Abarwayi bageze mu zabukuru bakeneye ubukangurambaga hakiri kare
Gukomeretsa kwa meniskus bisaba ubushakashatsi bwa arthroscopique
Uburyo bwo kubaga
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 kuba byoroheje mugihe ugaragaza 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
Ivunika rigoye ririmo metafizisi risaba gukosora ibyapa bifasha, hamwe na plaque L ifunga ibyapa bisanzwe bikoreshwa kubisahani byuruhande hamwe na plaque ya T kuri kimwe cyo hagati. Kuvunika kwa bicondylar, bamwe mubaganga bahitamo gukosora ibyapa byombi, ariko hagomba kwitonderwa kugirango wirinde kwamburwa cyane periosteum, ishobora kugira ingaruka kumaraso.
Ifoto ya nyuma yibikorwa
Ibyiza bya Tekinike Bitwara Guhitamo Isoko
Bikwiye:
Igishushanyo mbonera cyagenewe abaturage bo muri Aziya, Afurika, na Amerika y'Epfo bafite imiterere ya tibial morphologie (ibishushanyo mbonera bigereranya).
Sisitemu yo gufunga imigozi myinshi ihuza n'ubucucike bw'amagufwa atandukanye (urugero, osteoporose ku bantu bakuze bo muri Afurika bakuze, ihahamuka ryinshi mu rubyiruko rwo muri Aziya)
