Yu bon nɔ bin sɛt fayn afta we yu brok am? (Malunion & Nɔnunion Fraktrɔs)

Oh, fɔ brok bon na sɔntin we yu nɔ ivin want fɔ tink bɔt, nɔto so? Bɔt i kin apin we aksidɛnt apin, we pɔsin fɔdɔm frɔm ay ay ples, ɔ ivin motoka aksidɛnt. Bɔku tɛm, wit di tritmɛnt we dɔktɔ dɛn kin gi, lɛk fɔ put bandej ɛn sɔntɛm plasta, dɛn kin put di bon dɛn we dɔn brok bak togɛda fayn fayn wan. Bɔt sɔntɛnde, dɛn tin ya nɔ kin apin izi wan lɛk aw yu tink. Wetin kin apin if dɛn nɔ fit togɛda fayn, ɔ if dɛn nɔ fit togɛda atɔl? Tide, wi go tɔk bɔt tu kayn kɔndishɔn dɛn ya: Malunion ɛn Nonunion .

Wetin na Malunion ɛn Nonunion?

Fɔ tɔk am simpul wan, dis de tɔk bɔt kes dɛn we bon nɔ de wɛl fayn afta we i brok.

• Malunion na we dɛn miks di bon dɛn we dɔn brok togɛda, bɔt na di rɔng we, na di rɔng pozishɔn . Lɛk tu brok brok plet dɛn we dɛn glu togɛda di rayt we. Dɛn kin pul di bon dɛn, bɛn dɛn, ɔ shɔt dɛn.
• Nɔnunion na we di bon dɛn we brok nɔ wɛl atɔl, ivin afta lɔng tɛm. I tan lɛk tu brok brok wud we jɔs nɔ go fit togɛda.

Dis we ya, if wan bon nɔ alaynɛd ​​fayn, ɔ if i nɔ alaynɛd ​​ɔltogɛda, i kin gɛt big impak pan di stebul ɛn wok we wi bɔdi in skel de du. Imajin aw i go at fɔ waka if wan bon na yu leg nɔ alaynɛd ​​fayn.

Bɔrku tɛm, fraktrɔs kin wɛl fayn fayn wan if dɛn trit am fayn. If dɛn nɔ du dat, rizin fɔ de. I kin bi mɛkanikal prɔblɛm - dat na, di brok brok pat dɛn nɔ bin fit togɛda fayn fayn wan we dɛn de wɛl. Ɔ i kin bi bayolojikal prɔblɛm - dat na, yu bɔdi nɔ gɛt bɛtɛ tin fɔ mɛn wan bon. Dɔktɔ dɛn kin tek ɔl dɛn tin ya na kɔna we dɛn de trit dɛn sik ya.

Wetin na di men kayn we dɛn we nɔ gɛt wanwɔd?

Yu dɔktɔ kin klas yu nɔ-union as ``Hypertrophic'', ``Atrophic'', ɔ ``Oligotrophic''. Dis klasification de bays pan pruf fɔ wetin de mek di bon nɔ de wɛl.

• Hypertrophic nonunion: Dis na we nyu bon de fכm, bכt di εnd dεm fכ di bon pat dεm we brok nכ de jכyn fayn fayn wan. in כda wod dεm, yu bon gεt כl di bayolojikal kכmכpכnεnt dεm (e.g., bכdi saplai, sεl dεm) we i nid fכ hεl, bכt di bon pat dεm nכ de ol fayn fayn wan we i de hεl. Imajin se yu gɛt ɔl di tin dɛn we yu nid fɔ bil os, bɔt dɛn nɔ tay di wɔl dɛn fayn.
• Atrofik nɔ-yunin: .If na so i bi, nyu bon nɔ de we pɔsin kin si, ɛn di bon nɔ kin gɛt gud blɔd. Dis sho se di bon nɔ de wɛl fɔ bayolojikal rizin dɛn. Jɔs lɛk aw plant kin dray we i nɔ gɛt wata ɛn it. Sɔntɛnde, if infɛkshɔn de insay di bon (septic nonunion), di blɔd saplai kin ambɔg bak.
• Oligotrophic nonunion: insay dis kes, sכm nyu bon de fכm, bכt i nכ kכmplit. di bon fragmεnt dεm nכ de na di kכrekt posishכn. Sɔntɛm di bon pat dɛn nɔ bin sɛt fayn fɔs, ɔ leta dɛn bin miks dɛn. Prɔblɛm kin de wit di stebiliti fɔ di bon fragmɛnt dɛn ɛn bayolojikal tin dɛn.

