Yu bin brok yu leg we yu anklɛ jɔyn bin krɔs? Lɛ wi tɔk bɔt Pilɔn Fraktrɔs (Tibial Plafond Fraktrɔs)!

Imajin se yu de wok pan lada ɛn wantɛm wantɛm yu slip ɛn fɔdɔm, ɔ yu gɛt motoka aksidɛnt. Yu kin fil pen we yu nɔ go ebul fɔ bia na yu anklɛ, yu leg kin swel bad bad wan, ɛn i kin ivin tan lɛk se i bɛn we nɔto in yon. I kin at so dat yu nɔ kin ivin put yu leg dɔŋ, nɔto fɔ waka. Insay dis kayn tin, i kin siriɔs pas fɔ simpul leg we brok. Na di kayn bad bad fraktrɔs we wi go tɔk bɔt tide.

Wetin rili na Pilon Fraktrɔs?

Fɔ tɔk am simpul wan, Pilon Fracture (Tibial Plafond Fracture) na we yu brok bad bad wan na di ɔda pat na yu shin bon (tibia), rayt usay i mit di anklɛ jɔyn. tu men bon dεm de na wi leg, di big wan wi kכl `(tibia)` εn di sכmכl wan wi kכl `(fibula)`. We Pilon frakt, bɔku tɛm dɛn tu bon ya kin brok.

Dɛn kɔl dis `Pilon` fɔ wan spɛshal rizin. `Pilon` min `mol` insay Frɛnch. Jɔs lɛk we yu paund sɔntin insay mɔta ɛn pestle, dis frakshɔn kin apin wit da kayn big pawa de. imajin, di `(talus)` bon na yu ankכl jכint (di bon we kכnekt to di talus) dεn de push am כp wit big fכs, we de kכl di εnd pan di talus. Na di kayn prɔses we de apin ya.

Ɛni kayn brek dɛn ya de?

Yɛs, dɔktɔ dɛn kin yuz difrɛn difrɛn we dɛn fɔ difrɛn difrɛn we dɛn fɔ difrɛn difrɛn we dɛn fɔ di kayn we aw dis fraktrɔs kin tranga. Di klasification we izi ɛn we dɛn kin yuz mɔ fɔ mek wi ɔndastand na di `Ruedi-Allgower` klasification. Lɛ wi ɔndastand am simpul wan.

• Tayp I: Dis na we di bon brok di joyn, bɔt di bon pat dɛn we brok nɔ muf . Dɛn stil de na dɛn ples. Dis na di kayn frakshɔn we nɔ kin rili bad.
• Tayp II: Na ya, di bon fragmεnt dεm we brok de displεs sכmtεm, we min se di bon nכ de alayne fayn fayn wan. Bɔt, di bon nɔ kin brok to bɔku pat.
• Tayp III: Dis na di kes we kin rili bad . insay dis kes, nכto di bon fragmεnt dεm we brok nכmכ de displace, bכ t dεn dכn kכl di bon to sכm sכm sכm pat dεm (comminution) . I kin gɛt bad bad damej bak na di say we di jɔyn de.

Di kayn tritmɛnt de dipen pan di kayn fraktrɔs we yu gɛt. If Tayp III fraktrɛshɔn, i go mɔs bi se dɛn nid fɔ du ɔpreshɔn.

Us sayn dɛn yu go gɛt if sɔntin lɛk dis apin to yu?

Pilon frakt na wan sik we kin mek pɔsin fil pen bad bad wan. De sayn dɛm kin rili klia.

Wetin na di rizin dɛn we kin mek dɛn brok brok dis kayn bad bad tin?

Dis kayn fraktrɛshɔn kin nid fɔ gɛt ay-impakt fɔs . Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Kar aksidɛnt: Dɛn kayn injury ya kin apin, mɔ we pɔsin gɛt motoka, motoka, ɔ tri wil motoka.
• Fɔ fɔdɔm frɔm ayt: Fɔ fɔdɔm frɔm ayt, lɛk tik, lada, ɔ ɔp flɔ na bildin, na wan men tin we kin mek pɔsin fɔdɔm.
• Spɔt aksidɛnt dɛn:Aksidɛnt lɛk dis kin apin bak pan spɔt dɛn we de spid lɛk fɔ ski.

Bɔt sɔntɛnde, ivin fraktrɔs we nɔ gɛt bɛtɛ impak kin apin. Di rizin fɔ dis na sik dɛn we kin mek di bon dɛn wik .

