Karyewar wuyan cinya wani abu ne da ya zama ruwan dare gama gari kuma mai yuwuwar yin mummunan rauni ga likitocin ƙashi, tare da yawan kamuwa da rashin haɗin kai da kuma osteonecrosis saboda raunin jinin da ke cikin cinyar. Rage karyewar wuyan cinya mai kyau shine mabuɗin samun nasarar gyarawa ta ciki.
Kimanta Ragewa
A cewar Garden, ma'aunin rage karyewar wuyan cinya da aka cire shine digiri 160 a cikin fim ɗin orthopedic da digiri 180 a cikin fim ɗin gefe. Ana ɗaukarsa abin karɓa ne idan ma'aunin Garden yana tsakanin digiri 155 zuwa 180 a cikin matsayi na tsakiya da na gefe bayan raguwa.
Kimantawar X-ray: bayan ragewa a rufe, ya kamata a tantance matakin gamsuwar raguwa ta amfani da hotunan X-ray masu inganci. Simom da Wyman sun yi kusurwoyi daban-daban na X-ray bayan rage karyewar wuyan cinya a rufe, kuma sun gano cewa fina-finan X-ray masu kyau da na gefe kawai suna nuna raguwar jiki, amma ba ainihin raguwar jiki ba. Lowell ya ba da shawarar cewa saman convex na kan cinya da saman concave na wuyan cinya za a iya haɗa su da lanƙwasa S a yanayin jiki na yau da kullun. Lowell ya ba da shawarar cewa saman convex na kan cinya da saman concave na wuyan cinya na iya samar da lanƙwasa mai siffar S a ƙarƙashin yanayin jiki na yau da kullun, kuma da zarar lanƙwasa mai siffar S ba ta da santsi ko ma tangent a kowane matsayi akan X-ray, yana nuna cewa ba a cimma sake saita yanayin jiki ba.
Alwatika mai juyewa yana da fa'idodi masu yawa na biomechanical
Misali, a cikin hoton da ke ƙasa, bayan karyewar wuyan cinya, ƙarshen karyewar yana fuskantar matsin lamba wanda galibi yana da ƙarfi a saman ɓangaren kuma yana dannewa a ƙasan ɓangaren.
Manufofin gyara karyewar ƙashi sune: 1. kiyaye daidaito mai kyau da kuma 2. magance matsin lamba na tensile gwargwadon iko, ko kuma mayar da matsin lamba na tensile zuwa matsin lamba na matsi, wanda ya yi daidai da ƙa'idar haɗa ƙarfin. Saboda haka, maganin alwatika mai juyi tare da sukurori 2 a sama ya fi maganin alwatika na orthotic tare da sukurori ɗaya kawai a sama don magance matsin lamba na tensile.
Tsarin da aka sanya sukurori guda uku a cikin karyewar wuyan femoral yana da mahimmanci:
Sukurori na farko ya kamata ya zama ƙarshen alwatika mai juyi, tare da lokacin femoral;
Ya kamata a sanya sukurori na biyu a bayan tushen alwatika mai juyewa, tare da wuyan femoral;
Sululu na uku ya kamata ya kasance a gaba zuwa gefen ƙasan alwatika mai juyewa, a gefen tashin hankali na karyewar.
Tunda karyewar wuyan femoral galibi ana danganta shi da osteoporosis, sukurori suna da ƙarancin riƙon sukurori idan ba a haɗa su da gefen ba kuma ƙashi ya yi ƙaranci a tsakiya, don haka haɗa gefen kusa da subcortex gwargwadon iko yana samar da kwanciyar hankali mafi kyau. Matsayi mai kyau:
Ka'idoji uku na gyara kusoshi masu ramuka: kusa da gefen, a layi ɗaya, samfuran da aka juya
Ma'anar da ke kusa da ita ita ce sukurori 3 suna cikin wuyan cinyar, kusa da ɓangaren da ke kewaye da ita gwargwadon iko. Ta wannan hanyar, sukurori 3 gaba ɗaya suna haifar da matsin lamba a saman dukkan saman karyewar, yayin da idan sukurori 3 ba su da isasshen sassauci, matsin lambar zai fi kama da maki, ba shi da karko kuma ba shi da juriya ga juyawa da yankewa.
Darussan Aiki Bayan Tiyata
Ana iya yin motsa jiki na ɗaukar nauyi na nuna yatsan ƙafa na tsawon makonni 12 bayan an gyara karyewar, kuma ana iya fara motsa jiki na ɗaukar nauyi na ɗan lokaci bayan makonni 12. Sabanin haka, ga karyewar Pauwels nau'in III, ana ba da shawarar a yi amfani da DHS ko PFNA.
Lokacin Saƙo: Janairu-26-2024
