Broken nkwonkwo ụkwụ.

Of niile unan ogide a nnukwu nkezi nke N'ịdị mmerụ. Ezi ọsọ mgbaji ọkpụkpụ akpụ ụkwụ.

Mgbehu - usoro na Nleta ụkwụ nkwonkwo. Nke a na nkwonkwo mejupụtara abụọ na nkwonkwo ụkwụ: mpụta (emi odude na elu elu nke adị ka okporo ụkwụ) na medial (emi odude ke n'ime akụkụ). Dị ka ọnụ ọgụgụ, iri abụọ na pasent nke niile unan nke nweekwa usoro dị nnọọ a gbajiri ụkwụ.

Onye kasị ukwuu n'ihe ize ndụ nke trauma na mgbaji ọkpụkpụ gụrụ elu (mpụta) ụkwụ (banyere iri asatọ percent nke ikpe), na na iri na ise - iri abụọ pasent na-merụrụ ahụ medial.

E nwere ọtụtụ ụdị nke fractures , dabere na e ji mara nke na-arụzi ụgbọala: supinatsionno-eduga, omume-agbapụta n'ahụ na rotary. Ke adianade do, dị iche iche iche iche nke dịpụrụ adịpụ mgbaji ọkpụkpụ elu na n'ime ụkwụ, nakwa dị ka na-emeghe ma na-emechi fractures, mgbaji ọkpụkpụ dechapụ.

Mgbaàmà nke ihe nkwonkwo ụkwụ mgbaji ọkpụkpụ - mgbu, ọzịza, mgbanwe ke contours nke nkwonkwo na mkpọchị ọrụ. Iji gosi na mgbaji ọkpụkpụ, nakwa dị ka guzosie ya arụzi na nhọrọ usoro ọgwụgwọ a rụrụ X-ray nke nkwonkwo ụkwụ na nkwonkwo.

Ọgwụgwọ nke mgbaji ọkpụkpụ ụkwụ nnọọ ike. Nke a bụ n'ụzọ bụ isi n'ihi na eziokwu na nkwonkwo ụkwụ nkwonkwo Ọdịdị bụ nnọọ mgbagwoju anya, ọkpụkpụ dị elu ọnụ n'ọbara na nkà nnọọ mfe vulnerability. Nke a na-eduga ná a elu pasent nke ndị bi na nke nkwarụ dị ka a n'ihi ihe na nkwonkwo ụkwụ mgbaji ọkpụkpụ (iri percent).

Mgbaji ọkpụkpụ akpụ ụkwụ, nke na a mesoo, na-eduga ná emeghasịkwa nke articular nkwonkwo (nkwonkwo congruence). Nke a na-eme mgbe nile ihe mgbu na egwu guzobe deforming arthrosis. The ọrịa na-eduga ná imebi nke statics na Ọnọdụ nke na nkwonkwo, bụ nke na-agwụ na a nkwarụ.

ụkwụ mgbaji ọkpụkpụ ọgwụgwọ na-ebelata ka ihe abụọ bụ isi usoro: mgbanwe na-awa ahụ na ọgwụgwọ. Conservative ọgwụgwọ na-agụnye:

- emechi aka reposition, plaster Immobilization;

- emechi Mbelata na iji repositioned na a ngwaọrụ, nkedo;

- reposition traction gbazie ekemende. The kasị nile ntuziaka emechi Mbelata na imposition nke nkedo. Na nke a, a superposition nkedo na elu nke atọ nke "buut" ụdị adị ka okporo ụkwụ.

Ndọghachi azụ nke mgbanwe ụzọ nke ọgwụgwọ:

• na-apụghị ime nke zuru akpụpụta Mbelata.

• Na nkedo e a elu n'ihe ize ndụ nke abụọ Ndahie mgbe Mbelata edema.

• omume guzobere nlọghachi tibiofibular diastasis na subluxation ụkwụ.

Na-abawanye na nkwonkwo ọkọ e a-ekwe omume nke guzobere a nkedo nke epidermal blistering. Ke adianade do, a elu n'ihe ize ndụ nke postimmobilizatsionnyh nkwonkwo contractures, ghara ịgbanwe nke nwere ike na-ruo asatọ - ọnwa iri na abua.

The ihe mgbaru ọsọ nke ịwa ahụ ọgwụgwọ na-ezi tụnyere nke ha rifọrọ, Iweghachi ụdọ, mwepụ nke iberibe cartilaginous anụ ahụ, dị ka nke ọma dị ka ndị nketa nke a mụ osteosynthesis.

Surgically emeso ụkwụ mgbaji ọkpụkpụ iji esịtidem (imikpu) ma ọ bụ mpụga fixation. Ihe kasị ihe ịga nke ọma a na-enweta mgbe osteosynthesis kposara, ebe ọ bụ na, n'adịghị ka spokes, a n'onwe-emepụta ohere osteosynthesis kpọmkwem kenha nke niile ọkpụkpụ iberibe. Otú ọ dị, ojiji nke osteosynthesis na kposara bụ ekwe omume iguzogide ugbu a agha na ọkpụkpụ, n'ihi ya, ọ dị mkpa ka ihe ndị ọzọ imposition nke nkedo.

Mgbaji ọkpụkpụ akpụ ụkwụ, nke rụrụ ruo ogologo oge Immobilization nwere ike ịkpata oké nsogbu.