Gukosora hanze ni tekinike yigihe kandi yakoreshejwe cyane mugufata ibiranga. Ubu buryo bukubiyemo gukoresha ibikoresho byashyizwe hanze yumubiri kugirango duhamye kandi duhinegure amagufwa.

Incamake yo gukosora hanze
Gukosora hanze ni tekinike yo kubaga yakoreshejwe mu binyejana byacu kugirango ikoreshwe. Igitekerezo cyatangijwe bwa mbere n'imvubu, wakoresheje imiti igabanya amagufwa yamenetse. Nyuma y'igihe, ikoranabuhanga ryahindutse, ariko ihame shingiro rikomeza kuba rimwe: gutanga umutekano ku rubuga rwo kuvunika mugihe twemerera kurinda amatara yoroshye no gukira.
Intego zo gukosora hanze: Komeza guhuzagurika, uburebure, no kuzunguruka. Kuzunguruka by'agateganyo cyangwa gusoza ibirego.musaruro..
Ibintu bigira ingaruka ku gahato
Ibintu byinshi bigira ingaruka kumutekano wibikoresho byo hanze:
Iboneza rya PIN:
Kongera umubare w'ikinyamisoni, ubayobore kure, kandi ukayashyira hafi y'urubuga ruvunika ruzana.
Amapine agomba gukwirakwizwa no kwirinda guhangayika cyane ku turere twihariye.
Pin diameter:
Amapine manini atanga umutekano mwinshi ariko arashobora kongera ibyago byo guhangayika hamwe no kurakara.
Ubwoko bwa PIN:
Amapine yo kwidagadura, amapine ya trocar, amapine yatwitse, inkoni ya karubone.
Ubwoko bwa politor yo hanze
Abanyapolitiki bo hanze baratandukanye mugushushanya, buriwese atanga ibyiza bidasanzwe:
Uniplandar fixtors:
Byoroshye kandi byoroshye gusaba.
Umutekano muto ugereranije nibikoresho byinshi.
Abeliplar,
Koresha amapine mu ndege nyinshi, zitanga umutekano wongerewe.
Nibyiza kubiranga.
Ibicuruzwa bidashingiye ku gahato / ibihugu byombi:
Abakodesha ku buryo bumwe ntibahagaze neza, mu gihe abakosora ibihugu byombi batanga imbaraga n'inkunga nyinshi.
Abakuru bazengurutse:
Mubisanzwe bikoreshwa mukwamba no gukosora ubumuga bugoye.
Yemerera ibiro byihariye hamwe no gukangurira hamwe mugihe cyo gukira.

Ibitekerezo bya Anatomique hamwe na zone yumutekano
Gushyira amapine nibyingenzi kugirango birinde ingorane nkurukomere cyangwa imirambo. Ibitekerezo by'ingenzi Anatomical birimo:

Femur:
Amapine y'imbere agomba gushyirwaho cm 5.8 munsi ya crochanter ya crochante na 7.4 hejuru ya patel apex.
Amapine yinyuma agomba kwirinda imitsi ya sciatic hamwe nubwato bukikije.
Tibia:
Amapine agomba gushyirwa byibuze mm 14 kure yumurongo uhuriweho kugirango wirinde intra-articular kwinjira.
Kugeza hejuru:
Amapine ya humerus agomba kwirinda imitsi ya axlary na radiail.
Amapine yamaguru agomba gushyirwa mukarere ka Ulna kugirango agabanye ibyangiritse.
Ibimenyetso byo gukosora hanze
Gukosora hanze ni ingirakamaro cyane mubintu bikurikira:
Ibikomere bidahungabana.
Kocralulate ivunika-arcticular kumera (urugero, Pilon, Femur, Femur, ikibaya cya Tibial, inkokora, na Radiyo ya kure).
Kubyimba gukabije byoroshye cyangwa ecchymose.
hemodynamic ihungabana cyangwa kudashobora kubagwa gukingurwa.
Osteoporose, kwandura, Limb kuramba, OsteoMyitis, guhimba hamwe, ubusa, no kwivuza.
Kumenyekanisha
Gukosora hanze ntibishobora kuba bikwiriye mu manza zikurikira:
-
Abarwayi bafite umubyibuho.
-
Abarwayi badakurikiza.
-
Abarwayi bafite amagufwa adahagije.
Abarwayi banze kubagwa cyangwa ntibashobora kwihanganira inzira.
Tekinike na porogaramu

