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Ibisobanuro birambuye bya tekinike ya meniscus

imiterere ya meniscus

Imbere na meniscus.

Intera iri hagati yimpera zombi za meniscuru nini nini nini, yerekana imiterere "c", impera ihujwe naingingo Capsule hamwe nigice cyimbitse cyinteko ifatanye.

Umutingito wa Meniscus ni "O". Amayeri ya popliteus atandukanya meniscUs muri capsule ihuriweho hagati na inyuma 1/3, bigize icyuho. Litiscus ya Miscus yatandukanijwe nimikorere ya fatizo.

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Ikimenyetso cya kera cyo kubaga kurimeniscusni amarira maremare muri zone itukura. Hamwe no kunoza ibikoresho n'ikoranabuhanga, ibikomere byinshi bya meniscus birashobora gushukwa, ariko imyaka yumurwayi, inzira yindwara, n'umurongo w'ingabo zihamye kandi ugomba gusuzumwa. , gukomeretsa hamwe nibindi byinshi, intego nyamukuru yo gusuku ni yizere ko igikomere cya MexiscUs kizakira, ntukibeshye cyane kutinde!

Uburyo bwa Meniscus bugabanyijemo cyane cyane ibyiciro bitatu: hanze-in, imbere-hanze kandi yose. Ukurikije uburyo bushimishije, hazabaho ibikoresho bishimishije. Byoroheje Hariho inshinge zuzuye lubr cyangwa inshinge zisanzwe, kandi hari no ibikoresho bidasanzwe byo kwisukishwa nuburinzi nibikoresho bitangaje.

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Uburyo bwo hanze burashobora gutondeka hamwe no gucuranga 18-ganini lubr cyangwa agera ku bashitsi basanzwe bafite inshinge. Biroroshye kandi byoroshye. Ibitaro byose bifite. Birumvikana ko hari inshinge zidasanzwe zontoza. - ⅱ na 0/2 cya leta y'urukundo. Uburyo bwo hanze ni ugutwara igihe kandi ntibushobora kugenzura urushinge rwa MexiscUs mu ngingo. Birakwiranye n'ihembe ry'ubwami n'umubiri wa meniscus, ariko ntabwo ari iy'ihembe ry'inyuma.

Nubwo waba umuhanga ute, ibisubizo byanyuma byurwego ni ugukangurira sutura kuva hanze no muri meniscus amarira hanze yumubiri hanyuma uyambikeho kugirango urangize suture yo gusana.

Uburyo bwimbere-hanze nibyiza kandi bitandukanye nuburyo bwo hanze. Urushinge nubuyobozi byanyujijwe imbere yihuriro kugera hanze yingingo, kandi bikarangirwa no gupfuka hanze yingingo. Irashobora kugenzura urushinge rwinjiza inshinge rwa MexiscUs mu ngingo, kandi suture iracyari nziza kandi yizewe. . Ariko, uburyo bwo hanze busaba ibikoresho byihariye bwo kubaga, kandi harakenewe izindi zindi zibazwa kugirango urinde imiyoboro y'amaraso ninyungu za ARC mugihe cyo gusuka amahembe yinyuma.

Uburyo bwose bwimbere harimo ikoranabuhanga ryimikorere, Ikoranabuhanga rya Suture, Suture Ikoranabuhanga ryikoranabuhanga, Ikoranabuhanga rya Anchor hamwe nikoranabuhanga rya Transel. Birakwiriye kandi gukomeretsa amahembe yimbere, niko urubahirizwa nabaganga, ariko intra-artra-Articular-Articular-Articular isaba ibikoresho byihariye byo kubaga.

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1. Ubuhanga bwimiterere nuburyo bukunze gukoreshwa-articular. Ibigo byinshi nka Smith mwishywa, Mitek, Linvatec, ArtHrex, Zimmer, Zimmer, nibindi bibyara inyungu zabo, buriwese hamwe nibibi. Abaganga muri rusange barabakoresha bakurikije ibyo bakunda no kumenyera guhitamo, mugihe kizaza, sborts nshya kandi ya meniscus ya meniscus izagaragara muri nimero nyinshi.

2.Ikoranabuhanga ryikoranabuhanga rikomoka kubuhanga bwa Arthroscopy Arthroscopy. Abaganga benshi bumva ko imbaraga za suture za rotator cuff zoroshye kandi zihutira gukoresha, kandi zimurirwa mu sunzuzi za messiscus. Noneho hari byinshi byatunganijwe kandi byihariyemeniscusku isoko. Pliers yo kugurisha. Kuberako suture ikoranabuhanga ryoroshya imikorere kandi igabanya cyane imikorere, birakwiriye cyane gukomeretsa umuzi winyuma ya meniscus, bigoye kutimuka.

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3. Ikoranabuhanga nyaryo rya Anchor rigomba kwerekeza ku gisekuru cya mbereMeniscal yo gusana, nicyo kintu cyagenewe cyane muri mediscus. Iki gicuruzwa ntikiboneka.
Muri iki gihe, tekinoroji ya Anchor muri rusange yerekeza ku gukoresha inanga nyayo. Engelsohn et al. Bwa mbere watangajwe mu 2007 ko uburyo bwo gusana ibisama byo gusana byakoreshwaga mu kuvura imizi yo hagati ya Melialiscus. Inanga yinjijwe mukarere kacapwe kandi irashuka. Sutura anchor igomba kuba uburyo bwiza, ariko niba ari semilunar ya semilunali cyangwa ikaze igomba kugira ibibazo byinshi nko kubura uburyo bukwiye, bigoye, kandi bidashobora gukuramo inanga muburyo bwamagufwa. , keretse niba hari impinduka zimpinduramatwara mu guhimba ka Anchorition cyangwa neza kubaga, biragoye kuba uburyo bworoshye, bworoshye kandi busanzwe bukoreshwa kandi busanzwe.

4. Tekinike ya transsoous Terntique nimwe mubintu byose bya Suture-Articular Suture. Muri 2006, Raustol yakoresheje bwa mbere ubu buryo kugirango asunike imizi yo hagati, hanyuma nyuma yakoreshejwe mukarere ka Missous Arthroscopy, kandi ukoreshe ibintu bya ACL cyangwa ibintu bidasanzwe kugirango ugamije hanyuma utobore umuyoboro. Amagufwa imwe cyangwa amagufwa abiri arashobora gukoreshwa, kandi umuyoboro umwe urashobora gukoreshwa. Uburyo bwo kuba umuyoboro wamagufa ni munini kandi ibikorwa biroroshye, ariko imbere bigomba gukosorwa hamwe na buto. Uburyo bubiri-bunnel-bunnel bukeneye gukinisha andi magufa, atari byoroshye kubatangiye. Imbere irashobora gupfuka kumagufwa, kandi ikiguzi ni gito.


Igihe cya nyuma: Sep-23-2022