Akɔta ƒe gbagbã

Akɔta ƒe gbagbã ƒe dzɔdzɔ nye 30-60 le ame 100,000 ɖesiaɖe me, eye ŋutsu kple nyɔnu ƒe xexlẽme anɔ abe 2:1 ene, si nye 5% va ɖo 10% le gbagbãwo katã me eye 44% le abɔta ƒe ƒunukpeƒe ƒe abixɔxɔ me. Ƒu si woyɔna be clavicle ye nye ƒu gbãtɔ si me ƒu ƒe ʋuʋu le le amegbetɔ ƒe ŋutilã me, eye eƒe ƒu ƒe ʋuʋu dzea egɔme le fugboe ƒe agbenɔƒe ƒe kwasiɖa atɔ̃lia me, eye eya koe nye ƒu didi si le abe ƒu ene si me ƒu le to ƒumeŋuɖui me. Ƒumeŋuɖui ƒe teƒe gbãtɔ le akɔta titina eye eyae kpɔa akɔta ƒe tsitsi vaseɖe ƒe 5 xɔxɔ dzi. Epiphyseal plate si le tsitsim le akɔta ƒe nuwuwu kple egodo ɖesiaɖe, gake zi geɖe la, titinaƒu ƒe titina koe woate ŋu akpɔ to x-ray dzi. Medial epiphyseal plate ye kpɔa akɔta ƒe didime ƒe tsitsi ƒe 80%, eye zi geɖe la, eƒe ƒumeŋuɖuƒea medzea dzedze gɔme o vaseɖe esime wòxɔ ƒe 13 va ɖo 19, eye metsɔa akɔtaƒua tsakana o vaseɖe esime wòxɔ ƒe 22 va ɖo 25. Eyata ne wole sternoclavicular dislocation dim le dɔnɔ sɔhɛwo ŋu la, ele vevie be woade vovototoe kple medial clavicular epiphyseal injury dome.

Dɔwɔwɔ ƒe Lãmetsiŋusẽ Ŋuti Nunya

Akɔta la le dzɔdzɔe abe ne wokpɔe le ŋgɔgbe ene, gake eƒe nɔnɔme le abe S ene ne wokpɔe le etame, eƒoa xlã megbe kple titina va ɖoa akɔta ƒe akpa. Eƒe akpa si wotso la trɔna le axa didia dzi, eye gota gome ƒe akpa 1/3 nɔa gbadzaa be wòate ŋu axɔ lãmeka kple lãkusi ƒe hehe; titina ƒe akpa 1/3 zua ʋuƒo, si ƒe didime dzi ɖena kpɔtɔna eye ƒu si le kpekpem wu eye ƒu si le kpekpem wu susɔeawo, be wòate ŋu axɔ axial pressure kple tension eye wòakpɔ ʋuka siwo le ete la ta; ememe 1/3 nye rhombic eye wòdo ƒome kple akɔta kple akɔta gbãtɔ to ligamentous tissue sesẽwo dzi (Nɔnɔmetata 1). Ŋutilã ƒe wɔwɔme ŋuti numekukuwo ɖee fia be akɔtaƒu gbɔdzɔ wu le afisia le nɔnɔme ƒe tɔtrɔ le titina kple egodo 1/3 ta. Tsɔ kpe ɖe eŋu la, ele axadzi na lãmeka siwo le abɔta te eye lãmekawo ƒe lãkusiwo mekpɔa ame ta o, si wɔe be wònye teƒe si woate ŋu agbã bɔbɔe wu, abe alesi atikewɔlawo ƒe ŋkuléleɖenuŋu ɖo kpe edzii ene.

Mɔnu si dzi woato axɔ abi

Le akɔta ƒe gbagbã le ame tsitsiwo me gome la, wosusui tsã be abixɔxɔ ƒe mɔnu si bɔ wu na akɔta ƒe gbagbãe nye anyidzedze esime asi le nɔnɔme si keke akpa me gbɔ, gake Stanley et al. wokpɔe be abixɔxɔ ƒe mɔnu sia nye akɔta ƒe titina ƒe gbagbã ƒe 6.3% kple akɔta ƒe akpa si le didiƒe ƒe 5.9% ko, eye le dɔnɔwo katã gome la, abi ƒe mɔnu si bɔ wu la tso ŋusẽ siwo wɔa dɔ ɖe abɔta ƒe ƒunukpeƒea dzi tẽ gbɔ Abi ƒe mɔnu si bɔ wu le dɔnɔwo katã me enye ŋusẽ si wozãna tẽ ɖe abɔta ƒe ƒunukpeƒea ŋu, zi geɖe la, womeʋuʋuna ɖe abɔta ƒe ƒunukpeƒea vie o.

