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Suprapatellar yegera ibikoresho bya Tibial Intramedillary Gushiraho: Ibintu byose ukeneye kumenya

Niba ufite uruhare mu kubaga amagufwa, birashoboka ko umenyereye igitekerezo cya tibial intera imisumari. Ubu buryo bukunze gukoreshwa kuvura ibiyobyabwenge bya Tibia, rimwe mumagufwa abiri mumaguru yo hepfo. Mu myaka yashize, uburyo bwo kwerekana gahunda ya Intraial Intramedial Interlanals yungutse kuba icyamamare nkubundi buryo bwo kurega gakondo.

In this article, we'll explore the suprapatellar approach to tibial intramedullary nailing in detail, including what it is, how it works, and the instrument set required to perform it.

Nubuhe buryo bwo gukwirakwiza muri Tubiri muri Tibial Intramedillary imisumari?

Uburyo bwo gupshapatellar nubuhanga bushya ugereranije bwo gukora intera ya tibial intera. Aho kwinjiza Tibia unyuze munzira gakondo imbere cyangwa kuruhande, umuganga ubaga atera akantu gato hejuru ya patella, cyangwa ivi. Ibi bibafasha kubona umuyoboro wa Intramedullary wo muri Tibia kuva hejuru, aho kuba imbere cyangwa kuruhande.

Uburyo bwo gukwirakwiza bufite inyungu nyinshi zijyanye no kurema gakondo, harimo kwiyumvisha ibintu bisanzwe, byagabanije ibyangiritse byoroheje, kandi byagabanijwe ibyago byo gukomeretsa, kandi byagabanijwe ibyago byo gukomeretsa inzego zingenzi nka ligamenti yimbere (ACL).

Nigute uburyo bwo kwerekana akazi?

Gukora uburyo bwo gutanga Porogaramu Kuri Intramedial Intera Umusumari, umuganga ubaga akora gato hejuru ya patella. Noneho kora umuyoboro muto unyuze kuri patellar mandon ukoresheje igikoresho cyihariye cyitwa patellar awl. Umuyoboro umaze gushyirwaho, umuganga ubaga arashobora gushiramo intera intera imisumari muri tibia kuva hejuru.

Inyungu imwe irashobora kwiyemeza uburyo bwo kwerekana nuko yemerera umuganga kubaga kwirinda gukenera guhindagurika mugihe cyiburyo. Ibi birashobora kuba ingirakamaro cyane mubarwayi bafite ibikomere cyangwa arthritis, bashobora kubabara cyangwa kutamererwa neza no guhindagurika.

Ni ubuhe buryo bwo gushiramo bisabwa kuri Suprapatellar wegere intera yo muri Tibial Intramedillary.

Gukora Intramedily intera nkoresheje uburyo bwo gupperatella bisaba ibikoresho byihariye. Bimwe mubikoresho byingenzi bishobora gushyirwa muribi byashyizweho harimo:

1. PATELLAR AWL

Patellar Awl nigikoresho cyihariye cyakoreshejwe mugukora umuyoboro unyuze kuri patellar mandon mugihe cyiburyo.

2. Saprapatellar Cannula

Umuyoboro wa Saprapatellar ni umuyoboro muremure, muto winjijwe mu ivi unyuze hejuru ya patella. Iyi cannula yemerera umuganga ubaga kwiyumvisha umuyoboro wa Intramedullary hanyuma ushiremo umusumari kuva hejuru.

3. Intramedillary Umusumari

Umusumari wa Intramedillary nigice cyingenzi cyigikoresho cyashyizweho. Iyi misumari yinjijwe mubiti kandi ikora nkigikoresho cyo gukosora imbere kugirango afashe guteza imbere gukira.

4. Reamer

Reamer nigikoresho cyihariye gikoreshwa mugutegura umuyoboro wa Intramedullary kugirango winjire mumusumari.

5. Gufunga imigozi

Gufunga imigozi ikoreshwa mu kurinda imisumari ivuye mumwanya umaze kwinjizwa muri Tibia.

Ni izihe nyungu zishobora gukoresha uburyo bwo gushora urugero?

Hano hari ibyiza byinshi bishobora gukoresha uburyo bwo gushora urugero kuri intramedilary imisumari. Harimo:

1. Kunoza amashusho

Uburyo bwo gushora urugero butuma umuganga ubaga abona imiyoboro y'inyomoro kuva hejuru, itanga amashusho meza ugereranije nuburyo gakondo. Ibi birashobora gufasha umuganga ubaga neza gushyira neza intera intera isuku kandi irinda kwangiza imiterere yingenzi.

