Zi geɖe la, akɔta ƒe gbagbã, si woyɔna zi geɖe be kɔmeƒu gbagbã, dzɔna ne ame aɖe dze anyi, ne ame xɔ abi le kamedefefe me, esi wòdo gasɔ, alo ne edze abɔta tẽ. Woate ŋu ada akɔta ƒe gbagbã siwo woɖe ɖe aga ƒe akpa gãtɔ amekoko manɔmee. Gake afisi wògbãna le, afisi wòʋuna le, eƒe ʋuʋu, ŋutigbalẽ ƒe nɔnɔme, abi siwo do ƒome kplii, ƒe si dɔnɔa xɔ, kple nusiwo wòbia tso ame si be wòawɔ dɔ la katã ate ŋu akpɔ ŋusẽ ɖe atikewɔwɔ ƒe ɖoɖoa dzi.
Numedzodzro sia si wotu ɖe kpeɖodziwo dzi la ɖe dzesiawo, dɔlélea didi, hatsotsowo me toto, atikewɔwɔ si me womewɔa dɔ na o, amekoko ƒe tiatia, kuxi siwo dona tso eme, kple alesi woahaya le akɔta ƒe gbagbã ŋu me. Woɖoe na hehenana amewo katã eye mexɔ ɖe lãmesẽdɔwɔla bibi ƒe dodokpɔ teƒe o.
Nu Vevi Siwo Wotsɔna Yia Nu
Titina etɔ̃lia, alo asike, ye nye teƒe si akɔta ƒe gbagbã le wu.
Dzesi siwo dzena zi geɖee nye vevesese, abi, abi, alɔnu ƒe vevesese, kple abɔa ʋuʋu sesẽ.
X-ray dzrowoe nye nɔnɔmetatawo dodokpɔ vevitɔ; Woate ŋu azã CT na dɔléle siwo sesẽ, siwo le titina, alo esiwo do ŋgɔ na dɔwɔwɔ nɛ.
Wotsɔa aŋe, nɔnɔmetata siwo wotsɔ kplɔa wo ɖo, kple wo gbugbɔgaɖɔɖo vivivi daa dɔ na ƒu gbagbã siwo womeɖena boo o ƒe akpa gãtɔ.
Ate ŋu ahiã be woawɔ dɔ na ame ƒe gbagbãƒe siwo le ʋuʋu ɖi, ŋutigbalẽ si le ŋɔdzi dom, ahɔhɔ̃mekawo ƒe abixɔxɔ, abɔta ƒe alidziblanu si meli ke o, kple gbagbãƒe tiatia siwo woɖe le teƒe bubu alo esiwo meli ke o.
Plate fixation kple intramedullary fixation siaa ate ŋu ana nu nyuiwo nado tso ame tsitsiwo ƒe asike ƒe gbagbã tiatia aɖewo me, gake viɖe kple afɔku vovovowo le wo dometɔ ɖesiaɖe ŋu.
Amewo ƒe hayahaya toa vovo le ƒe si woxɔ, alesi ƒu gbagbãe, atikewɔwɔmɔnu, atamanono ƒe nɔnɔme, kple kpeɖodzi siwo fia be ƒuwo le dɔyɔyɔ ta.
Nukae Nye Akɔta ƒe Gbagbã?
Akɔta nye ƒu si le abe S ene si doa ka kple akɔtaƒu si le akɔta titina kple akɔtaƒu si le abɔta. Ewɔa dɔ abe xɔtuɖoɖo ƒe kadodo ene le akɔta kple abɔ si le etame dome esime wòkpena ɖe lãmekawo kple ʋuka siwo toa ete la ta.
Clavicle anatomy kple gbagbã ƒe ʋuʋu ƒe ɖoɖo siwo bɔ.
Akɔta ƒe gbagbã dzɔna ne ŋusẽ aɖe wu ƒua ƒe ŋusẽ. Mɔnu siwo bɔ dometɔ aɖewoe nye be woadze anyi ɖe abɔta tẽ, woadze anyi ɖe alɔ si wodo ɖa dzi, woadze wo nɔewo dzi le kamedefefe siwo me wodoa ka kple wo nɔewo le me, kple keke alo ʋu si me ŋusẽ le wu ƒe nuveviwɔame. Le dɔnɔ siwo metsi o gome la, zi geɖe la, abi siawo kplɔa kamedefefe alo ʋufɔkuwo ɖo. Le ame tsitsiwo gome la, ŋusẽ si mebɔ o ƒe ɖiɖi ate ŋu asu, vevietɔ ne ƒu ƒe nyonyome dzi ɖe kpɔtɔ.
