Cov pob qij txha sab hauv feem ntau xav tau kev txo qis thiab kev txhim kho sab hauv, nrog rau cov ntsia hlau kho ib leeg lossis nrog kev sib xyaw ntawm cov phaj thiab cov ntsia hlau.
Kev lig kev cai, lub pob txha tawg yog kho ib ntus nrog Kirschner tus pin thiab tom qab ntawd kho nrog ib nrab-threaded cancellous nro ntsia hlau, uas tuaj yeem ua ke nrog cov hlua nro.Qee cov kws tshawb fawb tau siv tag nrho cov xov xov los kho cov pob qij txha hauv nruab nrab, thiab lawv cov kev ua tau zoo yog zoo dua li ntawm cov tsoos ib nrab-threaded cancellous nro screws.Txawm li cas los xij, qhov ntev ntawm cov xov xov tag nrho yog 45 hli, thiab lawv tau txav mus rau hauv cov metaphysis, thiab feem ntau ntawm cov neeg mob yuav muaj mob hauv pob taws hauv nruab nrab vim qhov kev sib tshuam ntawm kev kho sab hauv.
Dr Barnes, los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob Orthopedic ntawm St Louis University Tsev Kho Mob hauv Tebchaws Meskas, ntseeg tias lub taub hau tsis muaj zog tuaj yeem txhim kho pob qij txha sab hauv snugly tiv thaiv pob txha pob txha, txo qhov tsis xis nyob los ntawm kev txhim kho sab hauv, thiab txhawb kev kho pob txha.Raws li qhov tshwm sim, Dr Barnes tau tshawb fawb txog kev ua tau zoo ntawm lub taub hau tsis muaj compression screws hauv kev kho mob pob taws hauv pob taws, uas tsis ntev los no tau tshaj tawm hauv Kev Kho Mob.
Txoj kev tshawb no suav nrog 44 tus neeg mob (txhais tau tias muaj hnub nyoog 45, 18-80 xyoo) uas tau kho cov pob qij txha sab hauv nrog lub taub hau tsis muaj compression screws ntawm Saint Louis University Tsev Kho Mob thaum xyoo 2005 thiab 2011. Tom qab ua haujlwm, cov neeg mob tau immobilized hauv splints, casts lossis braces kom txog thaum muaj. imaging pov thawj ntawm pob txha kho ua ntej tag nrho lub cev hnyav-cov kabmob ambulation.
Feem ntau ntawm cov pob txha tawg yog vim poob rau hauv txoj hauj lwm sawv thiab tus so yog vim kev sib tsoo ntawm lub tsheb los yog kev ua si thiab lwm yam (Table 1).Nees nkaum-peb ntawm lawv muaj ob pob pob taws pob txha, 14 muaj pob taws pob taws triple thiab qhov seem 7 muaj pob taws pob taws (Daim duab 1a).Intraoperatively, 10 tus neeg mob tau kho nrog ib lub taub hau tsis muaj compression ntsia hlau rau cov pob qij txha hauv nruab nrab, thaum cov neeg mob ntxiv 34 muaj ob lub taub hau tsis muaj compression screws (Daim duab 1b).
Table 1: Mechanism ntawm kev raug mob
Daim duab 1a: Ib pob qij txha pob txha;Daim duab 1b: Ib pob pob txha pob txha kho nrog 2 headless compression screws.
Ntawm qhov kev soj ntsuam ntawm 35 lub lis piam (12-208 lub lis piam), cov ntaub ntawv pov thawj ntawm kev kho pob txha tau txais hauv txhua tus neeg mob.Tsis muaj tus neeg mob yuav tsum tau muab cov ntsia hlau tshem tawm vim yog cov ntsia hlau protrusion, thiab tsuas yog ib tus neeg mob yuav tsum tau tshem tawm cov ntsia hlau vim muaj tus kab mob MRSA ua ntej hauv qhov qis qis thiab tom qab phais cellulitis.Tsis tas li ntawd, 10 tus neeg mob muaj qhov tsis xis nyob me me ntawm palpation ntawm pob taws sab hauv.
Yog li ntawd, cov kws sau ntawv tau xaus lus tias kev kho mob pob qij txha sab hauv nrog lub taub hau tsis muaj compression screws ua rau muaj kev puas tsuaj ntau dua, kev rov zoo dua ntawm pob taws ua haujlwm, thiab tsis tshua muaj mob tom qab phais.
Lub sij hawm xa tuaj: Plaub Hlis-15-2024
