Gutegura mbere numwanya nkuko byasobanuwe mbere yo gukosora umurongo wo hanze.
Intra-Articular Kuvunika no gukosorwa:
Kugabanya kugabanuka no gukosora birakoreshwa. Kuvunika hejuru yuburinganire burashobora kugaragara binyuze muburyo butunganijwe na antekoshinal na anterolate na anterolate na latel ya capsule ihuriweho hepfo ya messis.
Gukurura ingingo zanduye no gukoresha ligaments kugirango igorore ibice byinshi byamagufwa, kandi kwikuramo hagati birashobora gusubirwamo no guswera no gukundwa.
Witondere kugarura ubugari bwikibaya cya tibial, kandi mugihe hari inenge yamagufa, kora igufwa ryamagufwa kugirango ushyigikire ubuso bwa articular nyuma yo gusohora hejuru.
Witondere uburebure bwa platifomu yo hagati kandi kuruhande, kuburyo nta ntambwe yo hejuru yubuhanzi.
Gukosora by'agateganyo hamwe no gusubiramo Clamp cyangwa Kirschner PIN ikoreshwa mugukomeza gusubiramo.
Gushyira imitwe ya Hollow, imigozi igomba kuba ihwanye nubuso bwa articular kandi iherereye mumagufwa, kugirango yongere imbaraga zo gukosorwa. Guhira Fluoscorative X-Ray igomba gukorwa kugirango igenzure imigozi kandi ntuzigere utwara imigozi mu ngingo.
Epiphyseal kuvunika:
Gukata bigarura uburebure na axical axis yingingo yibasiwe.
Hafashwe neza kugirango ukosore kwimura imbogamizi yibasiwe no gupakira tuberositike no kuyambara hagati y'amano ya mbere na kabiri.
Kwiyongera kwa Proximal
Urutonde rwibice bifite umutekano kubikorwa bya tibial plateau tenance:
Umuyoboro wa popliteal, umuyoboro wa popliteal na tibial bin gan inyuma ya tibia, hamwe nimitsi rusange ya peroneal ikora inyuma yumutwe wa fibular. Kubwibyo, byombi byinjira no gusohoka byurushinge bigomba gukorwa imbere mubibaya bya tibial, ni ukuvuga urushinge rugomba kwinjira no gusohoka mu ruhererekane ruri imbere yumupaka wo muri Tibia no mu rubuga rwa Figula.
Kuruhande rwikiruhande, urushinge rurashobora kwinjizwa mu nkombe y'imbere ya fibula maze arenga ku ruhande rwa anteromedial cyangwa kuva ku ruhande; Umwanya wo kwinjira mubusanzwe uri ku nkombe yo hagati yikibaya cya tibial nuruhande rwayo imbere, kugirango wirinde insinga yo guhagarika imitsi.
Byavuzwe mu bitabo byerekana ko ingingo yinjira muri counsion igomba kuba byibuze mm 14 uhereye hejuru ya articular kugirango wirinde kwinjira mu makimbirane ahuje kandi bigatera indwara ya arthritis.
Shira insinga za mbere:
Igice cya elive kirashobora gukoreshwa, cyanyuze mu mutekano PIN kumutekano ku mpeta, hasigara umutwe wa elayo hanze yumutekano wa PIN yumutekano.
Umufasha akomeza umwanya wa nyirubwite kugirango abesore hejuru yubuso bwa articular.
Gukuramo imashini ya elayo unyuze mu ngingo zoroshye no mu kibaya cyoroshye, witonde ku kugenzura icyerekezo cyayo kugirango umenye neza ko ibyinjira n'ibisohoka biri mu ndege imwe.
Nyuma yo gusohoka kuruhu kuruhande rwamavurungano bakomeje gusohoka kurushibe kugeza umutwe wa elayo uhuza PIN yumutekano PIN.
Shyiramo insinga clamp kuruhande rwamavurungano hanyuma unyure kuri elayo unyuze kuri wire clamp.
Witondere kubika ikibaya cya tibial hagati yintebe yimpeta igihe cyose mugihe cyo kubagwa.
Binyuze muyobora, insinga za kabiri zishyizwe mubirimo, nanone binyuze muruhande rutandukanye rwa clamp clamp.
Shira insinga za gatatu, zigomba kuba murwego ruke zishoboka hamwe nimpano zabanjirije umugozi munini, mubisanzwe ibice bibiri byincu yicyuma birashobora kuba inguni ya 50 ° ~ 70 °.
Amabwiriza akoreshwa kumurongo wimitsindire: Urugendo rwuzuye, rwatsinze isonga ryimitsindire, subiza byibuze, shyiramo amafaranga yinzibacyuho, hanyuma ukoreshe L-Lock Lock.
Gushyira mu bikorwa uburyo bumwe bwo gukosorwa hanze yivi nkuko byasobanuwe mbere, shyira byibuze firetori ebyiri za Schanz, hanyuma uyihuze stepyosis na metaphysis imwe yo hanze, hanyuma uhuze stepysiator yintwaro yo hanze, hanyuma uyihuze stepysiand ordonator na mitamisi imwe yububiko mbere yo kurangiza gukosorwa.
Niba hakenewe gushikama, impeta irashobora kwizirika ku kuboko gukosora hanze hamwe n'inkoni ihuza.
Gufunga
Kugabanywa kubaga birafunze igice.
Agace inshinge karinzwe hamwe na alconge gupfunyika.
Ubuyobozi bw'iposita
Syndrome ya fagitire ya fagitire
Muri 48h nyuma yo gukomeretsa, hagomba kwitabwaho kwitegereza no kuba habaho syndrome.
Witondere neza imitsi ya vascular yingingo yibasiwe. Indwara yo gutanga amaraso cyangwa igihombo cya neurologique igomba gucungwa neza nkibibazo byihutirwa.
Gusubiza mu buzima busanzwe
Imyitozo yimikorere irashobora gutangira kumunsi wambere wasubijwe niba nta bindi bikomere cyangwa ibikomere. Kurugero, isometric gutumiha bya quadriceps hamwe na pasiporo yivi no kugenda byihuta byiguru.
Intego yo gukora mbere nibikorwa bya pasiporo ni ukubona urwego ntarengwa rwo gufata ivi kubera igihe gito nyuma yo kubagwa, ni ukuvuga kubona uburyo bwuzuye bwo gufata amavi dushoboka mubyumweru 4 ~ 6. Muri rusange, kubaga birashobora kugera ku ntego yo kwiyubaka mu kwiyubaka, kwemerera hakiri kare
ibikorwa. Niba imyitozo yimikorere yatinze kubera gutegereza kubyimba kugirango agabanye, ibi ntibizafasha gukira.
Ibirori biremereye: Ubwikorezi bwa mbere ntabwo bushyigikiwe, ariko byibura ibyumweru 10 kugeza 12 cyangwa nyuma kubicuruzwa byateguwe.
Gukiza gukiza: Witegereze neza gukira ibikomere mugihe cyibyumweru 2 nyuma yo kubagwa. Niba kwandura ibikomere cyangwa gutinda gukira, gutabara kubaga bigomba gukorwa vuba bishoboka.
Igihe cya nyuma: Kanama-16-2024
