Yu bon we brok dɔn wɛl di rɔŋ we? Ɔ i stil nɔ de mɛn? Lɛ wi tɔk bɔt (Malunion ɛn Nonunion Fractures)!

Na kɔmɔn tin fɔ brok bon, lɛk an ɔ leg, at le wan tɛm na wi layf. We dat apin, wi kin go to dɔktɔ kwik kwik wan, put plasta pan am, ɛn wet fɔ mek i wɛl. Bɔku tɛm, if dɛn trit dɛn fayn fayn wan, dɛn bon ya we dɔn brok go wɛl fayn fayn wan bak. Bɔt sɔm tɛm dɛn de we dis we aw pɔsin kin wɛl nɔ kin apin fayn fayn wan. Na da tɛm de wi fɔ tɔk bɔt kɔndishɔn dɛn we dɛn kɔl `(Malunion)` (misaignment) ɛn `(Nonunion)` (failure to heal at all) . Dɛn tin ya kin mek yu vɛks smɔl, so i rili impɔtant fɔ no bɔt dɛn tin ya.

Wetin dɛn `(Malunion)` ɛn `(Nonunion)` ya min? Lɛ wi ɔndastand am simpul wan, nɔto so?

Imajin se yu gɛt brok bon na yu an ɔ yu leg. Di dɔktɔ dɔn sɛt am fayn ɛn put plasta pan am. Naw, di tu bon dɛn we brok fɔ kam bak togɛda ɛn fit jɔs lɛk aw dɛn bin de.

• `(Malunion)` - Misɔndastandin:

Fɔ tɔk am simpul wan, `(Malunion)` min se di tu bon dɛn we brok dɔn fuz togɛda, bɔt nɔto fayn fayn wan . Dat min se di bon kin nɔ alaynɛd ​​fayn, ɔ i kin twist smɔl, ɔ i kin shɔt pas aw i fɔ bi. I tan lɛk se yu put tu brok brok pɔt dɛn bak togɛda di rɔŋ we. I fuz, bɔt nɔto rili rayt.

• `(Nonunion)` (Nonunion) - Di lɔs fɔ wetin fit:

``(Nonunion)`` na smɔl mɔ siriɔs kɔndishɔn. Wetin kin apin ya na dat di tu bon dɛn we brok, ivin afta lɔng tɛm fɔ wɛl, nɔ kin fit togɛda atɔl . Dat min se ivin afta sɔm mɔnt, nyu kɔnekshɔn nɔ de bitwin di tu bon dɛn. Fɔ tɔk di kɔrɛkt tin, di bon stil brok.

we di bon dεm nכ de hεl fayn, i kin gεt big impak pan di stεbiliti fכ wi bכdi in skel εn di wok dεm we dεn bon dεm de du. Imajin if wan bon na yu leg nɔ bin alaynɛd ​​fayn, yu kin limp ɛn fil pen we yu de waka, nɔto so?

Bɔrku tɛm, fraktrɔs kin wɛl fayn fayn wan if dɛn trit am fayn. Tu rizin dɛn de we mek dis nɔ kin apin. Wan na `mɛkanikal ishu` . Dis min se di tu pat dɛn we bin brok nɔ bin fit togɛda fayn we dɛn bin de wɛl. Di ɔda wan na `bayolojikal ishu` . Dis min se yu bɔdi nɔ gɛt di tin dɛn we yu fɔ it ɛn di blɔd we yu bon dɛn nid fɔ mek i wɛl. Dɔktɔ dɛn kin tink bɔt dɛn tu tin ya we dɛn de trit dɛn sik ya.

Wetin na di men kayn nɔ-union fraktrɔs?

We dɔktɔ dɛn kin chɛk pɔsin we nɔ gɛt wanwɔd, dɛn kin sheb am to wan kayn. Dis kin ɛp dɛn fɔ ɔndastand wetin mek di bon nɔ de wɛl ɛn us tin dɛn de mek i wɛl. Tri men kayn dɛn de:

Wetin na `(Hypertrophic nonunion)`?

insay dis kayn, sayn dεm de fכ se nyu bon sεl dεm de fכm. Dat min se di bɔdi de tray fɔ mɛn di bon. Bɔt di ɛnd dɛn fɔ di tu bon dɛn we dɔn brok nɔ kɔnɛkt fayn. dis min se di bכdi gεt di bayolojikal risכs dεm, bכt di tu brok brok pat dεm nכ de ol togeda fayn fayn wan εn nכ de fכl apat we di hεlin prכsεs de hεl. I tan lɛk se siment de, bɔt dɛn nɔ bon di mɔta fayn fayn wan.

Wetin na `(Atrophic nonunion)`?

