imiterere ya meniscus
Meniscus y'imbere n'iy'inyuma.
Intera iri hagati y'impera ebyiri za meniscus yo hagati ni nini, igaragaza ishusho ya "C", kandi inkombe ifatanye n'inyumaingingo kapsule n'urwego rwimbitse rw'umuyoboro w'amaraso wo hagati.
Meniscus yo ku ruhande ifite ishusho ya "O". Umutsi wa popliteus utandukanya meniscus n'agapfukamunwa k'ingingo hagati n'inyuma 1/3, bigatuma habaho icyuho. Meniscus yo ku ruhande itandukanijwe n'agapfukamunwa k'inyuma.
Ikimenyetso cya kera cyo kubagaumushongi wa meniscusni ugucikagurika mu gace gatukura. Hamwe n'iterambere ry'ibikoresho n'ikoranabuhanga, imvune nyinshi za meniscus zishobora gukururwa, ariko imyaka y'umurwayi, uko indwara igenda, n'imbaraga zo mu gice cyo hasi nabyo bigomba kwitabwaho. , imvune zivanze n'ibindi bihe byinshi, intego nyamukuru yo gukurura ni ukwiringira ko imvune ya meniscus izakira, ntabwo ari ugukurura umukufi!
Uburyo bwo gukurura meniscus bugabanyijemo ibice bitatu: hanze-imbere, imbere-inyuma n'imbere hose. Bitewe n'uburyo bwo gukurura, hazabaho ibikoresho bijyana na byo byo gukurura. Byoroshye Hari inshinge zo gutobora lumbar cyangwa inshinge zisanzwe, kandi hari n'ibikoresho byihariye byo gukurura meniscus n'ibikoresho byo gukurura meniscus.
Uburyo bwo gutobora inyuma bushobora gutobora hakoreshejwe urushinge rwo gutobora inyuma rufite gauge 18 cyangwa urushinge rusanzwe rufite gauge 12. Ni byoroshye kandi byoroshye. Buri bitaro birabufite. Birumvikana ko hari urushinge rwihariye rwo gutobora inyuma. - Ⅱ na 0/2 by'imiterere y'urukundo. Uburyo bwo gutobora inyuma butwara igihe kinini kandi ntibushobora kugenzura aho urushinge rusohokera mu ngingo. Bukwiriye ihembe ry'imbere n'umubiri wa meniscus, ariko ntabwo ari ihembe ry'inyuma.
Uko washyiramo imigozi mu buryo bwose, umusaruro wa nyuma wo gukoresha uburyo bwo kwinjira inyuma ni uguhindura umurongo winjiye uturutse inyuma unyuze mu gice cy'inyuma cy'umugongo ukagera inyuma y'umubiri ugapfundikirwa aho uherereye kugira ngo urangize umurongo wo gusana.
Uburyo bwo gufunga imbere n'inyuma ni bwiza kandi butandukanye n'uburyo bwo gufunga inyuma. Urushinge n'icyuma biva imbere mu ngingo bijya inyuma y'ingingo, kandi binashyirwaho ipfundo riri hanze y'ingingo. Bishobora kugenzura aho urushinge rushyirwa muri meniscus mu ngingo, kandi umushongi uba mwiza kandi wizewe. Ariko, uburyo bwo gufunga imbere n'inyuma busaba ibikoresho byihariye byo kubaga, kandi hakenewe izindi mashini zo gufunga kugira ngo imiyoboro y'amaraso n'imitsi bikingirwe hamwe n'udupira tw'inyuma mu gihe ufunga ihembe ry'inyuma.
Uburyo bwose bukoreshwa burimo ikoranabuhanga rya stapler, ikoranabuhanga rya suture hook, ikoranabuhanga rya suture forceps, ikoranabuhanga rya anchor na ikoranabuhanga rya transosseous tunnel. Irakwiriye kandi ku mvune z'ihembe ry'imbere, bityo irushaho kubahwa n'abaganga, ariko gukurura mu ngingo z'imbere bisaba ibikoresho byihariye byo kubaga.
