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Czmeditech Intramedial Umusumari

Intangiriro

Czmeditech imisumari yubucuruzi mugari itanga sisitemu yuzuye yo kuvura imivurungano. Sisitemu igizwe nimisumari ngufi kandi ndende hamwe namahitamo menshi yo gukemura ibibazo byoroshye kandi bigoye kuri humerusi ya proximal kimwe na shaft gamera.

Guhanga udushya

Sisitemu ikubiyemo ibintu byinshi bishya byateguwe byumwihariko kubikenewe bya

Umusumari

1. Umusumari ugororotse hamwe no kwinjiza hagati

2. Umwihariko wa Screw-in-screw, kumutekano utezimbere aho bikenewe *

3. Polyethylene Inlay kugirango akore neza imigozi ya proximal

4. Kuzamuka uburyo bwo gutanga inkunga kugirango ubone inka

5. Multiplar Gufunga Gufunga Kugabanuka Buto

6. Byuzuye bigenewe gufunga indabyo nkeya

Amahitamo Yuzuye

Umusumari mugufi: iburyo n'ibumoso imisumari ya mm 8.5, uburebure bwa mm 160

Umusumari muremure: iburyo kandi ibumoso hamwe na MM 7.0 na 8,0 mm, mm 200 mm - uburebure bwa mm 300

Umusumari ugororotse hamwe no kwinjiza hagati

- Yashizweho kugirango yinjizwe neza kurubuga rwavugije, kongera umutekano wibinyabuzima

- Yashizweho kugirango wirinde sulcus hagati yumutwe munini nuwagusumbuye aho umutsima wa Sapraspinatus

Imigozi myinshi

- Gukuramo-mu-kwikuramo, kumutekano utezimbere aho bikenewe *

- Lunt yatsinze inama zo kugabanya ingaruka zijyanye na screw screen

- Ibyobo bine bya sutura kuri screw, kumugereka wa rotator cuff

Gukosora

- Kuzamuka Kuzamuka hamwe na Mm 3.5 Gukuramo Amahitamo yagenewe kongera kurwanya kwimuka kwamagambo, guhindura vatusi na varmus hamwe no kuzunguruka binini

Bicortical compression: umusumari muremure

- Yashizweho kugirango yongere gucika intege muburyo butandukanye kandi bugufi bwa oblique

Gufunga kure: Umusumari muremure

- yagenewe kuba muri zone yumutekano hagati yumugati na breail

- Amahitamo abiri yo gufunga cyane mu cyerekezo cya Anatomic AP, yagenewe koroshya intoki kubuntu

Imisumari myinshi

Kuvunika kwa humerus byingenzi ni ibikomere bisanzwe bigira ingaruka ku bantu bageze mu za bukuru bafite Osteoporose. Ibi bikomere birashobora kuviramo ububabare, gutakaza imikorere, ndetse nubumuga. Kuvura izi mvura birashobora kugorana kubera ikinatoro kigoye cyigitugu hamwe ningaruka nyinshi zo guhura. Umusaruro mwinshi muto ni igikoresho gishya cyatejwe imbere kugirango ukemure ibyo bibazo. Muri iki kiganiro, tuzaganira ku biranga, inyungu, hamwe n'imbogamizi z'umusumari rusange kugirango mvurure imivurungano ya humerusi.

Anatomy na Biomenics ya Humerus Proximal

Mbere yo kuganira numusumari wo mu bwinshi, ni ngombwa gusobanukirwa anatomiya na biomenics ya humerus ya proxima. Humerus proximal igizwe numutwe wubuhinzi, umuyoboro munini, umutuku muto, na shaft. Abayobozi b'amakondo ba Arculate hamwe na Glenoid Fossa ya Scapula kugirango ikore urutugu. Inyenzi nini kandi ntoya ikora nkurubuga rwumuhanda wa Rotatotor Cuff imitsi, ni ngombwa kumutekano wigitugu.

Gucika kwa humerus ya proxima birashobora kubamo umutwe wubuhinzi, umusoro munini, umuyoboro muto, cyangwa igiti. Izi mvururu zirashobora kuvamo kwimura ibice byamagufwa, gutakaza amagufwa, kandi byangiritse kubice byoroshye. Kuvura imigabane ya Humerus Proximas biterwa n'uburemere bw'imvune, urwego rwo kwimurwa, hamwe n'imyaka y'umurwayi n'ibikorwa by'ibikorwa.

Amahitamo yo kuvura ubuvuzi bwa humerus

Amahitamo yo kuvura ubuvuzi kuri jumerus ya proximali arimo imiyoborere itagajega, igabanuka ryimbere (Orif), na arthplasty. Gucunga kutabatori birashobora kuba bikwiriye kuvunika bike mubarwayi bafite ibyifuzo bike. Orif ikubiyemo gukosora gukanda hamwe nisahani, imigozi, cyangwa imisumari. Urutugu arthroplasty irashobora gukenerwa mu kwimurwa gukabije, kwiyuba, cyangwa osteorose.

Nubwo iterambere ryubuhanga bwo kubaga no gushinyamirwa, kuvura imivurungano ya humerusi ya Proximile ikomeje kuba ingorabahizi. Ingorabahizi nko kunanirwa, kutudashyira ubumwe, malunion, na necrosise ya avamile irashobora kubaho, cyane cyane abarwayi bageze mu zabukuru bafite amagufwa mabi. Umusaruro mwinshi muto ni igikoresho gishya kigamije kunoza ibyavuye mu kuvura indwara za humerus.

