Tibial motsa jiki dabarun fili

Gyara ƙusa na Intredullary ya kasance lura da zaɓi don rashin daidaituwa da kuma kora da tibial karar karaya a cikin manya. Manufar maganin tiyata ita ce mai dawo da tsayi, ja da jeri da juyawa daga tibia kuma don cimma warkarwa. Fa'idodi na tsintsaye na tsawa tsararru suna da rauni rauni da kuma kiyaye abubuwan da suka dace da samar da jini ga karaya. Bugu da kari, tsararren tsarewa na Tibia yana samar da ingantaccen kwanciyar hankali na bimochanical da kuma ayyukan raba kayan raba-rabawa yana barin tattara bayanan da aka ba da izini. Ci gaba a cikin ƙirar ƙirar ƙusa da dabarun rage sun fadada alamu don gyaran ƙwararrun ƙwararraki don haɗa tibia da ƙananan tsintsiya na uku.

Har wa yau, rage rage tsallake kusancin Tibal ya zama hanya guda na yau da kullun don tiyata orthopedic trauma. Duk da shahararren kayan ƙwararrun ƙwararren ƙwararraki don gudun hijira tibial kara karaya, shi ya kasance ƙalubale kuma yana da rikice-rikice da yawa. Hukumar tiyata tana ci gaba da juyinta. Dalilin wannan labarin shine bayyana manufofi a cikin tsinkayen nazarin Tibal Strack na tibial kara kararraki da taƙaita ci gaban kwanan nan a cikin filin.

一. Gwajin farko da dubawa

A cikin samari, tibial kara karagar karagar galibi galibi dole ne a kimanta raunin da ya faru ga rauni a kan Tallarancin Trauma da ke da jagororin da ke da muhimmanci. Kimanta fata na fata da taushi nama kamar rauni blisters, fata fararen fata, fararen fata, ecchymosis, ko habaka fata; Bayyana ko rauni a bude, kuma idan haka ne bi da tetanus da kwayoyin cuta; Kuma yin cikakken bincike na Neurovascular da kuma tattara abubuwan da ke sama. Kimanta abin da ya faru na karatuttukan Osteofar Osteofar OstEOhofer da kuma yin jerin gwaje-gwajen asibiti a cikin waɗannan marasa lafiya.

Nazarin kwanan nan sun nuna cewa abin da ya faru na karancin kayan maye bayan tashin hankali masu zuwa na iya zama babba kamar kashi 11.5%. Musamman, youngungiyoyi masu haƙuri sun fi ƙarfin haɓaka ƙwayar ostehofar. Cigaba da cutar syndrometic na Osteofar Community ya kamata ya zama tushen a asibiti, gami da jin zafi, kumburi da ciwo daga fadada daga m foright. Saboda haka, Syndromet na Osteofer ya kasance mai gano cutar asibiti da kuma cikakken takardun binciken asibiti yana da mahimmanci. Za'a iya auna matsin lamba a cikin ɗakin mawuri na myoparfin ta hanyar amfani da matsin lamba (Hoto 1) azaman hanyar ganowa ga jarrabawar ta musamman.

Hoto 1

Don samun ingantattun bayanai, ya kamata a auna matsin lamba na intrafasali a cikin kayan mykase guda huɗu da kuma wurare daban-daban a cikin dakin jijiyoyi. Bincike a cikin wallafe-wallafen suna ba da shawarar cewa bambancin matsin lamba na ƙasa da matsin lamba 30 (matsin lamba na diastolic) yana nuna cututtukan da sauri. Yakamata matsin lamba na diastolic yawanci lokacin tiyata, ya kamata a la'akari da matsanancin matsananciyar doka yayin yin lissafin bambancin bamban.

