Views: 175 Author: Site Editor Ɣeyiɣi si Wotae: 2022-08-27 Dzɔtsoƒe: Teƒe
Afɔkpodzi ƒe gbagbã nye abi sesẽ aɖe si me afɔkpodzi ƒe ƒu le, eye zi geɖe la, ŋusẽ geɖe ƒe nuveviwɔame abe anyidzedze tso kɔkɔƒe alo ʋufɔkuwo gbɔe wòtsona wu. Esi wònye be afɔkpodzi wɔa akpa vevi aɖe le kpekpeme tsɔtsɔ, ʋuʋudedi ƒe xɔxlɔ̃, kple azɔlizɔzɔ ƒe mɔ̃ɖaŋununya me ta la, ele be atikewɔwɔ ƒe mɔnuwo nakpɔ ŋutilã ƒe wɔwɔme gbugbɔgaɖoanyi kple dɔwɔwɔ ƒe hayahaya ɣeyiɣi didi siaa gbɔ.
Afɔkpodzi ƒe gbagbãwo dzi kpɔkpɔ nyuie bia be woase afɔkpodzi ƒe gbagbã ƒe nɔnɔmewo, lãmeka falɛfalɛwo ƒe nɔnɔmewo, kple dɔnɔa ƒe dɔwɔwɔ ƒe didiwo gɔme nyuie.
Calcaneus ye nye tarsal ƒu gãtɔ kekeake eye wònye megbefɔ ƒe gɔmeɖoanyi. Zi geɖe la, ƒu sia ƒe gbagbã gblẽa nu le afɔ ƒe dɔwɔwɔ nyuie ŋu, si wɔnɛ be wòsea veve, eƒe lãme gblẽna, eye megate ŋu ʋãna o ne womewɔ atike nɛ nyuie o.
Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye be woagbugbɔ afɔkpodzi ƒe kɔkɔme, kekeme, kple woƒe sɔsɔme aɖo anyi, woalé ƒunukpeƒewo ƒe ɖekawɔwɔ me ɖe asi, eye woaɖe kuxi siwo nɔa anyi didi abe ƒunukpeƒetetedɔ alo ƒunukpeƒetetedɔ le afɔku megbe ene dzi akpɔtɔ. Menye nusiwo ŋu woke ɖo le fotoɖeɖe me koe fiaa mɔ atikewɔwɔ ŋuti nyametsotsowo o, ke boŋ lãmeka falɛfalɛwo ƒe nɔnɔme kple dɔnɔa ƒe mɔkpɔkpɔwo hãe fiaa mɔe.
Zi geɖe la, woma akɔta ƒe gbagbã ɖe hatsotso siwo le ƒunukpeƒe kple esiwo le ƒunukpeƒe godo me. Vovototo sia le vevie ŋutɔ, elabena ekpɔa ŋusẽ ɖe atikewɔwɔ ƒe ɖoɖowɔwɔ kple eƒe ŋgɔdonya dzi tẽ.
Intra-articular fractures lɔ subtalar joint ɖe eme eye wotsi tre ɖi na dɔléle akpa gãtɔ. Anɔ eme be abi siawo ana ƒunukpeƒewo nawɔ ɖeka o eye woƒe dɔwɔwɔ nagbɔdzɔ ɣeyiɣi didi ne womete ŋu ɖe ŋutilã ƒe wɔwɔme dzi kpɔtɔ o. To vovo na ema la, ƒunukpeƒetetedɔ ƒe gbagbã nana ƒunukpeƒea meganɔa anyi o eye zi geɖe la, woƒe ŋgɔdonya nyo wu.
Intra-articular calcaneal fractures dzi kpɔkpɔ nɔ te ɖe nusiwo nye fracture ƒe ʋuʋu, articular ƒe anyigba ƒe gbagbã, eƒe ɖoɖo bliboa, kple dɔnɔa ƒe dɔwɔwɔ ƒe seƒe dzi. Wozãa nɔnɔmetata deŋgɔwo zi geɖe tsɔ daa ƒunukpeƒewo ƒe gomekpɔkpɔ le eme kpɔna eye wofiaa mɔ atikewɔwɔ tiatia.
