Ibisobanuro ku bicuruzwa
Gufunga amasahani nibintu byingenzi muri sisitemu yo gukosora imbere. Bakora urwego ruhamye binyuze muburyo bwo gufunga imigozi n'amasahani, bitanga gukosorwa gukomeye kuvunika. By'umwihariko bikwiriye abarwayi ba osteoporotique, kuvunika bigoye, hamwe na sisitemu yo kubaga bisaba kugabanuka neza.
Uru ruhererekane rurimo 3.5mm / 4.5mm Isahani umunani, Isahani yo gufunga, hamwe na Hip Plate, yagenewe gukura kw'amagufwa y'abana. Zitanga epiphyseal ihamye hamwe no kuvunika, byakira abana bingeri zitandukanye.
Urutonde rwa 1.5S / 2.0S / 2.4S / 2.7S rurimo T-T, Y-shusho, L-shusho, Condylar, hamwe na plaque yo kwiyubaka, nibyiza kuvunika amagufwa mato mumaboko no mubirenge, bitanga gufunga neza no gushushanya neza.
Iki cyiciro kirimo clavicle, scapula, hamwe na radiyo ya kure / ulnar isahani ifite imiterere ya anatomique, ituma impande nyinshi zifata neza kugirango zihamye neza.
Byagenewe kuvunika amaguru yo hepfo, sisitemu ikubiyemo plaque yegeranye / ya kure ya tibial plaque, plaque femorale, na plaque ya calcaneal, byemeza gukosorwa gukomeye no guhuza ibinyabuzima.
Uru ruhererekane rurimo isahani ya pelvic, isahani yo kongera kubaka imbavu, hamwe na plaque sternum yo guhahamuka gukabije hamwe na thorax stabilisation.
Yagenewe kuvunika ibirenge n'amaguru, iyi sisitemu ikubiyemo metatarsal, astragalus, hamwe na plaque yamato, byemeza anatomique ikwiranye no guhuza.
Yashizweho ukoresheje imibare ya anatomic yumuntu kugirango ibe yuzuye
Amahitamo ya screw kugirango yongere ituze
Igishushanyo mbonera hamwe na anatomical kontouring bigabanya kurakara kumitsi ikikije, imitsi, nimiyoboro yamaraso, bikagabanya ibibazo nyuma yo kubagwa.
Ingano yuzuye kuva kubana kugeza kubakuru bakuze
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Mugihe cyo kuvura ivunika rya radiyo ya kure, inzira imwe abaganga bashobora gutekereza ni ugukoresha icyuma cya dorsal radial delta ifunga isahani. Ubu bwoko bwa plaque bwamamaye mumyaka yashize bitewe nubushobozi bwabwo bwo gutanga ibyemezo bihamye, bituma habaho gukanguka hakiri kare no gusubira vuba mubikorwa bya buri munsi. Muri iyi ngingo, tuzatanga umurongo ngenderwaho wuzuye wa dorsal ya radiyo ya delta ifunga isahani, harimo ibimenyetso byayo, tekinike yo kubaga, nibishobora kuvuka.
Ivunika rya radiyo ya kure ni imvune isanzwe, cyane cyane kubantu bakuze. Nubwo kuvunika kwinshi gushobora kuvurwa muburyo budasubirwaho hamwe na immobilisation, bimwe bishobora gusaba kubagwa. Gukoresha intera ya dorsal ya radiyo ya delta ifunga isahani nimwe muburyo bwo kubaga kuriyi mvune. Isahani yashizweho kugirango itange igisubizo gihamye mugihe yemerera gukanguka hakiri kare no gusubira mumikorere.
Mbere yo kuganira ku ikoreshwa rya kure ya dorsal radial delta ifunga isahani, ni ngombwa gusobanukirwa anatomiya ya radiyo ya kure. Iradiyo ya kure ni igice cy'amagufwa y'intoki ahuza ingingo y'intoki. Nuburyo bugoye hamwe nubuso bwinshi bwimiterere na ligaments. Ibikomere kuri kariya gace birashobora gutandukana muburemere, kuva kumutwe muto kugeza kuvunika byuzuye.
Ikoreshwa rya kure ya dorsal radial delta ifunga isahani irashobora kwerekanwa kubwoko bumwe na bumwe bwavunitse bwa radiyo. Ibi bishobora kubamo:
Ivunika ryimbere
Kumeneka
Ivunika hamwe no kwimurwa gukomeye
Kumeneka hamwe nibikomere bidahwitse
Gutegura mbere yo gutangira ni ngombwa mugihe usuzumye ikoreshwa rya dorsal ya radiyo ya delta ifunga isahani. Ibi birashobora kubamo kubona ubushakashatsi bukwiye bwerekana amashusho, nka X-imirasire cyangwa CT scan, kugirango dusuzume neza kuvunika. Byongeye kandi, umuganga azakenera kumenya ingano ya plaque nubunini bukwiye, hamwe nuburyo bwiza bwo gushyira imigozi.