Akɔta ƒe gbagbã nye ame tsitsiwo ƒe gbagbã ƒe 3% va ɖo 5% lɔƒo. Wogblɔna zi geɖe be mamaa nye bimodal, eye ɖeka ƒe kɔkɔƒe le ƒewuiviwo kple sɔhɛ tsitsiwo dome eye bubu le ame tsitsiwo dome.
Dzesi siwo dzena le akɔta ƒe gbagbã ŋu
Dzesiawo nɔ te ɖe afisi abi la le kple alesi wòsesẽe dzi, gake zi geɖe la, wo dometɔ aɖewoe nye:
Vevesese enumake le kɔmeƒu dzi le abi xɔxɔ vɔ megbe
Vuvu, abi, kple teƒe ɖeka ƒe vevesese
Vevesese ne wole alɔ si ŋu dɔlélea le kɔm alo le eʋuʋum
Abɔta ƒe ƒoƒo, afɔɖeɖe, alo tɔtrɔ le abɔta ƒe nɔnɔme si woate ŋu akpɔ
Seselelãme si nye be wole nu ƒom alo le ʋuʋum le afisi wògbã le
Nɔnɔme si nye be woatsɔ asi si tsi tre ɖe eŋu alé alɔ si xɔ abi la ɖe te
Nuxlɔ̃amedzesi Siwo Wòhiã Be Woawɔ Dzesidede Kpata
Atikewɔlawo ƒe dodokpɔ kpata le vevie ne ŋutigbalẽa gbã alo wotu agbadɔ ɖe kakɛ ɖaɖɛ aɖe dzi sesĩe; asi alo alɔnu va nɔa ɣie, fa miamiamia, gbɔdzɔna, alo ƒuna; gbɔgbɔ sesẽna; akɔtave le eme; alo abi si woxɔ la kplɔ nuveviwɔame si ŋu ŋusẽ geɖe nɔ ɖo. Nusiwo ŋu woke ɖo siawo ate ŋu afia be ʋu gbagbã le ʋuʋu ɖi alo abi si do ƒome kplii si ku ɖe lãkusi, akɔta ƒe gli, lãmekawo, alo ʋukawo ŋu.
Ele be dɔdaƒe ƒe dodokpɔ nalɔ ŋutigbalẽa, abɔta ƒe nɔnɔme, ʋu ƒe sisi, kple lãmekawo ƒe dɔwɔwɔ ɖe eme.
Aleke Wokpɔa Akɔta ƒe Gbagbã?
Wodzea dɔlélea didi gɔme kple abi si woxɔ ƒe ŋutinya kple ŋutilãmedɔdada. Atikewɔla la léa ŋku ɖe afisi alɔ si ŋu dɔlélea le ƒe vevesese, ŋutigbalẽ ƒe nɔnɔme si woate ŋu akpɔ, ŋutigbalẽ ƒe nɔnɔme, abɔta ƒe ʋuʋu, kple alɔ si ŋu dɔlélea le ƒe ʋu ƒe sisi kple lãmekawo ƒe dɔwɔwɔ ŋu. Le abi siwo ŋu ŋusẽ geɖe le me la, hiã be woada akɔta, kɔ, abɔta, kple abɔta ƒe akpa bubuwo hã kpɔ nyuie.
X-Ray ƒe dɔwɔwɔ
Radiographs dzrowoe nye fotoɖeɖe ƒe dodokpɔ gbãtɔ si wozãna ɖaa. Woɖoa kpe afisi wògbã le dzi eye wokpena ɖe ame ŋu wòɖea ʋuʋu, dzogoe, kpui, kple comminution fiana. Radiograph siwo le tsitrenu ate ŋu aɖee afia be ame ƒe ʋuʋu le teƒe bubu wu nɔnɔmetata siwo woɖe esime dɔnɔa mlɔ anyi, vevietɔ le midshaft clavicle gbagbãwo me.
CT Kple Nɔnɔmetata Bubuwo Xɔxɔ
Kɔmpiuta tomography ate ŋu aɖe vi ne ƒunukpeƒetetedɔ aɖe ku ɖe titina ƒe akɔta alo akɔtaƒu ƒe ƒunukpeƒe ŋu, ne gbagbã ƒe nɔnɔmea sesẽ, ne wosusu be abɔta ƒe abi si do ƒome kplii, alo ne ehiã be woawɔ ɖoɖo tsitotsito wu do ŋgɔ na dɔwɔwɔ nɛ. Wotiaa nɔnɔmetata bubuwo le abi siwo wosusu be wodo ƒome kplii nu tsɔ wu be woazã wo edziedzi na akɔta ƒe gbagbã ɖesiaɖe.
