Kuvunika tibial, suprapatellar intttttttttttttttttttramedinal tekinike

Intramedillary Tibial Nailing: Kwinjira no Guhuza, Kubabara Inyamaswa

Uburyo bwo kubaga bugana intera imisumari ya tibial ni ngombwa kugirango ushiremo intera yinjira mu buryo bukwiye, kugirango ugabanye ibyangiritse kuri intramedicture-artramedie-arcticiere kandi ikwiye kwinjiza kandi neza.

Icyerekezo cya kera cyo kuvunika indwara zo muri tibial ni infrapatellar median cyangwa infrapatellar uburyo bwa parapatellar. Nubwo ubwo buryo bwerekanwe ku miterere yo hagati, Valgus yasubiwe inyuma, imbere, cyangwa ihuriro ryinshi bikunze kugaragara muburyo bwihuse.

Impamvu nyamukuru yo gukwirakwiza muri karacttire yimyandikire ya Proximile ni ubumuga buterwa no gukurura quadrices mugihe cyamakimbirane ya mavi hamwe ninyuma ya tibial cortex. Patella nayo irinda imisumari ya axial mu ndege ya Sagittal (Ishusho 1a, b). Kubwibyo, ubundi buryo busanzwe bwo kugera aho bunyuze muri parapatellar yo hagati, biganisha kuri gato gushiramo imisumari yinyuma (imitini. 1c na 2). Mugihe umusumari yinjira mu kamaro ka intttttttttttttttttttttttttramedite itandukana, igice cya proximine muri valgus (Ishusho 2). Hanyuma, guhagarika imitsi yicyumba cyimbere kigira uruhare ruto kuri valgus (Ishusho 3).

Igishushanyo 1 A, B ukoresheje uburyo busanzwe bwa infrapatellar, patella irinda kwinjira mumusumari, bikaviramo ubumuga rusange bwa sagittol aprictement na valgus cononant. c ukoresheje parapatellar uburyo bwo guhuza imisumari.

Igishushanyo 2 Kwegera aho byinjira binyuze muri parapatellar yo hagati biganisha kumuringanire gato kugirango ushiremo umunwa. Nkuko umusumari yinjira mububiko bwa Medullary bukabije kumeneka (a), igice cya Proximal tilts muri valgus (b)

Igicapo 3 Kuruhuka Impagarara mucyumba cyimitsi (a) bitanga gahunda yoroshye ya ectle (b)

Gukubita tibia mumwanya wagutse ufasha kwirinda ingorane zijyanye na ivi rikabije ryugurura. Tekinike yasobanuwe na Gelbke, Jakma et al. Mu mwaka wa 2010 kandi bimaze gukumira mu myaka yashize kuko byerekana Tibia mumwanya hafi ya ALD woroshye gukoresha minigulation no kwiyongera. Flueroscopi yaroroshye gukora tekinike gukora. Ibihe bya Flueroscopy kubijyanye nisuka rusange Byongeye kandi, inguni yo gushiramo umunwa (mu ndege ya SAGITTAL) irangiye kuri axitudinal incal muri ubu buryo kuruta mu misumari y'intara; Ibi birinda amakimbirane ya mashini hagati yumusumari na cortex yinyuma, bityo byorohereza kugabanuka.

Ububabare bwa nyuma yinyuma ni ikibazo gifitanye isano. Ububabare bwo mu kivi cyimbere bwavuzwe muri 50-70% byabarwayi bavunika, hamwe na 30% gusa byabarwayi bafite ububabare bwo kubabara nyuma yo kuvana igihingwa cyimbere. Bigereranijwe ko gushinga ibisasu bifitanye isano no kugera kuri Patellar Tendon na Hoffa ibinure bya Hoffa yabyibushye nisoko yo kubabara nyuma yo gutangiza ivi. Byongeye kandi, uburyo bwo gukwirakwiza burinda guhagarika ishami ryishami rya patellar rya satenor nervice nziza, bityo twirinda gutandukanya ivi ryurupfu hamwe nubushake bwumva (Ishusho 4). Kunyura umusumari unyuze kuri quadriceps, bityo usige patellar Tendon Standation, bigaragara ko igabanya cyane igipimo cyigipimo cyamavi.

Bitewe nibisubizo byiza byo kuvunika kwiyongera, ibimenyetso mubikorwa byubuvuzi byageze ku kuvunika byose.

Ni ryari hakwiye gukoreshwa intera rwose isuku?

Ibyiza

• Igice cya kabiri cyo gupfukama giteza imbere minigulation no gusubiramo no kuruhura imitsi no kugumana mugihe cyinjiza

• Ingaruka ntoya zo kugabanuka kwa nyuma kwagabanijwe cyane, igice nigice cya kure ugereranije na tekinike isanzwe

• Igikorwa cyumusumari cyoroshye kuri tekiniki gukora

• Kwinjiza Umubiri birashoboka nka 'uburyo bwo kubaga buto)

• Kugabanya Igihe cya Fluoscopy

• Nta byangiritse kuri patellar Tendon no Gutakaza Hafi ya Post-Guhuza amavi

• Byoroshye gukora muburyo bwikipe menshi, nko mu ihahamuka nyinshi

  
  

Ibimenyetso

• Kuvunika bidasanzwe-arcticure ya tibia (Ao 41ya Ubwoko)

• Kuvunika byoroshye bya dibryosi ya dibial (ubwoko bwa Ao 42A-C)

• Gutandukanya Dibial Diibial Diaphyseal Frophysure (Ubwoko bwa Ao 42c)

• Ikirangantego cya Take

• Ivi

• Ibipimo bya patellar hamwe na patellar tessification

• Igikomere cyanduye kurwego rwa patellar mandon

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.

Byongeye kandi, twiyemeje guhora dukura ibicuruzwa bishya no kwagura imirongo yibicuruzwa, kugirango duhuze ibyifuzo byabaganga nabarwayi benshi, kandi binatuma sosiyete yacu irushanwa mubicurarango byose bya orttopedic.

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