Menyekanisha uburyo butatu bwo gukosora uburyo bwo kuvunika kwa calcaneal.

Kugeza ubu, uburyo bukoreshwa muburyo bwo kubaga kubuvunika bwa calcaneal burimo gukosora imbere hamwe nisahani hamwe na screw unyuze munzira ya sinus tarsi.Uburyo bwagutse bwa “L” bwagutse ntabwo bugikoreshwa mubikorwa byubuvuzi kubera ibibazo byinshi biterwa nibikomere.Sisitemu yo gukosora isahani hamwe na screw, bitewe nibiranga ibinyabuzima biranga eccentricique, bitera ibyago byinshi byo kwandura indwara ya varus, hamwe nubushakashatsi bumwe bwerekana ko nyuma yibikorwa bya varus ya kabiri igera kuri 34%.

Kubera iyo mpamvu, abashakashatsi batangiye kwiga uburyo bwo gukosora uburyo bwo kuvunika kwa calcaneal kugirango bakemure ibibazo biterwa nibikomere ndetse nikibazo cya varus malalignment ya kabiri.

01 Nail tekinike yo hagati

Ubu buhanga bushobora gufasha mukugabanya inzira ya sinus tarsi yinjira cyangwa iyobowe na arthroscopique, bisaba ingirabuzimafatizo zoroheje kandi bigabanya igihe cyo gushyirwa mubitaro.Ubu buryo burakoreshwa muburyo bwo kuvunika ubwoko bwa II-III, kandi kubuvunike bugoye bwa calcaneal, ntibishobora gutanga uburyo bukomeye bwo kugabanuka kandi birashobora gusaba gukosorwa byongeweho.

02 Sindege-indege imisumari

Imisumari imwe yindege yimisumari igaragaramo imigozi ibiri kumpera yegeranye kandi ya kure, hamwe numusumari mukuru wimbere utuma amagufwa yinjira mumisumari nkuru.

03 Multi-indege intramedullary imisumari

Byashizweho hashingiwe ku miterere-yuburyo butatu yuburyo bwimiterere ya calcaneus, iyi sisitemu yo gukosora imbere ikubiyemo imigozi yingenzi nkibikoresho bitwara imizigo hamwe ninzira yinyuma.Nyuma yo kugabanuka unyuze muri sinus tarsi yinjira, iyi screw irashobora gushyirwa munsi ya karitsiye kugirango ifashe.

Hariho impaka nyinshi zijyanye no gukoresha imisumari yimbere yo kuvunika kwa calcaneal:

1. Ibikwiye bishingiye ku kuvunika bigoye: Haraganirwaho niba kuvunika byoroheje bidasaba imisumari yimbere kandi kuvunika bigoye ntibikwiye kuri bo.Kubuvunika bwa Sanders ubwoko bwa II / III, tekinike yo kugabanya no kugorora imigozi binyuze munzira ya sinus tarsi yinjira irakuze, kandi akamaro k'umusumari nyamukuru winjiza karashobora kwibazwaho.Kubuvunike bugoye, ibyiza byuburyo bwagutse bwa "L" bikomeza gusimburwa, kuko bitanga ibisobanuro bihagije.

2. Gukenera umuyoboro wa medullary artificiel: calcane isanzwe ibura umuyoboro wa medullary.Gukoresha umusumari munini uteganijwe bishobora kuviramo ihahamuka ryinshi cyangwa gutakaza amagufwa.

3. Ingorane zo kuyikuraho: Mubihe byinshi mubushinwa, abarwayi baracyakurwaho ibyuma nyuma yo gukira kuvunika.Kwishyira hamwe kw'imisumari no gukura kw'amagufwa no gushyiramo imigozi yegeranye munsi yamagufwa ya cortical birashobora gutera ingorane zo kuyikuramo, ibyo bikaba ari ibintu bifatika mubikorwa byubuvuzi.