Hagati ya Tibial Osteotomy yo gufunga isahani

Ni ubuhe butumwa bwo hagati ya OsteotoMY yo gufunga?

Uburinganire bwa Tibial Nosteotomy yo gufunga, igice cya sisitemu ya Czgushistel osteotomy, ibanziriza guhuza tibia yo hagati yo hagati, kugabanya gukenera kunyerera no kurakara. Amahitamo abiri yisahani, ibipimo na bito, birahari kugirango yakire anatomy yihangana anatomiya. Hagati ikomeye itanga imbaraga zo gukomeza Osteotomy. Isahani yakandagiye yorohereza kwinjiza bike. Inkoko eshatu zamabali zitanga guhinduka yo kwikuramo kwangiza no gufunga ubushobozi. Ibyobo byambere cyane (umutwe wa plaque) hamwe nimyobo nyinshi za kure (plate shaft) emera imigozi ifunze, ifasha kumurika. Guhuza ibyapa bya osteotomy yo gufunga biboneka mubucuruzi titanium.

Uburyo bwo hagati ya Tibial Osteotomy Gufunga isahani ni uburyo bwuzuye bwo gukosora bihamye osteotomaties ikikije ivi.

ibisobanuro

Hagati ya Tibial Osteotomy yo gufunga isahani: Igitabo cyuzuye

Nkibikorwa byo kubaga byagenewe kugabanya ububabare mumavi, metteotomy idasanzwe (pmto) nubuhanga buzwi kubafite osteoorthritis. Ubu buryo bukubiyemo gukata bwakozwe mugice cyo hejuru cya tibia igufwa hanyuma usohoze igufwa kugirango ugabanye igitutu kumavi. Gukoresha isahani yo gufunga muri ubu buryo bwarushijeho gusobanurwa, tubikesha ibyiza byinshi hejuru yundi buryo bwo kubaga.

Muri iki kiganiro, tuzaganira ku mikoreshereze ya tibial yo hagati ya Osteotomy yo muri Osteotomy, inyungu zayo, nuburyo bufite uruhare mubikorwa byayo.

Niki kingana na tibial osteotomy yo gufunga?

Hagati ya tibial osteotomy yo gufunga isahani nigikoresho cyo kubaga cyakoreshwaga mu gutuza amagufwa ya tibia nyuma yuburyo bwa PMT. Isahani isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ishingiro kandi igenewe kwishyiriraho igufwa rikoresha imigozi. Uburyo bwo gufunga isahani yemerera gukosora amagufwa, biteza imbere gukira no gutanga ituze rirambye ryo guhuriza hamwe.

Inyungu za Tibial Thibial Osteotomy yo gufunga isahani

Gukoresha isahani yo gufunga mugihe cya PMTO uburyo butanga inyungu nyinshi, harimo:

• Kongera umutekano: uburyo bwo gufunga isahani bitanga urufatiro ruhamye kumagufwa gukira, kugabanya ibyago byo kugorana no kongera amahirwe yo kuzamuka neza.

• Kugabanya igihe cyo gukira: Kuberako isahani itanga inkunga yinyongera kumagufa, igihe cyo gukiza gigufi kuruta ubundi buryo bwo kubaga.

• Ibyago byo hasi byo kwandura: Gukoresha isahani yo gufunga igabanya ibyago byo kwandura kuko imirongo ikoreshwa kugirango isohore kumagufwa ntabwo yinjira mu ruhu.

• Gukabya bike: Gukoresha isahani yo gufunga bivamo inkoni ntoya kuko gutemagurika mugihe inzira ni nto.

Hagati ya tibial osteotomy yo gufunga plate

Uburyo bwa plate plate plate bukoreshwa nubuvuzi bwa orthopedic kandi burimo intambwe zikurikira:

Intambwe ya 1: Anesthesia

Umurwayi ahabwa anesthesia rusange kugirango barebe ko bamerewe neza mubuzima bwose.