Radiographs kpena ɖe ame ŋu wòɖea afisi gbagbãƒea le, afisi wòʋuʋu le, eƒe kpuiƒe, kple eƒe gbagbã gɔme.
Clavicle Fractures Ƒomeviwo Kple Woƒe Ƒomedodowo
Afɔɖeɖe gbãtɔ si ɖea vi wue nye be woada akɔta ƒe gbagbã ɖe hatsotsowo me le teƒe si wòle nu:
| Teƒe | si Woawɔ Numeɖeɖe | Dɔnɔdzikpɔƒe ƒe Nusiwo Ŋu Woabu |
|---|---|---|
| Midshaft ƒe gbagbã | Elɔ akɔta ƒe titina ƒe akpa etɔ̃lia ɖe eme eye eyae nye nɔnɔme si bɔ wu. | Ʋuʋu le teƒe bubu, kpuie, comminution, ŋutigbalẽ ƒe nɔnɔme, kple dɔnɔa ƒe dɔwɔna ƒe agbɔsɔsɔme kpena ɖe ame ŋu wòfiaa mɔ atikewɔwɔ. |
| Distal clavicle ƒe gbagbã | Elɔ axadzinuwuwu si te ɖe acromioclavicular ƒunukpeƒea ŋu ɖe eme. | Liƒo nɔ te ɖe ƒomedodo si le lãmeka si gbagbã kple coracoclavicular ligament complex dome dzi le akpa aɖe. |
| Medial clavicle ƒe gbagbã | Elɔ nuwuwu si te ɖe sternoclavicular joint ŋu ɖe eme eye mebɔ kura o. | Megbe ƒe ʋuʋu bia be woadae kpɔ nyuie elabena xɔtunu veviwo le titina ƒe akɔta megbe. |
Dɔwɔɖoɖo Siwo Bɔ Ðe Ƒomedodowo Me
Allman ƒe ɖoɖoa ƒoa akɔta ƒe gbagbã nu ƒu ɖe titina etɔ̃lia, didiƒe etɔ̃lia, kple titina-etɔ̃lia me. Nuɖoanyi siwo me kɔ wu dometɔ aɖewoe nye Neer ƒe hatsotso si wotsɔ na distal clavicle fractures, Robinson alo Edinburgh ƒe hatsotso, kple AO/OTA ƒe hatsotso. Nuɖoanyi siawo ɖɔa nusiwo le abe teƒe si wòle, afisi wòʋuna, alesi wògbãna, ƒunukpeƒetetedɔ, kple lãkusi ƒe liƒo ene.
Ŋkɔ si wotsɔ dea hatsotsowo me ɖeɖe mefiaa atikewɔwɔ o. Ele be atikewɔla nabu ŋutigbalẽ kple lãkusi falɛfalɛwo, ahɔhɔ̃mekawo ƒe nɔnɔme, abi siwo do ƒome kplii, ƒe si dɔnɔa xɔ, atikewɔwɔ ƒe nɔnɔme, dɔ si wòwɔna, alesi wòwɔa dɔe, kple atikewɔwɔ si wòlɔ̃ hã ŋu.
Akɔta ƒe gbagbã ƒe hatsotsowo me toto ƒe ɖoɖo siwo bɔ ɖɔa teƒe si wòle, eƒe liƒo, eƒe ʋuʋu, kple eƒe gbagbã.
Dɔdamɔnu si Mewɔa Dɔléle aɖeke Mele Na Akɔta ƒe Gbagbãwo o
Wokpɔa akɔta ƒe gbagbã siwo woɖe ɖe aga ƒe akpa gãtɔ gbɔ amekoko manɔmee, vevietɔ ne woda asi ɖe edzi be woasɔ ɖe wo nɔewo nu eye wole mɔ kpɔm be gbagbãƒea anɔ teƒe ɖeka. Zi geɖe la, wolɔ̃a abɔtaɖonu bɔbɔe wu akɔtaɖonu si ƒe xexlẽme le enyi elabena etsɔtsɔ le bɔbɔe wu eye zi geɖe la, efa wu.