Karatun da aka yi kwanan nan ya nuna cewa saka idanu na atomatik kayan aiki ne mai yuwuwar kayan aiki na cutar syndrometosis, tare da jin daɗin kashi 94% da kuma takamaiman na 98%. Koyaya, ba da yiwuwar lalata sakamakon syndrometom, maganin cututtukan rigakafin ya kamata a yi amfani da su a cikin abubuwan da aka samu na asibiti, kamar lokacin da mara lafiyar ya kamata a san shi ko lokacin da aka ba da damar maki.

Tsararren ƙimar hoto ya haɗa da daidaitaccen orthopantomomogram da kuma labaran da aka ji na gwiwa da gwiwa da kuma gidajen gwiwa, wanda ake ci gaba da amfani da amfani da lissafin kabad (CT). Hakazalika, CT bincika idon idon zai iya zama dole don hango karancin layuka zuwa ga raunin da aka samu na Tibal da kuma hade raunin da aka samu

二. Clinical Pointfalls

Babban adadin rauni na ƙananan tsakiya na Tibiya tare da Ankle rauni. Ta amfani da sikanin CTT na al'ada, kashi 43% na karaya na tsakiya da rabi na uku na Tiba suna tare da karar gwiwa, mafi yawan abin da ake buƙata na magani. Mafi yawan nau'in karaya ya kasance karkatacciyar rauni na ƙananan tsakiya na na uku na kewayon da alaƙa da dan kadan ko mara kima. Saboda karamar muhalli na hadewar gwiwa mai hade, kawai 45% na raunin da zai iya gano shi a kan fitattun mutane masu bayyana. Sabili da haka, aikin CTCans na idon sawun ya kamata a ƙarfafa lokacin da ƙananan tsaunin tsakiyar Tibia yana nan (Fig. 3).

Hoto na 2.af Keɓaɓɓiyar Tsara na tsakiya na uku na dama Tibia (A, B) Hotunan haskakawa na idon kafa na gwiwa suna nuna al'ada (C). Inturoprus C-arre Floroscopy yana nuna wani yanki mai narkewa na posterial idon sankara (d) Religressatiographs bayan gyarawa (EF) ta nuna sosai waraka

Hoto na 3. AF karkacewa na karkace na tsakiya da ƙananan uku na hagu Tibia (AB) Hotunan rediyo; (CD) Mai gabatarwar CTT yana nuna alamar ƙwayar cuta mai narkewa. (EF) yana nuna rashin nasara ta Tibiya da karar Merolar

三. Hanyar M

01. Tibial Exle COLELE

Kafa ingantaccen saiti yana taka muhimmiyar rawa da kuma karatu da yawa a cikin wallafe-wallafen sun samar da mahimman bayanai game da yanayin shigarwar da ke cikin tsallake-tsaren karuwa. Wadannan karatun sun nuna cewa kyakkyawan pinning pinning yana da a cikin matsanancin gefe na tibal kuma kawai medial zuwa ƙarshen tibial tibial. Yankin aminci tare da nisa na 22.9 mm ± 8.9 mm, wanda ba ya haifar da lalacewar haɗin gwiwa mai kyau, shima ya ruwaito. A bisa ga al'ada, farkon farawa na ƙwararren ƙusa na Tibal an kafa shi ta hanyar hanyar da take ciki, ko dai ta hanyar rikitar da sashin Tallarar Patellar) ko kuma ta hanyar ɗaukar sashin Tallarar Shellar) ko kuma ta hanyar ɗaukar sashin Patelllar) ko kuma ta hanyar ɗaukar sashin Tallar.

Nemi-tsawan tsattsauran ra'ayi ya jawo hankali sosai a cikin wallafe na Orthopopeic, da Tornetta da Collins na Collins na Collins na Coldullary Nail na na ciki Tibial .3 Amfani da hanyar fadada don intraatular don intraatullary Ana kuma bada shawarar matsayin tsattsagewa. Yin amfani da Suprapatellar kusancin na Tibial Intermedullary Nighing nahin inna ta hanyar fitar da ƙusa na Tiilmedullory a cikin matsayi na Patellofemoror hadin gwiwa a matsayi na Semi-mitar ba da shawarar.

