Karyewar wuyan mata yana da kashi 50% na karaya. Ga marasa lafiya marasa lafiya tare da raunin wuyan mata na mata, ana ba da shawarar maganin gyaran ciki na ciki. Duk da haka, rikice-rikicen bayan tiyata, irin su rashin haɗin kai na karaya, necrosis na mata na mata, da rage wuyan mata, sun zama ruwan dare a aikin asibiti. A halin yanzu, yawancin bincike suna mayar da hankali kan yadda za a hana ciwon kai na femoral necrosis bayan gyaran ciki na ƙwayar wuyan mata, yayin da aka ba da hankali ga batun rage wuyan mata.
A halin yanzu, hanyoyin gyaran ciki na ciki don raunin wuyan mata na mata, ciki har da yin amfani da nau'i-nau'i guda uku na cannulated, FNS (Femoral Neck System), da ƙuƙwalwar ƙuƙwalwar ƙuƙwalwa, duk suna nufin hana ƙwayar wuyan mata da kuma samar da matsawa axial don kauce wa rashin daidaituwa. Koyaya, matsawar matsawa mara ƙarfi ko wuce kima babu makawa yana haifar da gajarta wuyan mace. Bisa la'akari da haka, masana daga asibitin jama'a na biyu da ke da alaƙa da jami'ar Fujian na likitancin gargajiya na kasar Sin, bisa la'akari da mahimmancin tsayin wuyan mace wajen warkar da karaya da aikin hip, sun ba da shawarar yin amfani da "anti-gajarta dunƙule" a hade tare da FNS don amfani da shi. gyaran wuyan femoral. Wannan tsarin ya nuna sakamako mai ban sha'awa, kuma an buga binciken a cikin sabon fitowar mujallar Orthopedic Surgery.
Labarin ya ambaci nau'ikan "screws anti-shortening" iri biyu: ɗaya kasancewa daidaitaccen dunƙule gwangwani da sauran dunƙule tare da ƙirar zaren dual. Daga cikin shari'o'i 53 a cikin rukunin anti-gajarta dunƙule, lokuta 4 ne kawai suka yi amfani da dunƙule mai zaren dual. Wannan yana haifar da tambayar ko ɓangaren zaren gwangwani da gaske yana da tasirin rage ragewa.
Lokacin da aka yi nazarin ɓangarorin ɓangarorin ɓangarorin guda biyu da skru mai dual-threaded tare kuma idan aka kwatanta da daidaitawar cikin gida na FNS na gargajiya, sakamakon ya nuna cewa matakin ragewa a cikin rukunin dunƙule-ƙulli ya ragu sosai fiye da rukunin FNS na gargajiya a 1. -watanni, 3-wata, da 1-shekara maki masu biyo baya, tare da mahimmancin ƙididdiga. Wannan yana haifar da tambayar: Shin tasirin ya kasance saboda madaidaicin gwangwani ko dunƙule mai zaren dual?
Labarin ya gabatar da shari'o'i 5 da suka shafi screws anti-gajewa, kuma idan an yi nazari na kusa, za a iya ganin cewa a cikin lokuta 2 da 3, inda aka yi amfani da sukurori na cannulated partially, an sami ja da baya da raguwa (hotunan da aka lakafta tare da lamba ɗaya). dace da wannan harka).
Dangane da hotunan yanayin, tasirin dunƙule mai zaren dual-threaded don hana gajarta yana bayyana sosai. Amma ga cannulated sukurori, labarin ba ya samar da wani raba kwatancen kungiyar a gare su. Duk da haka, labarin yana ba da ra'ayi mai mahimmanci game da gyare-gyare na ciki na wuyan mata, yana jaddada mahimmancin kiyaye tsayin wuyan mata.
Lokacin aikawa: Satumba-06-2024
