Tibial Shacraft ivunika ni igikomere rusange. Intramedullary imisumari imbere ifite ibyiza biomenical nziza yiterambere ryibasiwe kandi bikonjesha, bikabigira igisubizo gisanzwe cyo kwivuza. Hariho uburyo bubiri bwimisumari yo gutunganya imisumari ya tibiemediallary: suprapatellar na infrapatellar imisumari, kimwe nuburyo parapatellar ikoreshwa nintiti zimwe.
Kubwububiko bwa proximal 1/3 cya tibia, kubera ko uburyo bwa infrapatellar busaba guhindagurika, biroroshye gutera kuvunika imbere mugihe cyo gukora. Kubwibyo, uburyo bwo gukwirakwiza busanzwe burasabwa kuvurwa.
▲ Icyitegererezo cyerekana gushyiramo ingingo zanduye binyuze muburyo bwo gutanga suprapatellar
Ariko, niba hari aho bivuguruzanya uburyo bwo gushora urugero, nko mu bishara byoroshye bya tissue, uburyo bwa infrapatellar bugomba gukoreshwa. Nigute ushobora kwirinda kurakaza gukarika mugihe cyo kubaga nikibazo kigomba guhura nacyo. Intiti zimwe zikoresha amasahani ntoya yicyuma kugirango ukosore by'agateganyo cortex, cyangwa gukoresha guhagarika imisumari kugirango ukosore anglation.
▲ Ishusho yerekana gukoresha imisumari kugirango ukosore inguni.
Kugira ngo iki kibazo gikemuke, intiti z'amahanga zashyiraga tekinike zidashoboka. Ingingo iherutse gusohoka mu kinyamakuru "Ann R Coll surg Embl":
Hitamo imigozi ibiri ya 3.5mm, hafi yisonga ryacitse, shyira imbere usubira inyuma mumagufwa kumpande zombi zivunika, hanyuma usige ibirenze 2cm hanze yuruhu:
Kugabanya ingufu kugirango ukomeze kugabanuka, hanyuma ushiremo intera intera imisumari ukurikije inzira zisanzwe. Nyuma yimbere mu munwa winjijwe, ukureho screw.
Ubu buryo bwa tekiniki bubereye imanza zidasanzwe aho hasagura gahunda cyangwa parapatellar uburyo budashobora gukoreshwa, kandi ntibisabwa. Gushyira iyi migozi birashobora kugira ingaruka kumisumari nyamukuru, cyangwa hashobora kubaho ibyago byo gusenyuka. Irashobora gukoreshwa nkibyerekanwe mubihe bidasanzwe.
Igihe cya nyuma: Gicurasi-21-2024