Udat dɛn de pan big risk?

Pan ɔl we dis denja kin apin to ɛnibɔdi, sɔm grup dɛn kin gɛt mɔ prɔblɛm.

• Man dεm we ol bitwin 25-50 ia: Dis kכndyushכn kin bכku pan man dεm na dis ej grup bikoz fכ hכy fכs injuri (lεk motoka aksidεnt).
• Uman dɛn we gɛt ɔstioporosis: Mɔ uman dɛn we dɔn ol, kin gɛt dis frakshɔn, ivin if dɛn fɔdɔm smɔl.
• Pipul dɛn we de wok na lada ɛn skɔf: Pipul dɛn we de wok na di kɔnstrɔkshɔn biznɛs kin gɛt bɔku prɔblɛm fɔ fɔdɔm.
• Ol pipul dɛm wae kin fɔdɔm ɔltɛm: Pipul dɛm wae dɔn pas 65 ia, wae nɔr kin balans fayn, ɛn wae kin fɔdɔm ɔltɛm kin gɛt bɔrku risk bak.

Aw di dɔktɔ kin no bɔt dis?

We yu go na ɔspitul, mɔ di Imejɛnsi Dipatmɛnt (ETU) wit injuri lɛk dis, ɔtpidik dɔktɔ go chɛk yu.

1. Fɔ chɛk yu bɔdi: Di ​​dɔktɔ go tek tɛm luk yu leg ɛn yu anklɛ, i go pe atɛnshɔn to di swɛlin, brus, chenj in shep, ɛn di kɔndishɔn na di skin.

2. X-ray: Dis na di tɛst we impɔtant pas ɔl ɛn we impɔtant pas ɔl. X-ray kin sho klia wan if di bon brok ɛn usay i brok.

3. CT Skan: Bɔku tɛm we di payɔnia brok, dɛn kin nid fɔ du CT skan apat frɔm ɛkstrem rayt. dis na biכs CT skan rili imכtant fכ si insay tri dimεnshכn (3D) aw bכku pan di bon dכn brok, us damej dεn dכn du to di joyn sεf, εn aw di brok pat dεm de posishכn. Dis infɔmeshɔn impɔtant fɔ plan fɔ du ɔpreshɔn.

Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?

Di tritmɛnt fɔ di payɔnia we brok de dipen pan bɔku tin dɛn, lɛk di kayn we aw di bon brok, di kayn bon we de brok, di damej we di skin ɛn di mɔsul dɛn dɔn pwɛl, ɛn yu ɔl wɛlbɔdi.

Kes dɛm we dɛn nɔ nid fɔ du ɔpreshɔn (Nonsurgical Treatment) .

Dis nɔ kin apin so ɔltɛm. I nɔ nid fɔ du ɔpreshɔn pas di fraktrɔs rili smɔl, we min se di bon pat dɛn we dɔn brok nɔ ivin kɔmɔt smɔl (nɔ de kɔmɔt na di say we dɛn de) . If na so i bi, yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:

• Rɛst:Dɛn kin tɛl yu fɔ rɛst yu leg ɛn kip am ɔp as lɔng as yu ebul.
• Fɔ put kast ɔ but: Fɔ mek di leg nɔ go muv ɛn fɔ mek i nɔ de muv te di bon wɛl, yu go nid fɔ put kast, splint, ɔ spɛshal but.
• Yuz kruk: I nɔ fayn fɔ put wet pan di leg te i wɛl, so yu go gɛt fɔ yuz kruk.
• Mɛrɛsin: Sɔntɛnde dɛn kin gi blɔd tin fɔ mek blɔd tan (anticoagulants) fɔ mek blɔd nɔ klɔt na di vein dɛn na di leg.
• Fizik Tɛrapi: Afta di bon dɔn wɛl, fyzikal tritmɛnt impɔtant fɔ mek yu gɛt trɛnk bak ɛn muv na di leg ɛn anklɛ.

Ɔpreshɔn Tritmɛnt

Bɔku tɛm we Pilon frakt , i rili nid fɔ du ɔpreshɔn , bikɔs bɔku tɛm, di bon pat dɛn dɔn slip kɔmɔt na dɛn ples ɛn muf rawnd.

Tu men kayn ɔpreshɔn dɛn de.