Beléle si womewɔna le amekoko o ate ŋu anye:
Sling immobilization hena akɔfafa kple ametakpɔkpɔ
Vevesesenutsitike si lãmesẽdɔwɔla aɖe fia mɔe
Dɔdaƒe kple fotoɖeɖe ƒe kplɔkplɔ ɖo edziedzi
Abɔta, asibidɛ, kple asi ƒe ʋuʋu kaba
Abɔta ƒe ʋuʋu vivivi ne vevesese kple eƒe gbagbã ƒe liƒo ɖe mɔ
Ŋusẽdodo le dɔyɔyɔ ƒe dzesi siwo wokpɔ le dɔdaƒe kple fotoɖeɖe me megbe
Viɖe siwo le atikewɔwɔ si me womewɔa dɔ na o ŋu dometɔ aɖewoe nye be woaƒo asa na lãɖeɖe, atike si naa alɔ̃dɔdɔ, dɔléle ƒe afɔku, kple kuxi siwo do ƒome kple nusi wotsɔ dea lãme na ame. Nusiwo ate ŋu agblẽ le eŋu dometɔ aɖewoe nye nuwɔametɔnyenye atraɖii, ɖekawɔwɔ ƒe megbetsitsi, ɖekawɔwɔ manɔanyi, ɖekawɔwɔ manɔsenu, kple tɔtrɔ yi dɔ alo kamedefefe sesẽwo gbɔ kaba blewu le ƒunukpeƒetetedɔ tiatia siwo woɖe le woƒe aƒewo me me.
Zi geɖe la, wozãa alɔnu bɔbɔe aɖe tsɔ fa akɔ na ame hekpɔa ame ta le beléle na ame kaba si womewɔa dɔ na o me.
Ɣekaɣie Wòhiã Be Woawɔ Amekoko na Akɔta ƒe Gbagbã?
Mehiã be woawɔ dɔ na akɔta ƒe gbagbã ɖesiaɖe si woɖe ɖa o, eye mele be woazã dzidzenu ɖeka aɖeke le wo ɖokui si o. Ele be woawɔ atikewɔwɔ na ame ɖekaɖekawo to nyametsotsowɔwɔ ɖekae le dɔnɔa kple amekola si le dɔa wɔm dome me.
Woate ŋu akafu amekoko ƒe atikewɔwɔ alo abu eŋu vevie ne:
Gbagbãƒe si le ʋuʋu ɖi
Ŋutilã ƒe gbagbã alo agbadɔ sesẽ ɖe gbagbã ƒe kakɛ aɖe dzi
Nuveviwɔame si do ƒome kple ʋukawo alo lãmekawo
Abɔta ƒe alidziblanu si meli ke o alo nuveviwɔame geɖe ƒe nɔnɔme si wotia
De dzesi ʋuʋu, kpuie, alo comminution le ame tsitsi ƒe titina ƒe gbagbã me
Distal clavicle gbagbã si meli ke o si me coracoclavicular ligament complex ƒe tɔtɔ le
Dzesiwo ƒe nonunion alo malunion
Hiahiã be woagaɖo ɖekawɔwɔ me eye woali ke le dɔ, kamedefefe, lãmesẽ bliboa, kple dɔnɔwo ƒe didiwo ŋu bubu vɔ megbe
Le ame tsitsi siwo ƒe titinaƒu ƒe gbagbã siwo woɖe ɖa gome la, dɔwɔwɔ na ame do ƒome kple union ƒe agbɔsɔsɔ si lolo wu kple emetsonu siwo ŋu dɔnɔwo gblɔ kaba la nyo wu beléle si womewɔ dɔ na o. Gake nusiwo ado tso eme ɣeyiɣi didi kple dzidzeme ate ŋu asɔ le mɔnu eveawo dometɔ ɖesiaɖe me. Dadasɔ to vovo le ƒewuiviwo me, amesiwo ƒe dɔyɔyɔ ŋutete lolo wu eye amekoko edziedzi na titinaƒu ƒe gbagbã si woɖe ɖe aga si woɖe ɖa la mate ŋu ana viɖe aɖeke si dze ƒã le dɔwɔwɔ me o.
Wobua gbagbã ƒe nɔnɔmewo kple abi siwo do ƒome kplii ŋu ɖekae ne wole nya me tsom nenye be amekoko ate ŋu asɔ.