Le anyidzedze kple asibidɛ le nɔnɔme si keke akpa me gome la, zi geɖe la, gotagome ŋusẽ aɖe si nye evelia le anyidzedzea ƒe ŋusẽkpɔɖeamedzi gbɔe wòtsona be eƒe gbagbã. Gbagbã ƒomevi bubu si tso ŋutasẽnuwɔwɔ si metso tẽ o gbɔe nye ne gotagome ŋusẽ aɖe wɔ dɔ ɖe abɔta, si wɔnɛ be akɔtaƒua ƒoa abɔta kple akɔta gbãtɔ, si wɔnɛ be akɔta ƒe gbagbã si le abe ʋuƒo ene la dzɔna le abɔta ƒe titina 1/3 me. Tsɔ kpe ɖe eŋu la, esi ʋufɔkuwo dzɔna enuenu le ƒe ʋɛ siwo va yi me ta la, le ʋufɔkua ƒe ŋusẽkpɔɖeamedzi sesẽ ta la, zikpuimeka la wɔa ŋusẽ ƒe ƒuƒoƒo aɖe le abɔta, si wɔnɛ zi geɖe be abɔta ƒe titina gbãna le tsia dzi alo le tsia dzi, si amewo yɔna be zikpuimeka ƒe gbagbã. Ðewohĩ esi wònye be zi geɖe la, nuveviwɔamea ƒe ŋutasẽnuwɔwɔ lolona wu ta la, gbagbã sia ƒomevi te ŋu mewɔa ɖeka o wu akɔta ƒe gbagbã si bɔ.

Dᴐyᴐyᴐ

Titina akɔta ƒe gbagbã: .

Splint fixation:Splint fixation na clavicle fractures gakpɔtɔ nye 'sika dzidzenu'. Plɛtiwo dometɔ aɖewoe nye 3.5mm LC-DCP, 3.5mm gbugbɔgatu gbadzɛwo, LCP ʋuƒo siwo wotsɔ xea mɔ na nu, kple agbalẽvi ƒomevi tɔxɛ aɖewo. Viɖe siwo le aŋetuwo ŋu dometɔ aɖewoe nye: wo tea aŋe siwo le axadzi; wotsɔa tension screws siwo wotsɔ tsaka kple neutralizing splints kpe ɖe oblique alo butterfly gbagbãwo ŋu; tɔtrɔ ɖe tɔtrɔ ŋu dzi ɖuɖu nyuie; alesi woatsɔ aŋea abla dedie na dɔnɔa ƒe gbesiagbedɔwo; kple nyateƒe si wònye be zi geɖe la, mehiã be woaɖe aŋekawo ɖa o (ne ele be woaɖe wo ɖa vaseɖe ɣleti 12 va ɖo 18 le dɔwɔwɔ vɔ megbe).

Distal clavicle ƒe gbagbã: .

Clavicle hook splint nye mɔnu si wotsɔ blaa nu tẽe, si ƒe viɖewo dometɔ aɖewoe nye be woatsɔ ememe nusi wotsɔ blaa nu lae bɔbɔe, woalé be na teƒe si wogbugbɔ aɖoe wòade pɛpɛpɛ wu, acromioclavicular ƒunukpeƒea magblẽ o, eye ememetɔ ƒe kadodoa nali ke vie evɔ womage ɖe lãkusi siwo ƒo xlãe me abe alesi wònɔna le kyphotic pin si wozãna tsã gome ene.

Akɔta ƒe gbagbã si te ɖe eŋu: .

Agbalẽawo ka nya ta be wolɔ̃a atikewɔwɔ si me womewɔa dɔ le o na gbagbã sia ƒomevi, eye wotsɔa brek si wotsɔa aŋe ƒoa vidzidɔa kple asibidɛwoe. Woate ŋu abu ememe ƒe ʋuʋu ŋu ne ʋukawo ƒe lãmekawo xɔ abi, alo ne woɖe gbagbãƒea ɖa le megbe si na be gbɔgbɔ alo nu mimi sesẽ na dɔnɔa, alo ne dzesi mawo tɔgbe aɖeke mele eŋu o gake nɔnɔmetatawo ɖeɖe ɖee fia be gbagbã si woɖe ɖa la le nu gblẽm le megbe ƒe wɔwɔme vevi aɖe ŋu eye be egbugbɔgaɖo teƒea mewɔa dɔ o. Ne womate ŋu atɔ te wo o la, woate ŋu aɖe akɔtaƒu si te ɖe eŋu la ɖa ne ehiã.

Kuxi siwo dona tso eme

• Dɔyɔyɔ aɖeke meli o:Agbalẽ siwo woŋlɔ va yi ka nya ta be dɔyɔyɔ ƒe agbɔsɔsɔme si nye 0.9% va ɖo 4% na akɔta ƒe gbagbã, eye numekuku aɖe si wowɔ nyitsɔ laa le agbɔsɔsɔ gã aɖe me ɖee fia be dɔyɔyɔ ŋutɔŋutɔ ƒe agbɔsɔsɔme sɔ gbɔ sã wu alesi ame ate ŋu akpɔ mɔe.

