"Ekuqhekekeni kwentamo ye-femoral okungeyona eyasebekhulile, indlela yokubopha yangaphakathi esetshenziswa kakhulu ukucushwa 'konxantathu oguquliwe' ngezikulufo ezintathu. Izikulufo ezimbili zibekwe eduze kwe-cortices yangaphambili nengemuva yentamo ye-femoral, kanti isikulufo esisodwa sibekwe ngezansi. Ekubukeni kwe-anteroposterior, izikulufo ezimbili eziseduze ziyahlangana, zakha iphethini 'yezikulufo ezimbili', kanti ekubukeni kwe-lateral, iphethini 'yezikulufo ezintathu' iyabonwa. Lokhu kucushwa kubhekwa njengendawo efanele kakhulu yezikulufo."
"I-medial circumflex femoral artery iyona eyinhloko enikeza igazi ekhanda le-femoral. Uma izikulufo zifakwa 'ngaphakathi-ngaphandle-ngaphakathi' ngaphezu kwengxenye engemuva yentamo ye-femoral, kubeka engcupheni yokulimala kwemithambo yegazi, okungenzeka kubeke engcupheni ukunikezwa kwegazi entanyeni ye-femoral futhi, ngenxa yalokho, kuthinte ukuphulukiswa kwamathambo."
"Ukuze kuvinjelwe ukwenzeka kwesimo 'sokungena ngaphakathi' (IOI), lapho izikulufo zidlula khona ku-cortex yangaphandle yentamo ye-femoral, ziphume ethanjeni le-cortical, bese ziphinde zingene entanyeni ye-femoral nasekhanda, izazi zasekhaya nakwamanye amazwe zisebenzise izindlela ezahlukene zokuhlola ezisizayo. I-acetabulum, etholakala ngaphezu kwengxenye yangaphandle yentamo ye-femoral, iwukucindezelwa okugobile ethanjeni. Ngokutadisha ubudlelwano phakathi kwezikulufo ezibekwe ngaphezu kwengxenye engemuva yentamo ye-femoral kanye ne-acetabulum ekubukeni kwe-anteroposterior, umuntu angabikezela noma ahlole ingozi ye-IOI ye-screw."
▲ Lo mdwebo ubonisa isithombe sethambo le-cortical le-acetabulum ekubukeni kwe-anteroposterior kwejoyinti lesinqe.
Ucwaningo luhilele iziguli ezingu-104, futhi kwahlolwa ubudlelwano phakathi kwethambo le-cortical le-acetabulum kanye nezikulufo zangemuva. Lokhu kwenziwe ngokuqhathanisa ama-X-ray futhi kwahambisana nokwakhiwa kabusha kwe-CT ngemuva kokuhlinzwa ukuze kuhlolwe ubudlelwano phakathi kwalaba ababili. Phakathi kweziguli ezingu-104, ezingu-15 zibonise isenzakalo esicacile se-IOI kuma-X-ray, ezingu-6 zazinedatha yezithombe engaphelele, kanti ezingu-10 zazinezikulufo ezibekwe eduze kakhulu nenkaba ye-femoral, okwenza ukuhlolwa kungasebenzi. Ngakho-ke, amacala angu-73 asebenzayo afakiwe ekuhlaziyweni.
Ezimweni ezingu-73 ezihlaziyiwe, kuma-X-ray, amacala angu-42 ayenezikulufo ezibekwe ngaphezu kwethambo le-cortical le-acetabulum, kanti amacala angu-31 ayenezikulufo ezingezansi. Ukuqinisekiswa kwe-CT kwembule ukuthi isenzakalo se-IOI senzeke kuma-59% ala macala. Ukuhlaziywa kwedatha kubonisa ukuthi kuma-X-ray, izikulufo ezibekwe ngaphezu kwethambo le-cortical le-acetabulum zazinozwelo lwama-90% kanye nokucaciswa kwama-88% ekubikezeleni isenzakalo se-IOI.
▲ Icala Lokuqala: I-X-ray ye-hip joint ekubukeni kwe-anteroposterior ikhombisa izikulufo ezibekwe ngaphezu kwethambo le-cortical le-acetabulum. Ukubukwa kwe-CT coronal kanye nokuphambene kuqinisekisa ukuba khona kwento ye-IOI.
▲Icala Lesibili: I-X-ray ye-hip joint ekubukeni kwe-anteroposterior ikhombisa izikulufo ezibekwe ngaphansi kwethambo le-cortical le-acetabulum. Ukubukwa kwe-CT coronal kanye nokuphambene kuqinisekisa ukuthi izikulufo ezingemuva zingaphakathi kwe-bone cortex ngokuphelele.
Isikhathi sokuthunyelwe: Novemba-23-2023
