Nkumuco wimbere, plation ya compression yakunze gukina inshingano zikomeye zo kuvura. Mu myaka yashize, igitekerezo cya osteosynthesis ntoya byasobanuwe cyane kandi zigashyirwa mubikorwa byabanjirije gukosora amagufwa, bidahwitse ku rwego rwo gukosora amagufwa no kurinda amaraso gusa, ariko kandi bishimangira kuzamura amagufwa no kurinda amaraso gusa, ariko kandi biteza imbere kunoza amaraso gusa, ariko nanone biteza imbere kuzamura amaraso gusa, ariko kandi biteza imbere kuzamura amaraso yo gukosora ibinyabuzima, ariko kandi yibanda ku gukosora amagufwa no kuringaniza amaraso.Gufunga isahani. Sisitemu yatangiye gukoreshwa mu inararibonye muri Gicurasi 2000, yari isuzumishije cyane, kandi raporo nyinshi zasuzumwe cyane. Nubwo hari ibyiza byinshi mugukosora, bifite ibyifuzo byinshi ku ikoranabuhanga nuburambe. Niba bikoreshejwe nabi, birashobora kutubahiriza ingaruka zidasubirwaho.
1. Amahame yo muri Biomenucal, igishushanyo n'ibyiza bya LCP
Guhagarara ku isahani isanzwe ishingiye ku makimbirane hagati y'isahani n'amagufwa. Imigozi isabwa gukomera. Imigozi imaze kurekura, guterana amagambo hagati yisahani n'amagufwa bizagabanuka, hazagabanuka, hazahungabanywa nabyo bizagabanuka, bikavamo kunanirwa kwa copotor imbere.Lcpni isahani nshya yo gushyigikirwa imbere ya tissue yoroshye, yatejwe imbere muguhuza isahani ya comction gakondo ninkunga. Ihame ryakosowe ntirishingikiriza ku makimbirane hagati yisahani hamwe namagufa cortex, ariko yishingikiriza ku mfuruka hagati yisahani hamwe nimbaraga zamagufa, kugirango tumenye gukosorwa. Ibyiza bitaziguye biri mukugabanya kwivanga kwamaraso bya perliosite. Inguni itunganijwe hagati yisahani na screw yazamuye cyane imbaraga zisingi zakozwe na screw, bityo imbaraga zo gukosora isahani ari nini cyane, zikoreshwa mumagufwa atandukanye. [4-7]
Ikintu cyihariye gishushanya cya LCP ni "umwobo uhuza", uhuza umwobo wa dinamike (DCU) hamwe n'imyobo gikabije. DCU irashobora kwikuramo kwangiza ukoresheje imigozi isanzwe, cyangwa kuvugurura bimuwe birashobora guhagarikwa no gukosorwa binyuze muri lag screw; Umwobo utera urudodo ufite insanganyamatsiko, zishobora gufunga imigozi n'imitondari ya trech, yimura torque hagati ya screw n'isahani, kandi imihangayiko miremire irashobora kwimurirwa kuruhande. Byongeye kandi, gukata groove ni igishushanyo kiri munsi yisahani, igabanya aho ihurira n'amagufwa.
Muri make, bifite ibyiza byinshi ku masahani gakondo: ① Guteranya inguni: Inguni hagati yisahani yimirire irahamye kandi ihamye, kugira akamaro kumagufa atandukanye; Kugabanya ibyago byo kugabanya igihombo: Ntibikenewe ko uhinduranya neza amasahani, bigabanya ingaruka zo kugabanya icyiciro cya mbere nigihoro cyo kugabanya kugabanuka; . ④ Ifite ibidukikije byiza: Birasabwa cyane cyane kuvunika amagufwa, bigabanya ikintu cyo kwikuramo intsinzi no gusohoka; Emerera imikorere yimyitozo yo hambere; ⑥ ifite umubare munini wibisabwa: Ubwoko bwibibanza hamwe nuburebure burangiye, anatomique pre-shusho nibyiza, bishobora kumenya ko bikosora ibice bitandukanye hamwe nubwoko butandukanye.
