Imisumari itajegajega (ESINs) nuburyo busanzwe bwo kubaga uburyo bwo kubaga amagufwa maremare ku bana. Irakoreshwa cyane mu kuvura imvune zidahungabana za radiyo, ulna, femur, ndetse rimwe na rimwe tibia na humerus. Irakoreshwa kandi mu kuvura ivunika ry’amagufwa maremare mu bana. ESIN itanga imvune zifunze zidakinguye ikibanza cyavunitse, ituze ryingingo eshatu, hamwe no kubungabunga uburebure no kuzunguruka muguhinduranya, kuvunika kugufi. Nkumutwaro wo kugabana umutwaro, byemerera kugenda hakiri kare. Mubisanzwe, imisumari ihamye yimisumari ikurwaho nyuma yo gukira kuvunika.
Ivunika ry'umugore
Ibimenyetso bya ESIN mu kuvunika kw'abagore ni: imyaka iri hagati yimyaka 4 na 14 hamwe no kuvunika kw'umugore mu ihungabana ryinshi.
Umurwayi ashyizwe kumeza ya orthopedic traction, kandi ubunini bwa boot bwahujwe nubunini bwakaguru k'umwana. Fluoroscope irakenewe kugirango ubone antero-posterior (AP) na lato-lateral (LL) ibibero byibasiwe kandi bigashyirwa kugirango yemererwe kubona igitsina gore kuva ku kibuno kugeza ku ivi. Kubona kugabanuka bigenzurwa muburyo bwa AP na LL, kandi kuzenguruka nabyo biragenzurwa.
Guhitamo imisumari Diameter yumusumari igomba kubahiriza amategeko rusange yo guhitamo imisumari. Ibyiciro bikurikira birashobora gukoreshwa nkubundi buryo, bufitanye isano nimyaka yumwana:
- Imyaka 6-8: mm 3 z'umurambararo;
- Imyaka 9–11: mm 3,5 mm;
- Imyaka 12–14: mm 4 z'umurambararo.
Uburebure bw'imisumari bungana nintera kuva kure ya karitsiye ikura kugeza kuri trocanter nini yo gukura.
Ivunika rya Diaphyseal
Igice cya gatatu cyegeranye na hagati Mugihe cyavunitse cya diaphyseal mugice cya gatatu no hagati, inzira ya C, hamwe n imisumari yinjijwe retrograde binyuze muri metafizisi ya kure, iratoranijwe. Kubijyanye no kuvunika hafi, isonga yegeranye yimisumari irunamye, mugihe kubice bya diaphyseal hagati, hagati yumusumari iragoramye. Igikorwa kirangiye, mugihe havunitse transvers, ibice bigira ingaruka murwego rwo kwirinda kurangara bisigaye, bishobora kuba inshingano zuburebure butaringaniye bwingingo zo hepfo. Ku bijyanye no kuvunika gukabije cyangwa kugabanijwe, isonga ya kure irunamye kandi igafatwa mu magufa kugirango wirinde telesikopi y'ibice no kwimuka kw'imisumari.
Imiterere karemano yiyi mvune ni ugutera kugabanuka kwa mm 5-10 ako kanya nyuma yo kubagwa, bikazishyurwa nogutera imbaraga zo gukura mugihe cyo guhuza kuvunika.
Ivunika rya Tibial
Guhitamo no gutegura umurwayi Umurwayi ashyizwe kumeza ya orthopedic kugirango yorohereze kugabanuka. Kubaho kwa fluoroscope ni itegeko mugucunga imikoranire. Umwanya ukora ugomba gushiramo ivi.
Kwinjiza imisumari
Imisumari ya elastike ihora yinjizwa antegrade muri metafizike yegeranye, kuri antero-kuruhande na anteromedial.
Diameter yimisumari iratandukanye hagati ya mm 2,5 na 4, ukurikije imyaka umurwayi afite. Gukoresha inyundo muguteza imbere imisumari biremewe ariko bigomba gukoreshwa ubwitonzi.
Ubwiza bwo kugabanuka bwemezwa na diameter yimisumari nurwego rwo kunama.
Imisumari ntigomba gukorerwa mumagufwa ya kanseri ya metafizisi ya kure mbere yo kugabanuka neza; bitabaye ibyo, inzira zo gukosora zishobora guhungabanya osteosynthesis.
Mbere yo kutagira ingaruka, kuzenguruka ibice birasuzumwa kandi, mugihe habaye ubumuga bwa varus busigaye, ibi bikosorwa no kunama bikabije. Igikorwa kirangiye, gukurura biraruhutse kandi ibice bigira ingaruka.
Ku bijyanye no kuvunika kwaciwe, inama zegeranye z’imisumari zisigaye hanze yamagufwa zunamye kuri 90 ° kandi zigaterwa mumagufwa ya cortique kugirango birinde telesikopi yibice.
