Nigute ushobora gukosora kuvunika kure?

Kugirango ubyare umusaruro ushimishije mugushiraho ibice bya osteoporotic cyangwa byavunitse, tekinike ya plaque ibangikanye no kuvura imvune ya humeral ya kure ishingiye ku ihame ryo kuzamura ikosorwa rya kure. Urufunguzo rwo gutuza kwiyi miterere yo gukosora ni uko ihuza ibiranga no gutuza kwa arch mugihe ufunze inkingi yo hagati na kuruhande rwa humerus ya kure.

Imiterere yikiraro cyubatswe

Imiyoboro y'ibice bya kure ifunga mugenzi we, itanga umutekano winyongera binyuze muri 'ikiraro gifunze ikiraro '. Guhuza nibyiza kugerwaho no guhuza imigozi. Imigozi myinshi ihuza hafi, kandi amagufwa hagati yabo agize imiterere yubwoko bwa 'rebar ' (ibyuma bishimangira).

Intambwe ya tekiniki

Intambwe yambere: kubaga kugabanya. Ibice bifatanyijemo bikunda kuzunguruka ugereranije hagati yindege ya axial byagabanutse anatomic kandi bigashyirwaho byigihe gito ninsinga za Kirschner. Icy'ingenzi, K-insinga zigomba gushyirwa hafi yurwego rwa subchondral kugirango wirinde kubangamira ishyirwaho rya screw hanyuma kandi kure y’aho amasahani ashyirwa kumurongo wanyuma no hagati. Intsinga imwe cyangwa ebyiri zashyizwe muburyo bukwiye insinga za Kirschner zirashobora gukoreshwa mugukosora byigihe gito kuvunika kure guhuza na diaphysis.

Intambwe ya kabiri: icyuma gisaba icyuma no gukosora by'agateganyo. Isahani yo hagati hamwe nu mpande zashyizwe imbere zishyirwa kandi zigashyirwa kuri humerus ya kure, mugihe igice cya mm 2 cyangwa mm 2,5 cyinjijwe binyuze mu mwobo wa No 2 (ubarizwa kure cyane), epicondyle, hamwe nigice cyamagufwa ya kure muri buri sahani. Amapine kugirango akomeze gukosora byigihe gito isahani no kuvunika kure. Umuyoboro washyizwe mu mwobo washyizweho (umwobo 5) muri buri sahani, ariko ntiwakomejwe neza, hasigara umudendezo kugira ngo isahani yimuke hafi mugihe cyo kwikuramo. Kubera ko ubuso bwo hasi bwa buri sahani ari tubular kuri metafhyseal na diaphyseal, gusa kwizirika gato kwimigozi mu mwobo ucuramye bitanga gukosora byigihe gito byimitsi yose ya kure.

Intambwe ya 3: Gukosora hamwe. Umuyoboro unyuzwa mu mwobo wa 1 mu isahani yegeranye, unyuze mu gice cya kure cya arctular kuva kuruhande kugeza hagati, hanyuma ugakomera. Subiramo iyi ntambwe ukoresheje umwobo numero 3 imbere. Ku barwayi bakiri bato, hakoreshwa imiyoboro ya mm 3,5 ya cortical (kugirango wirinde kuvunika), mu gihe ku barwayi ba osteoporotique, hakoreshwa imiyoboro ya mm 2,7. Imiyoboro ya kure igomba kuba ndende ishoboka kandi igomba kunyura mubice byinshi bishoboka.

Intambwe ya 4 A: Kwiyunvira kuri condyle. Kwiyunvikana gutandukanya ibice byavunitse bitangwa kurwego rwa suprahumeral ukoresheje imbaraga nini zo kugabanya, hamwe ninkingi yinyuma ikosorwa mbere. Shira umugozi mu mwobo wa 4 mu isahani yegeranye muburyo bwo kwikuramo imbaraga (inset). Kwizirika byongera imbaraga zo kwikuramo (umwambi) kurwego rwa supracondylar, bigatera kurambura (umwambi) kumurongo wa supracondylar.