Ubuhanga bwo kubaga bwo gukoresha isahani ya radiyo ya delta ya kure isanzwe ikubiyemo intambwe zikurikira:
Gucibwa bikozwe hejuru ya radiyo ya kure kugirango yemererwe kugera kumeneka.
Ivunika ryaragabanutse, cyangwa ryimuwe, nkuko bikenewe.
Isahani ishyizwe kuruhande rwa dorsal ya radiyo.
Imiyoboro yinjizwa mu isahani no mu magufa kugirango irinde neza.
Nibiba ngombwa, ibyongeweho gukosorwa, nkinsinga cyangwa pin, birashobora gukoreshwa mugukomeza kuvunika.
Nyuma yo kubagwa, abarwayi barashobora gusaba ubudahangarwa mugihe gito mbere yo gutangira kuvura kumubiri. Intego yo kuvura ni ukugarura urwego rwingufu nimbaraga mugihe urinze igufwa rikiza. Abarwayi barashobora gusubira mubikorwa bya buri munsi mugihe cyibyumweru bitandatu nyuma yo kubagwa, nubwo igihe gishobora gutandukana bitewe nuburemere bwakavunitse.
Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, hari ingorane zishobora kuba zijyanye no gukoresha intera ya dorsal ya radiyo delta ifunga. Ibi bishobora kubamo:
Indwara
Kunanirwa
Gukomeretsa imitsi cyangwa imitsi
Gukomera cyangwa gutakaza intera igenda
Ubumwe bwatinze cyangwa kudahuza kuvunika
Mugihe icyuma cya dorsal radial delta gifunga isahani irashobora kuba uburyo bwiza bwo kuvura kubwoko bumwe na bumwe bwavunitse bwa radiyo ya kure, hariho ubundi buryo bwo kuvura bushobora no gutekerezwa. Ibi bishobora kubamo:
Kugabanya gufunga no guterana: Kubuvunika buke bukabije, immobilisation hamwe nabakinnyi birashobora kuba bihagije kugirango uteze imbere gukira.
Gukosora hanze: Ibi bikubiyemo gukoresha pin cyangwa insinga zinjijwe mu ruhu no mu magufa kugirango uhagarike kuvunika.
Isahani yo gufunga icyuma: Nubundi isahani ishyirwa kuruhande rwa palmar ya radiyo.
Guhitamo kuvura bizaterwa no kuvunika kwihariye hamwe nibyifuzo byumurwayi ku giti cye.
Ku barwayi batekereza gukoresha icyuma cya dorsal ya radiyo ya delta ifunga isahani, ni ngombwa kumva neza inyungu ningaruka ziterwa nuburyo. Abarwayi bagomba kumenyeshwa igihe giteganijwe cyo gukira, ingorane zishobora guterwa, hamwe nibibujijwe kubikorwa bishobora gukenerwa mugihe cyo gukira. Byongeye kandi, abarwayi bagomba gushishikarizwa kubaza ibibazo bashobora kuba bafite no kugira uruhare rugaragara mu kubitaho.
Kimwe na tekinoroji yubuvuzi iyo ari yo yose, ikoreshwa rya kure ya dorsal radial delta ifunga ibyapa ihora itera imbere. Hariho imbaraga zihoraho zo kunoza igishushanyo nibikoresho bikoreshwa muri ayo masahani, kimwe no guteza imbere tekinike nshya yo kubishyira. Byongeye kandi, abashakashatsi barimo gukora ubushakashatsi ku ikoreshwa ry’ikoranabuhanga, nk'icapiro rya 3D na biologiya, kugira ngo barusheho kunoza imiti ivunika ya radiyo ya kure.
Gukoresha intera ya dorsal ya radiyo ya delta ifunga isahani irashobora kuba amahitamo meza kubwoko bumwe na bumwe bwavunitse bwa radiyo. Icyakora, ni ngombwa gusuzuma witonze buri murwayi ibyo akeneye no gutekereza kubundi buryo bwo kuvura. Hamwe nogutegura neza mbere yo gutangira, tekinike yo kubaga, no kuvura nyuma yo kubagwa, abarwayi barashobora kwitega kugera kumusaruro mwiza no gusubira mubikorwa byabo bya buri munsi.