Gufunga Isahani - Ikirangantego cya TIBEL Gufunga Amagufwa

Gufunga Isahani - Ikirangantego cya TIBEL Gufunga Amagufwa

            Kuvunika kwa Pibial Pibial Pin ni gake, kubara bitarenze 10% byurangara hejuru yiguru. Imyenda yoroshye kuri tibia ya matal ifite kwihanganira ibikennye bidahagije ibiganiro byoroshye bidahagije, byongera ingorane zo kuvura. Kuvunika Pilon bizwiho kwinginga, kwimurwa hejuru yubuso, hamwe nibikomere byoroshye. Kubera impinduka muburyo buhujwe no guhuza ingingo, kuvunika byinshi bisaba gukosorwa. Guvura burundu bigomba guhuza ubwoko bwihariye bwo kuvunika, gukomeretsa amati ya tissue, nabarwayi. Igihe gikwiye cyo kwivuza ni urufunguzo rwo gutsinda.

     

            Uburyo bwo gukomeretsa

Imvune nyinshi - Ingufu: Kugwa mu burebure, gusiganwa ku maguru, impanuka z'imodoka, n'ibindi. Gukomeretsa Ingufu - Gukomeretsa Ingufu: Gukomeretsa hejuru.

Icyerekezo cy'urugomo: kwikuramo kOX; Imbaraga zo kuzunguruka; Imbaraga zo gufata amajwi; Imbaraga zo gukora.

Ihohoterwa rishingiye ku ngufu:   Bikunze kugaragara mu rubyiruko, hamwe n'ihungabana rikabije kandi rikomeye - Ingufu nyinshi. Umurongo uvunika uri mu ndege ya Sagittal, kandi fibula akenshi ikunze kuba indakemwa.

Ihohoterwa rishingiye ku ngufu:   Bikunze kugaragara mu bageze mu za bukuru, bafite ihahamuka rikabije n'ubukomere - ingufu. Umurongo uvunika uri mu ndege kandi akenshi ufitanye isano no kuvunika fibula.

Ibizamini byerekana

            Ibipimo ngenderwaho Ibipimo ngenderwaho, kuruhande, na Mornter Reba X - Imirasire yamaguru yafashwe. Byuzuye - Uburebure x - Ray wo muri Tibia arashobora kwerekana guhuza no kumana hejuru. Ku barwayi bamwe bavunika bigoye cyane, x - Imirasire yingingo zinyuranye zifatwa kugirango itange ibisobanuro byo kwiyubaka no kumenya ibibanza byangiza - bihari.

            Uburyo bwo gukomeretsa bushobora guhanurwa nubwoko bwa fibular kuri X - Imirasire kandi igashyirwa ahagaragara (ubugizi bwa nabi. Niba fibula idahwitse, muri rusange ni igice gikomeye intra - urutonde (ubwoko B) gukomeretsa. Ibikomere bya Axial ntibitera kwimurwa cyane ariko bivamo byinshi byo gupakira toxia kuri tibia ba kure, hamwe nibice byinshi byubuso bwa articular hamwe nicyiciro cya kabiri cyamasegonda hamwe nisupa rikennye kuri karitsiye. Icyerekezo cyo kwimurwa nigice gikemurwa gishobora guhanurwa na X - Ray yerekana ubwoko bwicyerekezo cya talar (mubisanzwe byimurwa).

            Babiri - Ibipimo na bitatu - Ibipimo bya CT IBINTU ni ngombwa. Barashobora gutanga amakuru arimo urwego rwibihugu bivunika, umwanya numubare wamagufwa, hamwe nubuyobozi bwo kwimurwa.

Gutondekanya

Not - kubaga

            Kutuvuka - kubaga byo kuvura indwara ya pilonital Pilon ni gake. Ibimenyetso ntibicika intege muburyo butandukanye hamwe nabarwayi bafite ubukorikori bwongera ibyago byo kwivuza. Inyongera - kuvunika ibihangano hamwe nimpinduka nkeya muburyo rusange bwo guhuza ibintu birashobora kandi kuvurwa hamwe na plaster idahumuriza ntabagwa. Kugabanuka byakoreshejwe kugeza igihe kubyimba bigabana, hanyuma plaster isaba. Impinduka zikomeye muri tibial cyangwa ibisobanuro byo hejuru birashobora gukurura ibibazo hamwe no guhuza ingingo no gushikama. Gukomeza X - Ibizamini byimibare birakenewe kugirango hunze hamwe nimiterere.

            Guhitamo intra - kuvunika ibihangano birashobora kandi kuvurwa atari - kubaga. Kugirango intra - kuvunika ibihangano hamwe na mm iri munsi ya 2 yo kwimura no munsi ya mm 3 yintambwe - hanze, ntabwo - kubaga bishobora gufatwa nkibisabwa biboneye.

Ibimenyetso byerekana

Igihe cyo kubaga

            (1) Kuvura byihutirwa: Kugabanya no gukosora ibitandukanye; Gukingura; Bifitanye isano n'ibikomere bya kashe; Syndrome.

            . Gukosora hanze; Kugabanuka no gukosora imbere kuvunika fibular, kugabanya kumugaragaro no gukosora imbere byimiterere yinyuma yimyandikire yinyuma; Gukumira thrombu.

            (3) Icya kabiri - Icyiciro: Nyuma yiminsi 10 - 14 nyuma yiminsi, kugabanya gufungura no gukosora imbere kuvunika.

            .

Icyerekezo cyo kubaga

            (1) Kugwiza uburyo bwo guhura numurongo wavunika.

            (2) Gukemura ibivunitse byose hamwe nuburyo buke bwo kubaga.

            (3) Irinde ahantu hafite tissue yoroheje.

            (4) Reba uburyo bwo gukomeretsa.

            (5) Reba umwanya wo gushyira plap.

•                     Kubivuza hamwe nubumuga butandukanye, isahani yo hagati ya buto yatoranijwe, kandi inzira y'ibishushanyo irakoreshwa.

•                     Kubwububiko hamwe nubumuga bwa valgus, isahani ya buttress itara ryatoranijwe, kandi inzira y'ibigega ikoreshwa.

•                     Intera iri hagati yibice byombi bigomba kuba byibura cm 5 - 7.

Czmeditech ibicuruzwa