Ana yin wannan hanyar da gwiwa ta zama sau da yawa a digiri 15-20, da kuma madaidaiciyar in da kusan yatsun kafa 3 da ke patella. An yi tsinkayen Quadrices a cikin tsinkaye mai ban tsoro da kuma diskon da aka yi amfani da shi zuwa ga haɗin patellofemoror. An saka socket ɗin ta hanyar haɗin patellofemorrics don ƙirƙirar hanyar shiga a farfajiyar ƙarancin tibial da farfajiya (Hoto na 4).

Hoto na 4. AB CETRACERACETS NA (AD) Raba Quadriceps Hauradrices da kuma saka Tercar ta hanyar shigar da Taken Patellofemorly zuwa ga shigarwar Shigo; (b) a ƙasƙantar da kai tsaye game da wurin shigarwa

Ana amfani da bit din mm 3.2 don sanin ma'anar allurar a ƙarƙashin jagorar C-ond. An bayar da softed na da-tayi mai shigowa da wuraren fita. Abubuwan da suka rage na tiyata ciki har da sake komawa da sake fasalin ƙusa da kuma an yi bututun ƙusa ta hanyar soket ɗin.

Mai yiwuwa fa'idodi: Matsakaicin kafa mai kafa na Semi na iya taimakawa cikin sake juyawa da karaya, musamman cikin karaya tare da wakili na yau da kullun na Tibiya da angled gaba. , Matsayin Semi-Thitend na iya kawar da tashin hankali a kan tsoka Quadricesps da taimakon ragi. , Semi-Fighted Matsayin Matsayi na iya zama madadin tsarin karfin gargajiya na gargajiya (Hoto na 5).

Hoto na 5. Mai ɗaukar hoto yana nuna raunin nama a cikin yankin infrapatellar a matsayin nuni don tsarin yanke shawara a cikin babban tsarin Semi.

Nazarin da aka nuna cewa sunjin karatun da aka yiwa za a iya kusantar da Nahaukar tsararraki a cikin Nemi-mitar Matsayi shine dabarar tiyata mai aminci. Ana buƙatar bincika gwajin asibiti mai zuwa don ci gaba da bincika fa'idodi da rashin amfanin su na hannun jari mai kawowa da tsararraki na dogon lokaci da ke hade da wannan dabara.

02. Sake saitin fasaha

Sanya namiji na tibial kadai shi kadai ba ya haifar da isasshen rage karaya; Dole ne a kula da ragin karaya da ya dace a ko'ina cikin tsarin sake tsara shi da kuma jakar ƙamshi. Aikace-aikacen jagora na manual shi kadai ba koyaushe ba koyaushe yana samun rage ragewar ƙwayar cuta da kanta ba. Wannan talifin zai bayyana nau'ikan rufe abubuwa da yawa, m m, da kuma bude maneswa.

-Ka sake saita tukwici na fasaha

Za a iya kammala tsarin ragewar kayan aiki kamar na sabuntawa na F-rauni, fassarar F-Foral da Medvel / Fassara (Fassara. 6).

Hoto 6

Koyaya, na'urar na iya sanya damuwa mai mahimmanci a kan kyallen takarda, da kuma tsawan tsawan lokacin saiti ya kamata a guji. Hakanan za'a iya sanya karfin karfi da sauri, kamar yadda ake karkatar da karkata. Waɗannan kayan aikin za a iya amfani da su a cikin yanayin da suka dace da ƙwararru cikin ƙananan ƙwayoyin cuta (Figure 7).

Hoto 7

Da nau'in matsa da wurin da ya kamata a zaɓi tushen hanyar da za a rage lalacewar kyallen takarda daga matsa lamba 8).

