Inyangwa njani iqhekeza le-calcaneal?

---

Lunyangwa Njani Ukwaphuka KweCalcaneal?

Ukuqhekeka kwe-calcaneal yingozi eyinkimbinkimbi ebandakanya ithambo lesithende, ngokuqhelekileyo kubangelwa ukuxhatshazwa kwamandla aphezulu njengokuwa ukusuka kwindawo ephakamileyo okanye iingozi zemoto. Ngenxa yokuba i-calcaneus idlala indima ephambili ekuthwaleni ubunzima, i-shock absorption, kunye ne-gait mechanics, izicwangciso zonyango kufuneka zijongane nokubuyiswa kwe-anatomical kunye nokubuyisela ukusebenza kwexesha elide.

Ulawulo olusebenzayo lwe-calcaneal fractures lufuna ukuqonda ngokubanzi iipateni zokuphuka, iimeko zezicubu ezithambileyo, kunye neemfuno ezichanekileyo zokusebenza kwesigulane.

Ukuqonda iCalcaneal Fractures kunye neMigaqo yoNyango oluPhambili

I-calcaneus lelona thambo letarsal likhulu kwaye lenza isiseko sonyawo olungasemva. Ukuqhekeka kweli thambo kudla ngokuphazamisa i-biomechanics yonyawo oluqhelekileyo, okukhokelela kwiintlungu, ukukhubazeka, kunye nokungahambi kakuhle xa kungaphathwanga ngokufanelekileyo.

Iinjongo eziphambili zonyango ziquka ukubuyisela ukuphakama kwe-calcaneal, ububanzi, kunye nokulungelelaniswa, ukugcina i-joint conngruity, kunye nokunciphisa iingxaki zexesha elide ezifana nokuqina okanye i-post-traumatic arthritis. Izigqibo zonyango azikhokelwa kuphela ngokufunyaniswa ngeradiographic kodwa nakwimeko yezicubu ezithambileyo kunye nolindelo lwesigulane.

UHlelo lweCalcaneal Fracture kunye nefuthe layo kwiSicwangciso soNyango

Iifractures zeCalcaneal zidla ngokuhlelwa kwiintlobo ze-intra-articular kunye ne-extra-articular. Lo mahluko ubalulekile, njengoko uchaphazela ngokuthe ngqo ukucwangciswa konyango kunye ne-prognosis.

I-intra-articular fractures ibandakanya i-subtalar joint kwaye imele uninzi lwamatyala. Ezi nzakala zinokuthi zibangele ukungahambi kakuhle ngokubambisana kunye nokulinganiselwa kwexesha elide lokusebenza ukuba ukuncitshiswa kwe-anatomical akufezekanga. Ukwaphuka kwe-articular extra-articular, ngokuchaseneyo, gcina indawo edibeneyo kwaye ihlala ine-prognosis engcono.

I-Intra-Articular Fractures kunye neClinical Decision-Making

Ukulawulwa kwe-intra-articular calcaneal fractures kuxhomekeke kwizinto ezifana nokuchithwa kwe-fracture, i-articular surface collapse, ukulungelelaniswa ngokubanzi, kunye nenqanaba lomsebenzi wesigulane. I-imaging ephezulu isetyenziswa rhoqo ukuvavanya ukubandakanyeka ngokubambisana kunye nokukhethwa kwesikhokelo sonyango.

Ulawulo olungaNyangayo lweCalcaneal Fractures

Unyango olungasebenzisiyo lugcinelwe ukwaphuka ngaphandle kokufuduswa okubalulekileyo, iipatheni zomonzakalo we-extra-articular, okanye izigulane ezo utyando lubeka umngcipheko ongamkelekanga.

Ulawulo lwe-Conservative lugxile ekukhuseleni ukuphuka ngelixa ugcina ukunyakaza okuhlangeneyo kunye nokukhusela iingxaki zesibini.

Ukunyanzeliswa kunye nokuBuyiselwa kwiSimo seSimo sesiqhelo kwi-Conservative Care

Unyango lokuqala lubandakanya ukunyanzeliswa usebenzisa i-cast or walk boot, iiprothokholi ezingqongqo ezingathwali ubunzima, kunye nokuphakama ukulawula ukudumba. Emva kokuba iimeko zezicubu ezithambileyo ziphucula, ukuqeqeshwa kwangaphambili kweendlela zokuhamba kuyakhuthazwa ukunciphisa ukuqina kunye nokukhuthaza ukubuyiswa komsebenzi.

IiKhetho zoNyango loTyando kwiiNdawo zeCalcaneal ezigxothiweyo

Ungenelelo lotyando luqwalaselwa xa iifractures zibonisa ukufuduka okubalulekileyo, ukungahambi kakuhle kwamalungu, okanye ukukhubazeka okubeka esichengeni ubuxhakaxhaka beenyawo. Ixesha lotyando licetywe ngononophelo ukuvumela ukudumba kwezicubu ezithambileyo kuthothe, kuncitshiswe umngcipheko weengxaki zamanxeba.

Eyona njongo iphambili yotyando kukubuyisela ulungelelwaniso lwe-anatomical kunye ne-joint surface congruity ngelixa ugcina izicubu ezithambileyo ezijikelezileyo.

