Ho robeha ha Smith ke mofuta o itseng oa kotsi ho bone ea forearm (radius) haufi le letsoho la letsoho. Kotsing ena ho na le ho falla ha lesapo le leng le le leng hoo letsoho le kopantsoeng le itšetlehileng ka boemo ba lona bo tloaelehileng ba anatomiki. Kotsi e atisa ho fumanoa ka mor'a ho oela ka morao, kapa ka ho oa ka letsoho le lenngoeng fatše 'mele oa hao o sotha lehlakoreng.
Ka linako tse ling ho robeha ha Smith ho bitsoa ho robeha ha Li-Colles. Ho robeha ha Li- Colles hape ke mofuta oa ferese ea radial fracture, empa lesapo le sututsoa morao ho e-na le ho sutumelletsa pele.
Mefuta ea Fractures ea letsoho
Letšoao le kopaneng ke khetho ea forearm le letsoho. Motsoako o thehoa ke masapo a mabeli (foreus le ulna) a ikopantseng le masapo a manyenyane a letsoho. Ka kakaretso, ha motho e mong a hlalosa ho robeha ha letsoho , ba bua ka kotsi ho qetellong ea bone radius. Leha ho le joalo, lentsoe le qhetsoeng ka letsoho le ka sebelisoa ho hlalosa likarohano tse ling tse kang li- scaphoid fractures , ulna fractures ea distal, le maqeba a mang a masapo a potolohileng letsoho la letsoho.
Maqhubu a fapaneng a radius a ka hlaha mefuteng e fapaneng, 'me mofuta o khethehileng oa ho robeha o ka thusa ho fumana phekolo e nepahetseng. Ho na le mabaka a 'maloa a khetholloang a ka susumetsang liqeto mabapi le phekolo e ntle; tse ling tsa mabaka ana li kenyeletsa:
- Ho senyeha ha sefuba (masapo a mang?)
- Ho kenngoa ha sekhahla / ho kenya letsoho ho kopantsoeng (Na ho robeha ho kena ka holim'a metsi?)
- Ho tsitsa ha sefuba (Masapo a ka lula a le boemong bo bokae?)
Ho phaella moo, ho na le litaba tse 'maloa tsa bakuli ba ka susumetsang qeto ea hore na ba ka sebetsana ka katleho le fracture e tobileng joang.
Tse ling tsa lintlha tsena li kenyelletsa:
- Nako ea mokuli
- Mosebetsi oa boemo ba mokuli
- Ho laola matsoho
- Litaba tse ling tsa bongaka (tse kang lefu la tsoekere, tšebeliso ea koae, khaello ea phepo e nepahetseng)
Phekolo
Ka lebaka la ho robeha ha Smith ha ho tsitsitseng, hangata kotsi ena e hloka ho tsitsisoa ka mokhoa o itseng ka mokhoa o itseng. Haeba fracture e tloha sebakeng sa eona se tloaelehileng, ka kakaretso ho hlokahala hore e sireletsehe sebakeng se nang le litlhaloso tsa tšepe, hangata lipoleiti le likheo . Mekhoa e meng ea ho tsitsisa fracture e kenyelletsa lintlha tse kenngoa ka letlalo le ho lokisoa ka ntle . Bakuli ba bangata ba khetha poleiti le likheo ho tloha ha fracture e sireletsehile hantle, 'me ba ka qala boiteko ba pele ba ho ntlafatsa tsamaiso ea selekane.
Ha ho lahloa ho ka 'na ha etsoa boiteko, empa ho hlokahala ho shebeloa ka hloko ho tiisa hore fracture e lula sebakeng se loketseng kaha ho na le tšekamelo ea hore likheo tsena li fokotsehe sebakeng sa ho falla.
E boetse e tsejoa e le: Ho robeha ha letsoho, letsoho le robehileng
Lisebelisoa:
Lichtman DM, et al. "Kakaretso ea Keletso ea AAOS ea Keletso ea Ts'ebeliso ea Keletso Phekolo ea Mahlaseli a Fapaneng a Fapaneng" J Am Acad Orthop Surg March 2010; 18: 180-189.