Zi geɖe la, wodzraa atikewɔwɔ si menye amekoko o ɖo na ƒu gbagbã siwo meʋuʋu boo aɖeke mele o, abi siwo woxɔna le ƒunukpeƒewo godo, alo dɔnɔ siwo amekoko nye afɔku si dzi womate ŋu alɔ̃ ɖo o na.
Dɔdzikpɔkpɔ si me woɖea asi le nu ŋu le la léa fɔ ɖe ƒunukpeƒea ƒe gbagbã takpɔkpɔ ŋu esime wole ƒunukpeƒea ƒe ʋuʋu ta eye wole mɔxexe ɖe kuxi evelia nu.
Zi geɖe la, atikewɔwɔ gbãtɔ lɔa afɔkpa si wotsɔ ƒu gbe alo afɔkpa si wotsɔ zɔa afɔe zazã me be woagaʋã o, ɖoɖo sesẽ siwo metsɔa kpekpeme o, kple wo dodo ɖe dzi be woatsɔ aɖu abi dzi. Ne lãmeka falɛfalɛwo ƒe nɔnɔmewo nyo ɖe edzi ko la, wodea dzi ƒo na kamedede si me woate ŋu aʋuʋu le kaba be wòaɖe lãmekawo ƒe sesẽ dzi akpɔtɔ eye wòado dɔwɔwɔ ƒe hayahaya ɖe ŋgɔ.
Wobua amekoko ƒe nudede eme ŋu ne ƒu ƒe gbagbã ɖee fia be ƒunukpeƒetetedɔ le ʋuʋum vevie, ƒunukpeƒewo mewɔ ɖeka o, alo woƒe nɔnɔme gblẽ si gblẽa nu le afɔtiwo ƒe dɔwɔwɔ ŋu. Wowɔ ɖoɖo ɖe amekoko ƒe ɣeyiɣi ŋu nyuie be wòana lãmeka falɛfalɛwo ƒe vuvu naɖiɖi, si aɖe abi ƒe kuxiwo ƒe afɔkua dzi akpɔtɔ.
Taɖodzinu vevitɔ si le amekoko ŋue nye be wòana ŋutilã ƒe wɔwɔme nasɔ ɖe ɖoɖo nu eye wòana ƒunukpeƒea nawɔ ɖeka esime wole lãkusi falɛfalɛ siwo ƒo xlãe la ta kpɔm.
Open reduction kple ememe fixation gakpɔtɔ nye mɔnu si wozãna geɖe na displaced intra-articular fractures. Mɔnu sia wɔnɛ be woate ŋu akpɔ ƒunukpeƒea ƒe gbagbã le susu me tẽ eye wogbugbɔa ƒunukpeƒea te pɛpɛpɛ, si wɔnɛ be dɔwɔwɔ me tsonu nyona ɖe edzi ne wowɔe le nɔnɔme siwo sɔ me.
Fixation mɔnu siwo me womezãa nu boo aɖeke le o va xɔ ŋkɔ le nɔnɔme tiatia aɖewo me. Mɔnu siawo ƒe taɖodzinue nye be woaɖe lãmeka falɛfalɛwo ƒe nuveviwɔame dzi akpɔtɔ esime wole lãmeka falɛfalɛwo ƒe gbagbã dzi ɖeɖe kpɔtɔ si dzi woda asi ɖo gbɔ kpɔm, vevietɔ le gbagbãƒe siwo megbã boo o alo woƒe nɔnɔme nyo me.
Beléle na ame le dɔwɔwɔ vɔ megbe wɔa akpa vevi aɖe le nusiwo ado tso eme ɣeyiɣi didi me. Gbugbɔgaɖɔɖo ƒe ɖoɖo siwo woɖo ɖe ɖoɖo nu le vevie be ŋusẽ, ʋuʋu, kple azɔlizɔzɔ ƒe mɔ̃ɖaŋununya nagaɖo wo ŋu.