2. Ibimenyetso bya LCP
LCP irashobora gukoreshwa haba isahani isanzwe cyangwa nkinkunga yimbere. Umuganga ubaga arashobora kandi guhuza byombi, kugirango wagure cyane ibimenyetso byayo kandi ukurikize muburyo butandukanye bwo kuvuka.
2.1 Kuvunika byoroshye kwa diaphysis cyangwa metaphysis: Niba ibyangiritse kuri tissue yoroshye bitarenze kandi amagufwa asaba ko amagufwa maremare asaba gucika intege, bityo akavunika neza, kandi gucika intege mu buryo buke, kandi isahani yo gukopera cyangwa isahani.
2.2 Kuvuka ibijyanye na diaphysis cyangwa metaphyseal: LCP irashobora gukoreshwa nkisahani yikiraro, yerekana kugabanya kandi ikiraro kigabanuka kandi ikiraro cya osteosynthesis. Ntabwo bisaba kugabanuka kwa Anatomical, ariko gusa bikuraho uburebure bwamatambo, kuzunguruka no kumurongo wa Axial. Kuvunika kwa Radius na Ulna ni ibintu bidasanzwe, kuko imikorere yo kuzunguruka yimbere biterwa ahanini na anatomy isanzwe ya radiyo na ulna, bisa nibiranga ubushishozi. Byongeye kandi, kugabanuka kwa Anatolicake bigomba gukorwa, kandi bigomba gukemurwa n'amasahani ..
2.3 kuvunika-urutonde-ninkunga yubuhanzi: Mu mvururu za Intra-Artra-Thictike Niba kuvunika ibihangano bifite ingaruka kumagufwa, LCP irashobora gukosoraingingohagati yagabanijwe articular na diaphysis. Kandi nta mpamvu yo gushiraho isahani yo kubaga, yagabanije igihe cyo kubaga.
2.4 Ubumwe bwatinze cyangwa Nonunion.
2.5 gufunga cyangwa gufungura osteotomy.
2.6 Ntabwo ikoreshwa muguhagarikaIntramedillarkuvunika, na LCP nubundi buryo bwiza. Kurugero, LCP idakwiye kumeneka kwangiza abana cyangwa ingimbi, abantu borozi ba my balp ni bike cyane cyangwa ubugari cyane cyangwa bugari.
2.7 Abarwayi ba Osteoporose: Kuva amagufa cortex aroroshye cyane, biragoye ku isahani gakondo yo kubagwa, kandi bikaba byaratsinzwe kubagwa, bikaba byananiranye no gusohoka mubyoroshye. LCP yo gufunga imigozi kandi isahani ikora inguni ituze, kandi imisumari yashonga. Byongeye kandi, diamel diamel yo gufunga imigozi nini, yongera imbaraga zamagufwa. Kubwibyo, intera ya strew yagabanutse neza. Imyitozo yo kumubiri hakiri kare iremewe muri nyuma yo gukora. Osteoporose ni ikimenyetso gikomeye cya LCP, kandi raporo nyinshi zaramenyekana cyane.
