Yu tink se ɔl di tri anklɛ bon dɛn dɔn brok? Lɛ wi tɔk bɔt dis Trimalleolar Fracture!

Imajin se yu rol yu anklɛ wantɛm wantɛm we yu de go dɔŋ wan stej, ple spɔt, ɔ waka na rod. We yu tɔk dat, yu bin fil pen we yu nɔ go ebul fɔ bia ɛn yu nɔ bin ivin ebul fɔ put yu fut dɔŋ. Di tin we siriɔs pas ɔl we kin apin pan tɛm lɛk dis na we yu anklɛ brok. כltu, `Trimalleolar Fracture` na sכm mכr kכmplikt εn i nid mכr atεnshכn. So tide, lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na dis Trimalleolar Fracture?

Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt di minin rili simpul. Trimalleolar min ‘tri’. Dis min se ɔl di tri men bon dɛn we mek yu anklɛ jɔyn kin brok di sem tɛm.

di ankכl dεm de fכm bay we di εnd dεm fכ tu bon dεm na di lכw leg de jכyn. Lɛ wi tek wan luk pan wetin dɛn bi.

• Tibia: Dis na di big bon we strɔng na yu leg we de dɔŋ. Na in lכw εnd, i gεt tu pat dεm we de fכm di ankכl jכint.
• Medial Malleolus: Dis na di bony bump we yu kin fil na di insay pat pan yu anklɛ.
• Posita Malleolus: Dis na di pat we de na di bak pat pan di ankכl bon.

• di fibula: dis na di tכn bon we de rכn paralel to di fibula, na di lateral sayd.
• Lateral Malleolus: Dis na di bon bכmp we de na di כdasay na yu ankכl we yu kin grip wit yu an.

so, insay wan `Trimalleolar Fracture`, כl di tri pat dεm - di mεdial malleolus, di lateral malleolus, εn di posita malleolus - de brok. I tan lɛk freym we de sɔpɔt di leg fɔ brok ɔl di tri say dɛn wan tɛm.

Dis na siriɔs injuri?

Yɛs, dis na rili siriɔs ɛn kɔmpleks injuri pas wan simpul anklɛ sprain. Bɔt nɔ wɔri, if dɛn trit am fayn, i kin wɛl ɔl. Bɔku rizin dɛn de we mek dis kin rili siriɔs:

• I kin nid fɔ du ɔpreshɔn: Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn fɔ mek dis kayn frakshɔn fayn.
• Tɛm fɔ wɛl: Bikɔs ɔl di tri bon dɛn nid fɔ wɛl, yu nɔ go ebul fɔ put yu fut dɔŋ fɔ sɔm mɔnt. Dis min se i go at fɔ du di wok dɛn we pɔsin kin du ɛvride, fɔ go wok, ɛn fɔ drayv.
• di damej pan di tisu dεm we de rawnd: We di bon brok, di ligament dεm εn di tεndon dεm we de rawnd kin dεm bak, we kin mek di tεm we i de hεl fכ lכng mכr.
• Risk fɔ gɛt at at sik: Chans de fɔ mek yu gɛt at at na da anklɛ jɔyn de tumara bambay.
• Limp: Ivin afta sɔm pipul dɛn dɔn wɛl ɔl, dɛn kin gɛt smɔl limp we dɛn de waka fɔ sɔm tɛm.

Wetin kin mek dis kayn we aw pɔsin kin brok brok?

Bɔku men rizin dɛn de fɔ dis kayn tin. Lɛ wi tek wan luk pan wetin dɛn bi.

Wetin na di difrɛns bitwin Trimalleolar ɛn Bimalleolar fraktrɔs?

Yu kin dɔn yɛri bak bɔt `Bimalleolar Fracture`. Di difrɛns bitwin dɛn tu tin ya simpul.

• Bimalleolar Fracture: insay dis, na di tu bon dεm nכmכ we de na di tu say dεm na di ankכl (di `medial` εn `lateral malleolus`) de brok.
• Trimalleolar Fracture: insay dis kes, apat frכm di tu joyn dεm, di bak pat pan di ankכl bon (di `posterior malleolus`) dεn tu de brok. Dis min se tri pat dɛn de we brok.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

We brek-up lɛk dis, yu kin bigin fɔ fil dɛn sayn ya wantɛm wantɛm.

