Suprapatellar Yegereye Tibial Intramedullary Imisumari Igikoresho

GUKORESHA IBICURUZWA VIDEO

Suprapatellar Yegera Tibial Intramedullary Nail Igikoresho Igikoresho: Ikintu cyose Ukeneye Kumenya

Niba ufite uruhare mu kubaga amagufwa, birashoboka ko umenyereye igitekerezo cyo gutera imisumari ya tibial intramedullary. Ubu buryo bukunze gukoreshwa mu kuvura ibice bya tibia, rimwe mu magufa abiri yo mu kuguru. Mu myaka yashize, uburyo bwa suprapatellar bwo gutera imisumari ya tibial intramedullary bwamamaye nkuburyo busanzwe bwa gakondo.

Muri iki kiganiro, tuzasesengura uburyo bwa suprapatellar kuri tibial intramedullary imisumari irambuye, harimo icyo aricyo, uko ikora, hamwe nibikoresho byashizweho kugirango ubikore.

Nubuhe buryo bwa Suprapatellar Kubona Tibial Intramedullary Nailing?

Uburyo bwa suprapatellar ni tekinike nshya yo gukora imisumari ya tibial intramedullary. Aho kwinjira muri tibia binyuze muburyo busanzwe bwimbere cyangwa kuruhande, umuganga ubaga akora agace gato hejuru ya patella, cyangwa ivi. Ibi bibafasha kugera kumuyoboro winjiye wa tibia uva hejuru, aho kuva imbere cyangwa kuruhande.

Uburyo bwa suprapatellar bufite inyungu nyinshi zishoboka muburyo bwa gakondo, harimo kunonosora amashusho, kugabanuka kwangirika kwinyama, no kugabanya ibyago byo gukomeretsa kubintu byingenzi nka ligamenti y'imbere (ACL).

Nigute Inzira ya Suprapatellar ikora?

Kugirango ukore suprapatellar uburyo bwo gutera imisumari tibial intramedullary, umuganga ubaga akora agace gato hejuru ya patella. Noneho barema umuyoboro muto unyuze kuri patellar tendon ukoresheje igikoresho cyihariye cyitwa patellar awl. Umuyoboro umaze gukorwa, umuganga abaga ashobora kwinjiza imisumari yimbere muri tibia kuva hejuru.

Imwe mu nyungu zishobora kubaho muburyo bwa suprapatellar nuko ituma umuganga abaga yirinda gukenera guhindukiza ivi mugihe cyo kubikora. Ibi birashobora kugirira akamaro cyane cyane abarwayi bafite ibikomere byo mu ivi cyangwa arthrite, bashobora kugira ububabare cyangwa kutoroherwa no guhindagurika kw'ivi.

Nibihe bikoresho byashizweho kugirango Suprapatellar Yegeranye Tibial Intramedullary Nailing?

Gukora tibial intramedullary imisumari ukoresheje uburyo bwa suprapatellar bisaba igikoresho cyihariye. Bimwe mubikoresho byingenzi bishobora gushyirwa muriki gice harimo:

1. Patellar Awl

Patellar awl nigikoresho cyihariye gikoreshwa mugukora umuyoboro unyuze kuri patellar tendon mugihe gikwiye.

2. Suprapatellar Cannula

Cannula ya suprapatellar ni umuyoboro muremure, unanutse winjizwa mu ivi unyuze hejuru ya patella. Uru rumogi rutuma umuganga abaga ashobora kubona umuyoboro winjiye kandi agashyiramo umusumari hejuru.

3. Umusumari uteganijwe

Imisumari yimbere ni igice cyingenzi cyibikoresho byashizweho. Uyu musumari winjijwe muri tibia kandi ukora nkigikoresho gihamye cyo gutunganya imbere kugirango gifashe gukira kuvunika.

4. Reamer

Reamer nigikoresho cyihariye gikoreshwa mugutegura umuyoboro wimbere kugirango winjizemo umusumari.

5. Gufunga imigozi

Gufunga imigozi bikoreshwa mukurinda umusumari winjiye mumwanya umaze kwinjizwa muri tibia.

Ni izihe nyungu zishoboka zo gukoresha uburyo bwa Suprapatellar?

Hariho inyungu nyinshi zishoboka zo gukoresha uburyo bwa suprapatellar kuri tibial intramedullary imisumari. Muri byo harimo:

1. Kunoza amashusho

Uburyo bwa suprapatellar butuma umuganga abaga kureba umuyoboro winjiye kuva hejuru, utanga amashusho meza ugereranije nuburyo gakondo. Ibi birashobora gufasha kubaga gushyira neza neza imisumari yimbere no kwirinda kwangiza ibintu byingenzi.

