Karabo ea potso ena ke hore ha ho na ho robeha ha serethe ho hlokang ho hlomathisoa ha masapo ha ho etsoa ho lokisa ka hare.
Sanders o boletse
Ka 1993, Sanders et al [1] ba ile ba phatlalatsa letšoao la bohlokoa historing ea phekolo ea opereishene ea calcaneal fractures ho CORR ka lihlopha tsa bona tse thehiloeng ho CT tsa calcaneal fractures.Haufinyane tjena, Sanders et al [2] ba ile ba etsa qeto ea hore ho ne ho sa hlokahale hore ho be le ho kopanya lesapo kapa ho notlela lipoleiti ho 120 serethe se robehileng ka ho latela nako e telele ea lilemo tse 10-20.
CT typing ea ho robeha ha serethe e hatisitsoeng ke Sanders et al.ho CORR ka 1993.
Ho hlomathisa lesapo ho na le merero e 'meli e meholo: ho hlomathisa sebopeho bakeng sa tšehetso ea mochini, joalo ka fibula, le granular grafting bakeng sa ho tlatsa le ho etsa hore osteogenesis.
Sanders o ile a bolela hore lesapo la serethe le na le khetla e kholo ea cortical encasing cancellous bone, le hore ho robeha ha intra-articular ea lesapo la serethe ho ka tsosolosoa ka potlako ka lesapo la ho hlakola le nang le sebopeho sa trabecular haeba khetla ea cortical e ka fetoha bocha. Palmer et al [ 3] e bile bona ba pele ba ho tlaleha ka ho hlomathiseletsoa ha masapo ka 1948 ka lebaka la khaello ea lisebelisoa tse loketseng tsa ho lokisa ka hare ho boloka fracture ea articular surface e le teng ka nako eo.Ka tsoelo-pele e tsoelang pele ea lisebelisoa tsa ho lokisa ka hare tse kang lipoleiti le li-screws tsa posterolateral, tlhokomelo ea tšehetso ea ho fokotsa ka ho kopanya masapo e ile ea fetoha e sa hlokahaleng.Lithuto tsa eona tsa nako e telele tsa bongaka li netefalitse pono ena.
Boithuto bo laoloang ke lingaka bo etsa qeto ea hore ho hlomathisoa ha masapo ha ho hlokahale
Longino et al [4] le ba bang ba ile ba etsa phuputso e laoloang e neng e tla etsoa ea 40 displaced intra-articular fractures ea serethe bonyane lilemo tse 2 tsa ho latela 'me ha ba fumane phapang e khōlō pakeng tsa ho kopanya lesapo le ho se be le masapo ho latela litšoantšo kapa ho sebetsa. liphello.Gusic et al [5] o ile a etsa phuputso e laoloang ea 143 displaced intra-articular fractures ea serethe ka liphello tse tšoanang.
Singh et al [6] ho tsoa Mayo Clinic ba ile ba etsa phuputso ea morao-rao ea bakuli ba 202 mme le hoja ho hlomathisoa ha masapo ho ne ho phahame ho ea ka lehlakoreng la Bohler le nako ea ho jara boima bo feletseng, ho ne ho se na phapang e khōlō liphellong tsa ts'ebetso le mathata.
Ho hlomathisa lesapo e le ntho e ka bakang kotsi ea mathata a sithabetsang
Moprofesa Pan Zhijun le sehlopha sa hae Sepetleleng sa Bobeli sa Bongaka sa Zhejiang ba ne ba entse tlhahlobo e hlophisitsoeng le tlhahlobo ea meta ka 2015 [7], e neng e kenyelletsa lingoliloeng tsohle tse neng li ka nkuoa ho tsoa litsing tsa elektroniki ho tloha ka 2014, ho kenyelletsa le ho robeha ha 1651 ho bakuli ba 1559, le o ile a etsa qeto ea hore ho hlomathiseletsoa ha masapo, lefu la tsoekere, ho se behe metsi, le ho robeha ho matla haholo ho eketsa kotsi ea ho ba le mathata a sithabetsang ka mor'a ho buuoa.
Qetellong, ho kenngoa ha masapo ha hoa hlokahala nakong ea ho lokisa ka hare ho fractures ea serethe 'me ha e tlatse letsoho mosebetsing kapa sephetho sa ho qetela, empa ho e-na le hoo ho eketsa kotsi ea mathata a sithabetsang.
1.Sanders R, Fortin P, DiPasquale T, et al.Phekolo ea ts'ebetso ho 120 displaced intraarticular calcaneal fractures.Liphetho tse sebelisang prognostic computed tomography scanification.Clin Orthop Relat Res.1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, et al.Phekolo ea ts'ebetso ea li-fractures tsa intraarticular calcaneal fractures: nako e telele (Lilemo tse 10-20) e fella ka ho robeha ha 108 ho sebelisa prognostic CT classification.J Orthop Trauma.2014;28(10):551-63.
3.Palmer I. Mokhoa le phekolo ea fractures ea calcaneus.J Bone Joint Surg Am.1948;30A:2–8.
4.Longino D, Buckley RE.Ho hlophisoa ha masapo nakong ea kalafo ea ts'ebetso ea li-fractures tsa intraarticular calcaneal: na hoa thusa?J Orthop Trauma.2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al.Phekolo ea ts'ebetso ea fractures ea intraarticular calcaneal: Sephetho sa anatomical le se sebetsang sa mekhoa e meraro e fapaneng ea ts'ebetso.Kotsi.2015;46 Tlatsetso 6:S130-3.
6.Singh AK, Vinay K. Phekolo ea opereishene ea li-fractures tsa calcaneal tsa displaced tsa intra-articular: na ho kenngoa ha masapo hoa hlokahala?J Orthop Traumatol.2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, et al.Lisosa tsa kotsi bakeng sa mathata a maqeba a ho koaloa ha calcaneal fractures ka mor'a ho buuoa: tlhahlobo e hlophisitsoeng le tlhahlobo ea meta.Scand J Trauma Resusc Emerg Med.2015;23:18.
Nako ea poso: Dec-07-2023
