Inama 5 zo kuvuza imisumari yo gukosora imitako ya kure

Imirongo ibiri yumusigo "yagabanijwe kandi ishyiraho ikosora imbere, ifunze intera imbere. Kugeza uyu munsi, biracyafite ikibazo cyo kumenya niba imiyoboro y'ibibanza cyangwa intera inzitizi ni nziza. Tutitaye kuri ibyo rwose ari byiza rwose mumaso yImana, uyumunsi tugiye gukora incamake yimisatsi yo kubaga kumashanyarazi yo mu turere twa kure.

Inicperative "Ipine ya Tine"

Mugihe imyiteguro ya mbere yimikorere idakenewe, irasabwa kugira ibisigazwa byimigozi na plaque mugihe habaye imiyoboro itunguranye (urugero: Ikosa ryabantu ribuza gufunga imigozi ifunze kandi ikabuza imiyoboro yo gufunga kandi ikabuza imiyoboro yo gufunga kandi ikabuza imiyoboro yo gufunga, nibindi) ishobora kuvuka imisumari.

Imirongo 4 yo gusubiramo neza

Bitewe na oblique anatomiya ya mataphysis ya kure ya mataphysis, yoroshye ntishobora guhora ivamo kugabanuka neza. Ingingo zikurikira zizafasha kunoza igipimo cyo gutsinda:

1. Fata orthopantoforement cyangwa idahwitse orthopantomogram yingingo nziza kugirango ugereranye kandi ugena urugero rwo kugabanya gukandamira uruhande rwibasiwe.

2.se eclemed ivi ryahindutse ivi kugirango worohereze imisumari na flueroscopy

3.Ese retractor kugirango ukomeze igihimbano mu mwanya n'uburebure

4.Umuyoboro wa Schanz muri Tibia ya kure kandi ya Proxima kugirango ufashe kugabanya kugabanuka.

7 Ibisobanuro birambuye byo kugabanya no kwitiranya

1. Shira PIN iyobora neza muri Tibia ya kure ukoresheje igikoresho gishinzwe gufasha cyangwa kubwo kunyerera hejuru yisoni PIG mbere yo gushyira.

2. Koresha uruhu rwabumviye uruhu kugirango ushire imisumari yinjira mu kaga kandi ivunika (ishusho 1)

3. Koresha isahani ikomeye hamwe no gukosora monocortical (icyamamare cyangwa coho) mugushira kumugaragaro kugirango ugabanye kugabanuka kugeza igihe imvururu zashyizwemo

4. Kugabanya umuyoboro w'imisumari wo mu miyoboro ukoresheje imigozi yo guhagarika

5. Ukurikije ubwoko bwo kuvunika, hitamo niba ugomba gukoresha imigozi yo gukosora hamwe no guhagarika by'agateganyo hamwe na Schnee Amapine.

6. Irinde kuvunika mushya mugihe ukoresheje imiyoboro ihagarika abarwayi ba Osteoporotic

7. Ukosore fibula mbere hanyuma tibia mugihe cyo kuvunika fibula ihuriweho kugirango byorohereze

Igishushanyo 1 Percutaneus Heber Clamp Yasubiwemo ibitekerezo

Igishushanyo cya 2 Gukoresha Icyuma gihagarika Umuyoboro wa Taridis .
Ingingo 6 zo gukosora intttttttttttttttttttttramediser

1. Niba igufwa rya kure ryibikenyezi bihagije, umusumari wa Intramedullary arashobora gukosorwa no gushyiramo imigozi 4 mubirori byinshi (kugirango iteze imbere amashoka menshi), kugirango atezimbere gukomera.
2. Koresha imisumari ya Intramedillary zemerera imigozi yinjijwe kugirango unyure kandi ikore imiterere yo gufunga ifite inguni.
3. Koresha imigozi yibyibushye, imigozi myinshi, hamwe nindege nyinshi za screw kugirango ugabanye imigozi hagati yimpera za kure kandi nziza yo kuvunika kugirango ushimangire ingaruka zintagondwa.
4. Niba imisumari ishingiye kure cyane kuburyo itembera ibanziriza ikiruro irinda kwaguka, noneho itari pron-denteulwire cyangwa kurega idashobora gukoreshwa.
5. Gumana umusumari uhagarika umutima kugeza igihe kuvunika byagabanutse, keretse niba igituba kibuza intera intera imisumari yo gukwirakwiza igufwa cyangwa isahani ya unicorticorticle yangiza tissue yoroshye.
6. Niba imisumari n'imigozi itemewe bidatanga igabanuka rihagije no gukosora, isahani nziza cyangwa imigozi cyangwa imigozi irashobora kongerwaho kugirango wongere umutekano wimisumari ivuza.

Kwibutsa

Kurenza 1/3 byibiti bya tibia birimo ingingo. By'umwihariko, kuvunika kw'ibiti bya kurebire bya kure, kuvunika imitako, cyangwa ihuriro rya fibular fibular bigomba gukorwaho iperereza ku mvururu. Niba aribyo, kuvunika urujijo bigomba gucungwa bitandukanye mbere yo gushyira umusumari.