2. Yagabanije ibyangiritse byoroshye tissue

Uburyo bwo gukwirakwiza busaba gutondeka buto kandi buke bwo gutandukana kwumwengezi ugereranije nuburyo gakondo. Ibi birashobora gufasha kugabanya ububabare nyuma yo gukora, kubyimba, no gukomeretsa.

3. Kugabanuka ibyago byo gukomeretsa ACL

Iyo ukora intera ya tibialteur imisumari inyuze imbere cyangwa kuruhande, hari akaga ko gukomeretsa ligament ligament ligem (acl). Ni ukubera ko acl ikora hafi yumwanya wo kwinjiza umusumari. Uburyo bwa SaprapateLer butuma abaganga babaga kwirinda ibyago baregera Tibia kuva hejuru.

Ni izihe ngaruka n'imbogamizi zo kwegera?

Mugihe uburyo bwo gukwirakwiza bufite inyungu nyinshi zishobora, ifite ingaruka ningaruka. Harimo:

1. Kongera ibyago byo kuvunika patellar

Gukora umuyoboro unyuze kuri patellar mandon ukoresheje patellar awl irashobora kongera ibyago byo kuvunika patellar. Izi ngaruka zirashobora kugabanywa ukoresheje diameter ntoya awl no kwitondera kwirinda imbaraga zikabije mugihe cyiburyo.

2. Kubangamiwe

Uburyo bwo gupperatellar butanga ubundi buryo bwo kubaga ugereranije nuburyo gakondo. Ibi birashobora gutuma birushaho kuba ingorabahizi zo gukora ibintu bimwe na bimwe byuburyo, nko kongera imbaraga mu myambarire.

3. Gukoresha kugarukira ku barwayi bamwe

Uburyo bwo gupperatellar ntibishobora kuba bukwiye kubarwayi bose. Urugero, abarwayi bafite urutoki rukabije, ntibashobora kwihanganira inzira kubera ububabare cyangwa urwego ruto rwo kugenda.

Umwanzuro

Kwegera kwa porogaramu kuri intramedial imisumari nubuhanga bushya bwungutse mumyaka yashize. Ubu buryo bufite ibyiza byinshi bishobora kurengana gakondo, harimo no kureba neza, byagabanijwe kwangirika kworoheje, kandi byagabanijwe ibyago byo gukomeretsa ACL. Ariko, ifite kandi ingaruka n'imbogamizi bigomba gusuzumwa mbere yo guhitamo ubu buryo.

Ibibazo

1. Ese uburyo bwo gutanga Porogaramu Kuri Intramedillary Umuhango ubereye abarwayi bose?

Oya, uburyo bwo gukwirakwiza bushobora kuba budakwiriye abarwayi bose. Abarwayi bafite urupfu rukabije cyangwa ibindi bikomere bipfukanwa ntibishobora kwihanganira inzira.

1. Uburyo bwa SuprapateLer bwongera ibyago byo kuvunika patellar?

Gukora umuyoboro unyuze kuri patellar mandon ukoresheje patellar awl irashobora kongera ibyago byo kuvunika patellar. Ariko, iyi mbaraga irashobora kugabanywa ukoresheje diameter ntoya awl no kwitondera kwirinda imbaraga zikabije mugihe cyiburyo.

1. Ni ibihe bikoresho bisabwa kugirango utanga Pusrapatellar wegere intera yo muri Tibial Intramedillary?

Igikoresho cyashyizweho kuri Porogaramu ya TibialSial Intramedullary ikubiyemo patellar awl, suprapatellar cannula, intera rwose, intera, reamer, hamwe na screw.

1. Nigute uburyo bwo gushora urugero butandukaniye nuburyo gakondo bugana mu turere twa intramedial.

Uburyo bwa SaprapateLer bukubiyemo gukora gito hejuru ya patella no gukora umuyoboro unyuze muri patellar. Ibi bituma abaganga bagera kuri intramedullary yo muri tibia kuva hejuru, aho kuba imbere cyangwa kuruhande nko muburyo gakondo.

1. Nibihe byiza bishobora gukoresha uburyo bwo gushora urugero kuri tibial intera imisumari?

Ibyiza bishobora gukoresha uburyo bwo gushora urugero harimo uburyo bworoshye bwo kureba, kugabanya ibyangiritse byoroheje byangiritse, kandi bigabanuka.