1. Opin Ridyushɔn ɛn Intanɛt Fikseshɔn (ORIF):

Dis na di ɔpreshɔn we dɛn kin du pas ɔl. Fɔ tɔk am simpul wan, wetin yu de du na dat, di dɔktɔ we de du di ɔpreshɔn de kɔt di skin, go na di say we di bon brok, ɛn ajɔst ɔl di bon pat dɛn we dɔn kɔmɔt na di say we dɛn de, bak to di say we dɛn bin de fɔs (ridyus) . Dɔn, dɛn kin yuz spɛshal mɛtal plet ɛn skru fɔ fiks di smɔl smɔl pat dɛn na di bon so dat dɛn nɔ go muf igen (internal fixation) . Bɔku tɛm, dɛn kin lɛf dɛn plet ɛn skru dɛn ya na di bɔdi fɔ ɔl dɛn layf.

2. Ekstanshal Fikseshɔn: .

Dis na difrɛn we aw dɛn kin du am. If di swel na di leg rili bad, ɔ if siriɔs skin lɛsin de, dɛn nɔ go ebul fɔ du ORIF ɔpreshɔn wantɛm wantɛm. Insay dɛn kayn tin ya, dɛn kin yuz dis we fɔ mek di leg tinap fɔ sɔm tɛm. Na ya, di dɔktɔ we de du di ɔpreshɔn kin drɔ bɔku mɛtal stik dɛn insay di bon dɛn ɛn tay dɛn stik dɛn ya to wan freym we de na do na di bɔdi . Dis freym de mek di bon dɛn stebul we dɛn nɔ de muf. We di swɛlin dɔn stɔp ɛn di skin dɔn bɛtɛ, dɛn kin pul di freym ɛn du di ORIF ɔpreshɔn we dɛn tɔk bɔt ɔp.

Aw lɔng i kin tek fɔ mek i wɛl?

Dis na prɔblɛm we bɔku pipul dɛn gɛt. Wan payɔnia we brok kin tek lɔng tɛm fɔ mek i wɛl. Dis na sɔntin we wi nid fɔ peshɛnt ɛn gi in layf to Jiova.

• di bon dεm we de hεl: I kin tek 3 to 6 mכnt fכ di bon fכ fulכp fכ hεl afta dεn כpεrayshכn.
• Fɔ wɛl kɔmplit wan: Bɔt di wok nɔ kin dɔn wans di bon dɔn wɛl. I kin tek wan ia ɔ mɔ fɔ mek di leg gɛt trɛnk bak, muv, ɛn wok fayn fayn wan.I kin tek sɔm tɛm.

Fisiotɛrapi impɔtant fɔ dis wɛlbɔdi prɔses. I rili impɔtant fɔ fala di dɔktɔ ɛn fisiotɛrapist in instrɔkshɔn dɛn ɛksaktɔli fɔ mek yu wɛl kwik kwik wan.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, mɔ afta yu gɛt siriɔs aksidɛnt, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, ɛn nɔ de te. If yu nɔ ebul fɔ go yu wan, kɔl di 1990 ambulans savis.

If yu gɛt ɛni wan pan dɛn sik ya we yu de na os afta dɛn dɔn du di ɔpreshɔn, dat kin bi sayn fɔ se yu gɛt di sik. If na so, yu fɔ go na di ɔspitul wantɛm wantɛm :

• If yu fil rɛd, swel, ɔ wam rawnd di wund we dɛn du di ɔpreshɔn.
• If wata we tan lɛk pus de kɔmɔt na di wund.
• If yu gɛt fiva .

Wetin na de tin wae dis sik kin du fɔ lɔng tɛm?

Pilon fraktrɔs na wan prɔblɛm we nɔ izi fɔ trit bikɔs i kin mek di jɔyn in say insɛf pwɛl. So, ivin if yu gɛt di bɛst tritmɛnt, sɔm prɔblɛm dɛn we kin apin fɔ lɔng tɛm kin apin.

• Pen we nɔ de dɔn: Sɔm pipul dɛn kin gɛt pen wan wan tɛm na dɛn an ivin afta dɛn dɔn wɛl.
• di Jכint Stiffness: di abiliti fכ fulכp fכ fleks εn εksεnd di ankכl jכint kin rεdכks.
• Post-traumatic arthritis: Dis na di prɔblɛm we kin apin pas ɔl. Di injury kin pwɛl di katilej we de na di say we di jɔyn, we kin mek pɔsin gɛt at at as tɛm de go. Dis kin mek pɔsin fil pen ɛn swel.

Fɔ mek yu nɔr gɛt ɔr kɔntrol dɛn tin ya, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn ɛn fizik tritmɛnt ɛksaktɔli.