Imigaragarire ya pin-amagufwa:
Irinde gukurura tissue yoroshye mugihe cya PIN gushiramo.
Koresha ibinyabiziga na Tora kugirango bagabanye ibyangiritse.
Mbere yo gucukura no guswera (kuhira) ni ngombwa kugirango ugabanye umwanda.
Gukosora ibinyambanyi:
Mubisanzwe bishyirwa kumutwe wa Iliac cyangwa urutingito rwo hasi rwa Iliac (Aiis).
C-ART Fluoscopy iremeza aho ukwiye.
Hejuru yo hejuru
Amapine ya humerus agomba kwirinda inzego zuzuye.
Amapine yo mu maboko ashyirwa mu karere ka sundataneous ya Ulna.
Gukosora Hasi:
Amapine ya femorale ashyirwa mumwanya wa anterolate.
Amapine ya tibial ashyirwa mumwanya wa anteromedial kugirango wirinde kwinjira.
Imiterere ya Pilon:
Iboneza rya Delta-Ibirimo birakoreshwa, shyiramo amapine yombi na Tibial kugirango uzamure.
Ingorabahizi zo Gukosora hanze
N'ubwo nyungu zayo, gukosora hanze bifitanye isano n'ibibazo bishobora guteza ibibazo, harimo:
-
Indwara ya Pin
-
Osteomyelitis
-
Kunanirwa kw'ibikoresho cyangwa kurekura
-
Malunion cyangwa adanion
-
Kurakara byoroshye cyangwa kwinjira
-
Imitsi cyangwa ibikomere bya vascular
-
Syndrome
Kurohama
Ibisobanuro bya Clinical
Gukosora hanze bigira uruhare runini mu micungire y'ihahamuka:
Itanga umusaruro wihuse mu kugengwa na orthopedietic.
Igabanya ibyago byo gukomeretsa no guhura.
Korohereza uburyo bwinshi burimo abaganga babagamo amagufwa, abaforomo, abavuzi bambaye umubiri, hamwe nabavuzi bakazi kugirango bamenyeshe umusaruro wihanga.
Ibicuruzwa bya Czmeditech
Umukiriya wo hanze usanzwe:
Ibiranga: igizwe nimpeta yicyuma ninsinga nziza, fungura ingingo no kwemerera ibyo uhindura byinshi.
The
Umuzeruzi wo hanze ni igikoresho cyubuvuzi gikoreshwa mugukosora no gusana amagufwa. Igishushanyo cyacyo ninyungu bigaragarira cyane mubice bikurikira:
Ibishushanyo mbonera
Imiterere yimpeta: Filime yo hanze yashizwemo ifite imiterere yimpeta, igakora uruziga rwuzuye ruzengurutse urubuga rwo gutanga inkunga yuzuye no gukosorwa.
Ingingo nyinshi zo gukosora: Mubisanzwe hari ingingo nyinshi zo gukosora kumurongo, ushobora guhuzwa namagufa ukoresheje amagufwa menshi cyangwa imisumari. Uku gutatanya imbaraga zo gukosora no kugabanya igitutu kumugaragaro.
Guhindura: Igishushanyo cya filime yo hanze yemerera abaganga gukora ibyo bahindura bakurikije imiterere yumurwayi, harimo nubunini bwimpeta, hamwe no gukwirakwiza imbaraga, kugirango bakenye ubwoko butandukanye bwibiranga hamwe nubukungu.
Umucyo woroheje kandi uramba: Abazenguruko bazenguruka bakunze gufatirwa ibikoresho byoroheje kandi bihanitse bya titanium.
Biroroshye gushiraho no gukuraho: Igishushanyo mbonera gituma kwishyiriraho no gukuraho inzira yoroshye, bigabanya igihe cyo kubaga no kwihangana.
Ibyiza
Guhagarara cyane:
Imiterere yumwaka itanga 全方位 Inkunga, irinda neza kwimura urubuga no kureba ko igufwa riguma mumwanya ukwiye mugihe cyo gukira.
Imbaraga zidashira:
Ingingo nyinshi zo gukosora zikwirakwiza imbaraga zo gukosora, kugabanya igitutu cyibanze kumagufwa no mu ngingo zoroshye, no kugabanya ibyago byo kugorana biterwa no gukosorwa bidakwiye.
Umubare munini wa porogaramu:
Umushinga wo hanze ukwiranye nubwoko butandukanye bwibice, cyane cyane kuvunika, kuvunika, nibibazo bisaba ko bikosorwa igihe kirekire.
Guteza imbere gukira:
Mugutanga ibidukikije bihamye, firetor yo hanze ifasha kwihutisha kuvunika gukira no kugabanya ibyago byo kutagira no gukiza.
Mugabanye ingorane:
Bitewe n'imbaraga zikosorwa, the Umukiriya wo hanze yo hanze agabanya ibyangiritse byoroshye kandi agabanya ibintu nkibintu nko kwandura na pin traction.

Byoroshye kwitabwaho nyuma yo kwitabwaho:
Igishushanyo cyumwaka kituma birushaho kuvura abarwayi kwiyitaho nyuma yo kubagwa, nko gukora isuku no guhindura imyambarire, bitagize ingaruka kubikorwa byo gukosorwa.
Ibikorwa byakurikiwe
Abapolitiki bo hanze basanzwe bakoreshwa mubihe bikurikira:
Kuvunika bigoye: Bikwiranye no kuvunika bigoye birimo ibice byinshi byamagufwa cyangwa ingingo.
Fungura ibiranga: Bitewe nibiranga imbaraga, umukoro wo kuzenguruka hanze akwiriye gucunga ibishushanyo mbonera kandi bigabanya ibyago byo kwandura.
Kudahuza Ubumwe cyangwa gutinda
Gukosora nyuma: Byakoreshejwe mu Guhuriza hamwe no gushyigikira nyuma yo kubaga amagufwa, jya kurebera urubanza rwo kubaga.
Igishushanyo mbonera cya filime yo hanze yihangana nacyo gishingiye ku kwihangana, yibanda ku bukungu no guhumurizwa, kandi ni igikoresho gikomeye mu kuvura amagufwa.
Umwanzuro
Gukosora hanze bikomeje kuba ibuye rifatirwa mu kuvura ibivuza, bitanga ibisobanuro no guhuza n'imihindagurikire y'ivuriro bitandukanye. Muguhuza ubu buryo bufite uburyo butandukanye, abaganga barashobora kugera kubisubizo byiza kubarwayi. Hamwe n'iterambere rikomeje ku ikoranabuhanga, Gukosora hanze bikomeje guhinduka, kwemeza ko hari aho bihuriye mubikorwa bya orttopedic bigezweho.