Ko te whakautu ki tēnei pātai, kāore he whati rekereke e hiahiatia ana he hononga wheua i te wā e mahia ana te whakapiringa o roto.
I mea a Sanders
I te tau 1993, i whakaputa a Sanders et al [1] i tētahi tohu nui i roto i te hītori o te maimoatanga pokanga o ngā whati calcaneal i roto i te CORR me tā rātou whakarōpūtanga CT o ngā whati calcaneal. Nō nā tata nei, i whakatau a Sanders et al [2] kāore e hiahiatia te hono wheua, te pereti maukati rānei i roto i te 120 whati rekereke me te whai muri i te wā roa o te 10-20 tau.
I whakaputaina e Sanders et al. te momo CT o ngā whati rekereke i roto i te CORR i te tau 1993.
E rua ngā kaupapa matua o te tāpiri wheua: te tāpiri hanganga hei tautoko ā-mīhini, pērā i te fibula, me te tāpiri granular hei whakakī me te whakaoho i te osteogenesis.
I kōrero a Sanders ko te wheua rekereke he anga nui kei roto i te anga e kapi ana i te wheua cancellous, ā, ko ngā whati o roto o te wheua rekereke kua nekehia ka taea te hanga anō i ngā whati o roto o te wheua rekereke e te wheua cancellous me te hanganga trabecular mēnā ka taea te tautuhi anō i te anga cortical. Ko Palmer et al [3] te hunga tuatahi ki te ripoata mō te honohono wheua i te tau 1948 nā te korenga o ngā taputapu whakapiri ā-roto e tika ana hei pupuri i te whati o te mata hononga i taua wā. I te whanaketanga tonu o ngā taputapu whakapiri ā-roto pērā i ngā pereti me ngā tīwiri posterolateral, kāore i hiahiatia te tautoko i te pupuri i te whakaiti mā te whakapiri wheua. Kua whakaūhia tēnei tirohanga e āna rangahau haumanu roa.
E ai ki tētahi rangahau haumanu, kāore e hiahiatia te tāpiri wheua
I whakahaerehia e Longino et al [4] me ētahi atu tētahi rangahau ā-mua mō ngā whati hononga-roto e 40 kua nekehia o te rekereke me te iti rawa o te 2 tau o te aroturukitanga, ā, kāore i kitea he rerekētanga nui i waenga i te honohono wheua me te kore honohono wheua e pā ana ki te whakaahua, ki ngā putanga mahi rānei. I whakahaerehia e Gusic et al [5] tētahi rangahau ā-mua mō ngā whati hononga-roto e 143 kua nekehia o te rekereke me ngā hua ōrite.
I whakahaerehia e Singh et al [6] o te Mayo Clinic tētahi rangahau whakamuri o ngā tūroro e 202, ā, ahakoa he pai ake te honohono wheua i runga i te koki a Bohler me te wā ki te pikau i te taumaha katoa, kāore he rerekētanga nui i roto i ngā putanga mahi me ngā raruraru.
Ko te tākai wheua hei take mōrearea mō ngā raruraru whara
I te tau 2015, i whakahaerehia e Ahorangi Pan Zhijun me tana tīma i te Hōhipera Tuarua o Zhejiang Medical Second tētahi aromatawai pūnaha me te tātaritanga whānui, i whakaurua ai ngā tuhinga katoa i taea te tiki mai i ngā pātengi raraunga hiko i te tau 2014, tae atu ki te 1651 whati wheua i roto i te 1559 tūroro, ā, i whakatau rātou ko te tāpiri wheua, te mate huka, te kore whakatakoto i te waikeri, me ngā whati kino ka nui ake te mōrearea o ngā raruraru whara i muri i te pokanga.
Hei whakamutunga, kāore e hiahiatia te tāpiri wheua i te wā e whakapirihia ana ngā whati rekereke, ā, kāore e whai wāhi ki te mahi, ki te putanga whakamutunga rānei, engari ka nui ake te mōrearea o ngā raruraru whara.
1.Sanders R, Fortin P, DiPasquale T, et al. Te maimoatanga pokanga i roto i te 120 whati o te angaanga o roto o te hononga. Ngā hua mā te whakamahi i te whakarōpūtanga matawai rorohiko matapae. Clin Orthop Relat Res. 1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, et al. Te maimoatanga pokanga o ngā whati o te angaanga o roto o te hononga: mō te wā roa (10-20 Tau) ka hua ake he 108 whati mā te whakamahi i tētahi whakarōpūtanga CT matapae. J Orthop Trauma. 2014;28(10):551-63.
3.Palmer I. Te tikanga me te maimoatanga o ngā whati o te calcaneus. J Bone Joint Surg Am. 1948;30A:2–8.
4.Longino D, Buckley RE. Te tārai wheua i roto i te maimoatanga pokanga o ngā whati o te angaanga o roto o te hononga: he āwhina? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, et al. Te rongoā pokanga mō ngā whati o te angaanga o roto o te hononga: Ngā putanga ā-tinana me te mahi o ngā tikanga pokanga rerekē e toru. Whara. 2015;46 Tāpiri 6:S130-3.
6.Singh AK, Vinay K. Te rongoā pokanga mō ngā whati wheua kua nekehia i roto i te hononga: he mea tika te tāpiri wheua? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, et al. Ngā āhuatanga mōrearea mō ngā raruraru patunga o ngā whati calcaneal kua kati i muri i te pokanga: he arotake pūnaha me te tātaritanga whānui. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Wā tuku: Hakihea-07-2023
