Fasahar tiyata

Takaitaccen Bayani: Manufa: Don bincika abubuwan da ke da alaƙa da tasirin aiki na amfani da gyaran ciki na farantin ƙarfe don dawo da shikaryewar tibial plateauHanyar: An yi wa marasa lafiya 34 da suka samu karyewar tibial plateau tiyata ta hanyar amfani da abin gyaran ciki na farantin ƙarfe gefe ɗaya ko biyu, an gyara tsarin jikin tibal plateau, an gyara shi sosai, sannan aka fara motsa jiki bayan tiyata. Sakamako: An bi dukkan marasa lafiya na tsawon watanni 4-36, matsakaicin watanni 15, bisa ga sakamakon Rasmussen, marasa lafiya 21 suna cikin kyakkyawan yanayi, 8 a cikin kyakkyawan yanayi, 3 a cikin kyakkyawan yanayi, 2 a cikin mummunan yanayi. Mafi kyawun rabo shine 85.3%. Kammalawa: Nemi damar yin aiki mai kyau, yi amfani da hanyoyin da suka dace kuma ka ɗauki darussan aiki na baya, ka ba mu kyakkyawan tasirin tiyata wajen magancewa.tibialkaryewar fili.

1.1 Bayani na Gabaɗaya: wannan rukunin yana da marasa lafiya 34 tare da maza 26 da mata 8. Marasa lafiya suna da shekaru 27 zuwa 72 tare da matsakaicin shekaru 39.6. Akwai shari'o'i 20 na raunin ababen hawa, shari'o'i 11 na raunin faɗuwa da shari'o'i 3 na murƙushewa mai yawa. Duk shari'o'in sun kasance karyewar da ba ta da raunin jijiyoyin jini. Akwai shari'o'i 3 na raunin jijiyar cruciate, shari'o'i 4 na raunin jijiyar haɗin gwiwa da shari'o'i 4 na raunin meniscus. An rarraba karyewar da aka yi bisa ga Schatzker: shari'o'i 8 na nau'in I, shari'o'i 12 na nau'in II, shari'o'i 5 na nau'in III, shari'o'i 2 na nau'in IV, shari'o'i 4 na nau'in V da shari'o'i 3 na nau'in VI. An duba dukkan marasa lafiya ta hanyar X-ray, CT scan na tibial plateau da sake ginawa mai girma uku, kuma MR ya duba wasu marasa lafiya. Bugu da ƙari, lokacin tiyatar shine kwanaki 7 ~ 21 bayan rauni, matsakaicin kwanaki 10. Daga cikin wannan, akwai marasa lafiya 30 da suka karɓi maganin dashen ƙashi, marasa lafiya 3 sun karɓi gyaran faranti biyu, sauran kuma sun karɓi gyaran ciki na gefe ɗaya.

1.2 Hanyar Tiyata: an gudanar da itaƙashin bayaAn yi wa majinyacin tiyata ko maganin sa barci na intubation, kuma yana kwance a ƙasa, kuma an yi masa tiyatar a ƙarƙashin tourniquet na pneumatic. An yi wa tiyatar tiyatar tiyatar tiyatar tiyatar a gwiwa ta anterolateral, a gaban tibial ko a gefe.haɗin gwiwayankewar baya. An yanke jijiyar jijiyoyin zuciya tare da yankewar tare da gefen ƙasan meniscus, kuma an fallasa saman haɗin gwiwa na plateau na tibial. Rage karyewar plateau a ƙarƙashin gani kai tsaye. An fara gyara wasu ƙasusuwa da fil na Kirschner, sannan aka gyara su da faranti masu dacewa (faranti na golf, faranti na L, farantin T, ko kuma aka haɗa su da farantin tsakiya na buttress). An cika lahani na ƙasusuwa da kashi na allogenic (farko) da dashen ƙasusuwa na allograft. A cikin aikin, likitan fiɗa ya gano raguwar anatomical da raguwar anatomical kusa, ya kiyaye madaidaicin tibial axis, ƙarfafawa ta ciki, dashen ƙasusuwa mai matsewa da tallafi mai kyau. Ya binciki jijiyar gwiwa da meniscus don gano cutar kafin tiyata ko kuma waɗanda ake zargi a cikin tiyata, sannan ya yi tsarin gyara da ya dace.

1.3 Maganin Bayan Tiyata: ya kamata a ɗaure bandeji mai laushi na gaɓoɓi bayan tiyata, sannan a saka shi a wurin da aka yanke a makare da bututun magudanar ruwa, wanda ya kamata a cire shi da ƙarfe 48. Maganin rage radadi na yau da kullun bayan tiyata. Marasa lafiya sun yi atisayen tsokar gaɓoɓi bayan awanni 24, kuma sun yi atisayen CPM bayan cire bututun magudanar ruwa don samun karyewar sassauƙa. Sun haɗa jijiyar da ke ɗauke da juna biyu, lamuran raunin jijiyar bayan tiyata, sun motsa gwiwa cikin aiki da sauri bayan sun gyara filastar ko abin ɗaurewa na tsawon wata ɗaya. A cewar sakamakon gwajin X-ray, likitan fiɗa ya jagoranci marasa lafiya su ɗauki atisayen ɗaukar nauyin gaɓoɓi a hankali, kuma ya kamata a yi cikakken ɗaukar nauyi aƙalla watanni huɗu bayan haka.