Batun zaɓar kauri na kusoshin intramedullary don dogayen ƙasusuwan ƙananan gaɓoɓi.

Yin ƙusa a cikin farce ta hanyar intramedullary shine ma'aunin zinare na maganin karyewar ƙasusuwan da ke cikin ƙananan gaɓoɓin jiki na diaphyseal. Yana ba da fa'idodi kamar ƙarancin rauni na tiyata da ƙarfin biomechanical mai yawa, wanda hakan ya sa aka fi amfani da shi a cikin karyewar shaft na tibial, femoral, da humeral. A asibiti, zaɓin diamita na farce a cikin medullary sau da yawa yana fifita ƙusa mafi kauri da za a iya sakawa tare da matsakaicin reaming, don tabbatar da kwanciyar hankali. Duk da haka, ko kauri na farce a cikin medullary yana shafar hasashen karyewar kai tsaye har yanzu ba a kammala ba.

A cikin wani labarin da ya gabata, mun tattauna wani bincike da ya binciki tasirin diamita na ƙusa a cikin medullary akan warkar da ƙashi ga marasa lafiya sama da shekaru 50 da ke da karyewar intertrochanteric. Sakamakon ya nuna babu wani bambanci na ƙididdiga a cikin adadin warkar da karyewar ƙashi da kuma adadin sake yin tiyata tsakanin ƙungiyar 10mm da ƙungiyar da ƙusa suka fi kauri fiye da 10mm.

Wata takarda da masana daga lardin Taiwan suka buga a shekarar 2022 ita ma ta kai ga irin wannan ƙarshe:

Wani bincike da ya shafi marasa lafiya 257, waɗanda aka gyara musu farce masu diamita 10mm, 11mm, 12mm, da 13mm, ya raba marasa lafiyar zuwa ƙungiyoyi huɗu bisa ga diamita na farce. An gano cewa babu wani bambanci na ƙididdiga a cikin adadin warkar da karyewar ƙashi tsakanin ƙungiyoyi huɗu.

To, shin haka lamarin yake ga karyewar shaft ɗin tibial?

A wani bincike da aka yi kan kula da marasa lafiya 60, masu binciken sun raba marasa lafiya 60 daidai gwargwado zuwa rukuni biyu na kowanne mutum 30. An gyara rukunin A da ƙusoshin intramedullary siriri (9mm ga mata da 10mm ga maza), yayin da aka gyara rukunin B da ƙusoshin intramedullary masu kauri (11mm ga mata da 12mm ga maza):

Sakamakon binciken ya nuna cewa babu wani bambanci mai mahimmanci a cikin sakamakon asibiti ko hoton farce tsakanin siririn da kauri na farce a cikin medullary. Bugu da ƙari, siririn farce a cikin medullary yana da alaƙa da gajerun lokutan tiyata da fluoroscopy. Ko an yi amfani da farce mai kauri ko siririn diamita, an yi gyaran fuska matsakaici kafin a saka farce. Marubutan sun ba da shawarar cewa don karyewar shaft na tibial, ana iya amfani da farce mai kauri intramedullary don gyarawa.