1. Uburyo bwo gufunga ni bwo bukoreshwa cyane mu gufunga amenyo. Ibigo byinshi nka Smith wishywa, Mitek, Linvatec, Arthrex, Zimmer, nibindi bihanga ibyuma byabo byo gufunga amenyo, buri kimwe gifite ibyiza n'ibibi byacyo. Abaganga muri rusange babikoresha hakurikijwe ibyo bakunda kandi bamenyereye guhitamo, mu gihe kizaza, ibyuma bishya kandi bifite imiterere ya muntu bizagaragara ari byinshi.
2. Ikoranabuhanga rya "suture forceps" rikomoka ku ikoranabuhanga rya "arthroskopie" ku rutugu. Abaganga benshi bumva ko "suture forceps" zo mu gituza cya rotator zoroshye kandi zikoreshwa vuba, kandi zishyirwa mu gituza cy'imvune za meniscus. Ubu hari byinshi binonosoye kandi byihariye.imisumari ya meniscusku isoko. Pliers ziragurishwa. Kubera ko ikoranabuhanga rya suture forceps ryoroshya igikorwa cyo kubaga kandi rigagabanya cyane igihe cyo kubaga, rikwiriye cyane cyane mu gukomeretsa umuzi w'inyuma wa meniscus, bigoye kuyisunika.
3. Ikoranabuhanga nyaryo rikoreshwa mu gushimangira rigomba kuba rishingiye ku gisekuru cya mberegusana amenyo y'abagabo n'abagore, ikaba ari ikintu cy'ingenzi cyagenewe cyane cyane meniscus. Iki gicuruzwa ntikiboneka.
Muri iki gihe, ikoranabuhanga rya anchor muri rusange risobanura ikoreshwa ry'ingufu nyazo. Engelsohn n'abandi batangaje bwa mbere mu 2007 ko uburyo bwo gusana anchor ya suture bwakoreshejwe mu kuvura igikomere cyo hagati cya meniscus inyuma y'umuzi. Ingufu zishyirwa mu gice cyacapwe hanyuma zigashyirwamo inyunganiramitsi. Gusana anchor ya suture byagombye kuba uburyo bwiza, ariko byaba ari igikomere cyo hagati cyangwa icyo ku ruhande rw'imizi, anchor ya suture igomba kugira ibibazo byinshi nko kutagira uburyo bukwiye bwo kuyikoresha, kugorwa no kuyishyira mu mwanya wayo, no kudashobora kuyipfundikira neza ku buso bw'amagufwa. , keretse habayeho impinduka mu buryo bushya mu gukora anchor cyangwa uburyo bwiza bwo kubaga, biragoye kuba uburyo bworoshye, bworoshye, bwizewe kandi bukoreshwa kenshi.
4. Uburyo bwo gukurura imiyoboro y'amaraso ni bumwe mu buryo bwose bwo gukurura imiyoboro y'amaraso mu gice cy'imbere cy'inyuma. Mu 2006, Raustol yakoresheje ubu buryo bwa mbere kugira ngo akurure imvune y'inyuma y'umuzi w'inyuma w'inyuma, hanyuma bukoreshwa by'umwihariko mu gukomeretsa meniscus inyuma y'umuzi n'umubiri wa meniscus radial mu gace k'imiyoboro y'amaraso ya meniscus-popliteus, n'ibindi. Uburyo bwo gukurura imiyoboro y'amaraso ni ukubanza gukurura karitsiye aho umuntu yinjirira nyuma yo kwemeza ko yakomeretse hakoreshejwe arthroscopy, no gukoresha ACL tibial sight cyangwa special sight kugira ngo utere imbere kandi utobore umuyoboro. Umuyoboro w'amagufwa rimwe cyangwa abiri urashobora gukoreshwa, kandi umuyoboro w'amagufwa rimwe urashobora gukoreshwa. Uburyo Umuyoboro w'amagufwa ni munini kandi igikorwa cyoroshye, ariko imbere igomba gukosorwa n'utubuto. Uburyo bwo gukurura amagufwa abiri bugomba gutobora undi muyoboro w'amagufwa, ibyo bikaba bitakoroha abatangira. Umuyoboro w'imbere ushobora gupfundikirwa ku buso bw'amagufwa, kandi igiciro ni gito.
Igihe cyo kohereza ubutumwa: 23 Nzeri 2022
