"Pakutyoka kwemutsipa wefemoral usiri wevakwegura, nzira inonyanya kushandiswa yekugadzirisa mukati ndeye 'inverted triangle' ine masikuru matatu. Masikuru maviri akaiswa pedyo nemakona ekumberi neekumashure emutsipa wefemoral, uye sikuru imwe yakaiswa pazasi. Mumaonero epamberi, masikuru maviri eproximal anopindirana, achigadzira patani ye '2-screw', nepo mumaonero epadivi, patani ye '3-screw' inoonekwa. Magadzirirwo aya anoonekwa senzvimbo yakanakisisa yemasikuru."
"Medial circumflex femoral artery ndiyo inonyanya kupa ropa kumusoro wefemoral. Kana masikuruu akaiswa 'in-out-in' pamusoro peshure pemutsipa wefemoral, zvinokonzera njodzi yekukuvara kwetsinga dzeropa, zvingangokanganisa kupihwa kweropa kumutsipa wefemoral uye, nekudaro, zvichikanganisa kupora kwemapfupa."
"Kuti vadzivise kuitika kwechiitiko che 'in-out-in' (IOI), apo masikuru anopfuura nepanze pemutsipa wefemoral, obuda mubhonzo recortical, opindazve mumutsipa wefemoral nemusoro, nyanzvi dzemuno nedzepasi rese dzakashandisa nzira dzakasiyana-siyana dzekuongorora. Acetabulum, iri pamusoro pekunze kwemutsipa wefemoral, idambudziko rakakombama mubhonzo. Nekudzidza hukama huripo pakati pemasikuru akaiswa pamusoro peshure kwemutsipa wefemoral neacetabulum mumaonero epamberi, munhu anogona kufanotaura kana kuongorora njodzi yeSIKURU IOI."
▲ Dhayagiramu iyi inoratidza mufananidzo wemapfupa emudumbu e-cortical bone e-acetabulum muchikamu chepamberi chejoini rechiuno.
Chidzidzo ichi chaisanganisira varwere 104, uye hukama huripo pakati pebhonzo re cortical re acetabulum ne screws dzekumashure hwakaongororwa. Izvi zvakaitwa kuburikidza nekuenzanisa pa X-rays uye zvakazadzikiswa ne postoperative CT reconstruction kuti vaongorore hukama huripo pakati pevaviri ava. Pakati pevarwere 104, 15 vakaratidza chiitiko chakajeka che IOI pa X-rays, 6 vaiva ne data risina kukwana remifananidzo, uye 10 vaiva ne screws dzakaiswa pedyo nepakati pemutsipa we femoral, zvichiita kuti kuongororwa kusashande. Saka, nyaya dzinosvika 73 dzakabatanidzwa muongororo iyi.
Muzviitiko makumi manomwe nematatu zvakaongororwa, paX-rays, zviitiko makumi mana nemaviri zvaive nezvikururu zvakaiswa pamusoro pebhonzo re acetabulum, nepo zviitiko makumi matatu nerimwe zvaive nezvikururu pazasi. Kusimbiswa kweCT kwakaratidza kuti chiitiko cheIOI chakaitika mu59% yezviitiko. Kuongororwa kwedata kunoratidza kuti paX-rays, zvikururu zvakaiswa pamusoro pebhonzo re acetabulum zvaive nekunzwa kwe90% uye 88% chaiyo mukufanotaura chiitiko cheIOI.
▲ Nyaya Yekutanga: X-ray yehudyu iri pamberi pechiso inoratidza masikuruu ari pamusoro pebhonzo re acetabulum. Maonero e CT coronal ne transverse anosimbisa kuvapo kwechiitiko cheIOI.
▲Nyaya Yechipiri: X-ray yehudyu iri pamberi pechiso inoratidza masikuru ari pasi pebhonzo re acetabulum. Maonero e CT coronal ne transverse anosimbisa kuti masikuru ari kumashure ari mukati mebhonzo re bone.
Nguva yekutumira: Mbudzi-23-2023
