Dynamic Axial Ankle Ifatanije Igice cyo hanze

Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya hanze gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yimvune rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gutunganya ibintu hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na Hybrid fixator.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro bike: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

Dynamic Axial Ankle Ifatanije Igice cyo hanze Ikosora: Incamake

Kuvunika kw'ibirenge ni ibintu bisanzwe kandi bishobora guturuka ku mpamvu zitandukanye, zirimo gukomeretsa siporo, kugwa, n'impanuka z’ibinyabiziga. Iyi mvune irashobora kugorana kuyicunga, cyane cyane iyo irimo ibice. Bumwe mu buryo bwiza bwo kuvura kuvunika ni ugukoresha imbaraga zingirakamaro zingingo zifatanije nigice cyo hanze gikosora. Muri iyi ngingo, tuzatanga incamake yiki gikoresho, ibiyigize, ibimenyetso byayo, hamwe nibyiza kuruta ubundi buryo bwo kuvura.

Niki kigira imbaraga zingirakamaro zifatanije nigice cyo gukosora hanze?

Imbaraga zingirakamaro zifatanije nigice cyo gukosora ni igikoresho gikoreshwa muguhagarika imvune zirimo umugeri, cyane cyane zirimo ibice. Nubwoko bwo gukosora hanze bukoresha urukurikirane rwimipira nutubari kugirango uhagarike kuvunika no kwemerera kugenzurwa kwingingo mugihe cyo gukira. Ikosora ikoreshwa hanze, bivuze ko idatewe kubagwa, kandi mubisanzwe ikurwaho iyo kuvunika gukize.

Ibigize imbaraga zingirakamaro zingingo zifatanije igice cyo hanze gikosora

Ibigize imbaraga zingirakamaro zingingo zifatanije igice cyo hanze gikosora mubisanzwe harimo:

• Gukosora pin: Amapine yinjizwa mumagufwa kumpande zombi zavunitse kandi afatanye numubari wa fixator.

• Gukosora utubari: Utubari twometse kuri pin no kuri buriwese, dukora urwego ruhamye ruzengurutse kuvunika.

• Dynamic hinge: Hinge ishyirwa mugukosora kugirango yemere kugenzurwa kwingingo mugihe cyo gukira.

• Igikoresho cyo guhonyora / kurangaza: Igikoresho cyo guhonyora / kurangaza cyashyizwe mubikosora kugirango yemererwe kugenzura cyangwa kurangaza urubuga rwacitse nkuko bikenewe.

Ibimenyetso byo gukoresha imbaraga za axial ankle ifatanije igice cyo hanze gikosora

Imbaraga zingirakamaro zifatanije nigice cyo gukosora gikoreshwa mubisanzwe mugihe ubundi buryo bwo kuvura, nko gutera cyangwa kubaga, ntibikwiye. Ibimenyetso byo gukoresha birimo:

• Ibice bivamo ibice

• Ivunika rifite ibikomere byoroshye byoroshye

• Kumeneka kubarwayi bafite amagufwa adafite ireme cyangwa izindi ngaruka zubuvuzi zituma kubaga bigoye

• Kumeneka kubarwayi badashobora kwihanganira abaterankunga cyangwa ikindi gikoresho cya immobilisation

Ibyiza bya dinamike axial ankle ifatanije igice cyo hanze gikosora

Hariho inyungu nyinshi zo gukoresha imbaraga za axial ankle ifatanyijemo igice cyo hanze gikosora ubundi buryo bwo kuvura:

• Emerera gukangurira hakiri kare ingingo, zishobora gufasha gukumira no kunoza imikorere muri rusange.

• Itanga gukosora neza kuvunika, bishobora kuganisha ku gukira neza hamwe nibisubizo byigihe kirekire.

• Irashobora gukoreshwa mubarwayi badashobora kwihanganira gukinirwa cyangwa kubagwa.

• Emerera guhinduka byoroshye guhagarika cyangwa kurangaza urubuga rwacitse nkuko bikenewe.

• Nibisanzwe byibasiye, bivuze ko hari ibyago bike byingaruka ugereranije no kubaga.

Ingaruka n'ingorane

Kimwe nuburyo ubwo aribwo bwose bwo kuvura, ikoreshwa ryingingo ya axial ankle ifatanyijemo igice cyo gukosora hanze ntabwo ari nta ngaruka nibibazo. Bimwe mubishobora guteza ibibazo nibibazo birimo:

• Kwandura kurubuga rwa pin

• Kurekura cyangwa kumeneka

• Kurakara byoroshye cyangwa kwangirika

• Gukomera hamwe cyangwa guhungabana

• Imitsi cyangwa imitsi yangiritse

Umwanzuro

Imbaraga zingirakamaro zifatanije nigice cyo gukosora ni igikoresho cyagaciro mugucunga ibice byavunitse, cyane cyane birimo ibice. Iremera gukangurira hakiri kare ingingo kandi igatanga gukosora neza kuvunika, biganisha ku gukira neza hamwe nibisubizo byigihe kirekire. Mugihe hari ingaruka nibibazo bifitanye isano no gukoresha iki gikoresho, muri rusange gifite umutekano kandi cyihanganirwa nabarwayi.