Gukosora imbere hamwe nisahani yamagufwa
Amaguru Yamazaki hamwe na planks ni uburyo busanzwe bwo kubaga muri iki gihe. Gufunga isahani ikosora byimbere byakoreshejwe cyane mumaguru. Kugeza ubu, guswera kwuzuza ahanini birimo isahani yimbere hamwe na plaque yisahani.
Ishusho hejuru yerekana filme ya X-Ray mbere na nyuma yo kubagwa Akle yahahagurukiye
1. Uburyo bumbere
Inzira yimbere ni ugukora urusaku rwimbere rwimbere rwibanze kumwanya uhuriweho, gabanya urwego, hanyuma winjire kumwanya wa manda; Kata capsule ihuriweho, shyira ahagaragara amagufwa ya tibiotalar, kura igufwa rya karitsiye na subchoadral, hanyuma ushireho isahani yimbere mumasoko.
2. Uburyo bwikibanza
Uburyo bwikibanza nugukata osteotomy hafi ya cm 10 hejuru yisonga rya fibula kandi ukureho burundu. Amagufwa yo muri kanseri yakuweho kugirango ashimishe amagufwa. Ubuso bwuzuye osteotomy burarangiye kandi bwogejwe, kandi isahani ishyirwa hanze yingingo.
Ibyiza ni uko imbaraga zo gukosora ari hejuru kandi ikosora irashikamye. Irashobora gukoreshwa mugusana no kwiyubaka bikabije vartusi ikomeye cyangwa valgus ya ankle ihuriweho namagufwa atandukanye amagufwa nyuma yo gukora isuku. Icyapa cyateganijwe anatoro gifasha kugarura anatomy isanzwe yinkingo. Ahantu.
Ibibi ni uko ibintu byinshi bya periosteum hamwe na tissue yoroshye mukarere kibakijwe bigomba kwamburwa, kandi amasaha yicyuma nibyimbye, biroroshye kurakaza imitsi ikikije. Isahani y'icyuma yashyizwe imbere biroroshye gukora munsi yuruhu, kandi hari ibyago runaka.
IntramediLlary gukosora imisumari
Mu myaka yashize, gusaba retrograde intttttttttttttromedis ankle arth arth arth arth arthrodesis mu kuvura impera-stage arkle arth yagiye buhoro buhoro yashyizwe mubikorwa.
Kugeza ubu, tekinike yimisumari yimisumari ikoresha ahanini ikoresha urusaku rwimbere yimbere cyangwa anteroinfer former ya fibula yo gusukura ibihangano cyangwa ugukoresha amagufwa. Umusumari wa Intramedillary winjijwe muri Calcaneus kugeza kuri tapillary cavity, ni ingirakamaro ku bugororangingo no guteza imbere amagufwa.
Ankle osteoarthritis yahujwe na subtalar artritis. Ihuriro rya X-Ray Filime X-Ray ryerekanye ibyangiritse cyane kuri Tibiotalar hamwe n'ingingo ya Subiotalar n'itsinda ry'ibitabo, gutandukana kw'igitabo, hamwe na Osteophyte Gushiraho ingingo (Kuva kuri 2)
Ihuriro ryihariye ryamaganye Inguni yo gufunga HindFoot Fusion Intramedillary Umusuko nicyo gikosora, kikaba gishobora kurengana neza, kandi kikaba gishobora gukosora umwobo winshi, kandi kikaba gishobora kurenga ku gucana, kuzunguruka, no gukurura, kugabanya ibyago byo kwikuramo.
Umuyoboro wa Tibiotalar n'inkuta zashyizwe ahagaragara kandi ukorwa binyuze mu buryo bwa transfibular kuruhande, n'uburebure bw'icyorezo ku bwinjiriro bw'intangiriro y'inganga zabaye cm 3
Umusumari wa Intramedillary akoreshwa nkigikorwa nyamukuru, kandi imihangayiko yacyo iratatana, ishobora kwirinda ingaruka zikingira guhanga kandi zijyanye namahame ya biomenics.
Anteroposition hamwe na X-Ray Filime 1 Ukwezi kumwe nyuma yo kubagwa yerekanye ko umurongo wamaguru yinyuma wari mwiza kandi umusumari wa Intramedillary yakosowe neza
Gusaba retrograde intramedullary imisumari ihuriweho na AKLE ihumuriza irashobora kugabanya ibyangiritse byoroshye
Umwaka umwe nyuma yo gukora, kuri firime nziza kandi kuruhande rwa X-Ray yagaragaje amajwi ya TIBILALOLA yimpapuro hamwe na subtarelar, hamwe nububiko bwinyuma bwari bwiza.
