Abstract: Intego: Gukora iperereza kubintu bifitanye isano nigikorwa cyo gukora kugirango ukoreshe isahani yicyuma gukosora imbere kugirango ugarurekuvunika muri tibial. Uburyo: Abarwayi 34 bafite kuvunika muri Tibial bakurikijwe bakoresheje isahani y'icyuma bikosora imbere imwe cyangwa ibiri yagaruwe, bikosora neza, kandi bikosora imyitozo ya mbere nyuma yo gukora nyuma yo gukora. Igisubizo: Bakurikiranwe ku mezi 4-36, ugereranije amezi 15, nk'uko abarwayi 21 bari bafite icyubahiro, 8 mu bwenge, 3 mu kwemeze, 2 mu bakene. Igipimo cyiza cyari 85.3%. Umwanzuro: Umva amahirwe akwiye yo gukora, koresha uburyo bwiza kandi ufate imyitozo mbere yimikorere, iduha imikorere myiza ya Amerika mu kuvuratibialkuvunika ibibaya.
1.1 Amakuru rusange: Iri tsinda ryari rifite abarwayi 34 hamwe nabagabo 26 nabagore 8. Abarwayi bafite imyaka 27 kugeza 72 bafite imyaka 39.6. Hariho ibibazo 20 byo guhagarika umutekano, ibibazo 11 byo kugwa kugwa hamwe nibibazo 3 byo guhonyora cyane. Imanza zose zarafunzwe zitagira ibikomere bya mirongo. Hariho ibikomere 3 byacitse intege, ibibazo 4 byo gukomeretsa ubumwe na 4 byakomeretse bisciscus. Kuvunika byari byiciro hakurikijwe schatzker: 8 Imanza za Njye, Imanza 12 zo mu bwoko bwa III, abantu 5 bo mu bwoko bwa IV, abantu 2 bo mu bwoko bwa V na 3 mu bwoko bwa V na 3 by'Ubwoko 3 bw'ubwoko bwa VI. Abarwayi bose basuzumwe na X-ray, CT Scan yo muri Tibial Plateau hamwe no kwiyubaka bitatu, kandi abarwayi bamwe barasuzumwa na Bwana. Byongeye kandi, igihe cyo kubaga cyari 7 ~ 21D nyuma yo gukomeretsa, ugereranije 10d. Muri ibyo, hari abarwayi 30 bemeye amagufwa yo gushinga amagufwa, abarwayi 3 bemera ibibanza bibiri, n'abarwayi basigaye bemera gukosorwa imbere.
1.2 Uburyo bwo kubaga: ByakozweumugongoAnesthesia cyangwa anesthesia, umurwayi yari mumwanya wa supine, kandi ukorera munsi ya pneumatike muri Tourniquet. Kubaga byakoresheje ivi rya anterolate, tibial yimbere cyangwa kuruhandeiviInyuma. Ligament Ligament yashizwe kumpera kuruhande rwa meniscus, kandi agaragaza ubuso bwa articular bwikibaya cya tibial. Mugabanye ibiranganya mu iyerekwa ritaziguye. Amagufwa amwe yabanje gukosorwa bwa mbere hamwe na kirsclener pin, hanyuma akemurwa nisahani ikwiye (isahani ya golf-gol, l-plate, cyangwa ihujwe nisahani yubutaha). Indenzi y'amagufwa yuzuyemo amagufwa ya allogique (hakiri kare) no gufata amagufwa ya allograft. Mubikorwa, umuganga ubaga yamenye kugabanya anatomical na anatomical anatomical, bakomeje guhuza ibintu bisanzwe, gukosora byimbere, amagufwa ahujwe ninkunga. Yahawe ivi na meniscUs kubisuzuma mbere cyangwa imanza zisaba ibikorwa, kandi zikora inzira ikwiye yo gusanwa.
1.3 Guvura nyuma yo kuvurwa: Amashanyarazi ya Elastike agomba guhabwa neza, kandi yatinze kwinjizwamo umuyoboro w'amazi, ugomba gucogora kuri 48h. Bisanzwe nyuma ya Analgesia. Abarwayi bafashe imyitozo yimitsi nyuma ya 24h, kandi bafata imyitozo ya CPM nyuma yo gukuraho umuyoboro wamaguru kugirango bavuruke byoroshye. Yahujije imvugo ifatanye, inyuma yimyambaro yinyuma ya ligament, cyane kandi yimuye ivi nyuma yo gutunganya plaster cyangwa kuvuza ukwezi kumwe. Ibisubizo by'ibizamini bya X-ray, abaganga babaga bayobora buhoro buhoro bafata imyitozo yo gupakira imikoranire, kandi hagomba gukorwa ibiro byuzuye bigomba gushyirwa byibuze nyuma y'amezi ane.
Igihe cya nyuma: Jun-02-2022
