Jabanjarooyinka pladeau ee lagu daray jajabka loo yaqaan 'Iphilateral' oo ay ku jiraan jahwareerka 'ipslaterlag' Daraasadihii hore waxay ogaadeen in 8.4% jabka jaban ee jajaban ay la xiriiraan jahwareer qalooca tibiotirant. Way iska cadahay in isku darka Plateau ipsilately tabial iyo shaashada shaashadda aysan ahayn wax aan caadi ahayn.
Sababo la xiriira tamarta tamarta badan ee dhaawacyada noocaas ah, waxaa badanaa jira dhaawac unug jilicsan oo daran. Fikrad ahaan, saxanka iyo nidaamka daboolka waxay leeyihiin faa'iidooyin ku saabsan hagaajinta jabka gudaha ee jabka plateau, laakiin in unugyada jilicsan ee maxalliga ah ay u dulqaadan karaan hagaajinta gudaha ee nidaamka saxanka ah sidoo kale waa tixgelin caafimaad. Sidaa darteed, hadda waxaa jira laba ikhtiyaar oo caadi ah oo loo adeegsado hagaajinta gudaha ee jaban jajabka loo yaqaan 'tbial plateau'
1. Mippo (si yaryar oo saxan loogu shubo osteosynthesis) farsamada leh saxan dheer;
2. Ciddiyaha + plateau dabool.
Labada ikhtiyaar ayaa laga soo sheegaa suugaanta, laakiin hadda wax isdabamarin ah kama jiro taas oo ka sarreysa ama liidata marka loo eego heerka bogsashada jabka, is-jabka, iyo isku-dhafka addinka hoose, iyo dhibaatooyinka. Si tan loogala hadlo, culimada ka socda Isbitaalka Jaamacadda Kuuriya ayaa sameeyay daraasad isbarbardhiga.
Daraasadda waxaa ka mid ahaa 48 bukaan oo qaba jaban jaban oo ay weheliyaan jahwareerka tibial. Waxaa ka mid ah, 35 xaaladood ayaa lagu daaweeyay farsamada mippo, oo leh galinta dambe ee xarkaha birta ee hagaajinta, iyo 13 kiis ayaa lagu daweynayay qaab-dhismeedka plateau oo ay weheliso qaab-dhismeedka cidiyaha ee cidiyaha ee InsitMathar.
▲ Kiiska 1: Dacwada mishiinka ee mishiinka ee sawirka gudaha. Nin 42 jir ah, oo ku lug lahaa shil baabuur, oo lagu soo bandhigay nooca shacabka furan ee tabial shaashad (gustilo Ii) iyo nooca Tooska ee Plateau Placture ee Placture (Schatzker IV).
▲ Kiis 2: tabial plateau oo xoq ah + jirdhiska jirridda gudaha ah ee lagu hagaajiyo gudaha. Nin 31 jir ah, oo ku lug lahaa shil baabuur, oo lagu soo bandhigay nooca shacabka furan ee caagga ah Ka dib markii boogta boogta iyo daaweynta dhaawaca cadaadiska cadaadiska taban (VSD), nabarka ayaa maqaarku ku xiray. Laba 6.5mm boolal ayaa loo adeegsaday yareynta iyo hagaajinta plateau, oo ay ku xigto hagaajinta ciddiyaha ciddiyaha ee cidiyaha ee cidhiidhka ah ee loo maro qaab-sarka sare.
Natiijooyinka ayaa muujinaya in aysan jirin farqi muuqda oo muhiim ah oo u dhexeeya labada qalliin ee marka loo eego waqtiga bogsashada ee jabka, heerka bogsashada jabtay, isku xirnaanta lugta hoose, iyo dhibaatooyinka.
Waxay la mid yihiin isku darka jabka shaashadda ee jahwareerka ah oo leh jajabka isqarxinta ee canqowga ama jahwareebka qoomyada qoorta. Dhaqanka kiliinikada, ka hortagga Misdiagnosis waa caqabad koowaad ee ogaanshaha iyo daaweynta. Intaa waxaa sii dheer, doorashada qaababka hagaajinta, in kasta oo cilmi baarista hadda jirta ay soo jeedinayso inaysan lahayn kala duwanaansho muhiim ah, waxaa wali jira dhowr qodob oo ay ku tixgeliyaan:
1. Xaaladaha loo yaqaan 'tribial places plateau' scurt scriate screet screat-ka waa la siin karaa si loo dejiyo saxan mippo oo si ku filan loo dejiyo tigidhada 'tobile plateau', dib u soo celinta isku-dhafka dusha sare ee dusha sare iyo isku xirnaanta addimada.
2. Xaaladaha jabka sahlan ee jibbada sahlan, oo hoos imanaya jeexan, dhimis wax ku ool ah iyo hagaajinta daboolka ayaa lagu gaari karaa. Xaaladaha noocaas ah, mudnaanta ayaa la siin karaa si looga hortago scrict oo ay ku xigto suparapatllar cidiod lagu hagaajiyo ee ciddiyaha xeebta.
Waqtiga Post: Mar-09-2024
