Karyewar wuyan mata na yau da kullun ne kuma mai yuwuwar rauni ga likitocin kothopedic, tare da babban haɗarin rashin haɗin gwiwa da osteonecrosis saboda ƙarancin samar da jini. Daidaitacce kuma mai kyau raguwa na ƙwanƙwasa wuyan mata shine mabuɗin samun nasarar gyaran ciki.
Kimanta Ragewa
A cewar Lambun, ma'auni don rage raguwar ƙwayar wuyan mata na mata shine 160 ° a cikin fim din orthopedic da 180 ° a cikin fim na gefe. Ana ɗaukan karɓuwa idan fihirisar Lambun tana tsakanin 155° da 180° a cikin matsakaici da matsayi na gefe bayan raguwa.
X-ray kimantawa: bayan rufaffiyar ragewa, da mataki na gamsuwa da raguwa ya kamata a ƙayyade ta yin amfani da high quality-X-ray images.Simom da Wyman sun yi daban-daban kusurwoyi na X-ray bayan rufaffiyar rage femoral wuyansa karaya, da kuma gano cewa kawai tabbatacce da kuma a kaikaice X-ray fina-finan nuna anatomical ragewa, amma ba ainihin anatomical ragewa.Lowellve surface kai da conca conca. Za a iya haɗa wuyan femoral zuwa S-curve a cikin al'ada na al'ada. Lowell ya ba da shawarar cewa madaidaicin saman kan femoral da kuma saman wuyan femoral na iya samar da tsarin S-dimbin yawa a ƙarƙashin yanayin dabi'a na al'ada, kuma da zarar ƙirar S-dimbin yawa ba ta da santsi ko ma tangent a kowane matsayi akan X-ray, yana nuna cewa ba a sami canjin yanayin jiki ba.
Triangle mai jujjuyawa yana da fa'idodin biomechanical a bayyane
A matsayin misali, a cikin hoton da ke ƙasa, bayan raunin wuyan wuyansa na femur, ƙarshen karayar yana fuskantar matsalolin da suka fi yawa a cikin babba kuma suna matsawa a cikin ƙananan ɓangaren.
Makasudin gyaran karaya sune: 1. don kula da daidaitawa mai kyau da 2. don magance matsalolin rashin ƙarfi kamar yadda zai yiwu, ko don canza damuwa mai ƙarfi zuwa matsalolin matsawa, wanda ya dace da ka'idar tashin hankali. Don haka, maganin jujjuyawar alwatika mai juzu'i 2 a sama yana da kyau a fili fiye da maganin triangle na orthotic tare da dunƙule ɗaya kawai a sama don magance damuwa.
Tsarin da aka sanya sukurori 3 a cikin karayar wuyan mace yana da mahimmanci:
Makullin farko ya kamata ya zama ƙarshen triangle mai jujjuya, tare da lokacin mace;
Ya kamata a sanya dunƙule na biyu a baya zuwa gindin triangle da aka juya, tare da wuyan mace;
Ya kamata dunƙule ta uku ta kasance gaba da gefen ƙasa na triangle da aka juya, a gefen tashin hankali na karaya.
Tun da raunin wuyan mata na femoral yawanci yana hade da osteoporosis, screws suna da iyakacin ƙugiya idan ba a haɗe su zuwa gefen ba kuma yawan kashi ba shi da yawa a cikin matsayi na tsakiya, don haka haɗa gefen kusa da kusa da subcortex yana samar da kwanciyar hankali mafi kyau. Matsayi mai kyau:
Ka'idoji guda uku na gyaran kusoshi maras kyau: kusa da gefen, a layi daya, samfuran juyawa
Makusanci yana nufin cewa skru 3 suna cikin wuyan femur, kusan kusa da bawo mai yiwuwa. Ta wannan hanyar, 3 screws gaba ɗaya suna haifar da matsin lamba akan gabaɗayan faɗuwar karaya, yayin da idan screws 3 ba su da isasshen hankali, matsa lamba yana ƙara zama kamar ma'ana, ƙasa da kwanciyar hankali kuma ƙasa da juriya ga ɓarna da ƙarfi.
Ayyukan Aiki na Bayan tiyata
Za a iya yin motsa jiki mai nuna nauyi na tsawon makonni 12 bayan gyaran karaya, kuma za a iya fara motsa jiki mai ɗaukar nauyi bayan makonni 12. Sabanin haka, don raunin nau'in Pauwels na III, ana ba da shawarar gyarawa tare da DHS ko PFNA.
Lokacin aikawa: Janairu-26-2024
