Ni iki Titanium Elastigi isukuye?

Byinshi mu buryo buhamye imisumari (esins) nubu buryo busanzwe bwo kubaga amagufwa magufa mubana. Byakoreshejwe cyane cyane gufata ibiranga radiyo bidahungabana, Ulna, femur, kandi rimwe na rimwe Tibia na Humerusi. Irakoreshwa kandi mugufata ivura rya patologi yamagufa maremare mubana. Esin atanga gukosorwa gusoza udafunguye urubuga, haraturwaho amanota atatu, no kubungabunga uburebure no kuzunguruka muburyo butandukanye, kuvumbura. Nkumutwaro wo gusangira imbaraga, yemerera kugenda hakiri kare. Mubisanzwe, imisumari ihamye yinyuma ivanwa nyuma yo kuvunika.

Kuvunika femoral

Ibimenyetso bya Esin mumivurungano byimbuto ni: imyaka iri hagati yimyaka 4 na 14 nubutaka bwuzuye mubihaha.

Umurwayi ashyizwe kumeza ya orttopedic, kandi ingano ya boot ihujwe nubunini bwamaguru yumwana. Fleeroscope irakenewe kugirango abone antero-posterior (ap) na nyakwigendera (ll) yibibero byagize ingaruka kandi bishyirwa kugirango yemererwe kwikuramo femu kuva kurwego rwibibu. Kubona kugabanuka bigenzurwa muri ap na lol ibitekerezo byombi, no kuzunguruka nabyo biragenzurwa.

Guhitamo imisumari diameter igomba kubahiriza amategeko rusange yo guhitamo imisumari. Icyiciro gikurikira gishobora gukoreshwa nkubundi buryo butandukanye, bifitanye isano nimyaka yumwana:

- Imyaka 6-8: 3 mm;

- Imyaka 9-11: 3,5 mm;

- IMYAKA 12-14: 4 DIAMETER.

Uburebure bw'imisumari bungana n'intera iva mu makarito yo gukura kurekura kuri karitsiye ikomeye yo gukura.

Diracyseal

Proximal na gatatu ya gatatu mugihe cyo kuvura diafyseal muri proximal kandi hagati ya gatatu, uburyo bwa C-Hagati, hamwe nimisumari yinjijwe muri retaphysis ya kure, yatowe. Kubijyanye no kuvunika kwa proximile, isonga ryimisumari irunama, mugihe cyo kuvunika dis-diafyseal, hagati yumusumari. Iherezo ryibikorwa, mugihe cyo kuvugurura, ibice bigira ingaruka kugirango wirinde kurangaza ibisiga, bishobora kubazwa uburebure bungana. Mugihe cyo kuvugurura cyangwa kumurongo, inama ya kure yunamye kandi yibasiwe mumagufwa kugirango yirinde ibiceri no kwimuka kwimisumari.

Impengamiro isanzwe yiyi mikoro ni ukugabanya MM 5-10 igabanuke ako kanya nyuma yisubiremo, izahangana no gukangura iterambere mugihe cyo gushimangira kuvunika.

Kuvunika tibial

Umwanya no gutegura umurwayi umurwayi ashyizwe kumeza yamagufa kugirango yoroherezwe. Kubaho kwa flueroscope ni itegeko ryo kugenzura imitraoperative. Umurima wakazi ugomba gushyiramo ivi.

Kwinjiza imisumari 

Imisumari ya elastike ihora yinjijwemo antegrade muri metaphysis ya proximal, kurwego rwa Antero-kuruhande hamwe na antemedial.

Diameter diameter iratandukanye hagati ya 2,5 na 4, ukurikije imyaka yumurwayi. Gukoresha inyundo kugirango utere imbere imisumari biremewe ariko bigomba gukoreshwa witonze.

Ubwiza bwo kugabanya bugengwa numusumari nurwego rwo kunama.

Imisumari ntigomba kwishora mu magufwa yo muri kanseri ya metaphysis ya kure mbere yuko kugabanuka neza; Bitabaye ibyo, uburyo bwo gukosora bushobora guhungabanya osteosynthesis.