Wetin na di sayn dɛm we de sho se pɔsin nɔ gɛt wanwɔd?

We bon nɔ alaynɛd ​​(malunion), yu kin si tin dɛn lɛk dis:

• Yu bon dɛn kin tan lɛk se dɛn strɛch ɔ bɛn.
• I tan lɛk se di bon dɔn twist .
• Di bon luk shɔt pas aw i bin de bifo.

We yu de yuz bon we nɔ alaynɛd ​​dis we, yu kin gɛt dɛn sayn ya:

• I kin at usay di bon de.
• Na swɛlin 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 wet ɛn prɛshɔn pan ɔda bon dɛn. So, we yu yuz di bon we wund, yu kin fil pen na ɔda pat dɛn na yu bɔdi.

Imajin, if dɛn pinch ɔ pul wan nerve we de nia yu bikɔs ɔf di bon fragmɛnt dɛn we nɔ alaynɛd, dɛn tin ya na di nerve-related symptoms we yu kin gɛt:

• Tingling, na filin lɛk se ant de rɔn rawnd (paresthesia).
• di mכsul dεm na di εria we di injuri de wik εn atrofi.
• Nεv pen (nyuropathy) de apin.

Wetin na di sayn dɛm we de sho se pɔsin nɔ gɛt wanwɔd?

We bon nɔ kam togɛda (nonunion), yu kin si sayn dɛn lɛk:

• Dip pen kin de ɔltɛm na di say we i brok.
• Wan wikɛd tin stil de na da eria de, we na fɔ fil se yu nɔ ebul fɔ muv fayn .
• Frɔm do, yu kin si difrɛns , sɔntɛm lɛk knot ɔ gap.

Sɔntɛnde, if infekshɔn de na di bon, i kin kam wit dɛn sik ya ɔ i nɔ kin gɛt am:

• De swɛl
• Fiva
• A de kam kol.

Wetin mek dɛn malunion ɛn nɔ-union ya kin apin?

We bon brok, bɔku rizin dɛn de we mek i nɔ kin wɛl ɔ i nɔ kin wɛl atɔl. Lɛ wi luk sɔm pan di men wan dɛn:

• Aw i bin brok, aw i bin bad:fכ egzampl, bon dεm we twist (spiral fractures) כ brok insay bכku pat (comminuted fractures) nכ kin hεl fayn fayn wan. Dɔn bak, if yu gɛt bad bad injury (traumatic injuries) we de afɛkt di blɔd we de go na di bon, i go afɛkt di we aw i de wɛl. Na bikɔs di blɔd rili impɔtant fɔ mek di bon gɛt layf ɛn wɛl.
• Aw kwik ɛn aw yu kin gɛt tritmɛnt fayn fayn wan: If yu nɔ go to dɔktɔ jɔs lɛk aw yu brok bon, i kin bigin fɔ wɛl di rɔŋ we. Sɔntɛnde, ivin if dɛn sɛt di bon pat dɛn fayn fayn wan, dɛn kin stil kɔmɔt na di say we dɛn de. Dis kin apin mɔ if di tritmɛnt delay ɔ if di tritmɛnt nɔr fayn.
• Rɛst ɛn protɛkt yusɛf we yu de wɛl: I rili impɔtant fɔ kip yu bon na in ples ɛn na di rayt pozishɔn we i de wɛl. Sɔm pipul dɛn kin tek lɔng pas aw dɛn kin tek fɔ mek bon 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 ebul we yu ebul fɔ wɛl: We bon de wɛl smɔl smɔl, i kin izi fɔ mek yu nɔ gɛt wanwɔd ɔ nɔ gɛt wanwɔd. Pipul dɛn we dɔn ol , we nɔ gɛt bɛtɛ tin fɔ it (espɛshali kalsiɔm ɛn vaytamɛn D), ɔ mɛtabolik sik dɛn lɛk dayabitis ɛn tayroyd sik kin mek dɛn bon dɛn nɔ wɛl ɔ ivin mek dɛn nɔ wɛl. I impɔtant bak fɔ mɛmba se if yu yuz tabak ɛn nikotin, dat kin mek yu bon dɛn wik bak ɛn i kin mek yu nɔ wɛl.

