Mafi yawan lokuta ana amfani da sigogi na hoto don kimanta radius na radius. A matsayin fahimtarmu game da ilmin dattijai ya zurfafa, ƙarin sigogi masu zuwa kamar nesa (apd), kuma suna daɗaɗawa-zuwa-axis-na-radius-da aka gabatar da amfani da shi a cikin aikin asibiti.
Sigogi na yau da kullun suna amfani da sigogi na radius karaya sun hada da: A: VTA; B: APD; C: TDA; D: Katin.
Mafi yawan sigogi sun dace da karin-arnicular Distal rauni, kamar tsayin radial da bambancin ulnar. Koyaya, don wasu rauni-articular, kamar karaya na Barton, ana iya rasa sigogi na gargajiya a cikin ikonsu na tantance alamu da kuma samar da jagora. Gabaɗaya ne gaba ɗaya cewa bayyanar wins ga wasu karaya ta cikin-articular tana da alaƙa da matakin-of-of the surface. Don tantance digiri na gudun hijira na intra-articular na intra, malamai na kasashen waje sun gabatar da sabon sigar sigogi: kuma an fara ruwaitar kimantawa), kuma an ba da rahoton kimantawa), kuma an ba da rahoton kimantawa), kuma an fara ruwaitar kimantawa daga cikin fashewar Mallleolus.
A ƙarshen ƙarshen Tibia, a lokuta na bayan karayawar Mallleolus na baya tare da rukunan Talus na baya, da Arc 3 shine saman talus. Lokacin da akwai wani yanki mai karaya mara nauyi tare da karagar talus 1 a saman tad, da mafi girma darajar.
Manufar ta tiyata ita ce cimma matsakaicin (karkatarwa bayan fitowar 0, wanda ke nuna alamar ragewar saman haɗin gwiwa.
Hakanan, game da yanayin Volar Barton:
Partially gudun hijira mafi tsayar da kayan zane mai artular
Hasken fuska yana fuskantar hidimar ARC 2.
Matsayin dorsal (kashi na al'ada ba tare da karaya ba) yana wakiltar Arc 3.
Kowane ɗayan waɗannan arcs uku za'a iya ɗauka a matsayin da'irori. Since the lunate facet and the volar bone fragment are displaced together, Circle 1 (in yellow) shares its center with Circle 2 (in white). ACD yana wakiltar nesa daga wannan cibiyar ta raba zuwa tsakiyar da'ira 3. Makasudin tiyata shine a mayar da shi ACD zuwa 0, wanda ke nuna ƙarancin raguwa.
A cikin aikin asibiti da suka gabata, an yarda da shi sosai cewa haɗin gwiwa mataki-daga <2mm shine daidaitaccen raguwa. Koyaya, a cikin wannan binciken, mai karɓar halayyar (ROC) nazarin tsarin tunani daban-daban sigogin daban-daban da ACD yana da mafi girman yankin a ƙarƙashin kwana (auc). Yin amfani da darajar castoff na 1.02mm don ACD, ya nuna masifa 100% da 80.95% ingantawa. Wannan yana nuna cewa a cikin tsari karaya, rage ACD zuwa cikin 1.02mm na iya zama mafi mahimmancin ra'ayi
fiye da matsayin gargajiya na <2mm a saman saman.
ACD ya bayyana yana da mahimmancin tunani mai mahimmanci don tantance matakin ƙaura a cikin karar karaya a cikin intra-articular wanda ya shafi gidajen abinci. Baya ga aikace-aikacen ta a kimanta karuwar karaya da distal karaya kamar yadda aka ambata a baya, ACD kuma za'a iya aiki don kimanta karar gwiwar hannu. Wannan yana samar da masu aikawa da Asibiti tare da kayan aiki mai amfani don zaɓin hanyoyin da ke tafe da kimantawa sakamakon rage rauni.
Lokaci: Satumba 18-2023
