatic' kungenxa yomonakalo we-cartilage owakhiwa ngesikhathi sokulimala.
- I-Ankle Fusion
I-Ankle fusion igcinwe ukuhlukumeza okukhulu kunazo zonke ezingenalo ithemba elincane lokubuyisela isikhumba somsebenzi. Inzuzo ye-fusion yama-ankle yiyona engakwazi ukuhlinzeka ngesiteji sokuhamba esitebelene esinomunyu omncane.
I-Bonar SK & Marsh JL. "I-Tibial Plafond Fractures: Ukushintsha Izimiso Zokwelapha" J Am Acad Orthop Surg ngoNovemba 1994; 2: 297-305.