Nonoperative Care vs. Surgical Fixation
| Treatment | si Bubu Zi geɖe Na Viɖe | Siwo Ate Ŋu Akpɔ Seɖoƒe Siwo | Ate Ŋu Akpɔ |
|---|---|---|---|
| Sling kple gbugbɔgaɖɔɖo | Gbagbã geɖe siwo meʋuna o, esiwo meʋuna boo o, eye woli ke | Ƒo asa na amekoko kple kuxi siwo dona tso ame ƒe ŋutilã dodo me | Afɔku gã aɖe le ƒunukpeƒetetedɔ tiatia siwo woɖe tso teƒe bubuwo me be womawɔ ɖeka o, woagawɔ ɖeka o, alo woahaya blewu kaba |
| Plate kple screw fixation | Gbagbãƒe tiatia siwo woɖe ɖa, esiwo woɖe kpuie, esiwo wogbã, siwo le ʋuʋu ɖi, alo esiwo meli ke o | Ðeɖekpɔkpɔ tẽ, fixation sesẽ, kple union rates gã | Abi, dɔlékuiwo, lãmetutudɔ, xɔtunuwo ƒe dzedzeme, kple alesi woate ŋu aɖe nusi wotsɔ de eme la ɖa |
| Intramedullary ƒe ʋuʋu | Tiatia clavicle shaft fractures kple nɔnɔme si sɔ | Lãmetsi suesuesuewo kple lãmeka falɛfalɛ siwo mebɔ o le go aɖewo me | Dodokpɔ ƒe dzikudodo, ʋuʋu, eɖeɖe ɖa, kple alesi mesɔ na nɔnɔme aɖewo siwo wofli o |
Amekoko ƒe Atikewɔwɔ ƒe Tiatiawɔblɔɖe
Plɛti kple Screw Fixation
Ðeɖekpɔkpɔ le gaglãgbe kple eƒe ememe léle ɖe te kple agba nye amekokomɔnu si bɔ na akɔta ƒe gbagbã. Amekolaa gaɖoa teƒe si sɔ eye wòtsɔa agba kple gaviwo léa afisi wògbã la nyuie. Egbe nu ƒumeŋuɖui ƒe ʋuƒo ƒe ɖoɖowo naa tiatia siwo le dzogoe si woɖo ɖi dzi na ƒu ƒe gbagbã ƒe nɔnɔme tiatia aɖewo. Plate fixation ate ŋu aɖe vi ŋutɔ ne wogbã gbagbãƒea alo ne eƒe didime kple eƒe tɔtrɔ me léle ɖe asi le vevie.
Do ŋgɔ na contoured implants abe an akɔta ƒe ʋuƒo si ƒe nɔnɔme le abe S ene ŋu be wòakplɔ akɔta ƒe goglome ɖo, togbɔ be nusi woatsɔ ade ame me mamlɛtɔ tiatia kple eƒe nɔnɔme nɔ te ɖe ame ɖekaɖekawo ƒe ŋutilã ƒe wɔwɔme kple eƒe gbagbã ƒe ɖoɖo dzi hã. Wotrɔ asi le Nusiwo ate ŋu agblẽ le eŋu dometɔ aɖewoe nye be lãmeka siwo wotso la ƒe ʋuʋu, nusi wotsɔ de eme la ƒe dzedzeme, lãmeka falɛfalɛwo ƒe dzikudodo, dɔlékuiwo xɔxɔ, kple alesi wòate ŋu adzɔe be woawɔ dɔ emegbe atsɔ aɖe xɔtunu siwo me dzesiwo le ɖa. Mehiã be woaɖe nusi wotsɔ de eme la ɖa le eɖokui si le abi ɖesiaɖe si woda vɔ megbe o.
Plate fixation nana wògaɖoa ɖeka eye wònana clavicle la li ke esime gbagbãƒea le hayahayam.
Intramedullary Fixation (Ame ƒe Aɖuɖɔtoewo Me).
Wotsɔa mɔ̃ siwo le lãkusi me dea akɔta ƒe tɔdzisasrã me be woatsɔ ana akɔta ƒe gbagbã tiatia aɖewo nali ke. Ne wotsɔ mɔnu sia sɔ kple nusiwo wotsɔ blaa nu la, ate ŋu azã lãɖeɖe suewo eye wòaɖe lãkusi falɛfalɛ aɖewo ƒe ƒoƒo dzi akpɔtɔ. Gake menye gbagbãƒe ɖesiaɖee sɔ na intramedullary fixation o, vevietɔ ne comminution na didime alo tɔtrɔ dzi ɖuɖu sesẽ. Plɛtiwo kple ɖawo siaa nye nusi keke wu ƒe akpa aɖe ƒumeŋuɖui ƒe nuveviwɔame fixation system.
Le ame tsitsiwo ƒe akɔtaƒu ƒe gbagbã gome la, ɖaƒoƒo ɖe lãkusi me kple asiléle ɖe ʋuka ɖeka ŋu ate ŋu ahe dɔdamɔnu me tsonu siwo anɔ anyi ɣeyiɣi didi kple kuxiwo ƒe agbɔsɔsɔme ma tɔgbe vɛ. Plate fixation ate ŋu ana viɖe aɖe ne comminution li.
Woate ŋu abu intramedullary fixation ŋu na clavicle shaft fracture patterns tiatia aɖewo.
