“Kuvunika kw'ijosi ry'abagore badasaza, uburyo bukoreshwa cyane mu gutunganya imbere ni uburyo bwa 'mpandeshatu ihindagurika' hamwe n'imigozi itatu.Imiyoboro ibiri ishyizwe hafi ya cortices yimbere ninyuma yijosi ryumugore, naho umugozi umwe uhagaze hepfo.Muburyo bwa anteroposterior, imigozi ibiri yegeranye iruzuzanya, ikora ishusho ya '2-screw', mugihe mubireba kuruhande, hagaragara '3-screw'.Iyi miterere ifatwa nk'ahantu heza hashyirwa imiyoboro. ”
“Medial circflex femoral arteriire niyo maraso yambere atangwa kumutwe wumugore.Iyo imigozi ishyizwe 'hanze-mu-hejuru' hejuru y’inyuma y’ijosi ry’umugore, itera ibyago byo gukomeretsa kw'amaraso ya iatrogène, bishobora guhungabanya amaraso ku ijosi ry'umugore, bityo bikagira ingaruka ku gukira kw'amagufwa. ”
"Kugira ngo wirinde 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 no mu mutwe w'abagore, intiti haba mu gihugu ndetse no ku rwego mpuzamahanga. bakoresheje uburyo butandukanye bwo gusuzuma.Acetabulum, iherereye hejuru yinyuma yijosi ryigitsina gore, ni depression ihungabana mumagufwa.Iyo wize isano iri hagati yimigozi yashyizwe hejuru yinyuma yijosi ryumugore na acetabulum muburyo bwa anteroposterior, umuntu ashobora guhanura cyangwa gusuzuma ingaruka ziterwa na 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