If na so i bi, no sayn nɔ de fɔ se nyu bon dɛn de fɔm. Dɔn bak, di bon nɔ gɛt gud blɔd saplai. Dis sho se tin dɛn we gɛt layf de mek di bon nɔ de wɛl. Sɔntɛnde, infɛkshɔn kin dɔn apin na di bon, we kin dɔn ambɔg di blɔd saplai. wan ``Nonunion`` wit dis kayn infεkshכn dεn kכl am bak ``Septic nonunion`` .

Wetin na `(Oligotrophic nonunion)`?

Insay dis kayn, sɔm nyu bon dɔn fɔm, bɔt i nɔ kin kɔmplit. Di tu pat dɛn na di bon nɔ de na di rayt ples. Sɔntɛm di bon nɔ bin sɛt fayn we dɛn bin fɔs sɛt am, ɔ leta dɛn bin drɔp am ɛn shift am. כl tu di stebiliti fכktכ dεm εn bayolojikal fכktכ dεm kin involv ya.

Aw yu go no if yu gɛt `(Malunion)`? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If wan bon nɔ alaynɛd, we dɛn kɔl ``malunion,'' yu kin si ɔ fil tin dɛn lɛk dis:

• Chenj dɛn we pɔsin kin si na do:
• Yu bon de luk strɛch ɔ kruk .
• Di bon tan lɛk se i twist , ɔ i tan lɛk se i de spin rawnd .
• Di bon kin fil shɔt pas aw i bin de trade . Fɔ ɛgzampul, wan leg kin shɔt smɔl pas di ɔda wan.

• Diskɔmfɔt wae kin kam wae yu de yuse da bon de:
• Pen de na di bon.
• Swel de de de.
• Limp we yu de waka (if na leg).

Ɔl di bon dɛn na wi bɔdi gɛt kɔnekshɔn to dɛnsɛf. So, we bon wik na wan ples, i kin put ekstra prɛshɔn pan ɔda bon dɛn. fכ dat, ivin if nכ pen de na di ples we ``malunion'' de, we dεn yuz da bon de, i kin mek pen na כda pat na di bכdi.

• Prɔblɛm dɛn we gɛt fɔ du wit di nerve:

Sɔntɛnde, wan nɛv we de nia de kin kɔmprɛs ɔ pinch bikɔs di bon dɛn we nɔ alaynɛd ​​fayn. If dis kin apin, yu kin gɛt sɔm kayn sik lɛk:

• Numbness ɔ wan tingling sensation (`(Paresthesia)`) na da eria de.
• Di mɔsul dɛn we wik , ɔ fɔ tɔk mɔ, di mɔsul dɛn we nɔ de wok fayn.
• Nɛv pen (Nyuropati).

Wetin na di simptom dɛm fɔ wan `(Nonunion)`?

If bon nɔ fit togɛda, dat na, ``nɔ union'' de, yu kin si simptom dɛn lɛk dis:

• Dip pen de we kin de fɔ lɔng tɛm usay di bon brok. Dis pen kin kɔntinyu ivin afta dɛn dɔn pul di kɔst.
• We yu de yuz da bon de, yu kin fil wik ɔ yu nɔ kin muv bɛtɛ .
• Wan chenj we pɔsin kin si , fɔ ɛgzampul, wan bɔmp ɔ gap, kin de na do, lɛk se di bon dɔn kɔmɔt na do.

Sɔntɛnde, if infekshɔn de na di bon, dɛn sayn ya kin apin togɛda ɔ difrɛn wan:

• De swɛl
• Fiva
• Fɔ fil kol ɛn gɛt kol (chills) .

Wetin mek fraktכs nכ de hεl fayn εn i de rεsult in ``malunion`` כ ``nonunion``? Wetin na di tin dɛn we kin mek i apin?

Bɔku rizin dɛn de we mek bon nɔ kin wɛl. Sɔm wi kin kɔntrol, sɔm wi nɔ ebul. Na sɔm pan dɛn:

• Di kayn we aw di fraktrɔs de ɛn aw i siriɔs:

Sɔm fraktrɔs dɛn de we at fɔ mɛn smɔl. fכ egzampl, spiral frakshכn (dεn wan dεm we de brok insay wan twist we) כ comminuted fractures (dεn wan dεm we de brok insay plεnti pat) , nכ kin set fayn. Dɔn bak, if di blɔd we de na di bon nɔ wok bikɔs ɔf big aksidɛnt, dat kin afɛkt bak di we aw i de wɛl.

• Aw dɛn bin gɛt di tritmɛnt kwik ɛn fayn:

If dɛn nɔ trit bon kwik afta we i brok, i kin bigin fɔ wɛl di rayt we. Dɔn bak, ivin afta dɛn dɔn sɛt di bon fayn ɛn put wan kast, i kin stil muf kɔmɔt na in ples. Dis kin apin mɔ if di tritmɛnt delay ɔ di we aw dɛn yuz am (e.g., di trɛnk we di kɔst gɛt) nɔ go du fɔ am.

