Imyiteguro mbere yo kubagwa n'aho biherereye nk'uko byasobanuwe mbere kugira ngo hakorwe imiterere y'inyuma y'umubiri.
Guhindura no gushimangira imvune yo mu nda y'umugongo:
Hakoreshwa uburyo bwo kugabanya no gufunga igice gito cy'inyuma. Gucika kw'ubuso bw'inyuma bw'inyuma bishobora kugaragara neza binyuze mu gukata ibice bito imbere n'imbere ndetse no gukata igice cy'inyuma cy'ingingo kiri munsi ya meniscus.
Gukurura urugingo rwagize ikibazo no gukoresha imitsi kugira ngo ugorore ibice binini by'amagufwa, no gukanda hagati bishobora kongera gukoreshwa no gukata no gukata.
Witondere gusubiza ubugari bw'ikibaya cy'umugongo, kandi iyo hari ikibazo cy'igufwa munsi y'ubuso bw'ingingo, shyiramo amagufwa kugira ngo ushyigikire ubuso bw'ingingo nyuma yo kugerageza kongera gushyira ku rundi ruhande ubuso bw'ingingo.
Witondere uburebure bw'inkingi zo hagati n'izo ku ruhande, kugira ngo hatabaho intambwe y'ubuso bw'ingingo.
Gufata by'agateganyo hakoreshejwe agakoresho ko gusubizaho cyangwa agapira ka Kirschner bikoreshwa kugira ngo bikomeze gusubiraho.
Gushyiramo vis zidafite ububobere, vis zigomba kuba zijyanye n'ubuso bw'ingingo kandi zigashyirwa mu igufwa rya subchondral, kugira ngo byongere imbaraga zo gufata. Isuzuma rya X-ray fluoroscopy mu gihe cyo kubaga rigomba gukorwa kugira ngo harebwe vis kandi ntiryigere rishyira vis mu ngingo.
Guhindura aho amagufwa yavunitse mu gice cy'imbere cy'inyuma:
Gukurura bisubiza uburebure n'umurongo w'imikorere w'urugingo rwangiritse.
Hakorwa witonze kugira ngo hakosorwe uburyo urugingo rwafashwe ruzenguruka, hakorwa ku buryo bugaragara ko ikirenge cya tibial tuberosity kigenda gifata amaguru yacyo, hanyuma kikagenda gifata hagati y'amano ya mbere n'aya kabiri.
Aho impeta ishyirwa hafi
Ubwoko bw'uturere twizewe two gushyiramo insinga zo mu bwoko bwa tibial plateau tension:
Umutsi wa popliteal, umutsi wa popliteal n'umutsi wa tibial binyura inyuma y'umutsi wa tibial, naho umutsi usanzwe wa peroneal unyura inyuma y'umutwe wa fibular. Kubwibyo, kwinjira no gusohoka kw'urushinge bigomba gukorwa imbere y'ikibaya cya tibial, ni ukuvuga ko urushinge rugomba kwinjira no gusohoka mu rushinge rw'icyuma imbere y'umutsi wa tibial no imbere y'umutsi wa fibula.
Ku ruhande rw'inyuma, urushinge rushobora gushyirwamo uhereye ku nkombe y'imbere ya fibula hanyuma rugasohoka uvuye ku ruhande rw'imbere cyangwa uvuye ku ruhande rw'imbere; aho kwinjira hagati akenshi haba ku nkombe y'imbere y'ikibaya cya tibial n'uruhande rwacyo rw'imbere, kugira ngo hirindwe ko insinga y'umuvuduko inyura mu ngingo nyinshi z'imitsi.
Mu nyandiko byavuzwe ko aho insinga yo gukurura ijya hagomba kuba nibura mm 14 uvuye ku buso bw'ingingo kugira ngo hirindwe ko insinga yo gukurura ijya mu kapusule y'ingingo igatera indwara ya rubagimpande.
Shyira insinga ya mbere yo gukurura umuvuduko:
Udupira twa elayo dushobora gukoreshwa, tugaca mu gapira k'umutekano kari ku gikoresho cy'impeta, tugasiga umutwe wa elayo inyuma y'agapira k'umutekano.
Umufasha agumana aho impeta iherereye ku buryo iba ijyanye n'ubuso bw'ingingo.
Kangura agace k'umuzenguruko mu gice cyoroshye cy'umubiri no mu gice cy'umugongo, witonze kugenzura icyerekezo cyako kugira ngo urebe neza ko aho winjirira n'aho usohoka biri mu murongo umwe.