Hoto 8

Masu jan raguna ma suna ɗaya daga cikin kayan aikin sake sake fasalin da ake amfani da su don dawowa tsawon zuwa Tibiya. Yawancin lokaci ana sanya su ta tsakiya kuma nesa daga wurin da ƙusa mai karko ke sanya ƙusa. Za'a iya sanya murfin kusurwa don kwaikwayon matsayin dunƙulen kusancin dunƙule, wanda ke ba da damar rage ragin da zarar ƙusa ta ficewa.

A wasu halaye, a rufe da rage fasahohin rage da ba su dace ba har yanzu basu isa don rage taaton ba. A irin waɗannan halayen, ya kamata a ɗauki dabarun ragewar ciki tare da kulawa mai kulawa da kyamar da ke da taushi. M bani da rashin nasarar samar da rage hanyoyin hada da ƙarin rauni rauni, wanda zai iya ƙara haɗarin kamuwa da tarko. Bugu da kari, ƙarin ƙwanƙwasa wadataccen jini zuwa wurin karaya na iya ƙara haɗarin karar karar mahaifa.

-Ka ƙwarewar ƙwarewa don haɗawa da sake juyawa

Rage rashin izini ba kawai ƙarfin ragi ba sanya a cikin daidai, amma kuma aikace-aikacen karami a lokacin karaya na tsayawa a lokacin shiga cikin tsinkaye.

An kulle faranti zuwa kusurwalin karaya da rarrafe karaya ta amfani da sukurori na monocortical. An riƙe Flinting a duk faɗin sake aiwatar da sake dawowa da sanya ƙusa na cikin tibia. Bayan sanya injin na intraadully ƙusa, an cire farantin ko hagu a wurin don haɓaka kwanciyar hankali ta hanyar gyara tsarin (Hoto na 9). Ta hanyar barin farantin a cikin wurin, dunƙule na cortical guda ɗaya ya kamata a canza shi tare da dunƙulewar baƙi biyu. Yakamata ayi la'akari dashi don amfani da maganganun maganganu inda tibial tushe ke buƙatar tiyata don cimma ragin raguwar karaya.

Hoto 9

Dalilin toshe ƙusa shine ya kunshi ramin meduly a yankin Mersuphyseal. Tarewa ƙusoshin ƙusoshin an sanya su a cikin gajeren yanki na zane-zane kuma a kan ɓangaren concave na nakasar kafin a jingina na ƙwararraki. Misali, hali na nakasar karaya na kusancin uku na Tiba yana halin Valgus da kuma Angulation gaba. Don gyara nakasar borgus, ana iya sanya rigar dunƙule a cikin ɓangaren ɓangaren ɓangaren yanki (watau, gefen nakasar) a cikin shugabanci na ɓarna. An shirya ƙusa mai shiga daga gefen medial, don haka yana hana Valgus. Hakanan, za a iya shawo kan nakasar kulla ta hanyar sanya murfin kulle a gefe zuwa yanki na baya zuwa ga nakasar kusoshi (watau, gefen ƙayyadaddun toshe) (Hoto 10).

Hoto 10

-Emyulrary fadada

Bayan kammala sake fasalin karaya, an zaɓi Reading Reaming don shirya kashi don shigar da ƙusa mai zurfi. An saka Jagorar Ball-ƙare cikin rami na tibial da kuma shafin karaya, kuma sake fasalin rawar lantarki yana wuce gona da iri. Matsayin shaidar Ball-da aka ƙare a ƙarƙashin C-huhun ruwa ya kasance a matakin da ankle hadin gwiwa, da kuma jagora ya kasance da kyau sosai a kan abubuwan da aka ciki (hoto na 11).

Hoto 11

Batun fadada daga cikin medulla da ba a fadakar da Medulla ba. Mun yi imanin cewa yawancin masu tarewa a Arewacin Amurka sun fi yayyage tsawan tsaka-tsaki na Tibia zuwa ba fadada. Koyaya, duka sun faɗaɗa kuma ana iya yin amfani da su ba a faɗaɗa su ba azaman hanyar da aka yarda da su, kuma ana iya samun sakamako mai kyau tare da hanyoyin biyu.

