Ubuvuzi bwa Clinical nubucuruzi bwa hafi ya Tibial Lateral Icyuma gifunga

kuvunika hagati ya plateau (kuvunika / ivi subluxation)

Ubwoko V:

Kuvunika kwa Bicondylar birimo ibice byo hagati no kuruhande

Ubwoko bwa VI:

Kuvunika impande zombi hamwe no gutandukanya metafhysis ya tibial na tibial stem

Ibimenyetso byuzuye

• Ubuso bufatanye gusenyuka> 2mm cyangwa kwimura kuruhande> 5mm

• Gufungura kuvunika / guhuza syndrome ya osteofascial

• Kudapfukama kw'amavi (kuzenguruka imbere / hanze> 5 °) cyangwa igikomere gisaba gusanwa.

Ibimenyetso bifitanye isano

• Abarwayi bageze mu zabukuru bakeneye ubukangurambaga hakiri kare

• Gukomeretsa kwa meniskus bisaba ubushakashatsi bwa arthroscopique

1. Kubagwa

Kubaga kubagwa byatoranijwe kuba kuruhande cyangwa hagati kumavi, bitewe nurubuga rwacitse. Gutemagura kuruhande bikoreshwa muburyo bwo kuvunika kwa plateau, kuva kuri condyle ya femorale kumanuka kugeza tibial tuberosity. Uruhu rwaciwe hanyuma rutandukanyirizwa hamwe kurwego, rwita ku kurinda imitsi isanzwe ya peroneal, kandi kugenda bigomba kwitonda mugihe ugaragaje impera yavunitse kugirango wirinde gukomeretsa imitsi yoroheje.

2. Gusimbuza ubuso bwa arctular

Ubuso bwa arctular bwaguye buzamurwa hamwe na periosteal stripper, kandi inzira irashimangirwa na fluoroscopi inshuro nyinshi hamwe na mashini ya C-arm. Kuvunika kugabanijwe, rimwe na rimwe birakenewe gushiramo allograft cyangwa igufwa ryamagufwa munsi yubuso bwa arctular. Ubuso buhuriweho bugomba kuba buringaniye kandi itandukaniro ryuburebure kuva kuruhande rwiza ntirishobora kurenza mm 2, rigena neza kugarura imikorere ihuriweho nyuma yo kubaga.

3. Gukurikirana

Kuvunika gukomeye birimo metafizike bisaba gukosora ibyapa bifasha, hamwe na L- Ibyuma bifunga bikunze gukoreshwa kubisahani byuruhande hamwe na plaque ya T-yo hagati. Kuvunika kwa bicondylar, bamwe mubaganga bahitamo gukosora ibyapa byombi, ariko hagomba kwitonderwa kugirango wirinde kwamburwa cyane periosteum, ishobora kugira ingaruka kumaraso.

Bikwiye:

Igishushanyo mbonera cyagenewe abaturage bo muri Aziya, Afurika, na Amerika y'Epfo bafite imiterere ya tibial morphologie (ibishushanyo mbonera bigereranya).

Multi-axial Sikulufu ifunga sisitemu ihuza nubucucike butandukanye bwamagufwa (urugero, osteoporose kubantu bakuze bo muri Afrika bakuze, ihahamuka ryinshi mubakiri bato bo muri Aziya)

Ikigereranyo cy'inyungu:

Kongera uburyo bumwe bwo gutsinda no kugabanya ibiciro byo gusubiramo (gereranya namakuru asanzwe)

Kuramba cyane no kugabanya inshuro zo gusimbuza ibikoresho ahantu hitaruye.

Umukoresha Ubucuti:

Uburyo bworoshye bwo kubaga (urugero, MIPO tekinike yoroheje yo gutera), kugabanya imyigire yo kwigira kubaga.

Ibikoresho byifashishwa byoroshye kubikoresho bigarukira