Tekinike yo kubaga | Indwara ya femoral compatle Graft Imbere yo kuvura imivurungano ya tibial

Ikibanza cya Tibial cya Tribial Intego y'ibanze yo kubaga ni ukugarura uburyo bworoshye bwo hejuru no guhuza ingingo yo hepfo. Ubuso bugufi bwaguye, ubwo buzamutse, busiga inenge y'amagufwa, akenshi bisaba gushyira amagufwa ya autogetouto, ya allograft, cyangwa igufwa rya artificiete. Ibi bikora intego ebyiri: Icya mbere, kugarura inkunga yububiko bwamayoko, naho kabiri, guteza imbere ubukungu.

Urebye ibinyomoro bisabwa kumagufa ya autogeutous yaliac, biganisha ku ihahamuka rinini, kandi imbaraga zo kwangwa no kwangwa, intimba zimwe na zimwe zamagufwa, intimba zimwe, intimba zimwe na zimwe zamagufwa mugihe cyo kugabanya ikibaya cya burundu no gukosora imbere (Orif). Bagira uruhare mu kwagura kimwe mu buryo bukora kandi bagakoresha amagufwa yo muri kanseri ava muri femorral femoral. Raporo nyinshi zanditse ubu buhanga.

Ubushakashatsi bwarimo imanza 12 hamwe namakuru yuzuye yo gukurikirana amashusho. Mu barwayi bose, hakoreshejwe inzira yimbere yimbere. Nyuma yo kwerekana ikibaya cya Tibial, kwaguka kwagutse hejuru kugirango ushireho femorral femoral. Inkomoko y'amagufwa ya 12mm Umubumbe wabonetse kuva kuri 20 kugeza 40CC.

Nyuma yo kuhira amagufwa ya mokun, sponge ya hessatike irashobora kwinjizwa nibiba ngombwa. Amagufwa yasaruwe yasaruwe mu ndwara y'amagufwa munsi y'ibibaya bya Tibial Paris, bikurikirwa na gahunda yo gukosora imbere. Ibisubizo byerekana:

① Kugirango usohoza imbere ikibaya cya tibial, abarwayi bose bageze ku kuvunika.

② Nta kubabara cyangwa ingorane zikomeye zagaragaye kurubuga aho amagufwa yasaruwe muri condile.

③ gukira igufwa ku rubuga rw'isarura: Mu barwayi 12, 3 yerekanye gukira burundu amagufwa ya cortical, 8 yerekanaga gukira kw'igice, 8 byerekanaga gukira kw'igice, 8 byerekanaga gukira kw'igice, 8 byerekanaga gukira igice, naho 1 yerekanye ko amagufwa akira.

Gushiraho imyanda y'amagufwa ku rubuga rw'isarura: Muri 9, nta magufa igaragara y'amagufwa, kandi mu magufwa 3, hagaragaye igice cy'amagufwa.

Coffetions of osteoarthritis: Mu barwayi 12, 5 bateye imbere nyuma yihungabana rya arthritis yo mu ivi. Umurwayi umwe wasimbuwe hamwe imyaka ine.

Mu gusoza, gusarura amagufwa kuva muri ipilateral cicals yambukiranya ibibaya byiza bya Tibial Ubu buhanga burashobora gusuzumwa kandi buvugwa mubikorwa byubuvuzi.