Arc Center Distance: Mufananidzo ma paramende ekuongorora kudzikiswa kweBarton

Zvinonyanya kushandiswa kufungidzira paramita ekuongorora distal radius radius kazhinji zvinosanganisira volar tilt angle (vta), ulnar kusiana, uye radial kureba. Sekunzwisisa kwedu anatomy yeiyo Radius radius yakavezwa, yekuwedzera fungidziro yakadaro

Kazhinji inoshandiswa kufungidzira paramita yekuongorora distal radius fantures inosanganisira: A: Vuta; B: APD; C: TDA; D: Kadhi.

Mazhinji ekufungidzira paramita akakodzera kune mamwe maitiro ekuwedzera-mhizha radius radius, sekureba kwekureba uye ulnar kusiyanisa. Nekudaro, kune mamwe maIntra-anyengera, seboka raBarton, masajita ekufungidzira ekufungidzira anogona kunge achishayikwa mukukwanisa kwavo kuziva zviratidzo zvekuvhiya uye kupa nhungamiro. Izvo zvinowanzoda kuti chiratidzo chekuvhiya kune mamwe maIntra-artular fractures zvine hukama nedanho rekunyika. Kuti uongorore degree rekurwiswa kweIntra-Articular Fractures, TAD (TAD (YAKAITWA PAMUSORO PENYAYA YEMAHARA YEMUKADZISI YEMAHARA.

Pakupera kweTibia, mune zviitiko zveMalleolus kuparadzaniswa kweThe Arcs: Arc Kana paine nzvimbo yeMalleolus Fracture Fragment inoperekedzwa neyekupedzisira kuiswa kweTalus kukosha.

Chinangwa chekuvhiya ndechekuzadzisa iyo ATD (Tilt mushure mekutamiswa) kukosha kwe 0, kuratidza anatomical kuderedzwa kweiyo yakabatana.

Saizvozvo, mune nyaya yeVolar Barton's bracture:

Iyo yechidimbu yakatsungirirwa mashupu emhando yekufungidzira fomu ARC 1.

Iyo Lunate Facet inoshanda seArc 2.

Iyo dorsal chikamu cheiyo radius (yakajairika pfupa isina kupwanyika) inomiririra arc 3.

Imwe yeaya matatu arcs inokwanisa kutariswa sedenderedzwa. Sezvo iyo lunate facet uye iyo vhoti yemapfupa emabwe anodzingwa pamwe chete, denderedzwa 1 (mune yero) inogovera nzvimbo yayo nedenderedzwa 2 (muchena). ACD inomiririra chinhambwe kubva kuiyi yakagovaniswa pakati pedenderedzwa 3

Muchiitiko chekiriniki chakapfuura, chakachinjirwa zvakanyanya kuti joini yekubatana-kubva ku <2mm ndiyo yakaderedzwa yekudzikisa. Nekudaro, muchidzidzo ichi, anogamuchira hunhu hwekushanda (roc) curve ongororo yemakareti akasiyana ekufungidzira airatidza kuti ACD yaive nenzvimbo yepamusoro pasi pe curve (AUC). Uchishandisa kukosha kweCuffff ye1.02mm yeACD, yakaratidza 100% sensitivity uye 80.95% chaiyo. Izvi zvinoratidza kuti mune iyo nzira yekukanganisa kudzikisira, kuderedza acd kusvika mukati me1.02mm kunogona kuve kwakanyanya kunangana

pane tsika yechinyakare ye <2mmjoy yekubatanidza nhanho.

ACD inoita kunge ine zvakakosha zvinoreva kukosha kwekuongorora iyo degree rekurasirwa muIntra-Articular Fractures inosanganisira majoini. Pamusoro pekunyorera kwayo mukuongorora tibial Plagond Fractures uye distal radius precraes sezvambotaurwa, ACD inogona zvakare kushandurirwa kuti iongorore mapere. Izvi zvinopa maclinical varapi nechishandiso chinoshanda chekusarudza kurapa nzira uye kuongorora zvinokatyamadza kudzikisira zvibodzwa.