UkuNcitshiswa okuVulekileyo kunye nokulungiswa kwangaphakathi kwiCalcaneal Fractures

Ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi kuhlala kuyindlela esetyenziswa ngokubanzi kwi-fractures intra-articular displaced. Ubu buchule buvumela ukubonwa ngokuthe ngqo kokuqhekeka kunye nokubuyiselwa ngokuchanekileyo kwendawo edibeneyo ye-subtalar, igalelo ekuphuculeni iziphumo zokusebenza xa zenziwa phantsi kweemeko ezifanelekileyo.

UbuChwephesha boLungiso oluNcinci olungephi kunye nezalathiso zabo

Ubuchwephesha bokulungisa obuncinci bufumene ukuthandwa kwiimeko ezikhethiweyo. Ezi ndlela zijolise ekunciphiseni i-soft-tissue trauma ngelixa kufinyezwa ukuncipha okwamkelekileyo kokwaphuka, ngakumbi kwiifractures ezinokuhamba kancinci okanye i-morphology efanelekileyo.

Ulawulo lwasemva kotyando kunye noBuyiselo emva koTyando lweCalcaneal Fracture

Ukhathalelo lwasemva kokuhlinzwa ludlala indima ebalulekileyo ekumiseleni iziphumo zexesha elide. Iiprothokholi ezicwangcisiweyo zokubuyisela kwisimo sangaphambili zibalulekile ukubuyisela amandla, ukushukuma, kunye noomatshini bokuhamba.

Ukunyakaza okulawulwayo kwangaphambili kunceda ukuthintela ukuqina okuhlangeneyo, ngelixa ukunyathela ngokunyamekileyo ukuxhasa ukuphulukiswa kwe-fracture kunye nokubuyisela ukusebenza.

Ukuqhubela phambili kobunzima kunye neXesha lokuBuyisa ngokuSebenzayo

Ubunzima obungaphelelanga buziswa phakathi kweeveki ezisibhozo ukuya kwezilishumi emva kotyando, kuxhomekeke kubungqina bokuphilisa ngeradiographic. Ukuthwala ubunzima obugcweleyo buqaliswa ngokuthe ngcembe emva kokuba ukuqiniswa okwaneleyo kokwaphuka kuqinisekisiwe, okuhlala kufuna iinyanga ezininzi zokubuyisela kwisimo sangaphambili.

Iziphumo zexesha elide kunye neengxaki ezinokuthi zibe khona zeCalcaneal Fractures

Nangona unyango olufanelekileyo, i-calcaneal fractures ingakhokelela kwiingxaki zexesha elide ezifana nokuqina kwe-subtalar, intlungu engapheliyo yesithende, okanye i-arthritis post-traumatic. Le mingcipheko iphezulu kwi-intra-articular fractures ezinzima kunye neemeko ezinokushiyeka kokungahambi kakuhle kwamalungu.

Iziphumo zexesha elide zixhomekeke kubunzima bokuphuka, umgangatho wonyango, kunye nokuthotyelwa kwemigaqo yokubuyisela.

Ukukhetha eyona ndlela ifanelekileyo yoNyango

Alukho unyango olulolona lulolona lilonke kuzo zonke iifractures zecalcaneal. Iziphumo eziyimpumelelo zixhomekeke kwisicwangciso sonyango lomntu ngamnye esilinganisa iimpawu zokuphuka, iimfuno zokusebenza kwesigulane, kunye nobuchule obukhoyo botyando.

Ukwenziwa kwezigqibo ekwabelwana ngako phakathi kogqirha onyangayo kunye nesigulane kubalulekile ukulungelelanisa iinjongo zeklinikhi kunye nokulindela okubonakalayo.

Imibuzo Ebuzwa Rhoqo malunga noNyango lweCalcaneal Fracture

Ngaba zonke iifractures zecalcaneal zinokunyangwa ngaphandle kotyando?

Ayizizo zonke iifractures zecalcaneal ezifanelekileyo kunyango lolondolozo. Iifractures ezifudukayo ezibandakanya i-subtalar joint zihlala zifuna ukungenelela kokuhlinzwa ukuze kubuyiselwe i-anatomy kunye nomsebenzi.

Kuthatha ixesha elingakanani ukuchacha emva kokuphuka kwe-calcaneal?

Ukuchacha ngokuqhelekileyo kususela kwiinyanga ezintandathu ukuya kwezilishumi elinesibini, kuxhomekeke kuhlobo lokwaphuka, indlela yonyango, kunye nenkqubela phambili yokubuyisela kwisimo sangaphambili.

Ngaba i-calcaneal fracture iya kubangela imida yokusebenza esisigxina?

Izigulane ezininzi ziphinda zikwazi ukuhamba kwaye zenze imisebenzi yemihla ngemihla, nangona iifractures ezinzima ze-intra-articular zingabangela ukuqina okushiyekileyo okanye intlungu.

Kunini kucetyiswa ngamandla utyando malunga nokwaphuka kwecalcaneal?

Utyando lunconywa ngokuqhelekileyo xa i-fractures ibangela ukuphazamiseka okukhulu kwendawo edibeneyo, ukulahleka kokulungelelaniswa, okanye ukungazinzi komsebenzi.

Ngaba i-post-traumatic arthritis ixhaphakile emva kokuphuka kwe-calcaneal?

I-post-traumatic arthritis ixhaphakile emva kokwaphuka kwe-calcaneal ye-intra-articular, ngakumbi xa ukuncitshiswa kwe-anatomical kungagqitywanga.