Karyewar haɗin gwiwa na idon sawu wanda ƙarfin juyawa ko a tsaye ke haifarwa, kamar karyewar Pilon, galibi yana shafar malleolus na baya. Ana samun fallasar "malleolus na baya" a halin yanzu ta hanyar manyan hanyoyin tiyata guda uku: hanyar gefe ta baya, hanyar tsakiya ta baya, da kuma hanyar tsakiya ta baya da aka gyara. Dangane da nau'in karyewar da yanayin gutsuttsuran ƙashi, ana iya zaɓar hanyar da ta dace. Masana ƙasashen waje sun gudanar da bincike kan iyakokin fallasa na malleolus na baya da kuma tashin hankali akan jijiyoyi da jijiyoyin haɗin gwiwa na idon sawu da ke da alaƙa da waɗannan hanyoyin guda uku.
Karyewar haɗin gwiwa na idon sawu sakamakon ƙarfin juyawa ko a tsaye, kamar karyewar Pilon, galibi yana shafar malleolus na baya. Ana samun fallasar "malleolus na baya" a halin yanzu ta hanyar manyan hanyoyin tiyata guda uku: hanyar gefe ta baya, hanyar tsakiya ta baya, da kuma hanyar tsakiya ta baya da aka gyara. Dangane da nau'in karyewar da yanayin gutsuttsuran ƙashi, ana iya zaɓar hanyar da ta dace. Masana ƙasashen waje sun gudanar da bincike kan yanayin fallasa na malleolus na baya da tashin hankali.
akan tarin jijiyoyin jini da jijiyoyin haɗin gwiwa na idon sawu da ke da alaƙa da waɗannan hanyoyi guda uku.
1. Hanyar Tsakiyar Baya
Hanyar da ke tsakanin yatsun kafa na baya ta ƙunshi shiga tsakanin dogayen lankwasa na yatsun kafa da kuma jijiyoyin tibial na baya. Wannan hanyar za ta iya fallasa kashi 64% na malleolus na baya. An auna matsin lamba a kan jijiyoyi da jijiyoyi a gefen wannan hanyar a 21.5N (19.7-24.1).
▲ Hanyar Tsakiya ta Baya (Kibiya Rawaya). 1. Jijiya ta baya; 2. Dogon jijiya mai lankwasa na yatsun kafa; 3. Jijiyoyin baya na baya; 4. Jijiya ta Tibial; 5. Jijiya ta Achilles; 6. Jijiya mai lankwasa hallucis longus. AB=5.5CM, kewayon fallasa na baya na malleolus (AB/AC) shine 64%.
2. Hanyar Layin Baya
Hanyar gefe ta baya ta ƙunshi shiga tsakanin tendons na peroneus longus da brevis da kuma jijiyar flexor hallucis longus. Wannan hanyar za ta iya fallasa kashi 40% na malleolus na baya. An auna matsin lamba akan jijiyoyi da jijiyoyi a gefen wannan hanyar a 16.8N (15.0-19.0).
▲ Hanyar Layi ta Baya (Kibiya Mai Rawaya). 1. Jijiya ta baya; 2. Dogon jijiya mai lankwasa na yatsun kafa; 4. Jijiyoyin baya na baya; 4. Jijiya ta Tibial; 5. Jijiya ta Achilles; 6. Jijiya mai lankwasa ta Flexor hallucis longus; 7. Jijiya ta Peroneus brevis; 8. Jijiya mai lankwasa ta Peroneus; 9. Jijiya mai lankwasa ƙasa; 10. Jijiya mai lankwasa ta yau da kullun. AB=5.0CM, kewayon fallasa na malleolus na baya (BC/AB) shine 40%.
3. Hanyar Tsakiyar Baya da Aka Gyara
Hanyar da aka gyara ta tsakiya ta baya ta ƙunshi shiga tsakanin jijiyar tibial da kuma jijiyar flexor hallucis longus. Wannan hanyar za ta iya fallasa kashi 91% na malleolus na baya. An auna matsin lamba akan jijiyoyi da jijiyoyi a gefen wannan hanyar a 7.0N (6.2-7.9).
▲ Hanyar Tsakiyar Baya da Aka Gyara (Kibiya Rawaya). 1. Jijiya ta baya ta tibial; 2. Dogon jijiya mai lankwasa na yatsun kafa; 3. Jijiyoyin tibial na baya; 4. Jijiya ta tibial; 5. Jijiya mai lankwasa hallucis longus; 6. Jijiya ta Achilles. AB=4.7CM, kewayon fallasa na baya na malleolus (BC/AB) shine 91%.
Lokacin Saƙo: Disamba-27-2023
