"Maka ọkpụkpụ olu femoral nke na-abụghị nke agadi, usoro nhazi ime nke a na-ejikarị eme ihe bụ nhazi 'triangle inverted' nwere skru atọ. A na-etinye skru abụọ nso n'akụkụ cortices nke olu femoral n'ihu na n'azụ, a na-etinyekwa otu skru n'okpuru. N'ile anya n'ihu, skru abụọ dị nso na-adakọ, na-emepụta ụkpụrụ 'skru abụọ', ebe n'ile anya n'akụkụ, a na-ahụ ụkpụrụ 'skru atọ'. A na-ewere nhazi a dị ka ebe kacha mma maka skru."
"Akwara femoral nke etiti circumflex bụ isi ọbara na-enye isi femoral. Mgbe etinyere skru 'n'ime-n'ime' n'elu akụkụ azụ nke olu femoral, ọ na-ebute ihe egwu nke mmerụ ahụ akwara iatrogenic, nke nwere ike imebi ọbara na olu femoral ma, n'ihi ya, na-emetụta ọgwụgwọ ọkpụkpụ."
"Iji gbochie ihe omume 'in-out-in' (IOI), ebe skru na-agafe na cortex mpụta nke olu femoral, na-apụ na ọkpụkpụ cortical, ma na-abanyeghachi n'olu na isi femoral, ndị ọkà mmụta n'ime obodo na nke mba ụwa ejirila ụzọ nyocha enyemaka dị iche iche. Acetabulum, nke dị n'elu akụkụ mpụta nke olu femoral, bụ mkpọda dị nkọ n'ọkpụkpụ. Site n'ịmụ mmekọrịta dị n'etiti skru ndị dị n'elu akụkụ azụ nke olu femoral na acetabulum na anya anteroposterior, mmadụ nwere ike ibu amụma ma ọ bụ nyochaa ihe egwu nke skru IOI."
▲ Ihe osise a na-egosi onyonyo ọkpụkpụ cortical nke acetabulum n'ọdịdị anteroposterior nke nkwonkwo úkwù.
Nnyocha ahụ metụtara ndị ọrịa 104, e lere anya n'ihe gbasara mmekọrịta dị n'etiti ọkpụkpụ cortical nke acetabulum na skru azụ. Emere nke a site na ntụnyere na X-ray ma tinyekwa ya na nhazi CT mgbe ịwachara ahụ iji chọpụta mmekọrịta dị n'etiti ha abụọ. N'ime ndị ọrịa 104 ahụ, mmadụ 15 gosiri ihe IOI doro anya na X-ray, mmadụ 6 nwere data onyonyo ezughị ezu, mmadụ 10 nwekwara skru dị nso n'etiti olu femoral, nke mere ka nyocha ahụ ghara ịdị irè. Ya mere, a gụnyere ngụkọta ikpe 73 dị irè na nyocha ahụ.
N'ime ikpe 73 e nyochachara, na X-ray, ikpe 42 nwere skru dị n'elu ọkpụkpụ cortical nke acetabulum, ebe ikpe 31 nwere skru dị n'okpuru. Nkwenye CT gosiri na ihe IOI mere na 59% nke ikpe ndị ahụ. Nyocha data na-egosi na na X-ray, skru ndị dị n'elu ọkpụkpụ cortical nke acetabulum nwere mmetụta nke 90% na nkọwapụta nke 88% n'ịkọ amụma ihe IOI.
▲ Ikpe nke Mbụ: X-ray nke nkwonkwo úkwù n'ọdịdị anteroposterior na-egosi skru ndị dị n'elu ọkpụkpụ cortical nke acetabulum. CT coronal na CT coronal na-egosi na ihe ngosi IOI dị.
▲Ikpe nke Abụọ: X-ray nke nkwonkwo úkwù n'ọdịdị anteroposterior na-egosi skru ndị dị n'okpuru ọkpụkpụ cortical nke acetabulum. CT coronal na elele transverse na-egosi na skru ndị dị n'azụ dị kpamkpam n'ime cortex ọkpụkpụ.
Oge ozi: Nọvemba-23-2023
