Gufunga Isahani

Ukoresheje imigozi yo gufunga mu isahani yamagufwa, hashyizweho inyubako-inguni. Mu magufwa cyangwa kuvunika hamwe nibice byinshi, kugura amagufwa bifite imigozi isanzwe birashobora guhungabana. Gufunga imigozi ntabwo yishingikiriza kumagufwa / plaque yo kurwanya umutwaro wihangana, ariko gukora kimwe nisahani ntoya yicyuma. Muri ibi bihe, ubushobozi bwo gufunga imigozi muburyo buteganijwe ni ngombwa. Muguhuza gufunga umwobo ushushanyijeho umwobo wakubise umwobo, isahani irashobora gukoreshwa nkibikoresho byo gufunga hamwe nigikoresho cyo gukonjeshwa. Niba compression yifuzwa, igomba kugerwaho mbere yo kwinjizamo imigozi isanzwe muri compression ya scression ikuramo umwobo mbere yo gushyiramo imigozi iyo ari yo yose yo gufunga. Igishushanyo mbonera ntabwo gisaba kwikuramo hagati yisahani namagufwa kugirango yunguke. Kubwibyo, ibishushanyo mbonera byoguka mumagufwa birashobora kugerwaho hamwe nubunini bwuzuye munsi yurupapuro gakondo. Umwirondoro wa sdoxt, na none, wemerera imigozi ifite diameter nini kugirango yuzuze imizigo hamwe nunanaganona nogoshe hamwe.

Gufunga ikoranabuhanga

Imitwe yimigozi yo gufunga irimo imitwe yumugabo mugihe umwobo mumasahani irimo imigozi yumugore. Ibi bituma umutwe wa screw usenyuka mumwobo, ufunga urutonde rwisahani. Iyi mitwe ya tekiniki itanga ubushobozi bwo gukora ibikoresho byubaka mugihe ukoresheje tekinike imenyerewe.

Ibimenyetso by'isahani

Ibiranga isahani yo gufunga ifunga irimo:

• Isahani irateganijwe gufasha muri metaphyseal / diaphyseal kugabanya diaphyseal

• imyirondoro ito-yoroheje ibishushanyo bikora amasahani autocontable

• Guhumeka Anatomique yisahani bihuye nuburyo bwa radiyo ya kure

• Umwirondoro wo muri plaque woroshye ukosorwa udahinduye kuri tissue yoroshye

• Amasahani araboneka ibumoso kandi iburyo, muburyo butandukanye

Ibimenyetso

Sisitemu yo gufunga amasahani yerekanwe mu buryo bwo gukosora imbere by'agateganyo no gushyiraho osteotomatiometero no kuvunika, harimo:

• kuvugurura

• kuvunika kwa supracondy

• Intra-Articular na Art-idasanzwe Condylar

• kuvunika mu magufwa ya osteopenic

• Amakuba

• imitekerereze

ibisobanuro

Kuramo dorsal radial delta gufunga isahani: Igitabo cyuzuye

Ku bijyanye no kuvura radiyo ya kure, inzira imwe kubaga bashobora gusuzuma ni ugukoresha isahani ya Delta ya kure. Ubu bwoko bw'isahani bwaramenyereye mu myaka yashize kubera ubushobozi bwayo bwo gutanga ikosora, yemerera ubukangurambaga hakiri kare no gusubira mu bikorwa bya buri munsi. Muri iki kiganiro, tuzatanga icyerekezo cyuzuye kuri Delta ya kure ya Delta ya kure ya Delta yo gufunga, harimo ibimenyetso byayo, tekinike yo kubaga, nibishobora.

Intangiriro

Kuvuka kwa Radiyo bya kure ni igikomere rusange, cyane cyane mubakuze bakuze. Mugihe kuvunika kwinshi bishobora gufatwa neza hamwe no kwikuramo, bamwe bashobora gusaba gutabara. Gukoresha kuri dessal ya kure ya Delta ya Delta yo gufunga ni inzira imwe yo kubaga kuri ibi bice. Iyi saha yagenewe gutanga ikosora ikosorwa mugihe yemerera ubukangurambaga bwa mbere no gusubira mubikorwa.

Anatomy ya marike ya marike

Mbere yo kuganira ku ikoreshwa rya Delta ya kure ya Delta ya Delta ifunga, ni ngombwa kumva anatomiya ya radiyo ya kure. Radius Radius nigice cyigufwa ryamaboko ahuza n'intoki. Nuburyo bugoye hamwe nubuso bwinshi bwa articular. Gukomeretsa kuri kariya gace birashobora gutandukana muburemere, uhereye kumutwe muto kugeza kunera byuzuye.