Mbere yo guhinduranya, kuzenguruka ibice biragenzurwa kandi, mugihe habaye ubumuga butandukanye butandukanye, ibi bikosorwa no kuzunguza umubiri birenze urugero. Iherezo ryibikorwa, gukuruta biraruhutse kandi ibice biragira ingaruka.

Kubijyanye no kuvunika, inama zikomeye zisumba imisumari zisigaye hanze yamagufwa yunamye kuri 90 ° kandi yibasiwe mumagufwa corcal kugirango abuze telesikoni.

Imibare

Ibimenyetso bya Esin mumivurungano yuburyo butandukanye bitandukanye bitewe nurubuga rwavuza: Metaphysis ya Proximis cyangwa Diaphysis. Mu kuvunika ijosi ryo kubaga rya Humerus, esin ryerekanwa kuko bigabanya igihe cyo kwikuramo ibisabwa mugihe cyo kuvura abantu.

Kubijyanye no kuvunika diaphyseal, gukoresha imisumari ya elastike bigaragazwa bitewe no kubaho.

Kwinjiza imisumari imisumari byinjijwe ukoresheje uburyo bwa retrograde. Ingingo zo kwinjiza ziboneka kuruhande rwinyuma yuburyo bwa Supracondylar, ufite icyerekezo cya postero-kuruhande hamwe nimpengamiro nziza. Ingingo zo kwinjira zateguwe ukoresheje imyitozo kuko igufwa rya cortique muri kano karere biragoye cyane. Diameter yimisumari iratandukanye hagati ya 2,5 na 3.5, kandi baranyeganyega. Imisumari yinjijwe nubuhanga buhagaritse no kuzunguruka. Niba kuvunika muburyo bwa metaphyseal proximeal budashobora kugabanuka bihagije, abantu 1800 bahinduye imisumari borohereza iri kugabanya. Niba, ariko, kugabanya bidashoboka, umuyoboro wa Kirchner-wire ushyizwe muburyo bwiza mbere yo kugabanuka. Ku bijyanye no kuvunika diapyseal diaphyseal, ni ngombwa kwirinda imisumari iva mu miyoboro ya gisabule no kwimuka inyuma muri sulcus ya radial. Nyuma yimisumari yombi yambutse kurubuga, ziterwa no mumagufwa ya kane ya metaphysis prexisis.

Kuvunika ukuboko

Kuvura amagufwa mu magufwa byemewe, ariko imipaka yemewe yo kuvugurura yakuweho irangizwa irazwi. Niba izi mipaka irenze cyangwa mugihe cyo kunanirwa kuvura amagufwa, kugabanuka na esin byerekanwe mubyatsi.

Tekinike ya gahunda umurwayi ihagaze muri dorsal Deubitus, hamwe namaboko yibasiwe kumeza ya radiotranspare.

Diameter yimisumari yakoreshejwe iratandukanye hagati ya 2,5 na 3. Umusumari wa Ulnar hafi ya Ulnair hafi, mugihe umusaruro wa radiyo ufite urujijo kugirango ugarure umurongo usobanutse wa radiyo.

Gukosora mubisanzwe bitangirana igufwa ryoroshye kugabanya. Kuri radiyo, aho byinjiye tubisanga muri metaphysis ya kure, hejuru ya karitsiye ya kure, hagati yimitsi yigihe kirekire kandi bigufi yintoki. Amagufwa ya cortical yagaragaye binyuze mu gucika intege kandi umwobo uracuragurwa, wagutse ningendo zizenguruka. Umusumari yinjijwe mu mfashanyigisho kugeza kurubuga. Kugabanuka gukemurwa kandi umusumari utejwe imbere muburyo bwihuse munsi yo kugenzura flueroscopique.

Uburyo busa bukorwa kuri Ulna, ukoresheje tekinike ya antegrade, hamwe na tekinike yinjira kumurongo wo hagati wa olecranon.

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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