Aw dɔktɔ dɛn kin no bɔt dɛn sik ya?

We yu de no se yu gɛt dis sik, di dɔktɔ go aks yu fɔs bɔt aw di injury apin ɛn ɛni ɔda mɛrɛsin we yu go gɛt. Dɔn, i go du wan ɛgzam fɔ yu leg. I go luk tin dɛm lɛk us chenj yu kin si na do ɛn aw i kin fil we yu muv am. Dipen pan usay di fraktrɔs de, dɛn kin want fɔ wach aw yu de waka ɔ mɛzhɔ aw di leg lɔng.

afta dat, fכ tru, dεn kin tek pikchכ dεm fכ di bon (`imaging`). Dis kin yuz tɛst dɛn lɛk ɛkstrem rayt , CT skan , ɔ MRI .

Di dɔktɔ go chɛk fɔ si if di bon dɔn wɛl na say we nɔmal, we nɔ kɔrɛkt fɔ di bɔdi. If na so i bi, i go disayd se na malunion.

If di bon nɔ wɛl fɔ lɔng tɛm, ɔ if i nɔ wɛl ɔl, dɛn kin kɔl am `delayed union` ɔ nonunion. Di tɛm we i kin tek fɔ mek di bon wɛl kin difrɛn difrɛn wan bay di kayn bon we yu wund, di kayn bon we brok, ɛn di wan ol wɛlbɔdi we yu gɛt. Bɔku tɛm, i kin tek siks, nayn, ɔ twɛlv mɔnt fɔ mek wan bon wɛl ɛn nɔ wɛl.

Yu tink se dɛn kin mek dɛn malunion ɛn nɔ-union ya?

Nɔto ɔl malunion ɔ nonunion nid fɔ ripɛnt. I dipen pan us bon dɔn brok, aw yu de yuz di bon, ɛn aw di sik de afɛkt yu ɛvride layf. Bɔt sɔntɛnde, bon we nɔ wɛl kin mek i nɔ izi fɔ waka, mek pɔsin fil pen, ɔ mek ɔda prɔblɛm dɛn. If na so i bi, dɛn go nid fɔ du ɔpreshɔn fɔ mek i fayn. Yu dɔktɔ go fɔs tray fɔ yuz tritmɛnt dɛn we nɔto ɔpreshɔn ɛn afta dat i go tɛl yu fɔ du ɔpreshɔn if dɛn nɔ wok.

Tritmɛnt fɔ Malunion

Tritmɛnt dɛn we nɔto ɔpreshɔn:

• Bracing: Sɔntɛnde dɛn kin yuz spɛshal bres fɔ ɛp fɔ mek di bon kɔntinyu fɔ de fayn fayn wan.
• Ɔtotiks: Wan spɛshal tin we dɛn mek fɔ put insay di shuz kin ɛp fɔ kɔmpɛns fɔ di difrɛns pan di leg lɔng.
• Fyzikal tritmɛnt: Spɛshal ɛksesaiz kin mek di mɔsul dɛn we afɛkt strɔng ɛn ridyus di lod we de pan di bon dɛn.
• Di tin dɛn we de mek yu nɔ fil pen: Fɔ mek yu fil pen wan wan tɛm, yu kin yuz tin dɛn we yu kin yuz fɔ mek yu nɔ fil pen lɛk NSAID.

Di tritmɛnt we dɛn kin du bay ɔpreshɔn:

• Osteotomy: Insay dis, wan dɔktɔ we de mɛn di bon kin kɔt di bon we nɔ alaynɛd ​​fayn ɛn put am bak na in ples.
• Ɔpreshɔn fɔ mek di an ɛn fut lɔng: If dɛn shɔt di an ɔ leg, di dɔktɔ we de du di ɔpreshɔn kin yuz spɛshal tin fɔ mek i lɔng.