2. Kugabanya ibyangiritse byoroshye

Uburyo bwa suprapatellar busaba gutemagura gato no gutandukanya uduce duto ugereranije nuburyo gakondo. Ibi birashobora kugabanya ububabare nyuma yibikorwa, kubyimba, no gukomeretsa.

3. Kugabanya ibyago byo gukomeretsa ACL

Iyo ukora imisumari ya tibial intramedullary ukoresheje inzira yimbere cyangwa kuruhande, harikibazo cyo gukomeretsa imbere (ACL). Ni ukubera ko ACL ikora hafi cyane yinjizwamo umusumari. Uburyo bwa suprapatellar butuma umuganga abaga kwirinda iyi ngaruka yegera tibia kuva hejuru.

Ni izihe ngaruka nimbibi zuburyo bwa Suprapatellar?

Mugihe uburyo bwa suprapatellar bufite inyungu nyinshi zishoboka, nabwo bufite ingaruka nimbibi. Muri byo harimo:

1. Kongera ibyago byo kuvunika kwa Patellar

Gukora umuyoboro unyuze kuri patellar tendon ukoresheje patellar awl birashobora kongera ibyago byo kuvunika patellar. Izi ngaruka zirashobora kugabanuka ukoresheje diameter ntoya awl no kwitondera kwirinda imbaraga zikabije mugihe gikwiye.

2. Kumenyekanisha kubaga kugarukira

Uburyo bwa suprapatellar butanga uburyo buke bwo kubaga ugereranije nuburyo gakondo. Ibi birashobora gutuma bigorana gukora ibintu bimwe na bimwe byuburyo bukoreshwa, nko gusubiramo umuyoboro winjiye.

3. Gukoresha bike mubarwayi bamwe

Uburyo bwa suprapatellar ntibushobora kuba bubereye abarwayi bose. Abarwayi barwaye rubagimpande zikomeye, nk'urugero, ntibashobora kwihanganira inzira kubera ububabare cyangwa umuvuduko muke.

Umwanzuro

Uburyo bwa suprapatellar kuri tibial intramedullary imisumari nubuhanga bushya bumaze kumenyekana mumyaka yashize. Ubu buryo bufite inyungu nyinshi zishoboka muburyo bwa gakondo, harimo kunonosora amashusho, kugabanya kwangirika kwinyuma, no kugabanya ibyago byo gukomeretsa ACL. Ariko, ifite kandi ingaruka zimwe nimbogamizi zigomba gutekerezwa mbere yo guhitamo ubu buryo.

Ibibazo

1. Ese uburyo bwa suprapatellar uburyo bwo gutera imisumari tibial intramedullary bukwiye abarwayi bose?

Oya, uburyo bwa suprapatellar ntibushobora kuba bubereye abarwayi bose. Abarwayi bafite arthrite ikomeye yo mu ivi cyangwa izindi nkomere zo mu ivi ntibashobora kwihanganira uburyo.

1. Ese uburyo bwa suprapatellar bwongera ibyago byo kuvunika patellar?

Gukora umuyoboro unyuze muri patellar tendon ukoresheje patellar awl birashobora kongera ibyago byo kuvunika patellar. Nyamara, iyi ngaruka irashobora kugabanuka ukoresheje diameter ntoya awl no kwitondera kwirinda imbaraga zikabije mugihe gikwiye.

1. Nibihe bikoresho bisabwa kugirango suprapatellar yegere tibial intramedullary imisumari?

Igikoresho cyashyizwe kuri suprapatellar yegereye tibial intramedullary imisumari irimo patellar awl, suprapatellar cannula, imisumari yimbere, reamer, hamwe nugufunga imigozi.

1. Nigute uburyo bwa suprapatellar butandukanye nuburyo gakondo bwo gutera imisumari tibial intramedullary?

Uburyo bwa suprapatellar burimo gukora uduce duto hejuru ya patella no gukora umuyoboro unyuze kuri patellar tendon. Ibi bituma umuganga abaga ashobora kugera kumuyoboro wa tibia uturutse hejuru, aho kuva imbere cyangwa kuruhande nkuko bisanzwe bigenda.

1. Ni izihe nyungu zishobora gukoreshwa zo gukoresha suprapatellar uburyo bwo gutera imisumari ya tibial?

Ibyiza byo gukoresha uburyo bwa suprapatellar harimo kunonosora neza, kugabanya ibyangiritse byoroshye, no kugabanuka.