2.8 Kuvunika femoral Furcture: Kuvunika femoral Finmoral bikunze guherekezwa na Osteoporose, indwara zabakuru n'indwara zikomeye za sisitemu. Ibyapa gakondo bigomba gutegurwa kwagutse, bitera indishyi zo gutanga amaraso. Byongeye kandi, imigozi isanzwe isaba gukosora itoroshye, bigatera ibyangiritse kuri hindu, kandi imbaraga za osteoporose kandi zirakennye. LCP na plate plate bakemuye ibibazo nkibi muburyo bwiza. Ni ukuvuga, bakurikiza ikoranabuhanga rya Mipo kugirango bagabanye ibikorwa bihuriweho, bigabanya ibyangiritse kumara amaraso, hanyuma bafunga imigozi imwe y'ubunini barashobora gutanga ihungabana rihagije, itazatera ibyangiritse kuri voyo. Ubu buryo bugaragara muburyo bworoshye, umwanya muto wo gukora, kuva amaraso make, intera ntoya kandi yoroshya gukiza gukira. Kubwibyo, kuvunika feiprosthe fmomral nabyo nimwe mubimenyetso bikomeye bya LCP. [1, 10, 11]
3. Ubuhanga bwo kubaga bujyanye no gukoresha LCP
3.1 Ikoranabuhanga gakondo gakondo: Nubwo igitekerezo cya Ao Porogaramu y'imbere cyahindutse kandi imiterere y'amagufwa iracyasaba compression yo gukosora, nko gukosora amaraso, kuvugurura ibirungo, osteotomy obractures cyangwa bigufi. Uburyo bwo Gutererana ni: ① LCP ikoreshwa nk'isahani yo guswera, ukoresheje imigozi ibiri isanzwe ya corticer kugirango ukemure ku isahani kunyerera ② Nka sahani yo kurinda, LCP ikoresha imigozi ya lag kugirango ikosore imivuruke ndende; ③ Muguhiza ihame rya kaburimbo, isahani ishyirwa kuruhande rwamagufwa, izashyirwa mu mpagarara, kandi igufwa coryical irashobora kubona compression; ④ Nka plate ya buttress, LCP ikoreshwa ifatanije na ling screw kugirango ikosorwe kubice byihariye.
3.2 Ikoranabuhanga ryo gukosora ikiraro: Ubwa mbere, kwemeza uburyo butaziguye bwo kugabanya kuvunika, kugeza ku turere twavunitse ukoresheje ikiraro hanyuma ukosore impande zombi zunguni. Kugabanuka kwa anatomic ntabwo bisabwa, ariko bisaba kugarura uburebure bwa diaphysis, kuzunguruka no kumurongo. Hagati aho, gufatwa amagufwa birashobora gukorwa kugirango ushishikarize gushiraho telesiyo no guteza imbere gukiza. Ariko, gukosora ikiraro birashobora kugera ku bukungu ugereranije, nyamara gukiza bimaze kugerwaho binyuze mumiti mige ya kabiri kubushake bwa kabiri, niko bikoreshwa gusa ku kuvuza.
3.3 Icyapa giteye ubwoba osteosynthes (MIP): Kuva mu myaka ya za 70, ishyirahamwe rya Ao ryashyize ahagaragara amahame yo kuvura amakuru: kugabanya anatomical, kugabanya amaraso, kurinda amaraso no gukunda amaraso no gukora amaraso no gukunda amaraso no gukora amaraso no gukunda amaraso no gutondekanya amaraso no gukunda amaraso no gukora amaraso no gukunda amaraso no gutondekanya amaraso no gutondekanya amaraso hamwe nimyitozo ngororamubiri. Amahame yamenyekanye cyane kwisi, kandi ingaruka zubuvuzi ziruta uburyo bwo kuvura. Ariko, kugirango ubone kugabanuka kwa anatomic na politor yimbere, akenshi bisaba ibishishwa cyane, bikaviramo amagufwa yagabanije amagufwa, kugabanuka kwamagufwa yo kuvunika ibice no kongera ibyago byo kwandura. Mu myaka yashize, intiti zo mu rugo n'Amahanga zongera kwibanda ku ikoranabuhanga riteye ubwoba, kurinda amagufwa yo mu rwego rworoshye, ntambura amagufwa yo mu gihugu, atarimburira amagufwa na tissue yoroheje ku mpande zaciwe. Kubwibyo, irinda ibinyabuzima bikemura ibinyabuzima, aribyo osteosynthesis (bo). Mu myaka ya za 90, Krettek yasabye Ikoranabuhanga rya Mipo, ariryohe imbere yo kuvunika gukosorwa mumyaka yashize. Igamije kurinda amaraso yububiko bwo kurengera hamwe nigice cyoroshye hamwe nindishyi ntarengwa kurwego runini. Uburyo ni ukubaka umuyoboro w'isubuke unyuze mu buryo buto, shyira amasahani, kandi ukemure uburyo butaziguye bwo kugabanya kugabanuka no kugabanya imbere. Inguni hagati yamasahani ya LCP irahamye. Nubwo amasahani atazi neza uburyo bunoze bwo guhuza anatomique, kugabanuka kwinshi birashobora gukomeza, bityo ibyiza bya tekinoroji ya Mipo biragaragara, kandi ni urugero rwiza rwa Mipo.
