Amakuru - Tekinike yo Kugaba | Inkingi yo hagati yashizwemo isaba kuvunika femoral femoral

Kuvunika femoral femoral bikunze kugaragara ibikomere byubuvuzi biturutse ku ihahamuka ryingufu nyinshi. Kubera ibiranga anatomique bya femur feximal, umurongo uvunika uhuza hejuru yubuhanzi kandi urashobora kwaguka mu ngingo, bigatuma bidakwiriye intera imisumari yo gukosora imisumari. Kubwibyo, igice cyingenzi cyimanza kiracyafite ikosorwa ukoresheje isahani na sisitemu ya screw. Ariko, ibiranganya ibinyabuzima byerekana ibyapa byemewe bitera ibyago byinshi byingorabahizi nkisahani yo gukosora ibibanza, guturika imbere, no gukururwa. Gukoresha ubufasha bwo hagati bwo gukosora, nubwo bukora, bizanabisubizo byigihe cyiyongereye, igihe kirekire cyo kubaga, kandi cyongerewe ibyago byo kwandura nyuma, kandi wongeyeho umutwaro wamafaranga kubarwayi.

Urebye ibi, kugirango ugere ku ntera ishyize mu gaciro hagati y'ibinyabuzima bitonda ibyapa bimwe bifitanye isano no gukoresha amasahani abiri y'ikigereranyo n'inyuma, intiti zo mu mahanga zashyizeho ibitego byinshi. Ubu buryo bwagaragaje ibisubizo byiza byubuvuzi.

Nyuma ya anesthesia, umurwayi ashyirwa mumwanya wo gutanga sup.

Intambwe ya 1: Kugabanuka. Shyiramo urufatiro rwa 2.0mm muri Tuberositity, gukurura kugirango usubize uburebure buringaniye, hanyuma ukoreshe ikinamico kugirango ukosore icyegeranyo cya SAGITTAL.

Intambwe ya 2: Gushyira isahani yicyuma. Nyuma yo kugabanuka kwibanze ukurikije gukurura, hitamo isahani ihagije kugirango igabanye igabanuka, hanyuma ushiremo imigozi ibiri kumurongo wa paractire kugirango ugabanye kugabanuka. Kuri iyi ngingo, ni ngombwa kumenya ko imigozi ibiri ya kure igomba gushyirwa imbere bishoboka kugirango wirinde kubashyikiriza imigozi yo hagati.

Intambwe ya 3: Gushyira inkingi zidahwitse. Nyuma yo guhagarika umutima hamwe nisahani yicyuma, koresha imyitozo ya 2.8mm kugirango winjire hagati yumunyamuryango cyangwa imyanya yinyuma yimbunda ndende, hanze ya diagonal, yinjira mu magufa ahateganye. Nyuma yo kugabanya fluoroscopi, koresha imyitozo 5.0m kugirango ukore umwobo hanyuma ushiremo amagufwa ya 7.3mm.

Igishushanyo cyerekana inzira yo kugabanya no gukosorwa. Umugore wimyaka 74 hamwe nuduce twa femoral intra-articular (ao 33c1). . . (D) ishusho ya fluoscopy yerekana umwanya ushimishije winsinga zubuyobozi; .

Mugihe cyo kugabanya, ni ngombwa gusuzuma ingingo zikurikira:

(1) Koresha insinga iyobora hamwe na screw. Kwinjiza inkingi yinkingi hagati, kandi ukoresheje insinga ziyobora zitagira umugozi bishobora kuganisha ku nguni ndende mugihe cyo gucukura, bigatuma ikunda kunyerera.

. Niba inzitizi zifatanije mugihe cyo guhuza inkingi, tekereza ku kwikuramo ikintu cya kure cya plate kuruhande, bitanga umwanya wo gushyira imigozi yinkingi.