“No ka haʻi ʻana o ka ʻāʻī o ka wahine ʻaʻole, ʻo ke ʻano hoʻopaʻa hoʻopaʻa kūloko i hoʻohana pinepine ʻia ʻo ia ka hoʻonohonoho 'inverted triangle' me ʻekolu wili.Hoʻokomo ʻia ʻelua wili i ka ʻāʻī o mua a me hope o ka ʻāʻī femoral, a hoʻonoho ʻia kekahi wili ma lalo.Ma ka ʻike anteroposterior, ua uhi ʻia nā ʻāpana ʻelua kokoke, e hana ana i kahi ʻano '2-screw', ʻoiai ma ka ʻaoʻao ʻaoʻao, ʻike ʻia kahi ʻano '3-screw'.Ua manaʻo ʻia kēia hoʻonohonoho ʻana i kahi kūpono loa no nā screws.
"ʻO ka medial circumflex femoral artery ka mea hāʻawi koko mua i ke poʻo femoral.Ke hoʻokomo ʻia nā wili i loko o waho ma luna o ka ʻaoʻao hope o ka ʻāʻī femoral, hiki ke hoʻopilikia i ka ʻeha ʻana o iatrogenic vascular, hiki ke hoʻololi i ke kahe koko i ka ʻāʻī femoral a no laila e hoʻōla ai i ka iwi.
“No ka pale ʻana i ka hanana 'in-out-in' (IOI), kahi e hele ai nā wili i ka ʻāʻī o waho o ka ʻāʻī femoral, puka i waho o ka iwi cortical, a komo hou i ka ʻāʻī femoral a me ke poʻo, nā loea ma ka home a ma ka honua. ua hoʻohana i nā ʻano loiloi kōkua like ʻole.ʻO ka acetabulum, aia ma luna o ka ʻaoʻao o waho o ka ʻāʻī femoral, he puʻuwai concave i ka iwi.Ma ke aʻo ʻana i ka pilina ma waena o nā wili i kau ʻia ma luna o ka ʻaoʻao hope o ka ʻāʻī femoral a me ka acetabulum i ka ʻike anteroposterior, hiki i kekahi ke wānana a loiloi i ka hopena o ka IOI.
▲ Hōʻike ke kiʻikuhi i ke kiʻi iwi cortical o ka acetabulum ma ka ʻike anteroposterior o ka hui pūhaka.
Ua hoʻopaʻa ʻia ka haʻawina i nā maʻi 104, a ua nānā ʻia ka pilina ma waena o ka iwi cortical o ka acetabulum a me nā ʻili hope.Ua hana ʻia kēia ma o ka hoʻohālikelike ʻana i nā hihi X a hoʻokō ʻia e ka postoperative CT reconstruction e loiloi i ka pilina ma waena o nā mea ʻelua.Ma waena o nā maʻi 104, ua hōʻike ʻo 15 i kahi hanana IOI maopopo ma nā kukui X, 6 i ʻike ʻole i ka ʻikepili kiʻi, a he 10 i hoʻonohonoho pono ʻia i kahi kokoke loa i ka waena o ka ʻāʻī femoral, e hana pono ʻole ai ka loiloi.No laila, he 73 mau hihia kūpono i hoʻokomo ʻia i ka nānā ʻana.
Ma nā hihia he 73 i hoʻopaʻa ʻia, ma nā hihi X, he 42 mau hihia i hoʻonoho ʻia ma luna o ka iwi cortical o ka acetabulum, aʻo 31 mau hihia i loaʻa nā wili ma lalo.Ua hōʻike ʻia ka hōʻoia ʻana o CT i ka hanana IOI i 59% o nā hihia.Hōʻike ka ʻikepili ʻikepili ma nā kukui X, ʻo nā wili i hoʻonoho ʻia ma luna o ka iwi cortical o ka acetabulum he 90% ka naʻau a me ka kikoʻī o 88% i ka wānana ʻana i ka hanana IOI.
▲ Kahi Hoʻokahi: Hōʻike ʻia ka X-ray hui hip ma ka ʻike anteroposterior i nā wili i hoʻonoho ʻia ma luna o ka iwi cortical o ka acetabulum.ʻO ka CT coronal a me nā hiʻohiʻona transverse e hōʻoia i ka hele ʻana o ka hanana IOI.
▲Mahi ʻElua: Hōʻike ʻia ka X-ray hui hip ma ka ʻike anteroposterior i nā wili i hoʻonoho ʻia ma lalo o ka iwi cortical o ka acetabulum.Hōʻoia ka CT coronal a me nā hiʻohiʻona transverse aia nā wili hope i loko o ka cortex iwi.
Ka manawa hoʻouna: Nov-23-2023