4. Impamvu na Countermesures kunanirwa kwa LCP
4.1 Kunanirwa kwa coltoator yimbere
Gutera imbaraga byose bifite irekuye, kuvunika, kuvunika hamwe nizindi ngaruka zo kunanirwa, gufunga amasahani na LCP ntabwo aribyo. Dukurikije raporo z'ibitabo, kunanirwa kw'imbere ntabwo biterwa ahanini nisahani, ahubwo ni ukubera ko amahame shingiro yo kuvura akarenga kubwumvikane nubumenyi budahagije bwo gukosora LCP.
4.1.1. Ibyapa byatoranijwe ni bigufi cyane. Uburebure bw'isahani no gukwirakwiza ibintu ni ibintu by'ingenzi bigira ingaruka ku gahato. Mbere yo kugaragara kwikoranabuhanga rya Imipo, ibyapa bigufi birashobora kugabanya uburebure bwa stom no gutandukana k'amatungo yoroshye. Ibyapa bigufi cyane bizagabanya imbaraga zuzuye hamwe nimbaraga zo guhinduranya imiterere rusange, bikavamo kunanirwa kwa copotor yimbere. Hamwe niterambere ryikoranabuhanga ritaziguye hamwe nikoranabuhanga riteye ubwoba, ibyapa birebire ntibizamura imiti yoroshye. Abaganga babaga bagomba guhitamo uburebure bwa plaque hakurikijwe ibinyabuzima bikosorwa. Kubivunika byoroshye, igipimo cyuburebure bwibibanza byiza nuburebure bwakarere kavunika kagomba kuba hejuru yimkumi 8-10, mugihe kurubuga rwabigenewe, iki gipimo kigomba kuba hejuru inshuro 2-3. [13, 15] Amasahani afite uburebure buhagije buzagabanya icyapa, bityo ugabanye umutwaro wa screw, bityo utumire impunzingendo yumushinga wimbere. Ukurikije ibisubizo byisesengura rya LCP, mugihe icyuho kiri hagati yimpande zombi ni 1mm, guhangayikishwa ku isahani yo guswera bigabanya imitsi ya 10%, kandi guhangayikishwa mu maraso bigabanya 63%; Iyo uruhande ruvunika rusiga umwobo ibiri, guhangayikishwa ku isahani ya compression kugabanya kugabanya 45%, kandi guhangayikishwa mu maraso bigabanya 78%. Kubwibyo, kugirango wirinde guhangayikishwa no guhangayika, kubice byoroshye, ibyatsi byo hejuru byimpande bizasigara, mugihe kubiranganya, imigozi itatu irasabwa gukoreshwa kuruhande.
4.1.2 Ikinyuranyo hagati yamasahani hamwe nububiko burakabije. Iyo LCP ifata ikoranabuhanga risoza ikiraro, amasahani ntabwo asabwa kuvugana na perosteum kugirango irinde amaraso yo kuvunika. Ni icyiciro cyo gukosora elastique, gishimisha ibyago bya kabiri byo gukura kwimanuka. Iyo wize umutekano wibinyabuzima, Ahmad M, Nanda R [16] et al yasanze mugihe icyuho kiri hagati ya LCP na Amagufwa kigabanuka cyane; Iyo icyuho kiri munsi ya 2mm, nta kugabanuka gagaragara. Kubwibyo, icyuho kirasabwa kuba munsi ya 2mm.
4.1.3 Isahani itandukanya na diaphysis axis, kandi imigozi ni eccentric kugirango ikosorwe. Iyo LCP ihujwe na Mipo Ikoranabuhanga rya Mipo, ibyapa bisabwa kwinjiza burundu, kandi rimwe na rimwe biragoye kugenzura umwanya wa plaque. Niba amagufwa yamagufa atagereranijwe nisahani ya plaque, isahani ya kure irashobora gutandukana na magufa, byanze bikunze biganisha kuri eccentric ikosora imigozi kandi ikaba yarakosowe. [9,15]. Birasabwa gufata icyemezo gikwiye, kandi x-ray igomba gukorwa nyuma yumwanya wo gukoraho urutoki ukwiye kandi kuntscher PIN ikosora.