-Kannun jabu

Amfani da kwastomomin da aka kulla a cikin tsaka-tsaki kara da aka yi niyya ne don hana rage girman kai da maltial tibial karar karaya da suka shafi misaltyis. A cikin karaya shafi yankin metaphyseal yankin, yaanda sukurori ya zama mafi mahimmanci wajen kiyaye allurar axial.

Kwataye na sirri uku na makirci yana inganta kwanciyar hankali, kuma kusurwoyin da aka tsara kusurwa na iya samar da kwanciyar hankali na al'ada, wanda zai iya ba da damar kwanciyar hankali na al'ada da za a samu tare da ƙaramin adadin abubuwan da aka killace. Asibitin asibiti akan lamba da sanyi na kulob din da ake buƙata don gyara cikin Tibiya ya iyakance.

Sauraren dunƙule na sirri na makirci yawanci ana yin ta amfani da igiyar ruwa da aka haɗe zuwa ƙwararrun ƙwararrun ƙusa. An saka abubuwan da aka kulle sukurori a ƙarƙashin jagorar jagora. Amfani da tsarin tsarin kwamfutar lantarki na lantarki wanda aka ba da shawarar don saka abubuwan da aka killace na raɗaɗi na Tibial (Hoto na 12). Wannan dabarar tana ba da izinin shigar da sikirin-distal na ɓoye na ɓoye kuma an nuna shi mai yiwuwa kuma tabbatacce.

Hoto na 12.Ab Kulle sukurori ta hanyar C-Aure; CD kulle kulle-kullen kwakwalwa ta hanyar zababbun kwamfutar lantarki

Wurin sanya kusancin da kuma yauracewa sukurori hanya ce mai aminci kuma dole ne a saka a saka hannu a cikin daidai da taushi nama.

Karatun Anatatom ya nuna cewa har yanzu akwai hadarin jijiya dabino yayin da aka sa wakili na nesa zuwa ƙarshen kulob din. Don rage wannan haɗarin, likitocin ya kamata la'akari da hakoma don kwatankwacin jagorar C-hannu, tare da kusurwar C-hannu ta hanyar rawar soja. Yin shigar shigar cikin ciki a cikin cortex na distal tibia na iya zama da wahala in gane ta hanyar hadin kai na iya mantar da halin kirki kuma ya ba da likitan ciki game da kasancewa 'a cikin kashi ' a cikin gaskiya da ya shiga tsakani na Ufi. Yakamata ya kamata ya yanke hukunci ba kawai ta hanyar da ya dace ba amma kuma ta ma'aunai masu zurfin da suka dace. Duk wani dutsen ko dunƙule mai tsayi fiye da 60 mm ya kamata ya ɗauki tuhuma da ƙwayoyin cuta, wanda zai iya sanya jijiyoyin ƙasa na gama gari a haɗarin rauni.

Distal naƙasoshin kuma an sanya su na gefe da aka sanya tare da kariya daga kersevascular hadari, tibialis na ƙarshen divitorum lightnsor longus. Kodayake percutaneus dunƙule wuri yawanci lafiya, aikin likita yana buƙatar sanin haɗarin da keɓaɓɓun tsarin nama mai taushi. Don yawancin tibial kara karaya, kusurwoyi biyu masu nisa da biyu na ɓoye suna ba da cikakkiyar kwanciyar hankali. FTRAIMALALA DA KYAUTA TIBAILAIALS na iya amfana daga wurin ƙarin ficlocking na kwarjada a cikin jirage daban-daban don ƙara kwanciyar hankali game da wannan tsarin (Hoto na 13).

Hoto na 13. Rarrabawa da yawa na Tibiya, an bi da shi tare da tsinkaye mai nisa tare da dunƙulen kusurwa biyu da uku, tare da ɗakunan da ke cikin untial, tare da masu zuwa X-haskoki suna ba da shawarar karar karaya.

