Imisumari ya Intramedillary igomba kuvaho?

Akenshi, umusumari wa Intramedillary urashobora gukenera kuvaho mbere yuko umuswa asaba kubagwa. Ariko, kuvura bimaze gukira, gukuraho imisumari ya Intramedillary yabaye impaka. Ububabare buhoraho cyangwa butera imbere nyuma yo kuvunika bushobora kuba ikimenyetso cyo gukuraho imisumari. Birumvikana ko gukuraho impumyi byo gukosora imbere ntibishobora gukemura cyangwa nongere ikibazo kugeza igihe ububabare bugaragazwa. Umuganga ubaga agomba gusuzuma yitonze ibimenyetso bikurikira byerekana ko yahitamo gukuraho imisumari ya Intramedillary.

• Ububabare bushingiye

Ububabare budakira bukurikira intera imisumari yo mu misumari irasanzwe mu mpande zo hepfo. Kurugero, kurakara byoroshye no kudashimangirwa biterwa no gutandukanya umurizo hamwe numutwe usohoka wimisumari ufunze .Ariko, isoko yububabare budahwema nyuma yo kuvunika busigaye.

Ububabare mu ruswa rukomeye ni ibisanzwe nyuma ya Anterograde intertramedillary imisumari, ariko ibicurangirwa byayo ntibiterwa, kandi ubu bubabare ntabwo buterwa no guhagarika umurizo wigitsina. Ububabare imbere yikibero burashobora guterwa nisonga ryimisumari yinjira yikubita imbere yinyuma ya femur. Gukuraho imisumari ya femorale yavuzwe mu bitabo kugira ngo atezimbere ibimenyetso byububabare, nubwo rimwe na rimwe isoko yububabare itamenyekanye.

Ububabare nyuma yintangiriro ya Tibial Ariko, haba no gukuraho imisumari yinjira ni ingirakamaro kubutabazi bukomeje kuba ifunguye kubibazo. Ububabare bubaho kubwimpamvu nyinshi, harimo guhungabanya imiterere isanzwe ya anatomical (infrapatellar ramus, patellar tenpo, pateteratellar ibinure bya Saprapatella, hagati ya menrapatellar, na tibial metilage cyangwa patellar carsilage. Ariko, uburyo bwose bugamije kugabanya ibikomere byavuzwe haruguru ntibicyagabanije ibibazo byintangiriro ya nyuma yamavi nyuma yo gusaba. Kubwibyo, mbere yo gukuraho umusumari wa Intramedillary, umuganga agomba kuganira numurwayi ko inzira yo kubaga idashobora kugabanya ububabare no gukora ingorane nshya za nyuma. Ububabare bwo mu kivi cyinjije burashobora guterwa nigiterwa cya spike ku cyinjira. Arthroscous yemeje ko umurizo wa PIN yagaragaye hejuru yuburinganire bwa femur bikaviramo ibikomere bya karitsiye. Muri icyo gihe, guhagarika umurizo wimisumari birashobora kandi gutera kwangirika kuri patellar Tendon. Ikimenyetso cyo gukuraho inkuta za Intramedillary zirahari niba ibimenyetso cyangwa ingorane zagaragaye ko biterwa numurizo wimisumari.

Intangiriro yo hejuru Intramedullary Umusumari, niba uhagaze neza, ubusanzwe bitera ububabare buke, usibye kurakara byatewe nigice cyo gusohora cyimbere, kigomba gufatwa nko gukuraho imisumari.

• Kuvunika

Kuraho imisumari yacitse iravunitse iragoye. Kunanirwa kwimbere mubisanzwe birananirana biterwa no gusubiramo munsi-imitwaro. Mu gihe cya kabiri cyo gukira kwishyurwa, imisumari ya Intramedillary yatewe inkunga n'ingabo zikurikirana zasubiwemo. Ugereranije n'imisumari ihagaze mbere, imisumari nshya yambukiranya intera ifunze imisumari ifunze cyane ku mbaraga zitabora. Mu buryo nk'ubwo, kwiyongera kwa diameter birashobora kunoza imitungo yo kurwanya umunaniro ya IntramediLary. Imisumari imaze gucika, irerekana ko hakiri urugero ku mpera z'imisumari, bityo ikavunika umusumari mu buryo bw'intambwe irashobora gufatwa nk'imwe mu bimenyetso byo kutavuga; Muri uru rubanza, birakenewe gukuraho imisumari ya intramedillary kugirango tuvurwe.

Abaganga bamwe bemeza ko kuvunika imiyoboro yo guhagarika umutima arigaragaza 'autodynamic ' kandi bifasha gukiza gukira. Bikwiye gusobanuka, ariko, gufata neza muburyo bwo gukira hakiri kare kugirango bivuruke byoroshye kugirango wongere kwiyongera kwa Axial coment yo gucika intege. Mu bindi bihe, kuvunika imigozi ikomeje kwerekana kubagwa. Kuri iyi ngingo, kuvunika iherezo bigomba gusuzumwa neza no kugaragara.

• Kwanduza

INGABIRWA kwandura byimazeyo nyuma yimbere mumisumari ifunze ni bike, hafi 1%. Igipimo cyanduye nyuma yo gufungurwa gishobora kuba hejuru ya 17%. Indwara ndende mubisanzwe zisaba kuvana umusumari wa Intramedillary. Nibyiza gutinza gukuraho imisumari yinjira hanyuma utegereze kuvuka gukiza. Ariko, kwandura nyuma yintera imisumari birashobora gukiza cyane gukiza, rimwe na rimwe bisaba guhana no gusubirwamo mbere yo gukiza. Iherezo rya Debwerdement rigomba gukorwa nyuma yo gukuraho imisumari ya Intramedullary, kandi yongeye gushimangira irashobora gufasha gukuraho tissue yanduye.

Nonunion yo kuvunika

Iyo gusuzuma bimaze gushyirwaho, gukuraho imisumari ya Intramedillary igomba gusuzumwa mbere yuko buturika. Kumenya mugihe imvururu zimisumari zirimo akenshi zigorana, bityo igihe cyo kuvanaho intera intera ni itavugwaho rumwe. Ariko, gukuraho intera idahwitse ni Byoroheje kuruta gukuraho umusumari wacitse, bityo umuganga ubaga agomba gufata iki kintu muburyo bwo kwivuza.

Kubagwa hamwe kubagwa

Kuraho imisumari ya Intramedillary nyuma yimyaka myinshi irashobora kugorana. Ibindi bikoresho bizengurutse ingingo mugihe cyo gusimbuza hamwe byongera ibyago byo kwandura nyuma, kandi ingorane ziva mu misumari yo gukuraho imisumari irashobora kugora umusimbura uhumeka. Ibi bintu biganisha kubaganga bamwe bizera ko imisumari yose yo muri intttttttttttttttttttttttttttttttttttttttttramedlary ikwiye gukurwaho iyo umurwayi ashobora kubagwa nyuma yo gusimburwa hamwe. Ariko, iki gitekerezo ntabwo gishyigikiwe nibimenyetso byose byibitabo.

Ntabwo ivunika ryumye cyangwa intera yo mu misumari zari ibyago byo kubagwa hamwe kubagwa bihuriweho nyuma, mu gihe intra-Articular Thauma yari imwe mu bintu. Abarwayi bafite indwara zishingiye ku nkunga barashobora kandi gusaba kuvura hakurikijwe. Kubwibyo, muri abo barwayi, hashobora kubaho ibimenyetso byerekana uburyo busanzwe bwo gukuraho umusumari w'imbere mu gihugu.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

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