Ʋuʋu si dzi wokpɔna kaba kpena ɖe ame ŋu be ƒunukpeƒewo megasẽna o, evɔ kpekpeme tsɔtsɔ ɖe ɖoɖo nu nyuie doa alɔ ƒunukpeƒetetedɔ ƒe dɔyɔyɔ kple dɔwɔwɔ ƒe hayahaya.
Zi geɖe la, wotoa kpekpeme tsɔtsɔ ƒe akpa aɖe vɛ le kwasiɖa enyi va ɖo ewo le amekokoa megbe, le fotoɖeɖe me kpeɖodzi siwo ɖee fia be eƒe dɔyɔyɔ nu. Wogadzea kpekpeme tsɔtsɔ bliboe gɔme vivivi ne wonya ɖo kpe gbagbãƒea ƒe ƒuƒoƒo si sɔ dzi ko, eye zi geɖe la, ebiana be woagbugbɔ aɖɔe ɖo ɣleti geɖe.
Togbɔ be wowɔ atike na ame nyuie hã la, afɔkpodzi ƒe gbagbã ate ŋu ahe kuxi siwo anɔ anyi ɣeyiɣi didi abe aɖu te ƒe sesẽ, afɔkpodzi ƒe vevesese atraɖii, alo ƒunukpeƒetetedɔ si dzɔ le afɔku megbe ene vɛ. Afɔku siawo lolo wu le ƒunukpeƒetetedɔ sesẽwo kple ƒunukpeƒe siwo susɔ siwo mewɔ ɖeka o me.
Nusiwo ado tso eme ɣeyiɣi didi nɔ te ɖe alesi wògbãe ƒe sesẽme, atikewɔwɔ ƒe nyonyome, kple ɖɔɖɔɖo ƒe ɖoɖowo dzi wɔwɔ dzi.
Atikewɔwɔ nyuitɔ aɖeke meli si sɔ na afɔkpodzi ƒe gbagbãwo katã le xexeame katã o. Nusiwo ado tso eme dzidzedzetɔe nɔ te ɖe atikewɔwɔ ŋuti ɖoɖo si wowɔ ɖe ame ɖekaɖekawo ŋu si da sɔ le lãmeka ƒe gbagbã ƒe nɔnɔmewo, dɔnɔwo ƒe dɔwɔwɔ ƒe didiwo, kple amekoko ŋuti nunya si li dzi.
Nyametsotsowɔwɔ ɖekae le amekola si le dɔ wɔm kple dɔnɔa dome le vevie be woatsɔ asɔ kple dɔdamɔnu ƒe taɖodzinuwo kple mɔkpɔkpɔ ŋutɔŋutɔwo.
Menye afɔkpodzi ƒe gbagbãwo katãe sɔ na atikewɔwɔ si me womezãa nu gbagbewo le o. Zi geɖe la, ƒunukpeƒetetedɔ siwo woɖe ɖa si me ƒunukpeƒe si le ete la hiãa amekoko be woagawɔ ŋutilã ƒe wɔwɔme kple dɔwɔwɔ ake.
Zi geɖe la, ame ƒe hayahaya xɔa ɣleti ade va ɖo wuieve, le alesi wògbãe, atikewɔwɔmɔnu, kple ŋgɔyiyi si wowɔ le ɖɔɖɔɖo me nu.
Dɔnɔ geɖe gate ŋu zɔna hewɔa gbesiagbedɔwo, togbɔ be ʋukawo ƒe gbagbã sesẽ ate ŋu ana woasẽ alo woase veve hã.
Zi geɖe la, wokafua amekoko ne ƒunukpeƒewo ƒe gbagbã na ƒunukpeƒea ƒe akpa si le ƒunukpeƒewo me gblẽ vevie, womegaɖoa wo nɔewo ɖe ɖoɖo nu o, alo ne womete ŋu wɔa dɔ o.
Ƒunukpeƒetetedɔ si dzɔna le afɔku megbe bɔ vie le ƒunukpeƒetetedɔ ƒe gbagbã megbe, vevietɔ ne ŋutilã ƒe wɔwɔme dzi ɖeɖe kpɔtɔ mede blibo o.
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