"Kuvunika kw'ijosi ry'abagore badasaza, uburyo bukoreshwa cyane muburyo bwo gukosora imbere ni uburyo bwa 'mpandeshatu mpandeshatu' igizwe n'imigozi itatu. Imiyoboro ibiri ishyizwe hafi ya cortice y'imbere n'inyuma y'ijosi ry'umugore, kandi umugozi umwe ushyizwe hepfo. Muburyo bwa anteroposterior, ibice bibiri byegeranye byuzuzanya, bigaragarira muburyo bwa '2-screw'. imigozi. ”
"Arterière medial circflex femoral arteriyo yambere itanga amaraso kumutwe wigitsina gore. Iyo imigozi ishyizwe 'hanze-hanze' hejuru yuruhande rwinyuma rw ijosi ryigitsina gore, itera ibyago byo gukomeretsa kw'amaraso ya iatrogène, bikaba bishobora guhungabanya amaraso kumatongo yomugore, bityo bikagira ingaruka kumagufwa."
"Kugira ngo hirindwe ko habaho 'in-out-in' (IOI), aho imigozi inyura mu cyuma cyo hanze cy'ijosi ry'umugore, igasohoka igufwa rya cortique, ikongera ikinjira mu ijosi ry'umutwe no mu mutwe, intiti haba mu gihugu ndetse no ku rwego mpuzamahanga zakoresheje uburyo butandukanye bwo gusuzuma bufasha. na acetabulum muburyo bwa anteroposterior, umuntu arashobora guhanura cyangwa gusuzuma ingaruka ziterwa na screw IOI. ”
Igishushanyo cyerekana amagufwa ya cortical yerekana amashusho ya acetabulum muburyo bwa anteroposterior reba ikibuno.
Ubushakashatsi bwarimo abarwayi 104, hanasuzumwa isano iri hagati yamagufwa ya cortical ya acetabulum na screw yinyuma. Ibi byakozwe hifashishijwe igereranya kuri X-ray kandi byuzuzwa na CT nyuma yo kwiyubaka kugirango harebwe isano iri hagati yombi. Mu barwayi 104, 15 berekanye ibintu bigaragara IOI kuri X-X, 6 bafite amakuru yerekana amashusho atuzuye, naho 10 bari bafite imiyoboro ihagaze hafi y ijosi ry’umugore, bituma isuzuma ridakorwa. Kubwibyo, imanza 73 zemewe zashyizwe mubisesengura.
Mu isesengura 73 ryasesenguwe, kuri X-ray, imanza 42 zari zifite imigozi yashyizwe hejuru yamagufwa ya corticale ya acetabulum, mugihe imanza 31 zari zifite imigozi hepfo. CT yemeje ko IOI phenomenon yabaye muri 59% byimanza. Isesengura ryamakuru ryerekana ko kuri X-imirasire, imigozi ishyizwe hejuru yamagufwa ya corticale ya acetabulum yari ifite sensibilité ya 90% kandi yihariye 88% muguhishurira IOI.
▲ Urubanza rwa mbere: Ikibuno cya X-ray muburyo bwa anteroposterior yerekana imigozi iri hejuru yamagufwa ya corticale ya acetabulum. CT coronal na transvers ibitekerezo byemeza ko hariho IOI phenomenon.
▲ Urubanza rwa kabiri: Ikibuno cya X-ray muburyo bwa anteroposterior yerekana imigozi iri munsi yamagufwa ya corticale ya acetabulum. CT coronal na transvers reba yemeza ko imigozi yinyuma iri mumagufwa yose.
Igihe cyo kohereza: Ugushyingo-23-2023
