Ibisobanuro ku bicuruzwa
Urutonde rwamasahani yagenewe gukemura byoroshye, wedge nibice bigoye kuvunika kuri patellae nini.
Igishushanyo mbonera cyorohereza kunama no guhuza ibyifuzo byumurwayi. Windows irashobora gukoreshwa muguhuza tissue yoroshye hamwe na suture.
Isahani irashobora gutemwa kugirango ihuze ibikenewe muburyo bwihariye bwo kuvunika hamwe na anatomiya y'abarwayi.
Impinduka zinyuranye (VA) zifunga umwobo zituma bigera kuri 15˚ ya angula ya screw kugirango igabanye uduce duto twamagufwa, irinde imirongo yamenetse nibindi byuma.
Imyobo ya screw yemera gufunga mm 2,7 mm, hamwe na cortex.
Amaguru yisahani yemerera inkingi ya bicortical (apex to base) imiyoboro kugirango ishyirwe hamwe.
Biraboneka muri Titanium hamwe nicyuma.

| Ibicuruzwa | REF | Ibisobanuro | Umubyimba | Ubugari | Uburebure |
| Isahani yo gufunga Patella (Koresha 2.7 Ifunga) | 5100-3401 | Imyobo 16 Ntoya | 1 | 30 | 38 |
| 5100-3402 | Imyobo 16 Hagati | 1 | 33 | 42 | |
| 5100-3403 | Imyobo 16 Nini | 1 | 36 | 46 |
Ishusho Ifatika

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Ku bijyanye no gukomeretsa kw'ivi, patella ni agace gasanzwe gashobora kwangirika. Patella, bakunze kwita ivi, ni igufwa rito riri imbere yivi. Bitewe n'aho biherereye n'imikorere yabyo, irashobora gukomereka bitandukanye, nko kuvunika no gutandukana. Rimwe na rimwe, kuvunika kwa patella birashobora gusaba kubagwa, bishobora kuba bikubiyemo gukoresha icyuma gifunga icyapa. Muri iki kiganiro, tuzaganira kubintu byose ukeneye kumenya kubijyanye no gufunga isahani ya patella, harimo inyungu zayo, ingaruka, hamwe nuburyo bwo gukira.
Isahani yo gufunga isahani ni ubwoko bwibikoresho byo kubaga bikoreshwa mugusana icyuho cya patella. Ubusanzwe ikozwe muri titanium kandi yagenewe gutanga ituze kuri patella mugihe ikiza. Isahani irinzwe kumagufa ukoresheje imigozi, ifunga isahani ahantu hamwe kandi igatuma igufwa rikira neza.
Isahani yo gufunga isahani isanzwe ikoreshwa mugihe ivunika rya patella rikabije kandi ryimuwe. Ibi bivuze ko igufwa ryacitsemo ibice byinshi kandi ntikiri mumwanya usanzwe. Muri ibi bihe, isahani yo gufunga isahani irashobora gukenerwa kugirango ukire neza kandi wirinde ingorane zigihe kirekire.
Hariho inyungu nyinshi zo gukoresha patella mesh ifunga isahani yo kuvura ivunika rya patella. Muri byo harimo:
Kunoza umutekano: Isahani ifasha gufata igufwa mu mwanya, ryemerera gukira neza kandi ritezimbere.
Igihe cyo gukira vuba: Isahani ifasha guteza imbere gukira byihuse itanga ituze kumagufa.
Kugabanya ibyago byo guhura nibibazo: Gukoresha isahani yo gufunga isahani ya patella bigabanya ibyago byo guhura nibibazo, nko kudahuza ubumwe (kunanirwa igufwa gukira) cyangwa malunion (gukira muburyo budasanzwe).
Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, hari ingaruka n'ingaruka zishobora guterwa no gukoresha icyapa cya patella. Ibi bishobora kubamo:
Kwandura: Hariho ibyago byo kwandura igihe cyose habaye uburyo bwo kubaga.
Kuva amaraso: Amaraso arashobora kubaho mugihe cyo kubagwa cyangwa nyuma yo kubagwa kandi birashobora gusaba ubufasha bwinyongera.
Imitsi cyangwa imitsi yangirika: Hariho ibyago byo kwangirika kwimitsi cyangwa imiyoboro yamaraso mugihe cyo kubaga.
Kunanirwa kw'ibyuma: Isahani cyangwa imigozi ikoreshwa kugirango irinde umutekano birashobora kunanirwa, bishobora gusaba kubagwa byongeye.
Kubabara no kutamererwa neza: Kubabara no kutamererwa ni ibisanzwe nyuma yo kubagwa kandi birashobora kumara ibyumweru byinshi.
Niba umuganga wawe yarasabye isahani yo gufunga isahani yo kuvura kuvunika kwa patella, hari intambwe nyinshi ushobora gutera kugirango witegure kubagwa. Ibi bishobora kubamo:
Kuganira ku miti iyo ari yo yose ufata na muganga wawe.
Gutegura uburyo bwo gutwara no kuva mubitaro.