-Miyin gyaran

Tsarin ƙusa na zamani tare da dunƙulewar taurin kai na karkara sun fadada alamomin Tibiya don hadawa yankin da suka shafi yankin.

An yi amfani da jerin abubuwan rufe-ƙasa daban-daban na dunƙule a cikin binciken (2 sukurori daga tsakiya zuwa juna da kuma jimlar rufewa 3 distal distning. A cikin marasa lafiya waɗanda ke lalata fifishin fifishin fifishin ƙwararraki da haɓakar ƙusa na Tibial, yawan saiti ya sake saiti ya kasance ƙasa da ƙasa. Jimlar marassa lafiya tare da tsayayyen ƙwararraki ba tare da ingantaccen kayan aikin da aka nuna properative asarar ba tare da gyaran ƙwararraki ba.

A wata fitina ta kwatanta ingancin tibial Intredullory a hade tare da tibial da aka bi da inganta a cikin maida hankali da kuma zina / eversion jeri na.

Mun yanke hukuncin cewa ingantaccen ficulan ya samu da kuma tabbatar da rage karaya na Tibal a cikin tsattsarkar karaya na Tibailia a cikin tsallakewar ƙwararraki. Koyaya, matsalar rauni sakamakon abubuwa daga ƙarin incisisation a cikin yankin na rauni nama. Saboda haka muna ba da shawarar yin taka tsantsan a cikin amfani da ƙayyadadden rijiyar fibrular.

03. Sakamako

Tsakuwar tsinkaye na tsaka-tsaki na tibial kara rauni na iya samar da sakamako mai kyau. An ba da izinin warkarwa na tsirarar tibia a cikin karatu daban-daban. Tare da amfani da implants na zamani da dabarun tiyata da suka dace, ana warkar da kudaden warkarwa 90%. Rateaunar warkarwa na tibial kara karar karaya da suka kasa warkar da kayan ƙusa na ciki bayan ƙwararren na cikin gida tare da ƙusa na farko.

Sakamako sakamako a shekara guda bayan tiyata ya nuna cewa har zuwa 44% na marasa ƙarfi a cikin ƙananan raunin da ya ji rauni a shekara guda bayan tiyata. Nazarin ya nuna cewa an kula da marasa lafiya da ke cikin tsirarar tibia suna ci gaba da samun iyakance masu iyaka a cikin dogon lokaci. Tumurori ya kamata ya san waɗannan batutuwan kuma suna ba da marasa lafiya daidai.

四. Rikitarwa na gaba

01. Zafin Perelllar

Zuciyar patellofemororal azaba ce ta yau da kullun da aka saba da ƙwararrun ƙwararrun ƙwararraki na tibial kara. Nazari ya nuna cewa kusan kashi 47% na marasa lafiya bayan tsararraki masu tsibi na iya haɓaka zafin Prepatlalllar, da Ettiology wanda ba a fahimta ba. Yawan Abunda zai iya haɗawa da rauni tibia, da kuma nuna ƙarshen ƙarshen ƙusa.

Lokacin da nazarin Etiology na Periatllarlar ciwo bayan tsararren tsinkaye, an kwatanta shi da hanyar jijiyoyin transpatellar tare da tsarin karantawa. Ana iya danganta ma'anar hanyoyin juyawa tare da mafi girman abin da ya faru na ciwon gwiwa. Koyaya, mai yiwuwa bayanan asibiti bazuwar ba su nuna kowane bambanci mai banbanci tsakanin hanyoyin jijiya da kusancin transpatellark da kusancin parapatellar.

Ingancin zaɓi na zaɓaɓɓen cirewar cikin gida don magance zafin wuta don magance zafin da ke shirin farawa bayan tashin hankali na Tibial ba shi da tabbas. Muna ba da shawarar cewa cire ƙusa na intial Tibial idan za a iya ganin ƙirar ƙwayar cuta ta inji, kamar taɓarɓara ko dunƙule ƙusa. Koyaya, fa'idar cirewar nono na tibial a cikin masu cutar satima ta zama abin tambaya.