Ibimenyetso kuri kure ya dortal clate ya delta yo gufunga

Gukoresha Isahani ya kure ya Delta ya Delta irashobora kwerekanwa muburyo bumwe bwo kuvura indwara za radiyo. Ibi birashobora kubamo:

• Kuvuza-arcticular

• Kuvugurura

• Kuvunika hamwe no kwimurwa cyane

• Kuvunika hamwe no gukomeretsa litimentous

Igenamigambi

Igenamigambi ryambere ni ngombwa mugihe urebye gukoresha isahani ya Delta ya Delta yo gufunga. Ibi birashobora kubamo kubona ubushakashatsi bukwiye, nka x-imirasire cyangwa ct scan, kugirango usuzume neza kuvunika. Byongeye kandi, umuganga ubaga azakenera kumenya ubunini bwamasahani akwiye, kimwe no gushyira ibintu byiza.

Tekinike yo kubaga

Ubuhanga bwo kubaga bwo gukoresha isahani ya Dorta ya Dorta ya Delta ifunga ubusanzwe ikubiyemo intambwe zikurikira:

1. Gutemagurwa hejuru ya radiyo ya kure kugirango yemererwe kurubuga.

2. Kuvunika kwaragabanutse, cyangwa gukurikiza, nkuko bibaye ngombwa.

3. Isahani ihagaze kuruhande rwa dorsal ya radiyo.

4. Imiyoboro yinjijwe mu isahani no mu magufa kugirango ayirebe.

5. Nibiba ngombwa, gukosorwa, nk'insinga cyangwa amapine, birashobora gukoreshwa mukomeza guhangayikishwa no kuvunika.

Kwitaho nyuma yo kwitabwaho

Nyuma yo kubaga, abarwayi barashobora gusaba kwikuramo igihe gito mbere yo kwivuza. Intego yo kuvura ni ukugarura inzira n'imbaraga mugihe urinda igufwa rikiza. Abarwayi barashobora gusubira mubikorwa bya buri munsi nko mubyumweru bitandatu nyuma yo kubagwa, nubwo igihe gishobora gutandukana bitewe nuburemere bwuruvunda.

Ingorabahizi

Nko kubikorwa byose byo kubaga, hari ibishoboka bifitanye isano no gukoresha isahani ya Delta ya Delta yo gufunga. Ibi birashobora kubamo:

• Kwandura

• Kunanirwa

• Imitsi cyangwa amaraso yamaraso

• Gukomera cyangwa gutakaza urwego rwicyifuzo

• Gutinda cyangwa kuba nonnion yavunike

Ubundi buryo bwo kuvura

Mugihe icyapa cyakabukira cya delta gishobora kuba uburyo bwiza bwo kuvura kubwoko bumwebumwe bwibicuruzwa bya radiyo bya kure, hari ubundi buryo bushobora gufatwa neza. Ibi birashobora kubamo:

• Kugabanya gufunga no guta: kubivuka bikabije, imishurire ifite akarere irashobora kuba ihagije kugirango uteze imbere gukira.

• Gukosora hanze: Ibi bikubiyemo gukoresha amakori cyangwa insinga byinjijwe kuruhu no mumagufwa kugirango uhagarike kuvuka.

• Isahani yihiti: Ubu ni isahani ubundi buryo ishyirwa kuruhande rwa palmar ya radiyo.

Guhitamo kwivuza bizaterwa no kuvunika hamwe nibikenewe byumuntu.

Uburezi bwo kwihangana

Ku barwayi batekereza gukoresha isahani ya Delta ya kure ya Delta yifunga, ni ngombwa kumva neza inyungu ningaruka zubu buryo. Abarwayi bagomba kumenyeshwa ingengabihe yagenwe yo kugarura, ibishobora gutuza, hamwe nububasha ubwo aribwo bwose kubikorwa bishobora gukenerwa mugihe cyo gukira. Byongeye kandi, abarwayi bagomba gushishikarizwa kubaza ibibazo bashobora kuba bafite no kugira uruhare rugaragara mukwitaho.

Icyerekezo kizaza hamwe na Udushya

Kimwe n'ikoranabuhanga mu buvuzi, gukoresha ibyapa bya kure bya Delta ya Delta bya Delta bidakunze guhinduka. Hariho imbaraga zikomeje zo kunoza igishushanyo n'ibikoresho bikoreshwa muriyi sahani, kimwe no guteza imbere tekinike nshya kubishyira. Byongeye kandi, abashakashatsi barimo gushakisha gukoresha ubundi buhanga, nko gucapa 3D na biologique na biologique, kugirango bongere uburyo bwo kuvura indwara za kure.

Umwanzuro

Gukoresha Isahani ya kure ya Delta yo gufunga Delta irashobora kuba inzira nziza kubintu bimwe byibicuruzwa bya radiyo bya kure. Ariko, ni ngombwa gusuzuma witonze buri murwayi ukeneye kandi usuzume ubundi buryo bwo kuvura. Hamwe no gutegura neza, tekinike yo kubaga, no kwitabwaho nyuma, abarwayi barashobora kwitega kugera kubisubizo byiza no gusubira mubikorwa byabo bya buri munsi.