Gutegura urugo rwawe kugirango ukire.
Guteganya igihe cyo kuruhuka kukazi cyangwa ibindi bikorwa.
Uburyo bwo gufunga isahani ya patella mubisanzwe birimo intambwe zikurikira:
Anesthesia: Uzahabwa anesthesia rusange (igusinzira) cyangwa anesthesi yakarere (itera umubiri wo hasi).
Gutemagura: Umuganga wawe azagukomeretsa kurubuga rwacitse.
Kugabanuka: Ibice byamagufwa bizashyirwa muburyo bukwiye.
Gushyira isahani: Isahani izashyirwa kumagufwa ukoresheje imigozi.
Gufunga: Gutema bizafungwa ukoresheje ubudodo cyangwa ibikoresho.
Kwambara: Kwambara cyangwa bande bizashyirwa kurubuga.
Inzira isanzwe ifata amasaha 1-2 kugirango irangire kandi irashobora gusaba ibitaro kumara iminsi myinshi.
Nyuma yo kubagwa, uzakenera gukurikiza amabwiriza ya muganga witonze kugirango ukire neza. Ibi bishobora kubamo:
Kugabanya ibiro ukuguru kwanduye ibyumweru byinshi.
Ukoresheje inkoni cyangwa umutambukanyi kugirango uzenguruke.
Gufata imiti ibabaza nkuko byateganijwe.
Gukora imyitozo kugirango utezimbere urwego rwimbaraga nimbaraga.
Kwitabira amasomo yo kuvura kumubiri.
Abantu benshi barashobora gusubira mubikorwa bisanzwe mumezi 4-6 nyuma yo kubagwa. Ariko, birashobora gufata umwaka umwe kugirango igufwa rikire neza.
Ubuvuzi bwumubiri nigice cyingenzi mubikorwa byo gukira nyuma yuburyo bwa patella mesh bwo gufunga plaque. Umuvuzi wawe wumubiri azashiraho gahunda yimyitozo igufasha kugarura imbaraga nintera yo kugenda mumavi. Ibi bishobora kubamo imyitozo nka:
Ukuguru kugororotse kuzamuka
Kwagura amavi
Amashanyarazi ya Quadriceps
Hamstring curls
Urukuta
Umuvuzi wawe wumubiri arashobora kandi gukoresha uburyo nka ice cyangwa kuvura ubushyuhe kugirango bigabanye ububabare no kubyimba.
Gusubira mubikorwa bya buri munsi nyuma ya patella mesh yo gufunga plaque birashobora gufata igihe. Ni ngombwa gukurikiza amabwiriza ya muganga witonze kugirango wirinde gukomeretsa ivi. Zimwe mu nama zo gusubira mubikorwa bisanzwe zirimo:
Buhoro buhoro kongera ibikorwa murwego rwigihe.
Irinde ibikorwa-bigira ingaruka zikomeye, nko kwiruka cyangwa gusimbuka, kugeza igihe umuganga wawe aguhaye sawa.
Kwambara ikivi cyangwa inkunga nkuko bikenewe.
Nyuma yo kubagwa, uzakenera kwitabira gahunda nyinshi zo gukurikirana hamwe na muganga wawe kugirango ukurikirane iterambere ryawe. Mugihe cyo kubonana, umuganga wawe arashobora gufata x-ray kugirango akire neza kandi ahindure gahunda yo kuvura nkuko bikenewe.
Guteganya kuvunika patella bivuwe hamwe na plaque ya mesh muri rusange nibyiza. Abantu benshi bashoboye kugarura imikorere yuzuye ivi mugihe cyumwaka nyuma yo kubagwa. Nyamara, abantu bamwe bashobora guhura nibibazo byigihe kirekire, nka artite cyangwa ububabare.
Rimwe na rimwe, kuvunika patella birashobora kuvurwa nta kubagwa hakoreshejwe ubundi buryo nka immobilisation cyangwa casting. Ariko, ubu buryo ntibushobora kuba bubereye kuvunika gukabije cyangwa kwimurwa.
Bifata igihe kingana iki kugirango ukire inzira ya patella mesh ifunga isahani?
Bishobora gufata amezi 4-6 kugirango usubire mubikorwa bisanzwe, ariko kugeza kumwaka kugirango igufwa rikire neza.
Ni izihe ngaruka ziterwa na patella mesh yo gufunga plaque?
Ingaruka zishobora kubamo kwandura, kuva amaraso, kwangirika kw'imitsi cyangwa amaraso, kunanirwa kw'ibikoresho, n'ububabare.
Ivunika rya patella rishobora kuvurwa nta kubaga?
Rimwe na rimwe, kuvunika patella birashobora kuvurwa nta kubagwa hakoreshejwe ubundi buryo nka immobilisation cyangwa casting.
Ni ikihe gipimo cyo gutsinda cya patella mesh ifunga isahani?
Intsinzi kuri ubu buryo ni nziza muri rusange, abantu benshi bagarura imikorere yuzuye y'amavi mugihe cyumwaka umwe nyuma yo kubagwa.