Nyuma yo gusohoka ku ruhu uvuye ku ruhande rw'uruhande, komeza usohoka mu rushinge kugeza igihe umutwe w'imyelayo uhuye n'agapira k'umutekano.
Shyiramo agace k'insinga ku ruhande rw'uruhande hanyuma unyuze agace k'umuzenguruko mu gace k'insinga.
Witondere kugumana igipande cy'umugongo hagati mu gice cy'inyuma cy'uruziga igihe cyose mu gihe cyo gukora.
Binyuze muri uwo murongo, insinga ya kabiri yo gukurura ishyirwa mu buryo bungana, no mu rundi ruhande rw'agace k'insinga gashyiramo icyuma.
Shyira insinga ya gatatu yo gukurura umuvuduko, igomba kuba iri ahantu heza hashoboka, aho insinga ya mbere yo gukurura umuvuduko inyura mu nguni nini kurusha izindi, ubusanzwe insinga ebyiri z'icyuma zishobora kuba inguni ya 50 ° ~ 70 °.
Gushyiramo imbaraga mbere yo gushyiramo insinga yo gukamura: Shyira imbaraga neza ku gikoresho gikamura imbaraga, shyira umutwe w'insinga yo gukamura imbaraga mu gikoresho gikamura imbaraga, shyiramo imbaraga mbere yo gushyiramo imbaraga nibura 1200N ku nsinga yo gukamura imbaraga, hanyuma ushyiremo ingufuri ya L-handle.
Ukoresheje uburyo bumwe bwo gufatanya inyuma y'ivi nkuko byasobanuwe mbere, shyira nibura vis ebyiri za Schanz muri tibia ya kure, shyiramo icyuma cyo gufatanya inyuma gifite amaboko amwe, hanyuma ukijyane n'icyuma cyo gufatanya inyuma gikikije, hanyuma wemeze ko metaphysis n'igiti cya tibia biri mu murongo usanzwe wa mechanical na rotational arrangement mbere yo kurangiza gufatanya.
Iyo hakenewe ubundi buryo bwo guhagarara neza, urukiramende rw'impeta rushobora gushyirwa ku kuboko kw'inyuma hakoreshejwe inkoni ihuza.
Gufunga aho icyuho cyabereye
Aho kubaga bikorerwa hafunganye urwego ku rundi.
Urushinge rurinzwe n'udupira twa alukolo.
Ubuyobozi nyuma yo kubagwa
Indwara y'uruhu n'ihungabana ry'imitsi
Mu masaha 48 nyuma y'imvune, hakwiye kwitabwaho cyane kugira ngo hamenyekane niba hari indwara yo mu gice cy'imbere cy'umubiri.
Reba witonze imitsi y'amaraso y'urugingo rwangiritse. Amaraso adakora neza cyangwa gutakaza uburyo bwo kuvura indwara z'ubwonko bigomba gucungwa neza mu gihe cy'impanuka.
Gusubirana imikorere y'umubiri
Imyitozo ngororamubiri ishobora gutangira ku munsi wa mbere nyuma yo kubagwa iyo nta zindi mvune cyangwa ibindi bibazo bitera. Urugero, gucika intege kw'imitsi yo mu gice cya quadriceps no kugenda kw'ivi mu buryo butunguranye ndetse no kugenda kw'ikirenge mu buryo butunguranye.
Intego y'ibikorwa byo gukora ivi hakiri kare kandi bidakora ni ukugira ngo ingingo y'ivi igere ku rugero rwo hejuru rushoboka nyuma yo kubagwa, ni ukuvuga kugira ngo ingingo y'ivi igere ku rugero rwo hejuru rushoboka mu byumweru 4 kugeza kuri 6. Muri rusange, kubagwa gushobora kugera ku ntego yo kongera kuvugurura ivi, bigatuma hakiri kare.
ibikorwa. Iyo imyitozo ngororamubiri itinze kubera gutegereza ko kubyimba kugabanuka, ibi ntibizafasha mu gukira kw'imikorere y'umubiri.
Kwihanganira ibiro: Kwihanganira ibiro hakiri kare ntabwo byemewe, ariko byibuze ibyumweru 10 kugeza kuri 12 cyangwa nyuma yaho ku bijyanye n'imvune zakozwe mu gice cy'imbere cy'ingingo.
Gukira kw'igikomere: Reba neza uko igikomere gikira mu byumweru 2 nyuma yo kubagwa. Iyo igikomere cyanduye cyangwa gitinze gukira, kubagwa bigomba gukorwa vuba bishoboka.
Igihe cyo kohereza: Kanama-16-2024
