Abstract: Makasudi: Don bincika abubuwan da ke da alaƙa don tasirin aiki na yin amfani da gyare-gyaren ciki na ƙarfe don dawo datibial plateau karaya. Hanyar: An yi amfani da marasa lafiya 34 masu raunin tibial plateau ta hanyar yin amfani da farantin karfe na ciki na ciki ɗaya ko biyu gefe, mayar da su tibal plateau tsarin anatomical, daidaitawa sosai, kuma sun dauki aikin farko na motsa jiki bayan aiki. Sakamakon: Duk marasa lafiya an bi su don watanni 4-36, matsakaicin watanni 15, bisa ga ƙimar Rasmussen, marasa lafiya na 21 suna da kyau, 8 a cikin mai kyau, 3 a yarda, 2 a cikin matalauta. Mafi kyawun rabo shine 85.3%. Kammalawa: Yi la'akari da damar aiki da suka dace, yi amfani da madaidaitan hanyoyi da ɗaukar darasi na farko, ba mu kyakkyawan tasirin aiki a cikin jiyyatibialkaraya ta plateau.
1.1 Gabaɗaya Bayani: wannan rukunin yana da marasa lafiya 34 tare da maza 26 da mata 8. Marasa lafiya sun kasance masu shekaru 27 zuwa 72 tare da matsakaicin shekaru 39.6. An samu raunuka guda 20 na hadurran ababen hawa, an samu raunuka 11 da suka fado, sannan 3 na murkushe masu yawa. Duk lokuta an rufe karaya ba tare da raunin jijiyoyin jini ba. Akwai lokuta 3 na raunin ligament na cruciate, 4 lokuta na raunin ligament na haɗin gwiwa da 4 lokuta na raunin meniscus. An rarrabe karar rauni daidai da schatzker: lokuta 8 na II, 12 lokuta na II nau'in, lokuta 2 na vi nau'in da 3 lokuta na vi nau'in. Dukkanin marasa lafiya an bincika su ta hanyar X-ray, CT scan na tibial plateau da sake gina jiki guda uku, kuma wasu marasa lafiya sun bincikar MR. Bayan haka, lokacin aiki shine 7 ~ 21d bayan rauni, matsakaicin 10d. Daga cikin wannan, akwai marasa lafiya 30 da ke karɓar maganin daskararren kashi, marasa lafiya 3 sun yarda da gyaran faranti biyu, da sauran marasa lafiya sun yarda da gyaran ciki na waje.
1.2 Hanyar tiyata: gudanarkashin bayaanesthesia ko intubation maganin sa barci, majiyyacin yana cikin matsayi na baya, kuma an yi masa aiki a ƙarƙashin yawon shakatawa na pneumatic. Tiyatar ta yi amfani da gwiwa ta gaba, tibial na gaba ko ta gefegwiwa gwiwayankan baya. Coronary ligament was incised along the Incision along the lower edge of meniscus, and exposed the articular surface of the tibial plateau. Rage karaya a ƙarƙashin hangen nesa kai tsaye. An fara gyara wasu ƙasusuwa tare da fil ɗin Kirschner, sannan an gyara su ta hanyar faranti masu dacewa (farantin golf, L-plates, T-plate, ko haɗe tare da faranti na tsakiya). An cika lahani na kashi da allogenic kashi (farkon) da alluran kashi. A cikin aikin, likitan fiɗa ya gane raguwar ƙwayar jikin mutum da kuma rage kusantar jikin jiki, kiyaye axis na tibial na al'ada, ƙayyadaddun ƙayyadaddun ciki, ƙanƙan kashi da ingantaccen tallafi. Binciken ligament na gwiwa da meniscus don ganewar asali na farko ko abubuwan da ake zargi na ciki, kuma ya yi tsarin gyara da ya dace.
1.3 Jiyya bayan tiyata: bandeji na roba na gaba bayan tiyata ya kamata a ɗaure shi da kyau, kuma an saka shi a ƙarshen ciki tare da bututun magudanar ruwa, wanda yakamata a cire shi da ƙarfe 48h. Analgesia na yau da kullun bayan tiyata. Marasa lafiya sun ɗauki motsa jiki na tsoka bayan 24h, kuma sun ɗauki motsa jiki na CPM bayan cire bututun magudanar ruwa don ɓarke mai sauƙi. Haɗe haɗin haɗin gwiwa, lamuran raunin ligament na baya, a rayayye da motsin gwiwa bayan gyara filasta ko takalmin gyaran kafa na wata ɗaya. Dangane da sakamakon binciken X-ray, likitan fiɗa ya jagoranci marasa lafiya da su ɗauki motsa jiki na ɗaukar nauyi a hankali, kuma ya kamata a yi cikakken lodin nauyi aƙalla watanni huɗu bayan haka.
Lokacin aikawa: Juni-02-2022