4.1.4 Kunanirwa gukurikiza amahame shingiro yo kuvura no guhitamo nabi byimbere no gutunganya ikoranabuhanga. Kubwububiko bwa Intra-Arcticular, FCP yoroshye ya Diaphysis, LCP irashobora gukoreshwa nkisahani yo gukonjesha kugirango ukosore ihuriro ryibikorwa bya comprestion, kandi utezimbere gukira byibanze; Kuri metaphyseal cyangwa yashinzwe, tekinoroji yo gukosora ibiraro igomba gukoreshwa, witondere amaraso yububiko bwo kurengera hamwe na tissue yoroheje, yemerera gukosora ibirangaza, bikangurira ikibazo cyo gukemura neza, gitera intambwe ishimishije kugirango ugere ku gikiza cyimibabaro ya kabiri. Ibinyuranye nibyo, gukoresha ikoranabuhanga ryo gukosora ikiraro kugirango mvure ibishishwa byoroshye, bikaviramo kuvunika gutinda gukira; .
4.1.5 Hitamo ubwoko butabishaka. Umwobo wo guhuza LCP urashobora guswera muburyo bune bwimigozi: Imiyoboro isanzwe ya Cortique, amagufwa asanzwe ya kanseri, kwikuramo amagufwa, gucukura / kwiyuhagira / kwikuramo imigozi. Kwiyunga / kwigumisha kwigunga mubisanzwe bikoreshwa nkinyungu zidasanzwe zo gukosora ibiranga amagufwa bisanzwe. Impanuro zayo zifite imiterere yimyitozo, byoroshye kunyura kuri cortex mubisanzwe nta nshinge yo gupima ubujyakuzimu. Niba umwobo wa diaphyseal wa diaphyseal ari muto, ushushanya ibinyomoro ntibishobora guhuza neza, kandi inkenga zikora ku cortex itunganijwe hagati yimigozi n'amagufwa, hamwe na bicoreque yo kwikubita hasi bizakoreshwa muriki gihe. Imigozi myiza ya Unicorticle ifite imbaraga nziza zerekeza kumagufwa asanzwe, ariko igufwa rya osteoropis mubisanzwe ifite intege nke cortex. Kuva gukora igihe cy'imiyoboro igabanya, ukuboko kwa strew strew kugirango igabanye igabanuka, bikabangamira guhita amagufwa cortex, intsinzi yo kwimuka no kwimurwa. [18] Kubera ko imigozi ya bicortique yongereye uburebure bwamashusho, imbaraga zamagufwa nayo yiyongera. Ikirenze byose, amagufwa asanzwe arashobora gukoresha imigozi idake yo gukosora, nyamara igufwa rya osteorosise irasabwa gukoresha imigozi ya bicortike. Byongeye kandi, ihuriro rya humerus cortex riri rinanutse, ritera byoroshye, niko imigozi ya bicortike ikenewe kugirango ukosore kuvura ubusobe.
4.1.6 Gukwirakwiza gukwirakwiza ni byinshi cyangwa bike cyane. Gukosora birasabwa kubahiriza ibinyabuzima biomechanics. Isaranganya ryinshi ryinshi rizavamo imihangayiko yaho hamwe no kuvunika kwosoza imbere; Kuvunika bike kandi imbaraga zidahagije nazo zizavamo kunanirwa kwa copotor yimbere. Iyo tekinoroji yikiraro ikoreshwa mugukosora, ibisabwa ubucucike bugomba kuba munsi ya 40% -50% cyangwa bike. [7.13,15 Kubwibyo, amasahani ni ndende, kugirango yongere uburinganire bwurukariro; Ibirimo 2-3 bigomba gusigara impande zombi, kugirango wemererwe gukomera gukomeye, irinde guhangayikishwa no kugabanya ibintu byakosorwa imbere. Gautier na Sommer [15] batekereza ko byibuze imigozi ibiri miremire izashyirwaho kumpande zombi zivunika, umubare wiyongereye wa Cortex utazagabanya kunanirwa kunanirwa, bityo bisabwe kunanirwa kunanirwa kumpande zombi. Nibura imigozi 3-4 irasabwa kumpande zombi za humerusi no kuvunika ukuboko, imitwaro myinshi ya torsion igomba gutwarwa.
