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Guhitamo ingingo yo kwinjira muri intramediret ya tibial

Guhitamo aho byinjira kubice byibiti bya tibial nimwe mu ntambwe yingenzi mugutsindira kwivuza. Ibyinjira bibi kuri intemedamullary, haba muri Porogaramu ya Porogaramu, bishobora kuvamo gutakaza ibitekerezo, kunanirwa kumpera, no gukomeretsa impeshyi yinjiriro ryivi ryeze.

Ibice 3 byintangiriro ya tibiemedierlary intera izasobanurwa.

Ni ubuhe buryo busanzwe bwa Tibial Intramedillary Inflion Point?

Ni izihe ngaruka zo gutandurwa mu turere dutandukiriye isuku?

Nigute ingingo iboneye yo kwinjira yagenwe?

I. Ni ubuhe butumwa busanzwe bwo kwinjira kuriTibialIntramediLlary?

Umwanya wa orthotopike uherereye ku masangano ya axis ya mashini ya tibia na tibial ikibaya cya intercondylar cya Tibia, kandi umwanya uri hejuru uherereye hagati y'ibibaya bya tibial na zone yimuka.

Kuvunika1

Urwego rwa Zone yumutekano kumwanya winjira

22.9 ± 8.9mm, aho akarere urushinge rushobora kwinjizwamo nta kwangiza buny hagarara kuri acl na tissue ya meniscus.

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II. Ni izihe ngaruka zo gutandukanaTibialIntramedi NAil?

Ukurikije imiterere ya proximal, hagati, no kurenga, kuvugurura ibintu byingenzi byatangajwe bifite ingaruka nkeya, kandi iherezo rya kure rifitanye isano cyane cyane numwanya no kwiyongera kwimisumari ya kure.

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# Kuvunika imiti

# Kuvugurura no hagati

Ingingo yinjira ifite ingaruka nke ugereranije no kwimura, ariko nibyiza gushiramo umusumari kuva murwego rusanzwe rwinjiye.

# Kuvuza imyanda

Ingingo yinjiriro irasabwa kuba kimwe no kuvunika kwa proximine, hamwe numwanya wimisumari ya kure ya malttttttttttramedidlary isabwa gusa kuri orholatly kuri ortolatly kuri fornix ya kure.

Ⅲ. How kugirango umenye niba ingingo yinjira ibereye ibyuma?

Dukeneye flueroscopy kugirango tumenye niba inshinge yinjira ari ukuri. Ni ngombwa cyane gufata orthopantomogram ya orthopantogram ya ivi, none igomba gufatwa gute?

Franct4

Imirongo isanzwe ya orthopantomogram-ugereranije numutwe wa fibular

Axis ya mashini ya ortho-x-ray ikozwe kumurongo ugororotse, kandi umurongo uhwanye na axis ya mashini ikorwa kuruhande rwikibaya cya tibial, kigomba kugabanya umutwe wa fibulaya kuri ortho-x-ray. Niba imwe nka x-ray ibonetse, irerekana ko ifatwa neza.

Feccures5

Niba ortho-slice idasanzwe, kurugero, niba umusumari agaburiwe kuryoherwa.

Feccures6

Kuri X-ray isanzwe ya X-ray, umuyoboro wa femoral ushyira mu gaciro kandi ugana hejuru cyane kandi kuruhande, kandi kumwanya wuruhande, kugeza aho winjiye, aho kwinjira biherereye hagati yicyuma nigiti cya tibial.

IV. Incamake

Ibipimo ngenderwaho bya Tibial Intramedills ni orthogonally kuruhande rwa intercondylar kuruhande rwa tibia kandi kuruhande rwamazi hagati yikibaya cya tibial hamwe na tibial steur zone.

Agace k'umutekano ku mwanya ni gito cyane, 22.9 ± 8.9 gusa.

Kubona OrthoPantoMographs na Radio ya LackGrative hamwe na radio yandikire yivi igomba gufatwa, niyihe urufunguzo rwo kumenya niba ingingo yinjira ikwiye cyangwa idashidikanywaho.


Igihe cyohereza: Jan-02-2023