imiterere ya menisk
Imbere ninyuma.
Intera iri hagati yimpera zombi za menisque yo hagati ni nini, yerekana ishusho "C", kandi impande zahujwe nagufatanya capsule hamwe nigice cyimbitse cya medial ingwate ligament.
Meniskus ikurikira ni "O".Icyerekezo cya popliteus gitandukanya menisque na capsule ihuriweho hagati na inyuma ya 1/3, ikora icyuho.Meniskus itandukanijwe itandukanijwe na ligament ingwate.
Ibyerekanwe byo kubaga bya kerameniscus sutureni amarira maremare muri zone itukura.Hamwe nogutezimbere ibikoresho nikoranabuhanga, ibikomere byinshi bya menisque birashobora gushushanywa, ariko imyaka yumurwayi, inzira yindwara, hamwe numurongo wo hasi wimbaraga nabyo bigomba kwitabwaho., gukomeretsa hamwe nibindi bihe byinshi, intego nyamukuru ya suture nukwizera ko imvune ya menisk izakira, ntabwo ari suture ya suture!
Uburyo bwa suture ya meniscus bugabanijwemo ibyiciro bitatu: hanze-imbere, imbere-hanze na byose-imbere.Ukurikije uburyo bwo kudoda, hazaba hari ibikoresho byo kudoda.Byoroheje Hariho urushinge rwo gutobora cyangwa inshinge zisanzwe, kandi hariho nibikoresho byihariye byo kudoda menici hamwe nibikoresho byo kudoda.
Uburyo bwo hanze bushobora gutoborwa nurushinge rwa 18-lumbar puncture cyangwa urushinge rwa gipima 12-inshinge zisanzwe.Nibyoroshye kandi byoroshye.Ibitaro byose bifite.Birumvikana ko hari inshinge zidasanzwe.- Ⅱ na 0/2 byurukundo.Uburyo bwo hanze-butwara igihe kandi ntibushobora kugenzura urushinge rwa menisque mu ngingo.Irakwiriye ihembe ryimbere numubiri wa menisque, ariko ntibikwiye ihembe ryinyuma.
Nubwo waba utera imigozi yose, ibisubizo byanyuma byuburyo bwo hanze ni uguhindura suture yinjiye hanze kandi ikanyura amarira ya meniskus hanze yumubiri hanyuma igapfundikirwa kugirango urangize suture yo gusana.
Uburyo bwimbere-bwiza ni bwiza kandi butandukanye nuburyo bwo hanze.Urushinge nisasu byanyujijwe imbere imbere yingingo bijya hanze yinyuma, kandi bigashyirwaho n ipfundo hanze yumutwe.Irashobora kugenzura urubuga rwo gushiramo inshinge za menisque mu gihimba, kandi suture ni nziza kandi yizewe..Nyamara, uburyo bwimbere-busaba ibikoresho byihariye byo kubaga, kandi harakenewe izindi ngingo zo kurinda imiyoboro yamaraso n imyakura hamwe na arc baffles mugihe udoda ihembe ryinyuma.
Uburyo bwose bwimbere burimo tekinoroji ya stapler, tekinoroji ya suture, tekinoroji ya suture, tekinoroji ya tekinoroji hamwe na tekinoroji ya tuneli.Irakwiriye kandi gukomeretsa amahembe yimbere, kubwibyo irushaho kubahwa nabaganga, ariko kudoda imbere-arctular byose bisaba ibikoresho byabigenewe byihariye.
1. Ubuhanga bwa stapler nuburyo bukoreshwa cyane muburyo bwuzuye.Ibigo byinshi nka mwishywa wa Smith, Mitek, Linvatec, Arthrex, Zimmer, nibindi bitanga ibicuruzwa byabo bwite, buri kimwe gifite ibyiza n'ibibi.Abaganga muri rusange babakoresha bakurikije ibyo bakunda kandi bamenyereye guhitamo, mugihe kizaza, abashya ba meniscus bashya kandi benshi babantu bazavuka ari benshi.
2.Ikoranabuhanga rya suture imbaraga zikomoka ku buhanga bwa arthroscopy.Abaganga benshi bumva ko imbaraga za suture ya rotate cuff yoroshye kandi yihuse kuyikoresha, kandi yimurirwa muri suture yimvune za menisque.Noneho hariho byinshi binonosoye kandi byihariyemeniscus sutureku isoko.Abakiriya kugurisha.Kuberako suture forceps tekinoroji yoroshya imikorere kandi igabanya cyane igihe cyo gukora, irakwiriye cyane cyane gukomeretsa imizi yinyuma ya menisque, bigoye kudoda.
3. Tekinoroji nyayo nyayo igomba kwerekeza ku gisekuru cya mberegusana sature, nikintu cyibanze cyabugenewe kuri meniscus suture.Ibicuruzwa ntibikiboneka.
Muri iki gihe, tekinoroji ya ankeri muri rusange yerekeza ku gukoresha inanga nyayo.Engelsohn n'abandi.byatangajwe bwa mbere mu 2007 ko uburyo bwo gusana suture bwakoreshejwe mu kuvura ibikomere byo mu mitsi yo hagati.Inanga zinjizwa mumwanya wacapwe hanyuma zidoda.Gusana inanga ya Suture bigomba kuba uburyo bwiza, ariko niba ari imizi yo hagati cyangwa iruhande rwa semilunar umuzi winyuma yimitsi, inanga ya suture igomba kugira ibibazo byinshi nko kubura uburyo buboneye, ingorane zo kuyishyira, hamwe no kudashobora gukuramo inanga muri perpendicular to igufwa., keretse niba hari impinduka zimpinduramatwara muguhimba inanga cyangwa uburyo bwiza bwo kubaga uburyo bwo kubaga, biragoye guhinduka uburyo bworoshye, bworoshye, bwizewe kandi busanzwe bukoreshwa.
4. Tekinike ya transe trassseque ni bumwe muburyo bwuzuye bwo guterana imbere.Mu mwaka wa 2006, Raustol yabanje gukoresha ubu buryo kugirango ashushanye imvune yo mu mitsi yo hagati ya meniscus, hanyuma nyuma ikoreshwa cyane mu gukomeretsa imizi ya menisque yinyuma ndetse no kurira umubiri wa radiyo meniscus amarira no kurira mu karere ka meniscus-popliteus tendon, nibindi. -isosseous suture ni ukubanza gusiba karitsiye aho yinjiriye nyuma yo kwemeza imvune yatewe na arthroscopie, hanyuma ugakoresha ACL tibial view cyangwa idasanzwe idasanzwe kugirango ugere no gucukura umuyoboro.Umuyoboro umwe-amagufwa cyangwa amagufwa abiri arashobora gukoreshwa, kandi umuyoboro wamagufwa umwe urashobora gukoreshwa.Uburyo Umuyoboro w'amagufwa ni manini kandi imikorere iroroshye, ariko imbere igomba gukosorwa na buto.Uburyo bwa kabili-amagufwa yuburyo bukeneye gucukura indi tunone yamagufa, ntibyoroshye kubatangiye.Imbere irashobora gupfundikirwa hejuru yamagufwa, kandi igiciro ni gito.
Igihe cyo kohereza: Nzeri-23-2022