4.1.7 Ibikoresho byo gukosora byakoreshejwe nabi, bikavamo kunanirwa kwa porototor yimbere. Sommer C [9] yasuye abarwayi 127 bafite ibibazo 151 byakoresheje LCP umwaka umwe, isesengura riboneka ryerekana ko muri screw 700 yo gufunga, gusa imigozi minini. Impamvu nuburyo bwatereranywe bwo gufunga amashusho. Mubyukuri, gufunga screw hamwe nisahani ntabwo bihagaritse rwose, ariko byerekana dogere 50 yinguni. Iyi pland igamije kugabanya imihangayiko ifunga. Gukoresha koresha igikoresho cyo kubona birashobora guhindura imisumari bityo bigatera ibyangiritse imbaraga zo gukosora. Kääb
4.1.8 LIMB AHO URUGENDO RUGENDE CYANE. Raporo nziza cyane iyobora abaganga benshi bizera cyane imbaraga zo gufunga amasahani n'imigozi yo gufunga, bibeshye ko imbaraga zo gufunga zirashobora kwihanganira ibiro byuzuye, bikaviramo isahani cyangwa imivurungano. Mugukoresha ibirango byo gukosora ikiraro, LCP irahagaze neza, kandi irasabwa gushiraho callus kugirango imenye gukira kubitekerezo bya kabiri. Niba abarwayi bava mu buriri hakiri kare kandi bakore ibiro bikabije, isahani na screw bazavunika cyangwa bacogore. Gufunga plaque bishimangira ibikorwa byambere, ariko byuzuye imitwaro gazaba nyuma yibyumweru bitandatu, kandi firime ya X-Ray yerekana ko uruhande ruvunika rutanga callus. [9]
4.2 Gukomeretsa no kurwanirana na Neurovascular:
Ikoranabuhanga rya MIP risaba kwinjiza burundu no gushyirwa munsi yimitsi, nuko iyo isahani ishyizwemo, abaganga batoranijwe ntibashoboraga kubona imiterere yububiko, bityo ibyangiritse muri Tendon na Speton byiyongereye. Van Hensbroek Pb [21] yatangaje ikibazo cyo gukoresha ikoranabuhanga rya LCS kugirango akoreshe LCP, byavuyemo mu nyenzi ya tibial iri imbere pseudoneursys. Ai-rashid M. [22] et al yatangaje ko yatinze guswera guturika kwaguka kwa kabiri ku kuvunika kwa kure hamwe na LCP. Impamvu nyamukuru zitera nyagasani iatrogenic. Iya mbere ni ibyangiritse byazanywe na screw cyangwa krsclener pin. Iya kabiri ni ibyangijwe nintoki. N'uwa gatatu ni indishyi zubushyuhe zakozwe nugucukura imigozi yo kwikubita hasi. [9] Kubwibyo, abaganga basabwa kugirango bamenyere anatomiya ukikije, bakitondera kurinda imitsi nizindi nzego zingenzi, imyitwarire yuzuye yo gutaka kwawe gushyira amaboko, kwirinda gukurura cyangwa gukurura imitsi. Byongeye kandi, mugihe ucukura imigozi yo kwikubita hasi, koresha amazi kugirango ugabanye umusaruro wo kumererwa no kugabanya ubushyuhe.
