Menyekanisha sisitemu yo gutunganya ibicuruzwa bitatu byo kuvunika calcaneal.

Kugeza ubu, uburyo bwo kubaga bukunze kugaragara bwo kuvura ca calcaneal burimo gukosorwa imbere nisahani na screw binyuze munzira ya sinus Tarsi yo kwinjira. Umwanda wa "l" wagutse wagutse ntukifuzwa mubikorwa byubuvuzi kubera ingorane zijyanye no gukomeretsa. Isahani na sisitemu yo gukosora, kubera ibiranga biomenical biranga eccentric bikosorwa, bitwara ibyago byinshi bya romorusment, hamwe nubushakashatsi bumwe bwerekana amahirwe ya sentare ya disiki ya kabiri ya 34%.

Kubera iyo mpamvu, abashakashatsi batangiye kwiga uburyo bwo gutunganya intera cyo gutunganya inkuta zo kuvunika calcaneal kugira ngo bakemure ibibazo bifitanye isano n'ibikomere n'ikibazo cya malas ya kabiri.

01 NAil Hagati Yimisumari Hagati

Ubu buhanga burashobora gufasha mugugabanuka binyuze munzira ya sinus tarsi cyangwa mubuyobozi bwa Arthroscopic, bisaba ibisabwa byoroheje kandi bikaba bishobora kugabanya igihe cyo kubatambirwa. Ubu buryo burakoreshwa ku miterere ya II-III, hamwe no kuvunika hatomo, kandi ntibishobora gutanga kugabanuka gukomeye kandi birashobora gusaba inyongera.

02 Single-indege Intramedily umusumari

Indege imwe indege imisumari igaragaramo imigozi ibiri kuri proximal kandi iri hejuru, hamwe numusumari muto usanzwe wemerera amagufwa binyuze mumisumari.

03 MUlti-Indege Intramedullary Umusumari

Yakozwe hashingiwe kuri morphologiya eshatu-zishingiye kuri Calcaneus, iyi sisitemu yo gukosora imbere ikubiyemo imigozi yingenzi nka screw-yikuramo imiyoboro yimyenda hamwe nimikorere yinyuma. Nyuma yo kugabanuka binyuze muri sinus Tarsi yo kwinjira, iyi migozi irashobora gushyirwa munsi ya karitsiye kugirango igufashe.

Hano hari impaka nyinshi zerekeye gukoresha imisumari yinyoni yo kuvunika ca calcaneal:

1. Bishingiye ku gutondeka niba kuvunika niba kuvunika byoroshye bidasaba intera imisumari hamwe no kuvunika bigoye ntabwo bibereye. Kuri Sanders Ubwoko bwa II / III, tekinike yo kugabanya no gukosorwa binyuze munzira ya sinus Tarsi Tarsi yo kwinjira ni ukuze, kandi akamaro k'imisumari nyamukuru y'intangiriro irashobora kubazwa. Ku miterere igoye, ibyiza bya "L" uburyo bwagutse bwagutse bukomeza kudasohozwa, nkuko itanga umusaruro uhagije.

2. Gukenera umuyoboro wabivuga: Calcaneus mubisanzwe idafite umuyoboro wadubijwe. Gukoresha intera nini ya intramedidlary irashobora kuvamo ihahamuka rikabije cyangwa gutakaza amagufwa.

3. Ingorane zo gukuraho: Mubihe byinshi mubushinwa, abarwayi baracyakuraho ibikoresho nyuma yo gukiza. Kwishyira hamwe kwimisumari hamwe no gukura kw'amagufwa no gushiramo imigozi ya Coryical munsi yamagufa c'ubukonje burashobora gutuma ingorane zo gukuraho, niki gitekerezo gifatika mubikorwa byamavuriro.