Yin aiki don hana ƙwaƙwalwar kafada na ci gaba
Hanyoyin da aka yi wa ɗayan su ne raunin da ya faru, musamman ga matasa, mutane masu aiki. Ana iya yin tiyata na Latarjet don hana ƙaurawar maimaitawa. Da zarar wani ya yad da kafadun sau ɗaya, sake dawowa (ko sake maimaita) dasu zai iya zama da yawa. Wasu mutane suna ci gaba da irin wannan mummunar rashin ƙarfi na haɗin gwiwa na ball-da-socket cewa haɗuwa za su iya faruwa tare da ayyuka masu sauki ko yayin barci.
Kowace lokacin da kafada ya rushe, kara lalacewa zai iya faruwa a haɗin gwiwa. Saboda wannan dalili, mutanen da suke da kullun kafuwa a cikin kafada zasu kasance da tiyata a cikin ƙoƙari don tabbatar da haɗin gwiwa kuma su hana hasara ta gaba.
Damage a cikin Hakan daga Dislocations
Halin lalacewa ta hanyar haɗin gwiwa yana fara kamar ligament mai tsage a karo na farko da kafada ya fito daga cikin soket. Wannan rauni ana kiransa bankin banki kuma an gani sosai, musamman ma matasa marasa lafiya (a cikin shekaru 35) wanda ke da alaƙa da ɓarkewa na farko. A lokacin da aka fara cirewa, ko kuma tare da ƙaura daga baya, ƙarin lalacewa ga sauran sifofi na iya faruwa. Sau da yawa guringuntsi ko kashi game da soket ya lalace, kuma waɗannan raunin zai iya zama da wuya a gyara.
Glenoid Bone Loss
Lokacin da lalacewar lalacewa ta faru, lalacewa zai iya faruwa ko ta atomatik ko ball ko rukuni na kafada. Damage zuwa kwallon ana kiransa Hill-Sachs Lions .
Rashin lalacewa zuwa soket yana haifar da fractures da kasusuwa kasuwa ga glenoid (sashin kafada).
Lokacin da kafar kafada ta lalace, soket zai iya ci gaba da sawa. Yayinda wannan ya faru, haɓakar sake fashewa ta tashi. A gaskiya ma, ƙananan hasara na iya samuwa zuwa inda majiyya ke da wahala lokacin ajiye kullun a cikin soket a kowane.
Ɗaya daga cikin jiyya ga asarar kasusuwa shine ake kira Latarjet tiyata.
Latarjet Nawa
Hanyar Latarjet an tsara shi don ƙarfafa glenoid tare da ƙarin kashi. Ƙashi yana fitowa daga scapula (aljihun kafa ) kuma shine ƙugiya na kashi da ake kira coracoid. Coracoid shine ƙugiya na kashi a gaban goshin kafada kuma shine haɗe-haɗe don ƙwayoyin da yawa. A lokacin aikin tiyata na Latarjet, likitan likita ya cire coracoid daga abin da aka haɗe shi a cikin scapula kuma ya motsa coracoid, da haɗe-haɗe na tsoka, wasu santimita kaɗan a gaban goshin ƙafa. Da zarar a cikin matsayi, an kwashe coracoid zuwa sashin kafada.
Hanyar Latarjet tana aiki manyan ayyuka biyu: Na farko, yana ƙara yawan kashin kafar kafada don mayar da kashi wanda aka rasa. Abu na biyu, ƙudawan da aka haɗe da coracoid suna yin sling, don taimakawa wajen tallafawa kafada a gaban haɗin.
Latarjet hanya ce mai matukar nasara a sake dawo da kwanciyar hankali a haɗin gwiwa. A gaskiya ma, a tarihi, wannan tiyata an yi amfani dashi a matsayin magani na yau da kullum ga mutanen da ke da kwance a cikin kafa . Yayinda sababbin hanyoyin fasaha sun inganta , Latarjet yanzu ba a yi amfani dasu ba don gyaran gyare-gyare.
Maimakon haka, aikin Latarjet ya fi dacewa ga marasa lafiya wadanda suka rasa nauyin a kalla kashi 25 cikin dari na kafar kafada.
Gyaran gyara bayan Latarjet tiyata yana da akalla watanni 4-6. Ana buƙatar farawa na farko na gyarawa don kare kullun don isasshen damar izinin warkar da kashi. Sabili da haka, an ƙaddamar da motsi don 'yan watanni na farko yayin da warkarwa ta kashi yake faruwa. A wancan lokacin, hankali za a iya ƙara motsi na kafada , kuma ƙarfafawa gaba .
Matsaloli
Wadannan matsalolin sune sabon abu ne bayan da aka yi amfani da Injiniya, amma akwai wasu damuwa masu muhimmanci.
Wannan ba ƙari ba ne, kuma zubar da ciki bayan tiyata zai iya zama tsayi. Wasu daga cikin damuwa ta musamman sun haɗa da raunin kashi wanda aka canjawa zuwa kwas ɗin kafada. Domin yin aikin tiyata don ya warkarwa sosai, yakamata dole ne kasusuwa ta fice a gaban kwasfa; a cikin kimanin kashi 3 cikin marasa lafiya, wani ɓangaren wannan kashi zai iya faruwa. Yawancin jijiyoyi masu yawa sun kewaye coracoid a gaba na kafada. Damage ga waɗannan jijiyoyi yana yiwuwa a lokacin aiki. A ƙarshe, marasa lafiya da ke yin wannan tiyata ya kamata su fahimci cewa mafi yawan mutanen da ke da bayanan na bayaview ba su da hanyar motsi na haɗin gwiwa bayan aikin tiyata. Wannan mafi yawanci ana yarda dashi saboda ingantawa cikin kwanciyar hankali na haɗin gwiwa.
Sources:
Sahajpal DT da Zuckerman JD "Yanayin Glagurgulan Yanayi" J Am Acad Orthop Surg Yuli 2008; 16: 385-398.