• If yu bin rɛst fayn ɛn protɛkt yusɛf di tɛm we yu de wɛl:

We di bon de wɛl, i rili impɔtant fɔ mek di bon we dɔn brok nɔ muv ɛn fiks am na di kɔrɛkt pozishɔn. Sɔntɛnde, i kin tek lɔng pas aw i kin tek fɔ wɛl. Insay dɛn kayn tin ya, prɔblɛm kin kam if di dɔktɔ pul di kast tu kwik ɔ if yu bigin fɔ yuz di bon tu kwik.

• Yu ɔl wɛl bɔdi ɛn di trɛnk we yu nid fɔ gɛt bak:

We di hiling prɔses slo, chans de fɔ mek yu nɔ gɛt wanwɔd ɔ nɔ gɛt wanwɔd. Bɔn wɛl kin delay ɔ nɔ kin kɔmplit pan pipul dɛm we dɔn ol , we nɔ gɛt bɛtɛ tin fɔ it (espɛshali kalsiɔm ɛn vaytamɛn D), ɛn mɛtabolik kɔndishɔn lɛk dayabitis ɛn tayroyd sik . Fɔ yuz tabak ɛn nikotin na men tin bak we kin mek di bon dɛn wik ɛn mek dɛn nɔ wɛl.

Aw dɔktɔ dɛn kin no dɛn `(Malunion)` ɛn `(Nonunion)` kɔndishɔn ya kɔrɛkt wan?

If yu tink se yu gɛt prɔblɛm lɛk dis, dɔktɔ go aks yu fɔs bɔt di aksidɛnt ɛn ɛni ɔda mɛrɛsin we yu go gɛt. Dɔn, dɛn go du wan bɔdi ɛgzamin fɔ di bon. Dɛn go luk fɔ ɛni chenj we yu go si na do, ɛn dɛn go aks yu aw yu de fil bay we dɛn de muv di bon. Dɛn kin aks yu fɔ waka, ɔ dɛn kin mɛzhɔ di lɔng we di bon gɛt.

Afta dat, dɛn kin du imej tɛst fɔ di bon. Dɛn tin ya kin bi:

• `(X-rays)` (X-ray): Bɔku tɛm dis na di fɔs tin we yu kin luk.
• `(CT scan)` (CT scan): I kin gεt klia, kכros-sekshכnal imej dεm fכ di bon.
• `(MRI)` (MRI scan): dis de εp fכ si if eni damej de pan di sכft tisu dεm we de rawnd di bon dεm, lεk di nεv dεm.

If di dɔktɔ si se di bon dɔn wɛl na say we nɔto anatomical, i go dɔn se na ``malunion.`` If di bon nɔ bigin fɔ wɛl ɔ i nɔ dɔn wɛl ful wan afta rizin fɔ wɛl, dɛn kin kɔl am ``delayed union`` ɔ ``nonunion.`` Di tɛm fɔ wɛl kin difrɛn dipen pan di kayn injuri, di bon we involv, ɛn yu wɛlbɔdi. Tipikli, dεn kכl am ``nonunion`` if i nכ hεl afta siks, nayn, כ twεlv mכnt.

Yu tink se dɛn `(Malunion)` ɛn `(Nonunion)` kɔndishɔn ya kin wɛl? Wetin na di tritmɛnt dɛn?

Di gud nyus na dat nɔto ɔl malunion ɔ nonunion nid fɔ "fiks." I dipen pan di bon we gɛt fɔ du wit am, aw yu de yuz am, ɛn aw i de afɛkt yu ɛvride layf. Bɔt sɔm nɔ-union kin mek yu nɔ muv, mek yu fil pen, ɔ mek yu gɛt ɔda prɔblɛm dɛn. Insay dɛn kayn tin dɛn de, i kin nid fɔ du ɔpreshɔn fɔ kɔrɛkt di prɔblɛm. Dɔktɔ dɛn go tray fɔ yuz tritmɛnt dɛn we nɔto ɔpreshɔn fɔs ɛn afta dat dɛn go yuz ɔpreshɔn if dɛn nɔ wok.

Tritmɛnt fɔ `(Malunion)` (Misaligned Bones) .

• Tritmɛnt dɛn we nɔto ɔpreshɔn:
• Bracing: Dɛn kin aks yu fɔ wɛr bres fɔ ɛp fɔ kip di bon fayn fayn wan we yu de yuz am.
• Ɔtotiks: If wan leg shɔt, yu kin yuz spɛshal shuz insay fɔ kɔmpɛns di difrɛns.
• Fyzikal tritmɛnt: Dis kin min fɔ du spɛshal ɛksesaiz we kin mek di mɔsul dɛn we gɛt fɔ du wit am strɔng ɛn ridyus di prɛshɔn we de pan di bon.
• Di tin dɛn we de mek pɔsin nɔ fil pen: NSAID (nɔ-stɛroyd anti-inflammatory drɔgs) fɔ mek pɔsin nɔ fil fayn wan wan tɛmYu kin yuz ɔdinari pen kil lɛk.