Plate Osteosynthesis si Mexɔa Nu boo aɖeke o
Plato osteosynthesis si mewɔa nu boo aɖeke o zãa lãɖeɖe suewo kple nusiwo woɖena ɖe go vie esime wotsɔa agbalẽvi naa ƒu gbagbãa li ke. Mɔnu sia ƒe taɖodzinue nye be yeakpɔ lãmenugbagbevi falɛfalɛwo kple esiwo ƒe gbagbã ƒe nugbagbewo ta, gake lãmeka siwo le abɔta ƒe lãkusiwo dzi ɖeɖe kpɔtɔ pɛpɛpɛ kple wo takpɔkpɔ gakpɔtɔ le vevie.
Kpɔɖeŋu siwo ku ɖe plate fixation si me womezãa nu boo aɖeke le o ŋu na akɔta ƒe gbagbã.
Distal Clavicle Fixation (Akɔta ƒe Akpa si le Adzɔge).
Distal clavicle fractures bia be woada afisi gbagbãƒea le, kakɛa ƒe lolome, ƒunukpeƒetetedɔ ƒe gomekpɔkpɔ le eme, kple coracoclavicular ligament complex ƒe blibonyenye kpɔ. Tiatia siwo woate ŋu awɔ ate ŋu anye a distal clavicle locking plate , coracoclavicular stabilization, alo fixation mɔnu bubu siwo wotia na nɔnɔme tɔxɛa. Kpeɖodziwo meɖo kpe mɔnu ɖeka dzi le aɖuɖɔtoe ƒe gbagbã ɖesiaɖe si le didiƒe ŋu o.
Wotiaa distal clavicle fixation le kakɛ ƒe lolome kple ligament ƒe liƒo nu.
Medial Clavicle ƒe Gbagbãƒewo
Woate ŋu akpɔ titina ƒe akɔta ƒe gbagbã siwo meɖea teƒe boo aɖeke o ƒe akpa gãtɔ gbɔ amekoko manɔmee. Zi geɖe la, asixɔxɔ nɔa CT ŋu ne esesẽ be woaɖe ʋuʋu tso teƒe bubu alo ne wosusu be megbe ʋuʋu. Esi wònye be yagbɔgbɔ, nuɖuɖutome, ʋuka gãwo, kple domedome ƒe akpa bubuwo te ɖe wo ŋu ta la, titina ƒe abi siwo woɖe le megbe la hiã be woada eŋutinunyala bibiwo kpɔ kpata.
Abi siwo sesẽ le akɔta ate ŋu abia be woawɔ aɖaŋu si woatsɔ alé nu ɖe te si sɔ ɖe ame ɖekaɖekawo ƒe gbagbã ƒe nɔnɔme nu.
Clavicle Fracture ƒe Gbɔdzɔe Kple Eƒe Gbugbɔgaɖɔɖo
Ɣeyiɣi ɖoɖo ɖeka aɖeke meli si dzi woahaya na akɔta ƒe gbagbã ɖesiaɖe o. Ƒe si woxɔ, afisi wògbã, afisi wòʋu le, atikewɔwɔmɔnu, atamanono ƒe nɔnɔme, abi siwo do ƒome kplii, kple fotoɖeɖefia ƒe dɔyɔyɔ katã kpɔa ŋusẽ ɖe ŋgɔyiyi dzi. Dɔnɔ geɖe gawɔa dɔ nyuie le kwasiɖa 6 va ɖo 12 me, gake ƒuwo ƒe hayahaya keŋkeŋ, ŋusẽ ƒe hayahaya, kple tɔtrɔ yi dɔwɔna si wobia tso wo si vevie me ate ŋu axɔ ɣeyiɣi didi wu.
Ametakpɔkpɔ ƒe akpa: Wozãa aŋetu tsɔ fa akɔ na ame eye wòkpɔa ame ta. Zi geɖe la, wodea asi, asibidɛ, kple abɔta ƒe ʋuʋu ƒe dzi ƒo negbe ɖe abi bubu xe mɔ nɛ hafi.
Ʋuʋu kaba ƒe akpa: Abɔta ƒe kamedede fafɛ ate ŋu adze egɔme ne vevesesea dzi ɖe kpɔtɔ eye atikewɔla si le dɔ wɔm na wò ɖo kpe edzi be ʋuʋu sɔ.
Ŋusẽdodo ƒe akpa: Wotoa tsitretsitsi ƒe kamededewo vɛ le dɔyɔyɔ si sɔ le dɔdamɔnu kple fotoɖeɖe me vɔ megbe.
Afɔɖeɖe si me woatrɔ ayi dɔwɔnawo gbɔ: Ele be nu kpekpewo kɔklɔ, kamedefefe siwo wowɔna tsɔ ka ɖe ame dzi, kple dɔwɔna siwo me afɔku le be woadze anyi le la nalala vaseɖe esime ƒu gbagbãa haya eye ŋusẽ kple ʋuʋu gaɖo eŋu.
