Ko calcaneal fracture inorapwa sei?

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Calcaneal Fracture Inorapwa Sei?

A calcaneal fracture kukuvara kwakaoma kunosanganisira pfupa rechitsitsinho, rinowanzokonzerwa nekushungurudzika kwepamusoro-simba sekudonha kubva pakakwirira kana njodzi dzemotokari. Nekuti iyo calcaneus inotora basa repakati mukuremerwa, kuvhunduka kunyura, uye gait mechanics, nzira dzekurapa dzinofanirwa kugadzirisa ese anatomical kudzoreredza uye kwenguva refu yekushanda kwekuita.

Kubudirira kwekutonga kwecalcaneal fractures kunoda kunzwisiswa kwakazara kwemaitiro ekutsemuka, mamiriro ezvinyama zvakapfava, uye zvinodiwa nemurwere zvakanangana nebasa.

Kunzwisisa Calcaneal Fractures uye Core Kurapa Misimboti

Iyo calcaneus ndiyo yakakura tarsal bone uye inoumba hwaro hwehindfoot. Kutyoka kwepfupa iri kunowanzo vhiringa tsoka dzakajairwa biomechanics, zvichitungamira kumarwadzo, kuremara, uye kusafamba zvakanaka kana zvikasabatwa zvakakodzera.

Zvinangwa zvekutanga zvekurapa zvinosanganisira kudzoreredza kureba kwecalcaneal, hupamhi, uye kurongeka, kuchengetedza kubatana kwekubatana, uye kuderedza kunetsa kwenguva refu sekuoma kana post-traumatic arthritis. Sarudzo dzekurapa dzinotungamirwa kwete chete neradiographic zvakawanikwa asiwo nechimiro chemuviri wakapfava uye zvinotarisirwa nemurwere.

Calcaneal Fracture Classification uye Kufurira Kwayo paKurapwa Strategy

Calcaneal fractures inowanzoiswa mu intra-articular uye extra-articular marudzi. Musiyano uyu wakakosha, nekuti unobata zvakananga kuronga kwekurapa uye kufungidzira.

Intra-articular fractures inosanganisira subtalar joint uye inomiririra yakawanda yezviitiko. Kukuvara uku kunowanzoita kuti pave nekusawirirana kwekubatana uye kureba kwenguva refu kwekuita zvisingakwanisi kana kuderedzwa kweanatomical kusingawaniki. Extra-articular fractures, nekusiyana, chengetedza nzvimbo yakabatana uye kazhinji ine fungidziro yakanaka.

Intra-Articular Fractures uye Clinical Sarudzo-Kuita

Kutungamirirwa kwe-intra-articular calcaneal fractures kunoenderana nezvinhu zvakadai sekuparara kwekuparara, articular surface collapse, kurongeka kwese, uye chiyero chechiitiko chemurwere. Kufungidzira kwepamusoro kunowanzoshandiswa kuongorora kubatanidzwa kwekubatana uye kutungamira kusarudzwa kwekurapa.

Kwete-Kuvhiya Kutarisira kweCalcaneal Fractures

Kurapa kusiri-kushanda kunowanzochengeterwa kuputsika pasina kutamiswa kwakakosha, maitiro ekukuvara kwekuwedzera, kana varwere vanovhiyiwa kunoisa njodzi isingatenderwi.

Conservative manejimendi inotarisa pakudzivirira kutyoka uku uchichengetedza kufambisa kwemajoini uye kudzivirira matambudziko echipiri.

Immobilization uye Functional Rehabilitation mu Conservative Care

Kurapwa kwekutanga kunowanzo sanganisira kusafamba uchishandisa bhutsu yakakandwa kana yekufamba, maprotocol akasimba asina-uremu, uye kukwirira kudzora kuzvimba. Kamwe chete zvinyoro-zvinyama mamiriro anovandudza, yekutanga-ye-yekufamba maekisesaizi inokurudzirwa kuderedza kuoma uye kukurudzira kushanda kupora.

Kuvhiya Kurapa Sarudzo dzeKudzingwa Calcaneal Fractures

Kupindira kwekuvhiya kunoonekwa apo kuputsika kunoratidza kutama kukuru, kusawirirana kwejoint, kana kuremara kunokanganisa tsoka mechanics. Nguva yekuvhiyiwa yakanyatsorongwa kubvumira kuzvimba kwenyama yakapfava kuderera, kuderedza dambudziko rematambudziko emaronda.

Chinangwa chikuru chekuvhiya ndechekudzoreredza anatomical alignment uye joint surface congruity uchichengetedza matishu akapfava akatenderedza.

