Gabatar da tsarin gyarawa guda uku na intramedullary don karyewar ƙashin ƙashi.

A halin yanzu, hanyar tiyata da aka fi amfani da ita don karyewar ƙashin ƙugu ta ƙunshi ɗaurewa ta ciki da faranti da sukurori ta hanyar shiga sinus tarsi. Hanyar da aka faɗaɗa mai siffar "L" ta gefe ba ta fi so a aikin asibiti ba saboda matsalolin da suka shafi rauni. Gyaran faranti da tsarin sukurori, saboda halayensa na halitta na gyarawa mai kama da juna, yana ɗauke da babban haɗarin varus malalignation, tare da wasu bincike da ke nuna yiwuwar varus na biyu bayan tiyata kusan kashi 34%.

Sakamakon haka, masu bincike sun fara nazarin hanyoyin gyarawa a cikin medullary don karyewar ƙashin ƙashi don magance matsalolin da suka shafi rauni da kuma batun rashin daidaituwar varus na biyu.

01 Ndabarar ƙusa ta tsakiya ta AIL

Wannan dabarar za ta iya taimakawa wajen rage yawan shiga cikin sinus tarsi ko kuma a ƙarƙashin jagorancin arthroscopic, wanda ke buƙatar ƙarancin buƙatun nama mai laushi da kuma yiwuwar rage lokacin asibiti. Wannan hanyar ta dace da nau'in karaya na II-III, kuma ga karaya mai rikitarwa ta kashin baya, ƙila ba za ta samar da ingantaccen kulawa na raguwa ba kuma tana iya buƙatar ƙarin gyara sukurori.

02 Sƙusa mai siffar intramedullary mai siffar inngle-plane

Kusar intramedullary mai hawa ɗaya tana da sukurori biyu a ƙarshen kusanci da na nesa, tare da babban ƙusa mai rami wanda ke ba da damar dasa ƙashi ta cikin babban ƙusa.

03 Mƙusa mai ƙarfi a cikin medullary

An ƙera wannan tsarin gyarawa na ciki bisa ga tsarin siffa uku na kashin kashin, wanda ya haɗa da maɓallan maɓalli kamar sukurin da ke ɗauke da kaya da kuma sukuran aikin baya. Bayan an rage su ta hanyar shiga sinus tarsi, ana iya sanya waɗannan sukuran a ƙarƙashin guringuntsi don tallafi.

Akwai rikice-rikice da dama game da amfani da kusoshi na intramedullary don karyewar calcaneal:

1. Dacewa bisa ga sarkakiyar karaya: Ana muhawara ko karaya mai sauƙi ba ta buƙatar kusoshin intramedullary ba kuma karaya mai rikitarwa ba ta dace da su ba. Ga karaya irin ta Sanders II/III, dabarar ragewa da gyara sukurori ta hanyar shiga sinus tarsi tana da girma sosai, kuma ana iya tambaya game da mahimmancin babban farce na intramedullary. Ga karaya mai rikitarwa, fa'idodin hanyar faɗaɗa siffar "L" har yanzu ba za a iya maye gurbinsu ba, domin tana ba da isasshen haske.

2. Bukatar magudanar jini ta wucin gadi: Kalcaneus ba shi da magudanar jini ta hanyar da ta dace. Yin amfani da babban ƙusa a cikin medullary na iya haifar da rauni mai yawa ko asarar ƙashi.

3. Wahalar cirewa: A lokuta da yawa a China, har yanzu ana cire kayan aiki bayan an warke daga karyewar ƙashi. Haɗa ƙusa da girman ƙashi da kuma saka sukurori a gefen ƙashin cortical na iya haifar da matsala wajen cirewa, wanda hakan abin la'akari ne a aikace a aikace a asibiti.