Karaya na Clavicle yana daya daga cikin karaya da aka fi sani, yana lissafin kashi 2.6% -4% na duk karaya.Saboda halayen halayen jiki na tsakiyar shaft na clavicle, raunin tsakiya ya fi yawa, yana lissafin kashi 69% na clavicle fractures, yayin da karaya na gefe da na tsakiya na clavicle suna lissafin 28% da 3% bi da bi.
A matsayin nau'in raunin da ba a saba da shi ba, ba kamar ɓangarorin tsakiya na tsakiya wanda ke haifar da raunin kafada kai tsaye ba ko watsawa ta karfi daga raunin da ke da nauyin nauyi na babba, raguwa na tsaka-tsakin ƙarshen clavicle yana hade da raunuka masu yawa.A baya, tsarin kulawa don karyewar tsakiyar ƙarshen clavicle ya kasance mai ra'ayin mazan jiya.Duk da haka, binciken ya nuna cewa 14% na marasa lafiya tare da raunin da ya faru na ƙarshen tsaka-tsakin na iya samun rashin daidaituwa.Sabili da haka, a cikin 'yan shekarun nan, malamai da yawa sun karkata zuwa ga maganin tiyata don raunin da ya faru na ƙarshen tsakiya wanda ya haɗa da haɗin gwiwa na sternoclavicular.Koyaya, ɓangarorin clavicular na tsakiya yawanci ƙanana ne, kuma akwai iyakoki don daidaitawa ta amfani da faranti da sukurori.Matsakaicin damuwa na gida ya kasance batun ƙalubale ga likitocin orthopedic dangane da daidaita karyewar yadda ya kamata da kuma guje wa gazawar gyarawa.
I.Distal Clavicle LCP Juyawa
Ƙarshen nesa na clavicle yana raba nau'ikan sifofi iri ɗaya tare da ƙarshen kusanci, dukansu suna da tushe mai faɗi.Ƙarshen ƙarshen clavicle locking compression farantin (LCP) an sanye shi da ramukan kulle-kulle masu yawa, yana ba da damar daidaitawa mai inganci na guntun nesa.
Yin la’akari da kamanceceniyar tsarin da ke tsakanin su, wasu malamai sun sanya farantin karfe a kwance a kusurwa 180° a ƙarshen clavicle.Sun kuma gajarta ɓangaren da aka yi amfani da su a asali don daidaita ƙarshen clavicle kuma sun gano cewa abin da aka dasa na ciki ya dace da kyau ba tare da buƙatar yin siffa ba.
Sanya ƙarshen ƙarshen clavicle a cikin wani wuri mai jujjuya kuma gyara shi tare da farantin kashi a gefen tsakiya an samo shi don samar da dacewa mai gamsarwa.
A cikin yanayin wani majinyaci mai shekaru 40 da haihuwa tare da karaya a tsakiyar ƙarshen ƙwanƙolin dama, an yi amfani da farantin karfe mai jujjuyawar clavicle.Binciken da aka yi bayan watanni 12 bayan tiyata ya nuna sakamako mai kyau na warkarwa.
Inverted distal clavicle locking compression farantin (LCP) hanya ce ta gyaran gida da aka saba amfani da ita a aikin asibiti.Amfanin wannan hanya shine cewa an gudanar da guntun kasusuwa na tsakiya ta hanyar screws da yawa, yana samar da ingantaccen gyarawa.Koyaya, wannan dabarar gyarawa tana buƙatar isasshe babban guntun kasusuwa na tsakiya don kyakkyawan sakamako.Idan guntun kashi ya kasance ƙarami ko kuma akwai ƙaddamarwa ta intra-articular, ana iya lalata tasirin gyaran.
II.Dabarun Gyaran Faranti Biyu
Dabarar faranti biyu hanya ce da aka saba amfani da ita don hadaddun ɓarkewar ɓarna, kamar karyewar humerus mai nisa, yanke karaya na radius da ulna, da sauransu.Lokacin da ba za a iya samun gyare-gyare mai tasiri ba a cikin jirgin sama guda ɗaya, ana amfani da faranti na kulle-kulle na karfe don daidaitawa a tsaye, samar da tsayayyen tsari mai tsayi biyu.Biomechanically, gyaran farantin dual yana ba da fa'idodin inji sama da gyaran faranti ɗaya.
Farantin gyarawa na sama
Ƙananan farantin gyaran gyare-gyare da haɗuwa guda huɗu na daidaitawar faranti biyu
Lokacin aikawa: Juni-12-2023
