Tibal Filinu rauni hade tare da Tibial Takadan shakin da aka saba gani a cikin raunin da ya faru, tare da 54% kasance budewar rauni. Karatun da ya gabata ya gano cewa kashi 8.4% na karaya na Tibal suna da alaƙa da karar shakin shaft mai a hankali, yayin da 3.2% marasa lafiyar cututtukan ƙwayar cuta na Tibial suna da karfin gwiwa na Tibal. Ya tabbata cewa hadewar tibial Plateau da kuma soke karaya ba sabon abu bane.
Saboda yanayin babban ƙarfin irin irin waɗannan raunin, akwai sau da yawa matsanancin lalacewa. A ka'idar, farantin farantin da tsarin dunƙule yana da fa'idodi na cikin gida, amma kota mai taushi zai iya jure gyaran ciki tare da farantin gida kuma tsarin zane kuma yana da la'akari a asibiti. Saboda haka, a yanzu akwai zaɓuɓɓuka biyu da ake amfani da su na yau da kullun don ƙayyadadden ɓaure na Tibal a hade da fashewar ƙwayar cuta:
1
2. Kifi na Intredulyullary Nail dunƙule.
Duk zaɓuɓɓuka sun ruwaito a cikin wallafe-wallake, amma a yanzu babu yarjejeniya ga wanda ya fi ƙa'idar kariyar warkar da warkarwa, da rikice-rikice. Don magance wannan, malamai daga asibitin Jami'ar Koriya da aka gudanar da nazarin juna.
Nazarin ya hada da marasa lafiya 48 da tibial Filinuau rauni hade da karar tarkon. Daga cikin su, an bi da shari'o'i miliyan 35 tare da shigar da farantin karfe don tsarewa, da kuma abubuwan jan hankali na Filato.
Hasashen ▲ 1: MIPPOY MIPPOE Karfe mafi gyara na ciki. Dan shekara 42 na shekara 42, wanda ya shiga cikin hatsarin mota, wanda aka gabatar tare da busassun tibial tibial crackrutrus (Gustilo II) da kuma medin tibial tibial plactial platoau cracture (nau'in tidan tibial tibial.
Haske na ▲ 2: Tibal Plateeau dunƙule + Suprapatellalar Intratedullary ƙusa gyarawa. Dan shekaru 31 da haihuwa, wanda ya shiga cikin hatsarin mota, wanda aka gabatar tare da bude tibial tibial plainu karaya (Schatzker na buga). Bayan rauni ya ji rauni da mummunan matsin lamba mai rauni (VSD), raunin ya kasance fatar fata. An yi amfani da sukurori 6.5m masu scors biyu don raguwa da kuma gyara Filato, wanda ke bi da ƙwararren ƙusa na Tibayayye Shaffuly ta hanyar yanke shawara.
Sakamakon da ya nuna cewa babu bambanci mai mahimmanci tsakanin hanyoyin warkarwa guda biyu a cikin yanayin warkar da warkarwa, jeri na ƙasa, da rikicewa.
Haka kuma hadadden fashewar tibial tare da karar gwiwa na idon sawun kuma tare da kararwar wuyan wutar lantarki, zai iya haifar da raunin da ke cikin gwiwa a gwiwa hadin gwiwa. A cikin aikin asibiti, yana hana Misdiagnosis shine na farko damuwa a cikin ganewar asali da magani. Ari ga haka, a cikin zabi na hanyoyin gyara, kodayake binciken na yanzu yana nuna cewa bambance-bambance masu mahimmanci, har yanzu akwai maki da yawa don la'akari:
1. A cikin lokuta na cunkoso na tibial Plateau Congruya inda sauki farantin dunƙule tare da doguwar farantin karfe, maido da kayan haɗin gwiwa.
2. A cikin lokuta na lokuta masu sauƙin tibial Fileteau rauni, a karkashin m incisions, raguwa mai inganci da tsari mai inganci kuma za'a iya cimma shi. A irin waɗannan halaye, fifiko na iya ba da don dunƙulewar dunƙule ya biyo bayan ƙwararrun ƙwararrun ƙwararren ƙusa na tibapatal.
Lokacin Post: Mar-09-2024
