Batun zabar kaurin kusoshi na intramedullary don dogayen kasusuwan tubular na ƙananan gaɓɓai.

Nailing intramedullary shine ma'auni na zinariya don maganin tiyata na diaphyseal fractures na dogayen kasusuwa tubular a cikin ƙananan gaɓɓai. Yana ba da fa'idodi kamar ƙaramin rauni na tiyata da babban ƙarfin biomechanical, wanda ya sa aka fi amfani da shi a cikin karyewar tibial, femoral, da humeral shaft. A asibiti, zaɓin diamita na ƙusa na intramedullary sau da yawa yana fifita ƙusa mafi kauri wanda za'a iya saka shi tare da matsakaicin reaming, don tabbatar da kwanciyar hankali. Koyaya, ko kauri na ƙusa na intramedullary kai tsaye yana shafar tsinkayar karaya ya kasance ba cikakke ba.

A cikin labarin da ya gabata, mun tattauna wani binciken da ke nazarin tasirin intramedullary ƙusa diamita akan warkar da kashi a cikin marasa lafiya fiye da 50 tare da fractures intertrochanteric. Sakamakon ya nuna babu wani bambanci na ƙididdiga a cikin adadin waraka karaya da ƙimar sake aiki tsakanin ƙungiyar 10mm da ƙungiyar tare da kusoshi mafi kauri fiye da 10mm.

Wata takarda da aka buga a cikin 2022 ta masana daga lardin Taiwan ita ma ta cimma matsaya makamancin haka:

Wani binciken da ya shafi marasa lafiya 257, wanda aka gyara tare da kusoshi na intramedullary na diamita 10mm, 11mm, 12mm, da 13mm, ya raba marasa lafiya zuwa kungiyoyi hudu dangane da diamita na ƙusa. An gano cewa babu wani bambanci na ƙididdiga a cikin adadin waraka da raguwa a tsakanin ƙungiyoyi huɗu.

Don haka, shin wannan kuma shine yanayin karaya mai sauƙi na tibial shaft?

A cikin binciken da ake yi na kula da shari'ar da ya shafi marasa lafiya 60, masu binciken sun raba marasa lafiya 60 daidai da ƙungiyoyi biyu na 30 kowanne. An gyara rukunin A tare da kusoshi na intramedullary na bakin ciki (9mm na mata da 10mm na maza), yayin da rukunin B aka gyara shi da kusoshi masu kauri (11mm na mata da 12mm na maza):

Sakamakon ya nuna cewa babu wani bambance-bambance masu mahimmanci a cikin sakamakon asibiti ko hoto tsakanin kusoshi na bakin ciki da kauri na intramedullary. Bugu da ƙari, ƙananan kusoshi na intramedullary suna da alaƙa da gajeriyar tiyata da lokutan fluoroscopy. Ko da kuwa an yi amfani da ƙusa mai kauri ko sirara, an yi matsakaicin ƙusa kafin a saka ƙusa. Marubutan sun ba da shawarar cewa don raguwa mai sauƙi na tibial, ana iya amfani da kusoshi na intramedullary na bakin ciki don gyarawa.