4.3 Kwanduza urubuga rwo kubaga hamwe nisahani:
LCP ni sisitemu yo gukosora imbere yabaye mu mateka yo guteza imbere igitekerezo gishoboka, kigamije kugabanya indishyi, kugabanya kwandura, kudahuza nibindi bibazo. Mu kubaga, dukwiye kwitondera cyane cyane kurinda amatara yo kurindwa, cyane cyane ibice bidakomeye byoroheje. Ugereranije na DCP, LCP ifite ubugari bunini n'ubwinshi. Mugihe ushyira mukoranabuhanga rya Mipo kugirango ushireho kuri buri muntu cyangwa utanga ibisobanuro, birashobora gutera imiti yoroshye yangiza cyangwa ibyangiritse kandi biganisha ku gitsina. Phinit p [23] yatangaje ko Sisitemu ya Liss yafashe imanza 37 zo kuvunika ibihangano bya Tibia, kandi indwara yandura yandura burundu izagera kuri 22%. Namazi H [24] yatangaje ko LCP yatoye ibibazo by'ibiti 34 by'ibiti by'indabyo byo kuvunika muri Tibia, kandi havutse indwara yatewe n'ibikomere bya nyuma kandi isahani yari igera kuri 23.5%. Kubwibyo, mbere yo gukora, amahirwe hamwe numukoro wimbere bizafatwa nkangiza ibyangiritse byumurongo woroshye hamwe nurwego rutoroshye rwo kuvura.
4.4 Syndrome ya Syndrome yuburayika yoroshye:
Phinit p [23] yatangaje ko Sisitemu ya Liss yafashe imanza 37 zo kuvunika ibihangano, amanza yoroshye yo gutwika. Hasinboehler.e [17] et al yatangaje ko LCP yavumbuye ibibazo 32 byo kuvunika indwara ya kure, harimo ibibazo 29 bya Malmoolus ya Milleolusi. Impamvu nuko ingano ya plate ari nini cyane cyangwa amasahani ishyirwa mubiyanganiza kandi tissue yoroshye ya malleolus ya tomboli, nuko abarwayi bazumva batamerewe neza mugihe abarwayi bambaye inkweto ndende kandi bakandagira uruhu. Amakuru meza nuko isahani nshya ya metaphyseal yateye imbere na synthes iroroshye kandi ifata amagufwa hamwe nimbeba hamwe nimpande nziza, byakemuye neza iki kibazo.
4.5 ingorane zo gukuraho imigozi yo gufunga:
Ibikoresho bya LCP bikomoka ku mbaraga ya titanium, bihuje umubiri mwinshi numubiri wumuntu, biroroshye gupakirwa na callus. Mugukuraho, banza ukuraho umuhamagaro utera ingorane. Indi mpamvu yo gukuraho ingorane ziri hejuru-gukomera kumyenda yo gufunga cyangwa ibyangiritse, mubisanzwe biterwa no gusimbuza gufunga gufunga ibikoresho byerekanwe hamwe nigikoresho cyo kwibonera. Kubwibyo, igikoresho cyo kubona kizakoreshwa mugukuza imigozi yo gufunga, kugirango imigozi ya screw ishobore gukaraba neza nisoni. [9] wrench yihariye isabwa gukoreshwa mu buryo buhoraho, kugirango ugenzure ubunini bw'ingabo.
Ikirenze byose, nk'isahani yo gutuza iterambere rya Ao yagezweho, LCP yatanze amahitamo mashya yo kuvura igezweho. Combined with the MIPO technology, LCP combines reserves the blood supply at fracture sides to the largest extent, promotes fracture healing, reduces the risks of infection and re-fracture, maintains fracture stability, so it has broad application prospects in fracture treatment. Kuva gusaba, LCP yabonye ibisubizo byiza byamavuriro, ariko ibibazo bimwe na bimwe bishyirwa ahagaragara. Kubaga bisaba igenamigambi rirambuye mbere hamwe nubunararibonye bwamavuriro, ahitamo icyiciro cyimbere imbere nikoranabuhanga ryihariye ryibiranga ubuvuzi bwihariye kandi bwibanze, kugirango wirinde ingorane no kubona ingaruka nziza ya therapeutic no kubona ingaruka nziza.
Igihe cya nyuma: Jun-02-2022
