"Bakeng sa ho robeha ha molala oa basali bao e seng ba tsofetseng, mokhoa o sebelisoang haholo oa ho lokisa ka hare ke sebopeho sa 'inverted triangle' e nang le likurufu tse tharo.Li-screw tse peli li behiloe haufi-ufi le li-cortices tse ka pele le tse ka morao tsa molala oa mosali, 'me sekoti se le seng se behiloe ka tlase.Ka chebo ea anteroposterior, li-screws tse peli tse atamelaneng lia fetana, 'me li etsa paterone ea '2-screw', ha ponong ea lateral, ho bonoa mohlala oa '3-screw'.Tokiso ena e nkuoa e le sebaka se loketseng ka ho fetisisa bakeng sa li-screw.
"Mothapo o bohareng oa circumflex femoral artery ke oona o ka sehloohong oa phepelo ea mali hloohong ea mosali.Ha li-screw li behiloe 'in-out-in' ka holim'a karolo e ka morao ea molala oa mosali, ho beha kotsi ea ho lemala ha methapo ea methapo ea iatrogenic, e ka senyang phallo ea mali molaleng oa mosali, ka lebaka leo, ho ama pholiso ea masapo. "
"Ho thibela ketsahalo ea 'in-out-in' (IOI), moo likurufu li fetang ka har'a cortex e ka ntle ea molala oa mosali, li tsoa lesapo la cortical, ebe li khutlela molala le hlooho ea botšehali, litsebi ka hare ho naha le linaheng tse ling. ba sebelisitse mekhoa e fapaneng ea tlhahlobo e thusang.Acetabulum, e ka holim'a karolo e ka ntle ea molala oa botšehali, ke ho tepella maikutlong ha concave lesapong.Ka ho ithuta kamano pakeng tsa likurufu tse behiloeng ka holim'a karolo e ka morao ea molala oa mosali le acetabulum ponong ea anteroposterior, motho a ka bolela esale pele kapa a lekola kotsi ea screw IOI."
▲ Setšoantšo se bontša setšoantšo sa cortical bone ea acetabulum ka pono ea anteroposterior ea motsoako oa hip.
Thuto e ne e kenyelletsa bakuli ba 104, 'me kamano pakeng tsa lesapo la cortical ea acetabulum le li-screws tse ka morao li ile tsa hlahlojoa.Sena se entsoe ka papiso ea X-rays 'me e tlatsitsoe ke ho tsosolosoa ha CT ka mor'a ho sebetsa ho hlahloba kamano pakeng tsa tse peli.Har'a bakuli ba 104, 15 e bontšitse ketsahalo e hlakileng ea IOI ho X-rays, 6 e ne e e-na le boitsebiso bo sa fellang ba litšoantšo, 'me 10 e ne e e-na le li-screws tse behiloeng haufi haholo le bohareng ba molala oa botšehali, ho etsa hore tlhahlobo e se ke ea sebetsa.Ka hona, kakaretso ea linyeoe tse 73 tse nepahetseng li kenyelelitsoe tlhahlobisong.
Linyeoe tse 73 tse hlahlobiloeng, ho X-rays, linyeoe tse 42 li ne li e-na le li-screw tse behiloeng ka holim'a lesapo la cortical la acetabulum, ha linyeoe tse 31 li ne li e-na le li-screw ka tlase.CT netefatso e senotse hore ketsahalo ea IOI e etsahetse ho 59% ea linyeoe.Tlhahlobo ea lintlha e bontša hore ho X-rays, li-screw tse behiloeng ka holim'a lesapo la cortical la acetabulum li ne li e-na le kutloisiso ea 90% le tse khethehileng tsa 88% ho bolela esale pele ketsahalo ea IOI.
▲ Taba ea Pele: X-ray e kopanetsoeng ea Hip ka pono ea anteroposterior e bontša li-screws tse behiloeng ka holim'a lesapo la cortical la acetabulum.Maikutlo a CT coronal le transverse a tiisa boteng ba ketsahalo ea IOI.
▲ Nyeoe ea Bobeli: X-ray e kopanetsoeng ea Hip ka pono ea anteroposterior e bontša li-screws tse behiloeng ka tlas'a lesapo la cortical la acetabulum.Maikutlo a CT coronal le transverse a tiisa hore li-screws tse ka morao li ka har'a cortex ea masapo.
Nako ea poso: Nov-23-2023