Vhura Kuderedza uye Kugadziriswa Kwemukati kweCalcaneal Fractures

Kuvhura kuderedza uye kugadzirisa kwemukati kunoramba kuri nzira inoshandiswa zvakanyanya kune yakadzingwa intra-articular fractures. Iyi nzira inobvumira kutaridzika kwakananga kwekuputsika uye kudzoreredza kwakaringana kweiyo subtalar joint surface, zvichibatsira pakuvandudza maitiro ekushanda kana akaitwa pasi pemamiriro akakodzera.

Minimally Invasive Fixation Techniques uye Zviratidzo Zvadzo

Minimally invasive fixation matekiniki akawana mukurumbira mumatambudziko akasarudzwa. Idzi nzira dzinovavarira kudzikisa kukuvara kwenyama yakapfava uchiwana kuderedzwa kunogamuchirika kwekutyoka, kunyanya mukutyoka kuine kushoma comminution kana yakanaka morphology.

Postoperative Management uye Rehabilitation Mushure meCalcaneal Fracture Surgery

Kuchengetwa kwepashure kunoita basa rakasimba pakuona mhedzisiro yenguva refu. Yakagadziriswa rehabilitation mapuroteni akakosha kudzoreredza simba, kufamba, uye gait mechanics.

Kwekutanga kudzorwa kufamba kunobatsira kudzivirira kuomarara kwemajoini, nepo zvakanyatsorongwa huremu huremu hunotsigira kuporeswa kwekutyoka uye kushanda kupora.

Huremu-Kutakura Kufambira mberi uye Kushanda Kudzoreredza Nguva Yenguva

Kutakura uremu kwasara kunowanzounzwa pakati pemavhiki masere kusvika gumi mushure mekuvhiyiwa, zvichienderana nehumbowo hweradiographic hwekupora. Kutakura uremu hwakazara kunotangazve zvishoma nezvishoma kana kusungirirwa kwakakwana kwekutyoka kwakasimbiswa, kazhinji kunoda mwedzi yakawanda yekuvandudzwa.

Nguva Yakareba Mhedzisiro uye Zvinogoneka Zvinetso zveCalcaneal Fractures

Pasinei nekurapa kwakakodzera, calcaneal fractures inogona kutungamirira kune zvinetso zvenguva refu zvakadai se subtalar stiffness, chitsitsinho chisingaperi chinorwadza, kana post-traumatic arthritis. Njodzi idzi dzakakura mukutyoka kwemukati-articular uye zviitiko zvine zvakasara zvejoint incongruity.

Mhedzisiro yenguva refu inoenderana nekuomarara kwekutyoka, hutano hwekurapa, uye kuomerera kumitemo yekudzorera.

Kusarudza Nzira Yakanyatsokodzera Kurapwa

Iko hakuna kwese kwakaringana kurapwa kune ese calcaneal fractures. Zvibereko zvinobudirira zvinotsamira pakuronga kwega kwega kurapwa kunoenzanisa hunhu hwekutyoka, zvinodiwa nemurwere, uye hunyanzvi hwekuvhiya huripo.

Kugovaniswa kuita sarudzo pakati peanorapa anovhiya nemurwere kwakakosha kuwiriranisa zvinangwa zvekiriniki nezvinotarisirwa zvinogoneka.

Mibvunzo Inowanzo bvunzwa nezve Calcaneal Fracture Treatment

Ko calcaneal fractures yese inogona kurapwa pasina kuvhiyiwa?

Haasi ese calcaneal fractures akakodzera kurapwa kwekuchengetedza. Displaced fractures inosanganisira subtalar joint inowanzoda kupindira kwekuvhiya kudzorera anatomy uye basa.

Kupora kunotora nguva yakareba sei mushure mekutsemuka kwecalcaneal?

Kupora kunowanzo kubva pamwedzi mitanhatu kusvika gumi nembiri, zvichienderana nerudzi rwekutyoka, nzira yekurapa, uye kufambira mberi kwekuvandudza.

Ko calcaneal fracture inokonzeresa magumo ekushanda zvachose?

Varwere vakawanda vanowanazve kukwanisa kufamba uye kuita mabasa ezuva nezuva, kunyange zvazvo zvakanyanya intra-articular fractures zvingaguma nekuoma kwakasara kana kurwadziwa.

Ndeipi nguva yekuvhiya inokurudzirwa zvakasimba kune calcaneal fractures?

Kuvhiya kunowanzo kukurudzirwa kana kutyoka kuchikonzera kukanganisa kwakakosha kwepaso, kurasikirwa kwekurongeka, kana kusagadzikana kwekushanda.

Is post-traumatic arthritis inowanikwa mushure mekuputsika kwecalcaneal?

Post-traumatic arthritis inowanzoitika inotevera intra-articular calcaneal fractures, kunyanya kana kuderedzwa kweanatomical kusina kukwana.