Fasahar Tiyata | "Dabarar Band ɗin Kirschner na Waya" don Gyaran Ciki a Maganin Karyewar Bennett

Karyewar Bennett ta kai kashi 1.4% na karyewar hannu. Ba kamar karyewar da aka saba samu a tushen kasusuwan metacarpal ba, canjin karyewar Bennett abu ne na musamman. Ana kiyaye guntun saman articular na kusa a matsayinsa na asali saboda jan jijiyar metacarpal mai kaifi, yayin da guntun da ke nesa, saboda jan jijiyoyin da suka kama da na abductor pollicis longus da adductor pollicis, suna wargajewa a tsakiya da kuma sama.

Ga karaya ta Bennett da aka kora, yawanci ana ba da shawarar yin tiyata don guje wa daidaita haɗin gwiwa da babban yatsan hannu na carpometacarpal. Dangane da hanyoyin maganin tiyata, ana amfani da tsarin gyara faranti da sukurori, da kuma gyaran ciki na waya na Kirschner, a fannin likitanci. Masana daga Asibitin Uku na Hebei sun gabatar da wata dabara ta amfani da igiyar waya ta Kirschner, wadda ta ƙunshi ƙaramin yankewa don gyara karaya ta Bennett, wanda hakan ke haifar da sakamako mai kyau.

Mataki na 1: Yi yankewa mai tsawon santimita 1.3 a gefen radial na haɗin carpometacarpal, a raba shi zuwa layi ɗaya don a fallasa wurin, a ja da baya ga haɗin abdoctor pollicis longus zuwa gefen ulnar, sannan a fallasa gefen baya na haɗin carpometacarpal.

Mataki na 2: A shafa jan ƙarfe da hannu sannan a yi amfani da babban yatsan hannu don rage karyewar. A saka waya ta Kirschner mai tsawon mm 1 ta ƙarshen karyewar da ke nesa, daga haɗin carpometacarpal 1-1.5 cm, don gyara ɓawon ƙashi na kusa. Bayan wayar Kirschner ta ratsa ɓawon ƙashi, a ci gaba da ƙara shi da santimita 1.

Mataki na 3: Ɗauki waya ka madauki ta a cikin tsari mai siffar takwas a kusa da ƙarshen waya ta Kirschner guda biyu, sannan ka madauki ta a wurin.

An yi amfani da dabarar igiyar Kirschner mai ƙarfi a cikin karaya da yawa, amma ga karaya ta Bennett, ƙaramin yankewa sau da yawa yana haifar da rashin gani sosai kuma yana sa aikin ya zama ƙalubale. Bugu da ƙari, idan an yi amfani da ƙarfe, wayar Kirschner guda ɗaya ba za ta iya daidaita ɓangaren ƙashi na kusa ba yadda ya kamata. Amfaninsa na asibiti na iya iyakance. Baya ga hanyar gyara igiyar tashin hankali da aka ambata a baya, akwai kuma hanyar gyara igiyar Kirschner tare da dabarar igiyar tashin hankali, wanda aka ruwaito a cikin wallafe-wallafe.