Jawaabta su'aashan ayaa ah in jab cidhib ah uusan u baahnayn in la sameeyo lafo marka la sameynayo hagaajin gudaha ah.
Sanders ayaa yiri
Sannadkii 1993, Sanders et al [1] waxay daabaceen taariikh muhiim ah oo ku saabsan daaweynta qalliinka ee jabka calcaneal ee CORR iyagoo adeegsanaya kala soocidda CT-ga ee jabka calcaneal. Dhawaanahan, Sanders et al [2] waxay soo gabagabeeyeen in aan loo baahnayn in la tallaalo lafaha ama taarikada qufulka ah 120 jabka cidhibta iyadoo la raacayo muddo dheer oo ah 10-20 sano.
Nooca CT ee jabka cidhibta oo ay daabaceen Sanders et al. CORR sanadkii 1993.
Tallaalka lafaha wuxuu leeyahay laba ujeedo oo waaweyn: tallaal qaab-dhismeed oo loogu talagalay taageero farsamo, sida fibula, iyo tallaal granular ah si loo buuxiyo loona kiciyo osteogenesis.
Sanders wuxuu xusay in lafta cidhibta ay ka kooban tahay qolof weyn oo cortical ah oo ku wareegsan lafta cancellous, iyo in jabka gudaha-articular-ka ee lafta cidhibta ee lafa-cidhibta ah si dhakhso ah loogu dhisi karo lafo cancellous ah oo leh qaab-dhismeedka trabecular haddii qolofta cortical-ka si yar loo dib u dejin karo. Palmer et al [3] waxay ahaayeen kuwii ugu horreeyay ee ka warbixiya tallaalka lafaha sanadkii 1948 sababtoo ah la'aanta aaladaha hagaajinta gudaha ee ku habboon si loo ilaaliyo jabka dusha sare ee articular-ka waqtigaas. Iyadoo si joogto ah loo horumarinayo aaladaha hagaajinta gudaha sida saxannada posterolateral iyo boolal, taageerada dayactirka dhimista iyadoo la adeegsanayo tallaalka lafaha ayaa noqotay mid aan loo baahnayn. Daraasadaheeda caafimaad ee muddada dheer ayaa xaqiijiyay aragtidan.
Daraasad kiliinikada la xakameeyey ayaa ku soo gabagabeysay in tallaalka lafaha aan loo baahnayn
Longino et al [4] iyo kuwa kale waxay sameeyeen daraasad la xakameeyey oo la filayo oo ku saabsan 40 jab oo gudaha ah oo ku dhacay cidhibta iyadoo ugu yaraan 2 sano oo dabagal ah la sameeyay mana helin wax farqi ah oo u dhexeeya tallaalka lafaha iyo tallaalidda lafaha marka loo eego sawir-qaadista ama natiijooyinka shaqada. Gusic et al [5] waxay sameeyeen daraasad la xakameeyey oo ku saabsan 143 jab oo gudaha ah oo ku dhacay cidhibta oo leh natiijooyin isku mid ah.
Singh iyo asxaabtiisa [6] oo ka socda Mayo Clinic ayaa sameeyay daraasad dib loo eegay oo ku saabsan 202 bukaan, inkastoo tallaalka lafta uu ka fiicnaa xagasha Bohler iyo waqtiga uu qaadanayo culeyska buuxa, haddana ma jirin farqi weyn oo u dhexeeya natiijooyinka shaqada iyo dhibaatooyinka.
Tallaalka lafaha oo ah arrin khatar u ah dhibaatooyinka dhaawacyada
Professor Pan Zhijun iyo kooxdiisa oo ka tirsan Isbitaalka Labaad ee Caafimaadka Zhejiang ayaa sameeyay qiimeyn nidaamsan iyo falanqayn meta-falanqayn ah sannadkii 2015 [7], oo ay ku jiraan dhammaan suugaanta laga soo qaadan karo xogta elektaroonigga ah laga bilaabo 2014, oo ay ku jiraan 1651 jab oo ku dhacay 1559 bukaan, waxayna ku soo gabagabeeyeen in tallaalka lafaha, sonkorowga mellitus, aan la dhigin tuubo, iyo jabka daran ay si weyn u kordhiyaan khatarta dhibaatooyinka naxdinta leh ee qalliinka kadib.
Gunaanadkii, lafo-tallaalidda looma baahna inta lagu jiro hagaajinta gudaha ee jabka cidhibta mana gacan ka geysato shaqada ama natiijada kama dambaysta ah, laakiin waxay kordhisaa khatarta dhibaatooyinka naxdinta leh.
1.Sanders R, Fortin P, DiPasquale T, iwm. Daaweynta qalliinka ee 120 jabka calcaneal-ka ee gudaha xididdada dhiigga oo bararay. Natiijooyinka iyadoo la adeegsanayo kala-soocidda sawir-qaadista sawir-qaadista ee la xisaabiyay. Clin Orthop Relat Res. 1993;(290):87-95.
2.Sanders R, Vaupel ZM, Erdogan M, iwm. Daaweynta qalliinka ee jabka calcaneal-ka ee gudaha kala-goysyada: muddada dheer (10-20 Sano) waxay keentaa 108 jab iyadoo la adeegsanayo kala-soocidda CT-ga saadaasha. J Orthop Trauma. 2014;28(10):551-63.
3.Palmer I. Habka iyo daaweynta jabka calcaneus. J Bone Joint Surg Am. 1948;30A:2–8.
4.Longino D, Buckley RE. Tallaalka lafaha ee daaweynta qalliinka ee jabka calcaneal-ka ee gudaha xididdada dhiigga: ma waxtar leedahay? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, iwm. Daaweynta qalliinka ee jabka calcaneal-ka ee gudaha xididdada dhiigga: Natiijada jirka iyo shaqada ee saddex farsamo oo qalliin oo kala duwan. Dhaawac. 2015;46 Sahayda 6:S130-3.
6.Singh AK, Vinay K. Daaweynta qalliinka ee jabka calcaneal-ka ee ku soo bararay gudaha xididdada dhiigga: ma lagama maarmaan baa in la tallaalo lafaha? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, iwm. Arrimaha khatarta ah ee dhibaatooyinka nabarrada ee jabka calcaneal ee xiran qalliinka ka dib: dib u eegis nidaamsan iyo falanqayn meta-meta ah. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Waqtiga boostada: Diseembar-07-2023