Ibiranga ninyungu zumusumari rusange

Umusaruro mwinshi muto ni igikoresho cyinjira cyinjijwe muri humerus proximal kugirango ikorwe. Igikoresho kigizwe numusumari, imigozi myinshi yo gufunga, hamwe na bolt ya kure. Umusumari yinjijwe mu miyoboro ya gisabune ya humerus kandi ifunze ahantu hamwe na screw yo gufunga. Umuyoboro wa kure winjijwe mu giti cya humerus kugirango wirinde kugenda kuzunguruka no gutobora umusumari.

Kimwe mu bintu by'ingenzi biranga imisumari myinshi y'amavuriro ni sisitemu yo gufunga byinshi. Imigozi yo gufunga irashobora kwinjizwa mu cyerekezo byinshi, yemerera umutekano no gukosora ibice byacitse. Sisitemu yo gufunga cyane nayo igabanya ibyago byo kunanirwa no kudahana.

Indi nyungu nyinshi zumusumari nyinshi ni tekinike yo kwinjiza ubuntu. Umusumari urashobora kwinjizwa mu buryo buto kandi ntibisaba gutandukana kwamahindaguro. Ibi bigabanya ibyago byo kugorana nko kwandura, gukomeretsa imitsi, no gukiza nabi.

Umusumari w'imisumari alfic arahujwe kandi nuburyo butandukanye bwo kubaga, harimo ubumuga bwo kubaga, imbere, kandi bundi. Iyi mpinduka yemerera kubaga guhitamo uburyo bwiza bushingiye ahantu nuburemere bwivunika, kimwe na anatomy yumurwayi na combities.

Byongeye kandi, umusumari-rusange yubushakashatsi bwinshi yagenewe kubungabunga amagufwa hanyuma agabanya ibyangiritse kubice byoroshye. Umusumari yinjijwe mu miyoboro ya gisambanyi wa Humerus, ikingira amaraso ya peteroli kandi ateza imbere gukira. Byongeye kandi, imigozi yo gufunga irashobora kwinjizwa mu bikorwa bito, bigabanya ingano yo gutandukana kworoheje no kubungabunga rotator cufgents.

Imipaka yumusumari rusange

Nubwo inyungu nyinshi, umusumari wo mu misozi mibi agomba gusuzumwa. Ubwa mbere, igikoresho ntigikwiriye ubwoko bwose bwuruhuha rwa humerus. Umusumari ningirakamaro cyane kubice bibiri nibice bitatu hamwe na valgus cyangwa kurambagiza. Kubirenze cyane cyangwa kuvunika hamwe nibyifuzo byingenzi, ubundi buryo bwo kuvura bushobora kuba bukwiye.

Icya kabiri, tekinike yo kwinjiza imisumari nyinshi zisaba amahugurwa nubuhanga. Umuganga ubaga agomba kuba amenyereye anatomiya na biomenics yigitugu hamwe, hamwe namahame yo kugabanya no gukosorwa. Mu biganza bidafite uburambe, igikoresho kirashobora kuganisha kubibazo nka malunanion, atari ubumwe, no kudashyira mu gaciro.

Ubwanyuma, umusumari wumunyamerika ni igikoresho gishya nigikoresho gishya hamwe namakuru maremare kuri proffic numutekano ni bike. Mugihe ibisubizo byambere byasezeranye, harakenewe ubushakashatsi bwinshi kugirango usuzume ibizavamo igihe kirekire mubikoresho hanyuma ubigereranye nubundi buryo bwo kuvura.

Umwanzuro

Muri make, umusumari wumunyamerika ni igikoresho cyo guhanga udushya gitanga inyungu nyinshi zo kuvura imivurungano ya humerusi. Sisitemu yo gufunga byinshi, ifunga tekinike yometseho, no guhuza uburyo butandukanye bwo kubaga butuma bituma habaho uburyo bwo kwiyemeza kubice bibiri nibice bitatu hamwe na vargus cyangwa kurambagizanya. Ariko, igikoresho ntigikwiriye ubwoko bwose bwuruhuha rwa humerus kandi gisaba amahugurwa nubuhanga bwihariye bwo kwinjiza neza. Ubundi buryo burakenewe kugirango dusuzume ibyavuye mu bikoresho no kubigereranya nubundi buryo bwo kuvura.

Ibibazo

• Ese imisumari myinshi ifite imisumari ibereye ubwoko bwose bwuruhuha rwa humerus?

  Oya, igikoresho gifite akamaro cyane kubice bibiri nibice bitatu hamwe na valgus cyangwa kurambagiza.

  
  

• Ese imisumari ya byinshi-loque isaba gutandukana kwagutse byoroshye?

  Oya, igikoresho kirashobora kwinjizwamo binyuze muri strace gito kandi ntibisaba gutandukana kwagutse byoroshye.

  
  

• Nibihe bishobora guteza ibibazo byo gukoresha imisumari myinshi?

  Ingorane zirimo MaltunIon, Utarinze ubumwe, kandi ucika intege.

  
  

• Ese imisumari myinshi ishobora gukoreshwa hamwe nuburyo butandukanye bwo kubaga?

  Nibyo, igikoresho kijyanye nuburyo butandukanye bwo kubaga, harimo ubushuhe, imbere, no kuruhande.

  
  

• Ni ubuhe buryo bwo kuramba n'umutekano by'imisumari myinshi?

  Amakuru maremare kumurongo wumutekano numutekano ni make, kandi harakenewe byinshi mubyigisho kugirango usuzume ibizavamo igihe kirekire hanyuma ugereranye nubundi buryo bwo kuvura.