Indwara y'amavuriro n'ubucuruzi ya tibial tibial plaque yo gufunga

Kuvunika ibibaya byo hagati (kuvunika / kuvura dieluxation)

Andika V:

Kuvunika bicondylar birimo ibibaya byo hagati na kuruhande

Andika VI:

Kuvunika ibibaya byo gutandukana no gutandukanya metaphysis yo muri Tibial kuva kuri Tibial Stem

Ibimenyetso byuzuye

• Guhuriza hamwe ubuso bwa colopse> 2mm cyangwa kwimuka kuruhande> 5mm

• Gufungura Gukuramo / Guhuza Syndrome ya Osteofasment

• Induru ivi (Imbere / Kuzunguruka imbere> 5 °) cyangwa ligamentous isaba gusana.

Ugereranije ibimenyetso

• Abarwayi bageze mu zabukuru basaba ubukangurambaga bwa mbere

• Gukomeretsa Meniscus bisaba gushakisha arthroscopique

1. Kubona

Guterwaga kubaga byatoranijwe kuba kuruhande cyangwa hagati mumavi, bitewe nurubuga. Gucibwa kwanyuma bikoreshwa muguhagarika kwa plateal kuruhande, kugeza kuri femorral femoral biganisha kuri tuberati yindi. Uruhu rukagabanywa hanyuma rutandukanya igice kimwe, rwitondera kurinda imitsi rusange ya peroneal, kandi umuruko ugomba kwitonda mugihe ugaragaza ko ucika intege.

2. Gusubiramo hejuru yubuso

Ubuso bwa arsicular yaguye hamwe na stripper ya persosteal, kandi inzira iremezwa na fluoscopi yasubiwemo hamwe na c-arm. Ku miterere yakozwe, rimwe na rimwe birakenewe gushira allograft cyangwa inkunga yamagufwa ahinnye munsi yubuso bwa articular. Ahantu hagomba kuba igorofa kandi itandukaniro muburebure kuva kuruhande rwiza ntigomba kurenza mm 2, igena neza mm ya 2, igena neza mm ya 2, igena neza imikorere yibikorwa bihuriweho nyuma yibikorwa.

3. Gukurikirana

Kugabanuka kwinshi birimo metaphysis bisaba gukosora isahani ishyigikira, hamwe namasahani yo gufunga akunze gukoreshwa mumasahani yisahani yisahani. Ku miterere ya bicondylar, abaganga bamwe bahitamo amashusho y'ibihugu byombi, ariko hagomba kwitabwaho kugirango birinde gutandukana cyane na periosteum, bishobora kugira ingaruka ku maraso.

Anatomical Fit:

Umubare wabanjirije igishushanyo mbonera cya Aziya, muri Afrika, na latin, na latin, hamwe na morphologiya ya tibial (imbonerahamwe yo kugereranya ibinyabuzima igereranya).

Gufunga byinshi byashizwemo sisitemu yububiko butandukanye bwamagufwa (urugero, Osteopose mubantu bakuru bakuru ba Afrika, ihungabana ryinshi mu rubyiruko rwa Aziya)

Ikigereranyo cy'ibiciro:

Kwiyongera kubikorwa bimwe bigezweho kandi byagabanije ibiciro byo gusubiramo (gereranya amakuru asanzwe yisahani)

Kuramba cyane no kugabanya inshuro zo gusimburwa nigikoresho mubice bya kure.

Ubucuti bwabakoresha:

Inzira yoroshye yo kubaga (urugero, MIPO ntoya tekinike yiterambere), yagufi yiga umurongo wo kwiga kubaganga.

Ibikoresho byinjiza ibikoresho byimuka kubice bigarukira