Umurwayi arashobora kuva muburiri kandi afite ibiro hakiri kare, bitezimbere kwihanganira umurwayi no mubuzima bwiza. Ariko, kuberako amakuru ya sundalar agomba gukosorwa icyarimwe, ntabwo asabwa abarwayi bafite gahunda nziza ya subtaralar. Kubungabunga ibikorwa bya subtalar ni imiterere yingenzi kugirango yishyure imikorere yinkunga yinkweto kubarwayi bafite amaguru ahuriweho na akle.
Kuramo ikosora imbere
Percutaneous Screw imbere ni uburyo rusange bwo gukosora muri Ankle Arthrodesis. Ifite ibyiza byo kubaga bidafite ishingiro nkibintu bito kandi bigabanya amaraso, kandi birashobora kugabanya kwangirika kwangiza imyenda yoroshye.
Anteroposition hamwe na X-Ray Filime ya Akle ihagaze mbere yo gukora yerekana osteoucherritique ikabije ifite ubumuga bwa tibiotalar bwapimwe hejuru ya 19 ° vartus
Ubushakashatsi bwerekanye ko gukosora imigozi yoroshye hamwe na 4 kugeza kuri 4 kugeza kuri 4 kugirango bigerweho neza no kwikuramo, kandi ibikorwa biroroshye kandi ikiguzi kirahendutse. Nuguhitamo kwambere intiti nyinshi kuri. Mubyongeyeho, ubunini butera isuku hamwe birashobora gukorwa munsi ya arthroscopy, kandi imigozi irashobora kwinjizwamo byateganijwe. Ihahamuka ryo kubaga ni rito kandi ingaruka zo gukiza zirashimishije.
Munsi ya Arthroscopy, ahantu hanini k'amagati ya karitsilamu aragaragara; Munsi ya Arthroscopy, igikoresho cya cone cyagaragaye mugufata ubuso bwa articular
Bamwe mu banditsi bemeza ko ibyondo 3 bikosora bishobora kugabanya ingaruka zo kutagira ingaruka zo gutangirira kutigeraho, kandi kwiyongera mu gipimo cya Fusion gishobora kuba gifitanye isano n'umutekano ukomeye wa 3.
Filime ya X-Ray Ibyumweru 15 nyuma yo kubagwa byerekanye amagufwa. Amanota ya Aofas yari amanota 47 mbere yo gukora ningingo 74 zumwaka 1 nyuma yo gukora.
Niba imitwe itatu ikoreshwa mugukosora, umwanya wo gukosora ugereranywa ni uko imigozi ibiri ya mbere yinjijwe mu nkombe z'umubiri, kandi imigozi ya gatatu yinjijwe mu rubavu rw'inyuma ya Tibia yerekeza ku ruhande rwo hagati ya Talus.
Uburyo bwo gukosora hanze
Ibicuruzwa byo hanze byari ibikoresho byambere byakoreshejwe muri Ankle Arth Arthrodesisi kandi byahindutse kuva muri 1950 kugeza kuri ilizarov, Hoffman, Hybrid Umwanya Umwanya Umwanya wa Illizarov, Frimer na Tayblor Umwanya Umwanya (TSF).
Ankle gukomeretsa hamwe no kwandura anhrodesisi amezi 6 nyuma yo kwandura
Ku manza zimwe na zimwe zikomeye arthtis zifite indwara nyinshi zanduye, ibikorwa byinshi, uruhu rukennye kandi rworoshye, ibanga rya osteor, ihohoterwa rya osteor, ihohoterwa rya osterov rikoreshwa neza kugirango duke mu maguru.
Umushinga wa filime wo hanze ushyizwe ku ndege ya coronal hamwe nindege ya sagittal, kandi irashobora gutanga ingaruka zihamye. Muburyo bwo kwishyira mu bikorwa imitwaro, bizahatira kuvunika iherezo, jya ugera ku ishingwa rya Callus, kandi rinoza igiciro cya Frusi. Ku barwayi bafite ubumuga bukomeye, filime yo hanze irashobora gukosora buhoro buhoro ubumuga. Nibyo, filime yo hanze yamaguru yo hanze izagira ibibazo nkibibazo byabarwayi kwambara kandi ibyago byo kwandura agace.
Twandikire:
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Email:liuyaoyao@medtechcah.com
Igihe cyohereza: Jul-08-2023