• Di tritmɛnt we dɛn kin du bay ɔpreshɔn:
• Osteotomy: Dɔktɔ we de du ɔpreshɔn kin kɔt di bon ɛn ajɔst di say we i de.
• Ɔpreshɔn fɔ mek yu an ɔ fut lɔng: If dɛn shɔt bad bad wan fɔ mek yu an ɔ yu fut lɔng, dɛn kin du ɔpreshɔn fɔ mek i lɔng bay we dɛn yuz spɛshal tin.

Tritmɛnt fɔ `(Nonunion)` (bɔn dɛn we nɔ fit togɛda) .

• Tritmɛnt dɛn we nɔto ɔpreshɔn:
• Mεdikal tεrapi: If sik de wae de afekt di ol bכdi (e.g. dayabitis), infεkshכn, כ malnutrishכn, dat fכ trit fכs.
• Ɔtɔsis: Dɛn kin yuz bres, splint, ɔ kast fɔ ɛp di bon fɔ wɛl ɛn mek i nɔ fɔdɔm.
• Bon stimulator: Dis na spɛshal tin dɛn we de yuz ɔltrasɔnik wev ɔ ilɛktromagnetik wev fɔ mek di bon dɛn wɛl.
• Bayolojikal injεkshכn: dεn kin injεkt stεm sεl dεm כ plasma we gεt pletlet insay di bon fכ mek i hεl εn gro.

• Di tritmɛnt we dɛn kin du bay ɔpreshɔn:
• Debridement: Di dɔktɔ we de du di ɔpreshɔn kin pul di tisu we dɔn day ɛn we nɔ de wɛl frɔm di bon.
• Vascular surgery: If di blɔd nɔ de wok fayn, dɛn kin du vascular surgery fɔ mek i kam bak.
• Bone grafting: Di dɔktɔ we de du ɔpreshɔn kin tek wan pat pan yu bon frɔm ɔda pat na yu bɔdi (lɛk yu hip bon) ɔ frɔm wan bon we yu gi yu ɛn put am na di pat we nɔ de. Dis de gi gud stat fɔ mek nyu bon gro.
• Opin ridyushɔn ɛn intanɛnt fikseshɔn: Di ɔspitul kin put di bon pat dɛn bak ɛn yuz ɔspitul skru, plet, ɔ nel fɔ ol dɛn togɛda.

Aw de wɛl bɔdi afta tritmɛnt?

Ɔl tu di tritmɛnt dɛn we nɔto ɔspitul ɛn ɔspitul gɛt ay sakrifays rɛt fɔ trit malunion ɛn nɔ union. Dat na gud nyus. Bɔt i kin tek sɔm tɛm fɔ ful-ɔp fɔ wɛl ɛn kam bak to nɔmal (rihabiliteshɔn). Yu kin nid fɔ yuz ken ɔ waka fɔ waka te yu wɛl. Yu kin nid bak fɔ gɛt tritmɛnt fɔ yu bɔdi.

Sɔntɛnde, di tritmɛnt kin fel. dis kin apin if dεn nכ kin ebul fכ ol di bon na di rayt posishכn, כ if dכkta dεn nכ kin kכntro di bayolojikal fכs tin dεm we wi bin tכk bכt (lεk blכd saplai εn nyutrishכn).

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

We pɔsin brok bon, i kin apin to ɛnibɔdi. Sɔntɛnde, wi nɔ kin ivin no wantɛm wantɛm se wi dɔn brok wan bon. Bɔt if yu ivin gɛt smɔl saspek we yu go gɛt, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm ɛn chɛk yu.

• Fraktrɔs kin wɛl bɛtɛ we dɛn gɛt kwaliti kia kwik kwik wan .
• Yu dɔktɔ go chɛk yu wund ɛn no ɛnitin we go mek i nɔ wɛl.
• Dɛn go advays yu bɔt di bɛst we fɔ tek kia ɔf yusɛf fɔ mek yu nɔ gɛt ɛni wan pan `(Malunion)` ɔ `(Nonunion). I rili impɔtant fɔ tek tɛm fala dɛn instrɔkshɔn dɛn de.

So, a op se dis infɔmeshɔn go yusful to yu. If yu bon brok, nɔ panik ɛn nɔ fɔgɛt fɔ fala di rayt advays we dɔktɔ gi yu. Bɔrku tɛm dis kin mek kɔmplikɛshɔn lɛk dis nɔr apin.

` Frakshכn, malunion, nonunion, malunion, bon tritmεnt, bon כpεrayshכn