MDCO YORDAMIDA YASSI OYOQNI TUZATISHDA BIOMEKANIK TAHLIL
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MDCO, oyoq biomekanikasi, yassi oyoq, tag oyoq fasiyasi, bo‘g‘im bosimi, yurish, svod stabilizatsiyasi##article.abstract##
Medial Displacement Calcaneal Osteotomy (MDCO) yassi oyoq deformatsiyalarini tuzatishda keng qo‘llanilmoqda. Ushbu tadqiqot MDCO ning oyoq funksiyasiga ta’sirini, shu jumladan, tag oyoq fasiyasi zo‘riqishini, yassi oyoqning stabilizatsiyasi, bo‘g‘im bosimi va yurish parametrlaridagi o‘zgarishlarni o‘rganishga qaratilgan.
Metodlar: 27 ta tadqiqotning tizimli tahlili amalga oshirildi, bunda kadaver namunalaridan, biomekanik modellardan va klinik ma’lumotlardan foydalanildi. Tag oyoq fasiyasi zo‘riqishi, medial svod dinamikasi va bo‘g‘im bosimi kabi parametrlar ekstraktsiya qilinib, statistik tahlilga solindi.
Natijalar: MDCO tag oyoq fasiyasi zo‘riqishini sezilarli darajada kamaytirishi, ortiqcha bo‘g‘im bosimini normalizatsiya qilishi va medial svodning stabilizatsiyasini yaxshilashi aniqlangan. Shuningdek, operatsiyadan keyingi yurish parametrlarida ijobiy o‘zgarishlar kuzatildi.
Xulosa: Natijalar MDCO ni yassi oyoq deformatsiyasini tuzatishda kuch taqsimotini optimallashtirish va bo‘g‘im mexanikasini yaxshilashda samarali jarrohlik usuli sifatida qo‘llash mumkinligini tasdiqlaydi. Ammo baʼzi tadqiqotlarda barmoqlar funksiyasiga salbiy ta’sir va bilak bo‘g‘imining erta osteoartriti xavfi qayd etilgan. Kelgusida bemorlarni tanlash mezonlari va uzoq muddatli natijalarni aniqlashtirish uchun qo‘shimcha tadqiqotlar zarur.
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