Kumeneka kumuntu
Ibimenyetso bya ESIN mubice byavunitse biratandukanye bitewe nurubuga rwacitse: metafysisime yegeranye cyangwa diaphysis. Mu kuvunika kw'ijosi ryo kubaga rya nyababyeyi, ESIN irerekanwa kuko igabanya igihe cya immobilisation isabwa mugihe cyo kuvura abagumyabanga.
Kubijyanye no kuvunika diaphyseal, gukoresha imisumari ya elastique byerekanwa hatitawe ku mitsi ya radiyo.
Kwinjiza imisumari Imisumari yinjizwamo hakoreshejwe uburyo bwa retrograde. Ingingo zinjizwamo ziboneka kuruhande rwagace ka supracondylar, zifite icyerekezo cya postero-cyerekezo kandi cyegeranye. Ingingo zinjira zitegurwa ukoresheje imyitozo kuko igufwa rya cortical muri kano gace rirakomeye cyane. Diameter yimisumari iratandukanye hagati ya mm 2,5 na 3,5, kandi zunamye kimwe. Imisumari yinjizwamo nigitutu cyintoki nigitambambuga. Niba kuvunika mu gace ka metafhyseal yegeranye bidashobora kugabanuka bihagije, 1800 kuzunguruka imisumari byorohereza kugabanuka. Niba, ariko, kugabanuka ntibishoboka, Kirschner iyobora-wire ishyirwa mubice byegeranye mbere yo kugabanuka gufungura. Ku bijyanye no kuvunika kwa diaphyseal oblique, ni ngombwa kwirinda imisumari isiga umuyoboro wa medullary hanyuma ikimuka inyuma muri sulcus nervice. Iyo imisumari yombi imaze kurenga aho yavunitse, igira ingaruka mumagufwa ya kanseri ya metafizike yegeranye.
Kumeneka mbere
Kuvura amagufwa mu kuvunika amaboko biremewe, ariko imipaka yemerewe yo guhinduranya ubwayo irazwi. Niba izo mipaka zirenze cyangwa mugihe cyo kunanirwa kuvura amagufwa, kugabanuka gufunze na ESIN byerekanwe kuvunika kwamaboko.
Tekinike ikora Umurwayi ashyizwe muri dorsal decubitus, hamwe nikiganza cyanduye kumeza ya radiotransparent.
Diameter yimisumari ikoreshwa iratandukanye hagati ya 2,5 na 3 mm. Umusumari wa ulnar uragororotse, mugihe umusumari wa radiyo ufite ikimenyetso cyunamye kugirango ugarure umurongo wa radiyo.
Gukosora mubisanzwe bitangirana namagufwa yoroshye kugabanya. Kuri radiyo, ingingo yinjira iboneka muri metafizisi ya kure, hejuru ya karitsiye yo gukura kure, hagati yimitsi ya ndende kandi ngufi yagutse yintoki. Amagufwa ya cortical agaragazwa no gutemagurwa gato hanyuma hacukurwa umwobo, wagutse ukagenda. Umusumari winjijwe mumuyoboro wa medullary kugeza aho wavunitse. Kugabanya kuvunika birakorwa kandi umusumari utera imbere mugice cyegeranye na fluoroscopique.
Uburyo busa burakorwa kuri ulna, hakoreshejwe tekinike ya antegrade, hamwe nokwinjira kumurongo wo hagati ya olecranon.
Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedie？
Kuri CZMEDITECH , dufite ibicuruzwa byuzuye byumurongo wo kubaga amagufwa hamwe nibikoresho bijyanye, ibicuruzwa birimo umugongo, imisumari, icyapa cy'ihungabana, icyapa, cranial-maxillofacial, prothèse, ibikoresho by'ingufu, abatunganya hanze, arthroscopy, ubuvuzi bwamatungo nibikoresho byabo bifasha.
Twongeyeho, twiyemeje gukomeza guteza imbere ibicuruzwa bishya no kwagura imirongo y’ibicuruzwa, kugira ngo duhuze ibyifuzo byo kubaga abaganga n’abarwayi benshi, kandi tunatuma uruganda rwacu rirushanwa cyane mu nganda zose z’imyororokere n’ibikoresho by’inganda.
Kohereza ibicuruzwa ku isi yose, urashobora twandikire kuri imeri aderesi yindirimbo@orthopedic-china.com kugirango utange ibisobanuro kubuntu, cyangwa wohereze ubutumwa kuri WhatsApp kugirango ubone igisubizo cyihuse + 86- 18112515727 .
Niba ushaka kumenya amakuru menshi ， kanda CZMEDITECH kugirango ubone ibisobanuro birambuye.
