Mgbaji ọkpụkpụ Clavicular bụ ihe kpatara 2.6% nke mgbawa ndị toro eto niile, yana ihe ruru 80% na-eme na mpaghara midshaft. Kemgbe mmalite afọ 1990, a na-ewere usoro njikwa nchekwa nke Neer tụrụ aro dị ka ọgwụgwọ mbụ maka mgbawa clavicular. Agbanyeghị, ọtụtụ ọmụmụ egosila na ọgwụgwọ na-abụghị ịwa ahụ anaghị ebelata mbelata na mgbawa clavicular midshaft nke a gbanwere agbanwe ma ọ bụ nke a na-akpọ comminuted, na-ebute mwepụ na-aga n'ihu na mkpụmkpụ ka njọ, nke na-ebuli ihe egwu nke malunion na enweghị njikọ aka elu nke ukwuu. Ọzọkwa, akụkọ egosila na ndị ọrịa a na-agwọ na-enweghị ịwa ahụ na-enwe obere ike ubu. N'ihi ya, ọgwụgwọ ịwa ahụ enwetawo mmasị na-eto eto maka ndị ọrịa nwere mgbawa clavicular n'afọ ndị na-adịbeghị anya, gụnyere mbelata mepere emepe na ndozi ime (ORIF) na ndozi efere.

Maka mgbawa ndị dị otú ahụ siri ike, dọkịta ahụ lekwasịrị anya na usoro ndozi nke ejiri obere efere agbakwunyere. Efere ndị a na-arụ ọrụ dịka skru lag mana ha na-enye ọrụ dị mfe. Nleba anya n'ime ịwa ahụ gosikwara na ha kwụsiri ike, e nwetakwara nsonaazụ dị mma site na iji ha na mgbawa patellar comminuted. Site na nnyocha na-egosi na ndozi efere abụọ na-enye nkwụsi ike zuru oke, dọkịta ahụ jiri ya.oọrịa rthopedicminipn'oge adịghị anyaiji chekwaa obere iberibe mgbawa na akụkụ ọkpụkpụ bụ isi, na-agbanwe usoro mgbawa mgbagwoju anya ka ọ bụrụ nhazi dị mfe. E mere ka mbelata nke elu mgbawa ahụ dịkwuo mfe, wee tinye nke dị elu karịaMkpọchi efere mkpakọ(LCP). Iji belata mmerụ ahụ periosteal, naanị obere mbepụ ka e mere iji kpughee ebe a na-etinye skru, na-eme ka ọ kwụsie ike dịka ụkpụrụ nke obere osteosynthesis plate (MIPO) si dị.

Ikpe Ahụike

E jiri ihe nkiri X-ray na nyocha CT 3D e megharịrị eme nyocha tupu a wapụta ahụ. A chọpụtara na otu nwoke dị afọ 22 nwere mgbawa clavicular midshaft aka nri nke mere n'oge egwuregwu. Anteroposterior clavicular radiograph (a) na apical oblique radiograph (b) kwadoro na mgbawa ahụ bụ nke ụdị nhazi AO/OTA 15.2C (mgbawa multifragmentary comminuted). Foto CT e megharịrị akụkụ atọ nke onye ọrịa gosipụtara onyonyo stereoscopic nke nhazi mgbawa oghere, na-enye ihe akaebe anatomical dị omimi maka atụmatụ tupu a wapụta ahụ.

E tinyere onye ọrịa ahụ n'oche dị n'akụkụ osimiri n'okpuru ọgwụ mgbu, ebe isi na olu ya gbapụrụ iche n'akụkụ ịwa ahụ. Mgbe e jiri ọgwụ nje mee ihe mgbe niile ma jiri ákwà mgbochi nje mee ihe, e jiri akara ịwa ahụ mee akara n'okpuru nduzi fluoroscopic site na iji akara C-arm. E mere mbepụ dị ihe dị ka cm 5 n'ogologo (nke kwekọrọ na ogologo mpaghara mgbawa ahụ) n'akụkụ ahịrị clavicular fracture. OtuMpempe Akwụkwọ Nkịtị Titanium(2.0 mm dị obereEfere Klọviklụ Orthopedic) e jiri ya mee ihe iji nyere aka belata mgbawa.

Efere ClavicleE ji ya jikọta ma dozie iberibe ọkpụkpụ ndị dị ka wedge ma ọ bụ comminuted na akụkụ mgbawa bụ isi. Mgbe emechara mgbanwe mgbawa ahụ dị mgbagwoju anya ka ọ bụrụ nhazi dị mfe n'ụzọ dị mfe, tinye ya na ihe dị eluEfere mkpọchi ahụikeE mere ya. E tinyere clavicular LCP (usoro clavicular LCP dị elu nke 3.5 mm) n'elu cortical nke clavicle ma tinye ya site na usoro osteosynthesis plate minimally invasive (MIPO).

Onye ọrịa ahụ yi sling ruo ụbọchị asaa mbụ mgbe a wachara ya ahụ iji belata ahụ erughị ala, wee malite mmega ahụ mmegharị ahụ. Mgbe izu asatọ gachara, a malitere ọzụzụ ime ka akwara sie ike ozugbo e gosipụtara njikọ ọkpụkpụ na nyocha ahụike gosiri obere ihe mgbu. E mere nyocha X-ray (anya clavicular anteroposterior na anya clavicular apical oblique) ozugbo a wachara ya ahụ na nleta ọ bụla a na-eme n'ụlọ ọgwụ.

Ọ bụrụ na ịchọrọ ịmatakwu gbasara yaEfere mkpọchi nke Orthopedic Clavicleihe ọmụma, biko nweere onwe gịkpọtụrụ anyị; ndị otu anyị ga-enye gị nkwado ọkachamara na azịza.