Intambwe ya 2: Gutema

Umuganga ubaga atera akantu gato imbere yivi kugirango abone igufwa rya tibia.

Intambwe ya 3: Osteotomy

Umuganga ubaga akoresha abonye kugirango agabanye igice cyo hejuru cya tibia igufwa. Amagufwa noneho akoreshwa mukugabanya igitutu kumavi.

Intambwe ya 4: Porogaramu

Umuganga ubaga afata isahani yo gufunga amagufwa ya tibia akoresheje imigozi. Isahani ishyirwa imbere mumagufwa kugirango wirinde kurakara kuruhu.

Intambwe ya 5: Gufunga

Gutema birafunzwe hamwe nubudodo, kandi igitambaro gikoreshwa mumavi.

Kugarura kuri tibial osteotomy yo gufunga plate

Kugarura muburyo bwa pmto gufunga ubusanzwe bifata ibyumweru 6 kugeza 8. Muri kiriya gihe, umurwayi agomba kwirinda gushyira uburemere ku ivi kandi akoresha inkoni yo kuzenguruka. Kuvura umubiri nabyo birasabwa gufasha mugukiza no kunoza ibintu bitandukanye mu ivi.

Irashobora guhura nibibazo

Nko ku buryo ubwo aribwo bwose bwo kubaga, hari ingaruka zishobora kubaho n'ibibazo bifitanye isano na plafoni yo gufunga PMTto, harimo:

• Kwandura

• Amaraso

• Imitsi

• Amaraso yangiritse

• Allergic reaction kuri anesthesia

Ni ngombwa kuganira kuri izi ngaruka hamwe no kubaga amagufwa mbere yo gukurikiza inzira.

Ibibazo

1. Ese pmto gufunga isahani yonyine kuri ivi osteoarthritis?

Oya, hari ubundi buryo bwinshi bwo kubaga kuri ivi osteoarthritis, harimo kubaga ivi na arthroscopi. Ni ngombwa kuganira kumahitamo yose hamwe numuganga wawe wa orthopedique kugirango umenye uburyo bwiza kuri wewe.

1. Ese pmto yo gufunga plate uburyo burababaza?

Benshi mubarwayi bafite ububabare no kutamererwa neza nyuma yuburyo, ariko ibi birashobora gucungwa n'imiti yububabare yagenwe nuwamugaye.

1. Nshobora gukomeza ibikorwa bisanzwe nyuma yo gufunga amasahani ya PMT yo gufunga?

Ni ngombwa gukurikiza amabwiriza yawe yo kubaga kubyerekeye urwego rwibikorwa nyuma yuburyo. Urashobora kubazwa kugirango wirinde ibikorwa bimwe mugihe cyo kwemerera gukira neza.

1. Bifata igihe kingana iki kugirango ukire byimazeyo kuva kuri plate yo gufunga?

Igihe cyuzuye cyo gukira kirashobora gutandukana bitewe nibintu byinshi, harimo no imyaka yumurwayi, ubuzima rusange, nuburyo bukoreshwa. Muri rusange, bisaba ibyumweru 6 kugeza 8 kugirango igufwa rikire byuzuye, ariko irashobora gufata igihe kinini kugirango igarure icyerekezo cyuzuye mu ivi. Kuvura umubiri birashobora gufasha kwihutisha inzira yo gukira.

Umwanzuro

Uburinganire bwa Tibial Osteotomy yo gufunga ni igikoresho cyiza cyo kubaga ababarwaye osteoarthritis. Gukoresha iri sahani bitanga inyungu nyinshi, harimo imbaraga zo kwiyongera, kugabanya igihe cyo gukiza, no kuvuza bike. Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka zishobora kubaho nibibazo, ariko ubwitonzi bukwiye no gukurikirana, abarwayi benshi bahura nibisubizo byiza. Niba utekereza uburyo bwo gufunga plate plate, ni ngombwa kuganira ku mahitamo yose hamwe n'ingaruka zishobora kuba umuganga wawe wa orthopedique kugirango umenye niba ari uguhitamo neza.