"Kwabesifazane abangewona ama-femoral Fembu Fental Fractures, indlela esetshenziswa kakhulu yokulungiswa kwangaphakathi ingukuhlelwa kwemali okungunxantathu okuhlangene ngezikulufo ezintathu zentamo yangemuva. Kubekwa izikulufo ezimbili ze-anteroposterior, lapho kubukwa i-ature-screw, lapho kubukwa i-lateral, i-'3-screw' iphethini liyabonwa. Lokhu kucushwa kubhekwa njengokubekwa okuhle kakhulu kwezikulufo. "
"I-artery ye-medial carkeflex i-artery iyindlela ephambili yegazi ekhanda lowesifazane. Lapho kufakwa ama-screw-out-in 'ngaphezulu kwesici sangemuva sentamo yangemuva, kubeka engcupheni yokulimala kwegazi, ngenxa yalokho, ngemfanelo ukuphulukiswa kwamathambo."
"Ukuvimbela ukwenzeka kwe-'-Out-Out-in' (IOI) I-Phenomenon, lapho ama-screws adlula khona ngethamo labesifazane, afake i-acetabulum, angena emazweni angaphandle entamo yabesifazane, ukucindezelwa okukhohlisayo ku Ithambo. Ngokutadisha ubudlelwano phakathi kwezikulufo ezibekwe ngaphezulu kwesici sangemuva sentamo yangemuva kanye ne-acetabulum ekubukeni kwe-anteroposterteor, umuntu angabikezela noma ahlole ubungozi be-screw IOI. "
▲ Umdwebo ukhombisa ukucabanga kwamathambo we-cortical we-acetabulum ekubukeni kwe-anteropoteor kokuhlangana kwe-hip.
Lolu cwaningo lwahilela iziguli ezingama-104, nobudlelwano phakathi kwethambo le-cortical of acetabulum kanye nezikulufo ezingemuva kwahlolwa. Lokhu kwenziwa ngokuqhathanisa kuma-X-ray futhi kuhambisana nokwakhiwa kabusha kwe-CT postoperative ukuze kuhlolwe ubudlelwano phakathi kwalokhu okubili. Phakathi kweziguli eziyi-104, eziyi-15 zibonisa into ecacile ye-IOI kuma-X-ray, 6 yayinedatha yokucabanga engaphelele, kanti u-10 wayenezikulufo ezibekwe eduze kakhulu phakathi kwentamo yabesifazane, enze ukuhlola okungaphumeleli kakhulu. Ngakho-ke, kufakwe amacala angama-73 avumelekile afakiwe ekuhlaziyeni.
Kumacala angama-73 ahlaziye ama-73, kuma-X-ray, amacala angama-42 anezikulufo ezibekwe ngaphezulu kwethambo le-cortical of acetshabulum, kuyilapho amacala angama-31 ayenezikulufo ezingezansi. Ukuqinisekiswa kwe-CT kuveze ukuthi i-Ioi Pheromenon yenzeka kuma-59% amacala. Ukuhlaziywa kwedatha kukhombisa ukuthi kuma-X-ray, ama-screws abekwe ngaphezulu kwethambo le-cortical of acetshabulum anokuzwela kwama-90% nokucaciswa kwama-88% ekubikezeleni i-IOI phenomenon.
I-Case One: I-HIP Joint X-ray ekubukeni kwe-anteroporeorte ibonisa izikulufa ezibekwe ngaphezulu kwethambo le-acetabulum. Imibono ye-CT coronal kanye ne-transverse iqinisekisa ukuba khona kwe-IOI phenomenon.
I-CASCE CASD LESIBILI: I-HIP Joint X-ray ekubukeni kwe-anteroporeor ibonisa izikulufa ezibekwe ngaphansi kwethambo le-cortical of acetabulum. Imibono ye-CT coronal kanye ne-transverse iqinisekisa ukuthi izikulufo ezingemuva zingakapheli i-cortex yamathambo.
Isikhathi Seposi: Nov-23-2023