Intambwe ya 4B: Muburyo busa, koresha imbaraga nini zo kugabanya kugirango ugabanye inkingi yo hagati hanyuma winjize umugozi mu isahani yo hagati muburyo bwo kwikuramo imbaraga. Niba umwirondoro w'isahani ari suboptimal, clamp nini irashobora gukoreshwa kugirango uyikande kuri metafizisi kugirango irusheho kwikuramo condyle.

Intambwe ya 5: Gukosora burundu. K-insinga zavanyweho hanyuma insiguro zisigaye zinjizwamo. Imiyoboro ya kure iranyeganyezwa kugirango irusheho gukosorwa ibice byahujwe.

Amagufwa akomeye - Kugabanuka kwa Supracondylar

Niba gutakaza amagufwa ya metafhyseal cyangwa comminution bibangamira kwiyubaka kwa anatomique kandi guhuza amagufwa nibyiza, igitereko gishobora kugabanywa ahavunitse metafhyseal hamwe no guhuza neza hamwe na geometrie ya nyababyeyi ya kure. Twise ubundi buryo bwo kwiyubaka tekinike supracondylar kugabanya. Ubu buhanga ni ingirakamaro cyane mugihe cyo guhuza ingirabuzimafatizo zoroshye hamwe no gutakaza amagufwa. Kugabanya cm1 cm ntacyo bihindura ku mbaraga zo kwagura itumanaho rya triceps, kandi mugihe habaye ingirabuzimafatizo zikomeye no gutakaza amagufwa, kugabanuka kugera kuri cm 2 birashobora kwihanganira bitagize ingaruka zikomeye ku binyabuzima bikoresha inkokora.

Ongera uhindure impera ya kure ya humeral (usibye igice cya arctular) kugirango uzamure umubano hagati yicyiciro cya kure na diaphysis. Mubisanzwe, igufwa rito gusa rivanwa kumpera ya kure yumutwe wa humeral, kandi rimwe na rimwe kuruhande rumwe. B na C, bigufi na site yamenetse kugirango yemere kwikuramo intera hagati ya trochlear na diaphysis ya kure, hagati ya capitulum na diaphysis ya kure, kandi kuva kuruhande. Iyo ubu buso bumaze guhagarikwa no gushyirwaho ibyuma, ibyuma birakomera bihagije kugirango bigende neza kandi bisanwe. Igice cya kure gishobora guhindurwa hagati cyangwa kuruhande, cyangwa imbere gato, mugihe gikomeza guhinduranya na valgus.

Imigozi 6 nintego 2 zo gukosora

screw

1: Buri cyuma kinyura mu isahani.

2: Buri cyuma kigomba gukosora igice cyacitse.

3: Shira umubare uhagije wimigozi mugice cyavunitse.

4: Buri cyuma kigomba kuba kirekire gishoboka.

5: Buri cyuma kigomba gukosora ibice byinshi bishoboka.

6: Imigozi igomba gufunga hamwe ikanyuranya, igakora imiterere ifite inguni ihamye.

Isahani y'icyuma:

1: Kubisahani bikoreshwa mugukosora, intego zo kwikuramo zigomba kugerwaho kurwego rwa femorale condyles yinkingi ebyiri.

2: Isahani yicyuma yakoreshejwe igomba kuba ikomeye kandi ikomeye kuburyo irwanya kuvunika cyangwa kunama.

Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedie？

Kuri CZMEDITECH , dufite ibicuruzwa byuzuye byumurongo wo kubaga amagufwa hamwe nibikoresho bijyanye, ibicuruzwa birimo umugongo, imisumari, icyapa cy'ihungabana, icyapa, cranial-maxillofacial, prothèse, ibikoresho by'ingufu, abatunganya hanze, arthroscopy, ubuvuzi bwamatungo nibikoresho byabo bifasha.

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