Dabarun tiyata | "Kirschner Wire Tension Band Technique" don Gyaran Ciki a cikin Jiyya na Fatar Bennett

Karyawar Bennett ya kai kashi 1.4% na karyewar hannu. Ba kamar karaya ta yau da kullun na gindin ƙasusuwan metacarpal ba, ƙaurawar karayar Bennett na musamman ne. An kiyaye gutsuttsuran ɓangarorin da ke kusa da shi a cikin ainihin yanayin halittar jiki saboda ja da ligament na metacarpal da ba a taɓa gani ba, yayin da guntu mai nisa, saboda ɓarke ​​​​na abductor pollicis longus da tendons na addctor pollicis, ya rabu da dorsoradially kuma yana juyewa.

Don karyewar Bennett da aka yi gudun hijira, ana ba da shawarar tiyata yawanci don guje wa ɓata daidaitawar haɗin gwiwa da aikin yatsan hannu na carpometacarpal. Dangane da hanyoyin maganin tiyata, tsarin gyaran farantin karfe da dunƙulewa, da Kirschner waya na ciki, ana amfani da su sosai a cikin aikin asibiti. Malamai daga Asibitin na Uku na Hebei sun ba da shawarar wata dabarar bandeji ta Kirschner waya, wacce ta ƙunshi ɗan ƙaramin ɓarna don gyara ɓarnar Bennett, tare da samun sakamako mai kyau.

Mataki 1: Yi yankan 1.3 cm a gefen radial na haɗin gwiwa na carpometacarpal, rarraba Layer ta Layer don fallasa wurin, ja da satar pollicis longus zuwa gefen ulnar, da kuma fallasa gefen dorsal na haɗin gwiwar carpometacarpal.

Mataki na 2: Aiwatar da jujjuyawar hannu da kuma karkata babban yatsan hannu don rage karaya. Saka waya Kirschner na mm 1 ta ƙarshen karaya mai nisa, 1-1.5 cm nesa da haɗin gwiwa na carpometacarpal, don gyara guntun kashi na kusa. Bayan wayar Kirschner ta shiga cikin guntun kashi, ci gaba da ciyar da shi da 1 cm.

Mataki na 3: Ɗauki waya da madauki da shi a cikin siffa-takwas a kusa da ƙarshen waya ta Kirschner, sannan ka tsare ta a wuri.

An yi amfani da dabarar bandeji mai tayar da hankali ta Kirschner a cikin ɓangarorin da yawa, amma ga raunin Bennett, ƙananan ƙaƙƙarfan yakan haifar da rashin kyan gani kuma yana sa aikin ya zama ƙalubale. Bugu da ƙari, idan an yanke karayar, waya ɗaya na Kirschner bazai daidaita guntun kashi na kusa ba yadda ya kamata. Ayyukansa na asibiti na iya iyakancewa. Bayan hanyar gyaran bandeji da aka ambata a baya, akwai kuma gyare-gyaren waya na Kirschner tare da dabarar bandeji, wanda kuma aka ruwaito a cikin adabi.