Dɔwɔwɔ ɖe edzi le vevie elabena nuwɔametɔ si le dzidzim ɖe edzi, vevesese atraɖii, alo radiographic ƒe ŋgɔyiyi ƒe anyimanɔmanɔ ate ŋu afia be ame ƒe ʋuʋu le teƒe bubu, ɖekawɔwɔ tsi megbe, alo ɖekawɔwɔ manɔmee. Sigaretnono ate ŋu agblẽ nu le ame ƒe gbagbã ƒe dɔyɔyɔ ŋu eye ele be woakpɔ egbɔ abe atikewɔwɔ ƒe ɖoɖoa ƒe akpa aɖe ene.
Kuxi siwo ate ŋu ado mo ɖa
Kuxi Siwo Dona Le Atikewɔwɔ Si Me Womewɔa Dɔ O Megbe
Nonunion: gbagbãƒea mete ŋu haya o, si ate ŋu ana ame nase veve atraɖii alo wòagbɔdzɔ.
Malunion: gbagbãƒea hayana le nɔnɔme kpui, dzogoe, alo ʋuʋu me.
Nusiwo dzena nyuie: ƒoƒoe ate ŋu anɔ anyi ɖe gbagbãƒe si woda gbe le la dzi.
Abɔta ƒe sesẽ alo gbɔdzɔgbɔdzɔ: ate ŋu ahiã be woagbugbɔ aɖɔe ɖo be wòagawɔ dɔ ake.
Ahɔhɔ̃mekawo ƒe dɔlélewo ƒe dzesiwo: esiawo mebɔ o gake ehiã be woada wo kpɔ kaba.
Kuxi Siwo Doa Amekoko Le Amekoko Megbe
Abi ƒe dɔléle
Nuveviwɔame alo seselelãme si trɔ le afisi wotsoe ŋu
Hardware ƒe dzikudodo alo eƒe ŋkɔxɔxɔ
Nusi wotsɔ de eme ƒe ʋuʋu, eƒe ƒoƒo, alo eƒe gbagbã
Ðekawɔwɔ si tsi megbe, ɖekawɔwɔ manɔanyi, alo ɖekawɔwɔ manɔsenu
Gbugbɔgagbã, si me nusi wotsɔ de lãme na ame ɖeɖeɖa vɔ hã le
Ehiã be woagawɔ dɔ na ame bubu, zi geɖe le xɔtunu siwo me dzesiwo le ta
Afɔku si ate ŋu ado tso kuxiwo me nɔ te ɖe aɖuɖɔtoea kple dɔnɔa dzi. Radiographic union ƒe agbɔsɔsɔ si lolo wu mefia be amekokoe nye tiatia nyuitɔ na amesiame o, abe alesi ko asaƒoƒo na amekoko meɖea alesi wòate ŋu adzɔe be woade nu nyaa me emegbe ɖa o ene.
Nɔnɔmetata siwo woatsɔ akplɔe ɖo ate ŋu akpe ɖe ame ŋu woade dzesi dɔyɔyɔ ƒe kuxiwo kple kuxi siwo dona tso nusi wotsɔ dea lãme na ame me.
Nya Siwo Wobia Enuenu
Ðe akɔta ƒe gbagbã ate ŋu ada amekoko manɔmeea?
Ɛ̃. Wodaa akɔta ƒe gbagbã siwo woɖe ɖe aga ƒe akpa gãtɔ amekoko manɔmee eye wodaa gbe le wo ŋu to aŋetu ƒe kpekpeɖeŋu, wo yometiti, kple wo gbugbɔgaɖɔɖo vivivi me. Alesi wòanya wɔ be woakpɔ dzidzedze le beléle si womewɔ dɔ na o me nɔ te ɖe alesi wòate ŋu agbãe, eƒe ʋuʋu le teƒe bubu, alesi wògblẽe, teƒe si wòle, ƒe si dɔnɔa xɔ, kple dɔdamɔnu bubuwo dzi.
Ɣeyiɣi didi kae akɔta ƒe gbagbã xɔa hafi hayana?
Dɔnɔ geɖe gadzea dɔwɔwɔ gɔme abe alesi wòle ene alo esiwo sɔ kloe le abe kwasiɖa 6 va ɖo 12 ene me, gake ɣeyiɣi si woatsɔ ada dɔe la toa vovo. Ame tsitsiwo, atamanolawo, amesiwo ƒe aƒewo ƒe ŋeŋe ʋu le wo ŋu wòdze ƒã alo esiwo me gblẽ, kple dɔnɔ siwo ŋu atikewɔwɔ me nɔnɔme bubuwo le ate ŋu ahiã ɣeyiɣi didi wu. Trɔ yi kadodo me kamedefefewo bia be woaɖo kpe dɔyɔyɔ kple atikewɔlawo ƒe mɔɖeɖe.
