Ivunika rya Tibial plateau ni ibikomere bisanzwe bivura, hamwe na Schatzker yo mu bwoko bwa II yavunitse, irangwa no gutandukana kwa cortical cortical hamwe no kwiheba hejuru yubutaka, bikaba byiganje cyane. Kugirango ugarure ubuso bwihebye kandi wongere wubake guhuza ivi bisanzwe, birasabwa kuvurwa.
Uburyo butandukanye bwo guhuza ivi burimo kuzamura mu buryo butaziguye ubuso bwuruhande rwuruhande rwa cortex yacitsemo ibice kugirango uhindure ubuso bwihebye kandi ukore amagufwa yerekwa mu buryo butaziguye, ubwo buryo bukunze gukoreshwa mubikorwa byubuvuzi bizwi nka tekinike yo "gufungura igitabo". Gukora idirishya muri cortex kuruhande no gukoresha lift ikoresheje idirishya kugirango isubize hejuru ya arctular yihebye, izwi nka tekinike ya "Winding", ni uburyo bworoshye cyane.
Nta mwanzuro ufatika kuri bumwe muri ubwo buryo bubiri busumba. Kugereranya imikorere yubuvuzi bwubuhanga bubiri, abaganga bo mubitaro bya gatandatu bya Ningbo bakoze ubushakashatsi bugereranya.
Ubushakashatsi bwarimo abarwayi 158, aho 78 bakoresheje tekinike yo guhinduranya na 80 bakoresheje uburyo bwo gufungura igitabo. Ibyingenzi shingiro ryamatsinda yombi yerekanaga ko nta tandukanyirizo rifite imibare:
Illust Igishushanyo cyerekana ibibazo byuburyo bubiri bwo kugabanya ubuso: AD: tekinike yo guhinduranya, EF: tekinike yo gufungura ibitabo.
Ibisubizo byo kwiga byerekana:
- Nta tandukanyirizo rishingiye ku mibare ryigeze riba mu gihe cyo gukomeretsa no kubagwa cyangwa igihe cyo kubagwa hagati y'uburyo bubiri.
- Isuzuma rya nyuma ya CT ryerekanye ko itsinda ryerekanaga rifite ibibazo 5 byo kwikuramo hejuru yubutaka nyuma yo gutangira, mu gihe itsinda ryo gufungura ibitabo ryagize ibibazo 12, itandukaniro rikomeye mu mibare. Ibi birerekana ko tekinike yo guhinduranya itanga uburyo bwiza bwo kugabanya ubuso burenze ubuhanga bwo gufungura igitabo. Byongeye kandi, indwara ya arthritis ihahamuka nyuma yo kubagwa yari myinshi mu itsinda ryafunguye ibitabo ugereranije nitsinda rya Winding.
- Nta tandukanyirizo rishingiye ku mibare ryagaragaye mu manota yo gukora ivi nyuma yo gukorerwa cyangwa amanota ya VAS (Visual Analog Scale) hagati yaya matsinda yombi.
Mu buryo bw'igitekerezo, tekinike yo gufungura igitabo itanga uburyo bunoze bwo kubona neza neza ubuso bwa arctular, ariko birashobora gutuma umuntu afungura cyane hejuru ya arctular, bikavamo ingingo zidahagije zo kugabanuka hamwe nudusembwa nyuma yo kugabanuka kwubutaka.
Mubikorwa byubuvuzi, ni ubuhe buryo wahitamo?
Igihe cyo kohereza: Nyakanga-30-2024