• Pen we pɔsin kin fil wantɛm wantɛm we pɔsin nɔ ebul fɔ bia.
• Nɔ ebul fɔ put di fut dɔŋ ɔ waka pan da leg de.
• Swel na di anklɛ eria (maybe swɛlin bad bad wan).
• Brus, blu apinɛns rawnd di anklɛ.
• Sɔntɛnde yu kin si di difɔmeshɔn te to di say we yu kin si sɔm pat dɛn pan di bon.

Aw di dɔktɔ kin trit dis?

We yu go na ɔspitul, di dɔktɔ go fɔs gi yu mɛrɛsin fɔ mek yu fil pen. Dɔn, i go tek ɛkstrem rayt fɔ no se i brok ɛn si aw i siriɔs. Yu kin nid bak fɔ gɛt CT skan ɔ MRI skan fɔ gɛt klia pikchɔ.

Bɔku tɛm, fɔ trit dis kayn fraktrɔs, dɛn kin nid fɔ du ɔpreshɔn. Dɛn kɔl dis we aw dɛn kin du am Open Ridɔkshɔn Intanɛt Fikseshɔn (ORIF).

Wetin na ORIF ɔpreshɔn?

Dis min se:

1. Opin Ridyushɔn: Di dɔktɔ we de du di ɔpreshɔn kin kɔt di skin, i kin mek di bon dɛn we dɔn brok kɔmɔt na do, ɛn arenj dɛn bak usay dɛn de.

2. Internal Fixation: Dɛn kin fiks di bon fragmɛnt dɛn insay bay we dɛn de yuz mɛtal plet, skru, ɔ waya fɔ mek dɛn nɔ muv bak.

Afta dis ɔpreshɔn, yu go nid fɔ wɛr kas ɔ spɛshal bres na yu leg te di bon wɛl.

Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt

Dis na di tɛm we at pas ɔl fɔ bɔku pipul dɛn, bikɔs i nid fɔ peshɛnt ɛn tek tɛm.

Ustɛm a go ebul fɔ waka afta di ɔpreshɔn?

Bɔku tɛm, yu dɔktɔ nɔ go alaw yu fɔ put wet pan yu leg we dɔn wund ɔ put am na grɔn fɔ at le 6 wiks afta dɛn dɔn du di ɔpreshɔn. Dis nid fɔ de fɔ mek di bon dɛn wɛl. Afta dat, yu kin bigin fɔ waka smɔl smɔl wit wet na yu leg wit di ɛp we dɔktɔ we de mɛn yu bɔdi de ɛp yu.

A go ebul fɔ go bak na wokples?

Dis kin difrɛn difrɛn wan bay di wok we yu de du.

• Yu fɔ kip yu leg ɔp ɔltɛm, at le fɔ di fɔs tu wiks afta dɛn dɔn du di ɔpreshɔn.
• I kin tranga fɔ waka fɔ lɛk 6 wiks, so fɔ go ɛn kam bak na ɔfis kin bi prɔblɛm.
• Bikɔs yu de tek mɛrɛsin fɔ mek yu fil pen, sɔntɛnde i kin at fɔ pe atɛnshɔn pan wok.

So, i go fayn fɔ mek yu tɔk to yu dɔktɔ ɛn bigin fɔ wok di tɛm we go fayn fɔ yu.

Ustɛm yu go ebul fɔ drayv?

Dis kin tek sɔm mɔnt . Yu nɔ go ebul fɔ drayv we di kast de na in ples. Ivin afta dɛn dɔn pul am, yu go gɛt fɔ wet te yu gɛt trɛnk bak ɛn kɔntrol yu anklɛ. If yu drayv tumɔs kwik, yu go gɛt ɔda aksidɛnt.

We yu nid fɔ go to dɔktɔ kwik kwik wan

We yu de wɛl, if yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

• If yu fil fiva ɔ yu gɛt kol.
• If wata we tan lɛk pus de kɔmɔt na di wund we dɛn du di ɔpreshɔn.
• If di say we de rawnd di wund rɛd, i swel, ɛn i de fil pen tumɔs fɔ tɔch am.
• If yu tink se yu dɔn fɔdɔm bak ɛn yu leg wund.

Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn, so i rili impɔtant fɔ go to tritmɛnt kwik kwik wan.