Game da jin zafi na Edeoplellar, wanda ya haifar da zafin da ake iya nuna shi a cikin binciken farko na ƙusa na Tubial na ƙusa na tibial a kan Sterlla a cikin matsayi na Semi. Saboda haka, babban karatun asibiti tare da bin na dogon lokaci ya zama dole don tabbatar da tasirin zanen ƙusa a cikin tsarin yanke hukunci akan azabtarwar properllar.

02.Loor jeri

Post-rauni ostearthritis har yanzu yana da matsala bayan lura da tibial kara karaya tare da tsinkaye mai tsoratarwa. Binciken Biomechanist ya nuna cewa Tibal Balalignment na iya haifar da canje-canje masu mahimmanci a cikin matsanancin matsakaitan a ciki kusa da kayan haɗin gwiwa.

Nazarin asibiti na kimanta dogon lokaci na lokaci mai dorewa bayan tunanin tibial rauni sun ba da bayanai na rikitarwa a kan Sequelae na Tibial Malalela, ba tare da bayyananniyar ƙarshe ba.

Rahotannin Malaleperative na Penoperypormation bayan tsakar tsaka-tsaki na Tibia sun kasance iyakantacce, tare da karamin adadin shari'o'in da aka ruwaito. Bayanwacin postopeative ya kasance matsala ta gama gari a cikin tsayin daka na tibial, da kuma kimanta sigari na jujjuyawar tibial ya kasance kalubale. To date, no clinical examination or imaging method has been established as the gold standard for intraoperative determination of tibial rotation.CT examination evaluation has shown that the rate of malrotation after intramedullary nailing of the tibia may be as high as 19 % to 41 %. Musamman, nakasannin jujjuyawar ta waje sun bayyana fiye da nakasa na yau da kullun. An ruwaito jarrabawar asibiti don tantance malrotation na bincike da aka ruwaito shi ba daidai ba kuma ya nuna karancin gyaran tare da tantancewa na CT.

Mun yi imani da cewa Malafichnt ya kasance matsalar dogon lokaci a kara karar karar karaya tare da tsakar Tiba. Duk da mahimman bayanai game da alaƙar da ke tsakanin Malaletment da Clinical da Hoto cewa likitocin suyi ƙoƙari don cimma wannan sakamako don sarrafa sakamako.

五. Ƙarshe

Kulle makullin yana fadada medullary Nighing don gudun hijira don gudun hijira na tibial. Matsakaicin shigarwar da ya dace ya kasance ɓangare mai mahimmanci na tsarin tiyata. An dauki tsarin semini a cikin matsayin Semi-mita ana ɗaukar ingantaccen tsari mai inganci, da kuma nazarin da bukatar kara kimanta hadari da fa'idodin wannan hanyar. Yakamata likitan taron ya kamata ya saba da dabarun gyara zamani. Idan an cimma matsara ta Anatomic ta hanyar rufaffiyar hanya, ya kamata a yi la'akari da dabarun rage hanyoyin. Kyakkyawan warkarwa mai kyau na fiye da 90% ana iya samun nasara tare da faɗaɗa duka biyu sun faɗaɗa kuma ba fadawa da aka fadada. Duk da kyawawan kudaden warkarwa, har yanzu marasa lafiya har yanzu suna da iyakokin aiki na dogon lokaci. Musamman, zafi mai zafi ya kasance korafi gama gari bayan tsararren tibial. Bugu da kari, malRotation bayan ficewa na ciki ya kasance matsala gama gari.

Nassoshi

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2.mcquoen mm, duckworth Ad, aiten sa, sharma kotu mai cm. Annabta na syndromet na reshe bayan karaya Tibal. J Orthop rauni. 2015. [Epub gaba na buga].

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