Cov pob txha hauv puab sab hauv feem ntau yuav tsum tau txo kev txo qis thiab txhim kho sab hauv ib leeg lossis nrog kev sib xyaw ntawm cov phiaj thiab screws.
Kev lig kev cai, qhov kev sib tw yog tsau ib ntus nrog lub kiv cua Kirschner Qee cov kws tshawb fawb tau siv cov scread tag nrho los kho cov pob taws nruab nrab, thiab lawv txoj kev ua tau zoo dua li ntawm ib txwm muaj ntxig tawm hws. Txawm li cas los xij, qhov ntev ntawm cov screaded tag nrho yog 45 mm, thiab lawv feem ntau ntawm cov neeg mob yuav muaj mob hauv nruab nrab ntawm kev txhim kho sab hauv.
Dr Barnes, los ntawm Department of Orthopedic Trauma ntawm St Louis Tsev Kho Mob Ntaus Pob Txha Vim li ntawd, Dr Barnes tau kawm txoj kev kawm ntawm Headless compression Screws hauv kev kho mob ntawm pob taws hauv pob zeb tawg, uas nyuam qhuav luam tawm hauv kev raug mob.
Txoj kev tshawb no suav nrog 44 tus neeg mob (txhais tau tias muaj hnub nyoog 45 xyoos lossis cov neeg mob sib tsoo kom txog thaum muaj kev kho mob hnyav.
Feem ntau ntawm cov pob txha tawg yog vim poob rau hauv txoj hauj lwm sawv thiab tus so tau vim muaj cov maus taus sib tsoo lossis kis las 1). Nees nkaum-peb ntawm lawv tau ob npaug pob taws pob txha lov, 14 muaj triple pob taws pob txha lov thiab seem 7 muaj ib pob taws tawg (daim duab 1a). Kev mob siab rau, 10 tus neeg mob tau raug kho nrog ib lub taub hau sib zog ua ke rau nruab nrab pob zeb tawg, thaum tus neeg mob 24 muaj ob lub taub hau 1b).
Rooj 1: Mechanism ntawm kev raug mob
Daim duab 1A: Ib pob taws sib tsoo; Daim duab 1B: Ib pob luj taws tawg nrog 2 headless compression screws.
Thaum lub ntsiab lus hais txog 35 lub lis piam (12-208 lub lim tiam), kev xav ua pov thawj ntawm bacture kho tau tau nyob hauv txhua tus neeg mob. Tsis muaj tus neeg mob xav tau kev tshem tawm cov ntsia hlau tshem tawm vim yog cov ntsia hlau tshem tawm, thiab tsuas yog ib tus neeg mob MRSAt tus kab mob hauv qab qhov chaw thiab posterative cellulitis. Tsis tas li ntawd, 10 tus neeg mob tau tsis xis nyob me me ntawm palpation ntawm pob taws sab hauv.
Yog li ntawd, cov sau phau ntawv xaus tias kev kho mob ntawm pob taws nruab nrab nrog cov ntsuas hluav taws xob tau ua rau tus neeg kho kom zoo, zoo dua ntawm pob taws muaj nuj nqi, thiab mob posterative tsawg dua.
Lub Sijhawm Post: Apr-15-2024
