ʻO ka haʻihaʻi ʻana o Clavicle kekahi o nā haʻihaʻi maʻamau maʻamau i ka hana lapaʻau, me 82% o nā haʻihaʻi clavicle ʻo ia nā haʻi waena waena.ʻO ka hapa nui o nā haʻihaʻi clavicle me ka ʻole o ka hoʻoneʻe nui ʻana hiki ke mālama ʻia me ke kāʻei helu-o-ʻewalu, ʻoiai ʻo ka poʻe me ka neʻe nui ʻana, ka ʻiʻo palupalu i hoʻopili ʻia, ka pilikia o ka vascular a neurological compromise, a i ʻole nā koi hana kiʻekiʻe e koi i ka hoʻoponopono kūloko me nā papa.ʻO ka helu nonunion ma hope o ka hoʻopaʻa ʻana i loko o nā ʻāpana clavicle he haʻahaʻa, ma kahi o 2.6%.Pono nā hōʻailona nonunions maʻamau e hoʻoponopono hou ʻia, me ke ʻano koʻikoʻi ʻo ka hoʻopau ʻana i ka iwi grafting i hui pū ʻia me ka hoʻoponopono kūloko.Eia nō naʻe, paʻakikī loa ka mālama ʻana i nā nonunions atrophic i nā poʻe maʻi i hoʻopaʻa ʻia i ka nonunion nonunion a he paʻakikī no nā kauka a me nā maʻi.
No ka hoʻoponopono ʻana i kēia pilikia, ua hoʻohana hou ke kaukaʻi ma ka Halemai ʻo Xiʻan Red Cross i ke kālai ʻana i ka iwi iliac autologous i hui pū ʻia me ka grafting iwi autologous cancellous no ka mālama ʻana i nā refractory nonunions o nā haʻihaʻi clavicle ma hope o ke kaʻina hoʻoponopono ʻana, e loaʻa ana nā hopena maikaʻi.Ua paʻi ʻia nā hopena noiʻi ma ka puke pai "International Orthopedics".
ʻO ke kaʻina hana
Hiki ke hōʻuluʻulu ʻia nā kaʻina hana ʻoki kino e like me ke kiʻi ma lalo nei:
a: Wehe i ka hoʻopaʻa ʻana o ka clavicular mua, wehe i ka iwi sclerotic a me ka ʻili fiber ma ka hope o ka haʻi;
b: Ua hoʻohana ʻia nā papa hana hou clavicle, ua hoʻokomo ʻia nā wili paʻa i loko a me waho e mālama i ka paʻa holoʻokoʻa o ka clavicle, a ʻaʻole i hoʻopaʻa ʻia nā wili i ka wahi e mālama ʻia ma ka hopena haʻihaʻi o ka clavicle.
c: Ma hope o ka hoʻopaʻa ʻana i ka pā, e wili lua me ka nila Kirschler ma ka ʻaoʻao nahā o ka haʻi a i loko a i waho a hiki i ka puka ʻana o ke koko (hōʻailona ʻulaʻula), e hōʻike ana i ka lawe ʻana i ke koko iwi maikaʻi ma ʻaneʻi;
d: I kēia manawa, e hoʻomau i ka wili ʻana i ka 5mm i loko a i waho, a e wili i nā lua longitudinal ma hope, kahi e kūpono ai i ka osteotomy e hiki mai ana;
e: Ma hope o ka osteotomy ma ka puka wili mua, e hoʻoneʻe i ka ʻiʻo iwi haʻahaʻa i lalo e haʻalele i ka ʻau iwi;
f: Ua hoʻokomo ʻia ka iwi iliac bicortical i loko o ke aʻe o ka iwi, a laila ua hoʻopaʻa ʻia ka cortex luna, ka ʻili iliac a me ka cortex lalo me nā wili;Hoʻokomo ʻia ka iwi iliac cancellous i loko o ka wahi haʻi
Maʻamau
nā hihia:
▲ ʻO ka mea maʻi he kāne 42 makahiki me ka haʻihaʻi waena o ka clavicle hema ma muli o ka trauma (a);Ma hope o ka ʻoki ʻana (b);ʻO ka haʻihaʻi paʻa a me ka hui ʻole o ka iwi i loko o 8 mau mahina ma hope o ke ʻoki ʻana (c);Ma hope o ka hana hou ʻana (d);ʻO ka haʻihaʻi o ka pā kila 7 mahina ma hope o ka hoʻoponopono hou a me ka ho'ōla ʻole (e);Ua hoʻōla ʻia ka haʻihaʻi (h, i) ma hope o ke kālai ʻia ʻana o ka iwi (f, g) o ka ilium cortex.
Ma ke aʻo ʻana a ka mea kākau, ua hoʻokomo ʻia he 12 mau hihia o ka iwi refractory nonunion, ua loaʻa nā mea a pau i ka ho'ōla iwi ma hope o ke ʻoki ʻana, a he 2 mau maʻi i loaʻa i nā pilikia, 1 hihia o ka calf intermuscular vein thrombosis a me 1 hihia o ka ʻeha wehe ʻana i ka iwi iliac.
He pilikia paʻakikī loa ka refractory clavicular nonunion i ka hoʻomaʻamaʻa lapaʻau, e lawe mai ana i ke kaumaha noʻonoʻo kaumaha i nā maʻi a me nā kauka.ʻO kēia ʻano hana, i hui pū ʻia me ka hui ʻana o ka iwi kino o ka iwi cortical o ka ilium a me ka hui ʻana o ka iwi cancellous, ua loaʻa i kahi hopena maikaʻi o ka ho'ōla iwi, a ua pololei ka hopena, hiki ke hoʻohana ʻia ma ke ʻano he kuhikuhi no nā kauka.
Ka manawa hoʻouna: Mar-23-2024