Nukae nye akɔta ƒe gbagbã ƒomevi si bɔ wu?
Midshaft clavicle fractures ye bɔ wu. Adzɔge ƒe gbagbã mebɔ o, eye titina ƒe akɔta ƒe gbagbã mebɔ kura o.
Ðe ʋuʋudedi si woate ŋu akpɔ le akɔta ƒe gbagbã megbe la sɔa?
Nukpɔkpɔ si dzena nyuie bɔ le dɔyɔɣi eye ate ŋu anɔ anyi ne ƒua wɔ ɖeka vɔ. Le ɖeviwo kple ƒewuiviwo gome la, ate ŋu atrɔ asi le eŋu ŋutɔ le ɣeyiɣi aɖe megbe. Ele be woada nuwɔametɔ si le dzidzim ɖe edzi, ŋutigbalẽ si le ŋɔdzi dom, vevesese si le sesẽm ɖe edzi, lãmetutudɔ, alo gbɔdzɔgbɔdzɔ kpɔ enumake.
Ðe plate fixation nyo wu intramedullary fixation?
Mɔnu eveawo dometɔ aɖeke menyo na dɔnɔ ɖesiaɖe o. Wo ame evea siaa ate ŋu ana nu nyuiwo nado tso eme ɣeyiɣi didi le ame tsitsi tiatia aɖewo ƒe asike ƒe gbagbã me. Woate ŋu anyo wu be woatsɔ aŋe ablae na nɔnɔme siwo wogbã, gake ne wotsɔe ɖo lãkusi me ate ŋu aɖe lãɖeɖe ƒe lolome dzi akpɔtɔ le gbagbãƒe siwo sɔ me. Nyametsotsoa nɔ te ɖe alesi ame ƒe gbagbã ƒe nɔnɔme le, amekola ƒe nuteƒekpɔkpɔ, nusiwo dɔnɔa tsɔ ɖo nɔƒe gbãtɔ, kple afɔku siwo dona tso lãmeka si wodo ɖe lãme na ame me dzi.
Ðe wòhiã be woaɖe clavicle hardware ɖa ɣesiaɣia?
Ao, womeɖea agbalẽviwo, gaviwo, kple mɔ̃ siwo le lãkusi me ɖa edziedzi ne dzesi aɖeke mele wo ŋu o eye woƒe gbagbãƒea haya o. Woate ŋu abu eŋu be woaɖee ɖa le dzikudodo atraɖii, eƒe dzedzeme, vevesese, nusi wotsɔ dea lãme na ame ƒe kuxiwo, alo dɔdamɔnu bubuwo ta ne wodzro afɔku siwo le amekoko bubu me vɔ megbe.
Dzesi kawoe ɖee fia be ɖewohĩ akɔta ƒe gbagbã mele hayahayam o?
Vevesese si nɔa anyi ɖaa le afisi wògbã le, ʋuʋu alo vevesese si yia edzi, dɔwɔwɔ ƒe nyonyo si seɖoƒe li na, kple ŋgɔyiyi ƒe anyimanɔmanɔ le nɔnɔmetata siwo woɖena le kplɔkplɔ ɖo me ate ŋu afia be wohe ɖe megbe alo womewɔ ɖeka o. Nusiwo ŋu woke ɖo siawo bia be atikewɔla si le dɔ wɔm na wo la nada wo kpɔ.
Nyanuwuwuw
Akɔta ƒe gbagbãdɔdada nɔ te ɖe nu geɖe dzi wu X-ray ɖeka ƒe dzedzeme ko. Woate ŋu akpɔ gbagbãƒe siwo li ke alo esiwo meɖea teƒe boo aɖeke o ƒe akpa gãtɔ gbɔ dzidzedzetɔe amekoko manɔmee. Nuveviwɔame tiatia siwo woɖe le woƒe aƒewo me, siwo woɖe kpuie, siwo wotso, siwo le ʋuʋu ɖi, alo esiwo meli ke o ate ŋu aɖe vi ne wotsɔ dɔwɔwɔ na wo ɖo wo ŋu, vevietɔ le ame tsitsiwo gome. Dɔléle ƒe gbagbã ƒe nɔnɔme, ŋutigbalẽ kple ahɔhɔ̃mekawo ƒe nɔnɔme, abi siwo do ƒome kplii, ƒe si dɔnɔ xɔ, dɔwɔna ƒe didi, kple atikewɔwɔ ƒe taɖodzinuwo me dzodzro nyuie le vevie ŋutɔ be woawɔ nyametsotso ɖekae.
