Kutyoka kwetibial plateau kukuvara kwakajairika, nekutyoka kwerudzi rwechipiri rweSchatzker, kunoratidzwa nekutsemuka kwe lateral cortical pamwe nekudzikama kwe lateral articular surface, ndiko kwakanyanya kuitika. Kuti udzorere nzvimbo yakaderedzwa ye articular uye uvandudze kubatana kwebvi, kurapwa kwekuvhiya kunowanzo kurudzirwa.
Nzira yekusvika pagumbo iri pamberi pegumbo inosanganisira kusimudza zvakananga nzvimbo ye lateral articular iri pedyo ne split cortex kuti uise panzvimbo yakaderedzwa ye articular uye kuita mapfupa ekubatanidza pasi pekuona zvakananga, nzira inowanzo shandiswa mukiriniki inozivikanwa se "book opening technique". Kugadzira hwindo mu lateral cortex uye kushandisa elevator nepahwindo kuti uise panzvimbo yakaderedzwa ye articular, inozivikanwa se "windowing technique", inzira isinganyanyi kupindira zvakanyanya.
Hapana mhedziso yakakwana yekuti ndeipi nzira mbiri idzi iri nani. Kuti vaenzanise kushanda zvakanaka kwenzira mbiri idzi, vanachiremba vekuNingbo Sixth Hospital vakaita ongororo yekuenzanisa.
Chidzidzo ichi chaisanganisira varwere 158, vane varwere 78 vachishandisa nzira yekuvhara mahwindo uye 80 vachishandisa nzira yekuvhura bhuku. Ruzivo rwekutanga rwemapoka maviri aya haruna kuratidza mutsauko wakakosha:
▲ Mufananidzo uyu unoratidza zviitiko zvenzira mbiri dzekuderedza ganda: AD: nzira yekuvhara mahwindo, EF: nzira yekuvhura bhuku.
Mhedzisiro yekudzidza inoratidza:
- Pakanga pasina musiyano wakakosha pakati penguva kubva pakukuvara kusvika pakuvhiyiwa kana nguva yekuvhiyiwa pakati penzira mbiri idzi.
- Kuongororwa kweCT mushure mekuvhiyiwa kwakaratidza kuti boka remahwindo raiva nezviitiko zvishanu zvekumanikidzwa kwenzvimbo mushure mekuvhiyiwa, nepo boka rekuvhura bhuku raiva nezviitiko gumi nezviviri, musiyano wakakosha muhuwandu. Izvi zvinoratidza kuti nzira yekuvhara mahwindo inopa kuderedza nzvimbo yenzvimbo iri nani pane nzira yekuvhura bhuku. Pamusoro pezvo, kuwanda kwearthritis yakakomba mushure mekuvhiyiwa kwaive kwakanyanya muboka rekuvhura bhuku zvichienzaniswa neboka remahwindo.
- Pakanga pasina musiyano wakakosha muhuwandu hwezvibodzwa zvekushanda kwebvi mushure mekuvhiyiwa kana zvibodzwa zveVAS (Visual Analog Scale) pakati pemapoka maviri aya.
Mudzidziso, nzira yekuvhura bhuku inobvumira kuona zvakananga pamusoro pemabvi, asi zvinogona kukonzera kuvhurika kwakanyanya kwepamabvi, zvichikonzera kusakwana kwenzvimbo dzekutarisa kuderedza uye zvikanganiso mukudzikiswa kwepamabvi kunotevera.
Mukurapa, nzira ipi yaungasarudza?
Nguva yekutumira: Chikunguru-30-2024