Tritmɛnt fɔ Nɔnunion

Tritmɛnt dɛn we nɔto ɔpreshɔn:

• Mɛdikal tritmɛnt: Yu kin nid fɔ gɛt tritmɛnt fɔ ɔda sik (e.g. dayabitis), infekshɔn, ɔr yu nɔr gɛt bɛtɛ it.
• Ɔtosis: Bres, splint, ɔ kast kin ɛp fɔ mek di bon nɔ muv ɛn ɛp am fɔ wɛl.
• Bon stimulator: Dɛn wan ya de yuz ɔltrasonik ɔ ilɛktromagnetik wev fɔ mek di bon dɛn wɛl.
• Bayolojikal injεkshכn: Injεkshכn fכ stεm sεl dεm כ plasma we gεt pletlet kin mek di bon dεm hεl εn gro.

Di tritmɛnt we dɛn kin du bay ɔpreshɔn:

• Debridement: Insay dis, di ɔtpidik ɔspitul kin pul di day tisu na di bon.
• Vascular surgery: Wan vascular surgeon kin du ɔpreshɔn pan yu blɔd vesel fɔ mek blɔd go bak na yu at.
• Fɔ graft bon dɛn: .Insay dis, di ɔtpidik ɔspitul kin tek wan pat pan yu bon frɔm ɔda pat na yu bɔdi, ɔ frɔm wan bon we yu gi yu, ɛn transplant am to di pat we nɔ de. dis bon we dεn transplant de gi gud stat fכ nyu bon gro.
• Opin ridyushɔn ɛn intanɛnt fikseshɔn: Insay dis, di ɔtpidik ɔspitul kin rialayn di bon fragmɛnt dɛn ɛn fiks dɛn togɛda wit ɔspitul skru ɛn plet ɔ nel.

Aw di tin kin bi afta dɛn dɔn trit am?

Ɔl tu di tritmɛnt dɛn we nɔto ɔspitul ɛn ɔspitul gɛt ay sakrifays rɛt fɔ trit malunion ɛn nɔ-union. Bɔt fɔ mek pɔsin wɛl ɛn fɔ mek i gɛt wɛlbɔdi, i kin tek tɛm. Yu kin nid fɔ yuz tik ɔ tin fɔ waka te yu wɛl. Yu kin nid bak fɔ du fizik tritmɛnt fɔ sɔm tɛm. Sɔntɛnde, if di bon dɛn nɔ ebul fɔ alaynɛd ​​fayn, ɔ if di dɔktɔ nɔ ebul fɔ kɔntrol di tin dɛn we de insay di bɔdi, di tritmɛnt kin fel.

We pɔsin brok bon, i kin apin to ɛnibɔdi. Nɔto ɔltɛm i kin klia if yu gɛt bon we brok ɔ yu nɔ brok. Bɔt if yu tink se yu go gɛt wan, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan. Bikɔs fraktrɔs kin wɛl bɛtɛ we dɛn trit am kwik ɛn fayn. Yu dɔktɔ go chɛk yu injury ɛn no wetin kin de mek i nɔ wɛl. Dɔn i go advays yu bɔt wetin yu kin du fɔ ɛp am fɔ wɛl fayn fayn wan, pas fɔ mek yu nɔ gɛt wanwɔd ɔ nɔ gɛt wanwɔd.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Nɔ panik if yu brok bon. Bɔt nɔ tek am layt sɛf. Si dɔktɔ wantɛm wantɛm ɛn gɛt di rayt tritmɛnt. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. If dɛn gi yu kast, kip am te i tɛl yu fɔ pul am. If i tɛl yu fɔ du ɛksɛsayz, du am di rayt we. It fayn it, mɔ it dɛn we gɛt bɔku kalsiɔm ɛn vaytamɛn D. If yu na pɔsin we de smok, fɔ lɛf fɔ smok go ɛp yu fɔ wɛl. Na bikɔs bon dɛn we gɛt wɛlbɔdi impɔtant fɔ mek yu gɛt wɛlbɔdi!

` Bon fraktכs, malunion, nonunion, bon hiling, bon כpεrayshכn, bon tritmεnt, brok bon