Guhitamo aho winjirira kugirango Intramedullary yimvune za Tibial

Guhitamo aho byinjira kugirango Intramedullary yimvune za Tibial nimwe muntambwe zingenzi mugutsinda kwa muganga wo kubaga.Ahantu hatari hambere hinjiye muri Intramedullary, haba muburyo bwa suprapatellar cyangwa infrapatellar, bishobora kuviramo gutakaza iyimurwa, ubumuga bwimiterere yimpera zivunika, no gukomeretsa kumiterere yingenzi yivi ikikije aho yinjira.

Ibice 3 bigize tibial intramedullary imisumari yo kwinjiza bizasobanurwa.

Nibihe bisanzwe tibial intramedullary yimisumari?

Ni izihe ngaruka ziterwa na tibial tibial intramedullary umusumari?

Nigute ingingo yukuri yo kwinjira igenwa muburyo budasanzwe?

I. Ni ubuhe buryo busanzwe bwo kwinjiramoTibialIntramedullary?

Umwanya wa orthotopique uherereye mu masangano ya axe ya mashini ya tibia na tibial plateau, inkombe yo hagati yumugongo wa intercondylar urutirigongo rwa tibia, naho umwanya wuruhande uherereye kumugezi wamazi hagati yibibaya bya tibial hamwe no kwimuka kwa stem tibial akarere.

Urwego rwumutekano mukarere kinjira

22.9 ± 8.9mm, muri ako gace urushinge rushobora kwinjizwamo utarinze kwangiza amagufwa ya ACL hamwe nuduce twa menisque.

II.Ni izihe ngaruka zo gutandukanaTibialIntramedullary Nail?

Ukurikije ibice byavunitse byegeranye, hagati, na Distal Tibial, kuvunika kwa tibial hafi ya tibial bigira ingaruka zigaragara cyane, kuvunika hagati ya tibial yo hagati bigira ingaruka nkeya, kandi impera ya kure ijyanye cyane cyane nu mwanya no guhinduranya umusumari wa intera.

# Ivunika rya Tibial Proximal

# Ivunika rya Tibial Hagati

Ingingo yo kwinjira ifite ingaruka nke ugereranije no kwimurwa, ariko nibyiza gushyiramo umusumari kuva aho winjiye.

# Gutandukanya Tibial Tibial

Icyinjiriro gisabwa kuba kimwe no kuvunika kwegeranye, kandi umwanya wumusumari wa kure winjira usabwa kuba uri ortholaterally hagati ya fornix ya kure.

Ⅲ.H.ow kugirango umenye niba aho urushinge rwinjirira arukuri?

Dukeneye fluoroscopi kugirango tumenye niba aho urushinge rwinjira ari rwo.Ni ngombwa cyane gufata orthopantomogramme isanzwe yivi idakorewe, none bigomba gufatwa gute?

Imikorere isanzwe ya orthopantomogramu-parallel yumurongo wa fibular

Imashini ya mashini ya ortho-x-ray ikozwe kumurongo ugororotse, kandi umurongo ugereranije wumurongo wa mashini ukorerwa kumpande zomuruhande rwibibaya bya tibial, bigomba kugabanya umutwe wa fibular kuri ortho-x-ray.Niba imwe muri iyo x-ray ibonetse, irerekana ko yafashwe neza.

Niba ortho-ibice bitari bisanzwe, kurugero, niba umusumari wagaburiwe kuva aho bisanzwe bigaburirwa, mugihe umwanya wo kuzunguruka wo hanze wafashwe, bizerekana ko ibiryo bigaburira hanze, kandi imyanya yimbere izerekana ko the ibiryo byo kugaburira biri imbere, nabyo bizagira ingaruka kumucamanza wo kubaga.

Kuri X-ray isanzwe, imiyoboro ya femorale yo hagati na kuruhande irahuzagurika cyane kandi ikibaya cyo hagati na tibial tibial kibanza cyuzuzanya, kandi kuruhande, aho byinjirira biherereye kumazi hagati yikibaya nigiti cya tibial.

IV.Incamake y'ibirimo

Ikibanza gisanzwe cya tibial intramedullary imisumari yinjira iherereye hagati yuburyo bwo hagati bwuruhande rwumugongo wa intercondylar urutirigongo rwa tibia hanyuma kuruhande rwamazi hagati yikibaya cya tibial na zone yimuka ya tibial.

Agace k'umutekano aho binjirira ni nto cyane, 22,9 ± 8.9 mm gusa, kandi urushinge rushobora kwinjizwa muri kariya gace bitarinze kwangiza amagufwa ya ACL hamwe nuduce twimisoro.

Intraoperative isanzwe orthopantomographs hamwe na radiografi yuruhande rwikivi bigomba gufatwa, nurufunguzo rwo kumenya niba aho urushinge rwinjirira arukuri cyangwa atari rwo.