• Nuwɔametɔnyenye ƒe dɔyɔyɔ: Nukpɔsusu si bɔ enye be atsyɔ̃ɖoɖo ƒe kuxi koe akɔta ƒe nuwɔametɔ ƒe dɔyɔyɔ nye eye ne dɔyɔyɔ aɖeke meli le amekoko megbe o la, emetsonua nyo wu be woaɖe mɔ nuwɔametɔa nanɔ anyi. Gake nusiwo wokpɔ nyitsɔ laa ɖee fia be zi geɖe la, akɔta ƒe kpui si wu sentimeta 15 hea vevesese vɛ eye megate ŋu ʋãna le eƒe nuwuwu o. Tsɔ kpe ɖe eŋu la, agbalẽnyala aɖewo do susua ɖa be 'clavicle shaping' bɔbɔe le nuwɔametɔ ƒe dɔyɔyɔ dada me, gake mɔnu sia mesɔ o. Ne woɖe asike si do ɖe gota la ko ɖa la, ate ŋu ana akɔta la natsi eye wòana eƒe gbagbã ƒe afɔkua nadzi ɖe edzi ŋutɔ, eye esi wònye be akɔta ƒe nɔnɔme madeamedzi dzena le akpa etɔ̃ me ta la, 'akɔta ƒe nɔnɔme si le gbadzaa' le yameʋu si le tsia dzi ɖeɖe dzaa maɖɔ nɔnɔmea ɖo keŋkeŋ o. Eyata mɔnu si ŋu kakaɖedzi le wu sɔ kple nonunion dada: ƒu ƒe ƒuƒu si sɔ gbɔ la ɖeɖeɖa alesi woate ŋui le etsotso vɔ megbe, ememe ƒe ƒoƒo ƒe liƒolili kple ƒu ƒe dodo le afɔɖeɖe ɖeka me. Nyateƒee, ele be woana dɔnɔa nanya afɔku si le eme be womawɔ ɖeka o hafi woawɔ dɔ nɛ.

• Vascular nerve injury:Alesi wòate ŋu adzɔ be ʋukawo naxɔ abi le akɔta ƒe gbagbã megbe la mebɔ o le gɔmedzedzea me, eye zi geɖe la, abi evelia medzɔna le gbagbãƒea ƒe ʋuʋu ta o le esi ʋukawo ƒe lãmekawo ƒe teƒe si dzi ɖe edzi le gbagbã megbe ta, gake le akpa mamlɛawo me la, ƒumeŋuɖui ƒe tsitsi ate ŋu ahe mɔ̃memi ƒe dzesiwo vɛ. Ne esia nya dzɔ ko la, zi geɖe la, ehiãna be amekoko naɖe nutete dzi akpɔtɔ.

• Ƒunukpeƒetetedɔ:ƒunukpeƒetetedɔ si dzɔna le akɔta ƒe gbagbã megbe te ŋu dzɔna le acromioclavicular ƒunukpeƒe le ƒunukpeƒe ƒe akpa si le gota ƒe akpa 1/3 ƒe gbagbã megbe, vevietɔ le ƒunukpeƒe sia ƒe tsɔtsrɔ̃ to ŋutasẽnuwɔwɔ me le ɣeyiɣi si me ƒunukpeƒetetedɔa dzɔ, eye eƒe akpa aɖe tso gbagbã si lɔ ƒunukpeƒe ƒe akpa si le ƒunukpeƒea ɖe eme gbɔ. Ne nutsotso mewɔa dɔ o la, ele be woaɖe akɔta ƒe sentimeta 1 si le didiƒe, eye woakpɔ beléle le dɔwɔwɔ me be woakpɔ rostral-clavicular ligament ta.

  
  

Ale Si Nàƒle Ƒumeŋuɖuiwo Kple Ƒumeŋuɖui Dɔwɔnuwo?

Elabena CZMEDITECH , míekpɔa adzɔnuwo ƒe hatsotso si de blibo ŋutɔ si me ƒumeŋuɖui ƒe amekoko ƒe nusiwo wotsɔ dea ame me kple dɔwɔnu siwo sɔ kplii, nusiwo dometɔ aɖewoe nye akɔta ƒe akpa siwo wotsɔ dea ame me, ɖa siwo le lãkusi me, trauma plate, ʋuƒo si wotsɔ xea mɔ na nu, cranial-maxillofacial ƒe tagbɔ, ametia ƒe ŋutilã ƒe akpa aɖe, elektrikdɔwɔnuwo, gotagome fixators, ƒunukpeƒetetedɔ (arthroscopy)., lãwo ƒe dɔlélewo gbɔ kpɔkpɔ kple woƒe kpeɖeŋutɔ dɔwɔnuwo.

Tsɔ kpe ɖe eŋu la, míeɖoe kplikpaa be míayi edzi anɔ atike yeyewo wɔm eye míakeke adzɔnuwo ƒe hatsotsowo ɖe enu, ale be míakpɔ ɖɔkta kple dɔnɔ geɖe ƒe amekoko ƒe nuhiahiãwo gbɔ, eye míana míaƒe dɔwɔƒea hã nate ŋu aʋli ho geɖe wu le xexeame katã ƒe ƒumeŋuɖui kple dɔwɔnuwo ƒe dɔwɔƒe bliboa me.

Míeɖoa nu ɖe ​​xexeame katã, eyata àte ŋui te ɖe mía ŋu le email adrɛs song@orthopedic-china.com hena nyayɔyɔ femaxee, alo ɖo gbedasi ɖe WhatsApp hena ŋuɖoɖo kaba +86- 18112515727 .

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