He whara haumanu noa ngā whati o te tibial plateau, ko ngā whati momo Schatzker II, e tohuhia ana e te wehenga taha o te cortical me te hekenga o te mata hononga taha, te mea tino kitea. Hei whakaora i te mata hononga kua heke me te hanga anō i te tūnga noa o te hononga o te turi, ka tūtohuhia te maimoatanga pokanga.
Ko te huarahi anterolateral ki te hononga turi ko te hiki tika i te mata hononga taha i te taha o te cortex wehea hei whakanoho anō i te mata hononga kua pōturi, me te mahi i te hononga wheua i raro i te tirohanga tika, he tikanga e whakamahia whānuitia ana i roto i te mahi haumanu e mōhiotia ana ko te tikanga "tuwhera pukapuka". Ko te hanga matapihi i roto i te cortex taha me te whakamahi i te ararewa mā roto i te matapihi hei whakanoho anō i te mata hononga kua pōturi, e mōhiotia ana ko te tikanga "windowing", he tikanga iti ake te whakaekenga.
Kāore anō kia whakatauhia he whakatau tuturu mō te mea he pai ake i roto i ngā tikanga e rua. Hei whakataurite i te whai huatanga haumanu o ēnei tikanga e rua, i whakahaerehia e ngā tākuta o te Hōhipera Tuaono o Ningbo tētahi rangahau whakatairite.
I whakaurua ki te rangahau he 158 ngā tūroro, 78 ngā kēhi i whakamahi i te tikanga matapihi, 80 ngā kēhi i whakamahi i te tikanga whakatuwhera pukapuka. Kāore i whakaatuhia he rerekētanga nui i roto i ngā raraunga taketake o ngā rōpū e rua:
▲ E whakaatu ana te pikitia i ngā tauira o ngā tikanga whakaiti mata hononga e rua: AD: tikanga matapihi, EF: tikanga whakatuwhera pukapuka.
E whakaatu ana ngā hua o te rangahau:
- Kāore he rerekētanga nui i kitea i roto i te tatauranga i waenga i te wā mai i te whara ki te pokanga, i te roa rānei o te pokanga i waenga i ngā tikanga e rua.
- I whakaatuhia e ngā karapa CT i muri i te pokanga e 5 ngā kēhi o te pēhanga o te mata hononga i roto i te rōpū matapihi, engari ko te rōpū whakatuwhera pukapuka he 12 ngā kēhi, he rerekētanga nui tauanga. E whakaatu ana tēnei he pai ake te whakaiti i te mata hononga e te tikanga matapihi i te tikanga whakatuwhera pukapuka. Hei tāpiri, he teitei ake te auau o te mate rumatiki kino i muri i te pokanga i roto i te rōpū whakatuwhera pukapuka ki te rōpū matapihi.
- Kāore he rerekētanga nui i kitea i roto i ngā kaute mahi turi i muri i te pokanga, i ngā kaute VAS (Visual Analog Scale) rānei i waenga i ngā rōpū e rua.
I roto i te ariā, mā te tikanga whakatuwhera pukapuka ka taea te tiro tika atu i te mata o te hononga, engari ka nui rawa te whakatuwheratanga o te mata o te hononga, ka hua ake he koretake o ngā tohutoro mō te whakaiti me ngā hapa o te whakaiti mata o te hononga i muri mai.
I roto i te mahi haumanu, ko tēhea tikanga ka whiriwhiria e koe?
Wā tuku: Hurae-30-2024
