Kuvunika kuvunika kwa patella nikibazo kitoroshye cyamavuriro. Ingorabahizi iri muburyo bwo kuyigabanya, kuyikata hamwe kugirango igire ubuso bwuzuye, nuburyo bwo gukosora no gukomeza gukosora. Kugeza ubu, hari uburyo bwinshi bwo gukosora imbere bwokuvunika kwa patella, harimo gukosora insinga za Kirschner, gukosora imisumari yimisumari, gukosora insinga, gukosora insinga, inzara ya patellar, nibindi byinshi. ni. Uburyo bwo kuvunika ntabwo aribwo bwari buteganijwe.
Byongeye kandi, bitewe nuko hariho ibyuma bitandukanye byimbere byimbere hamwe nuburyo bwa anatomique yuburyo bwa patella, hariho ingorane nyinshi zijyanye no gukosora imbere nyuma yibikorwa, harimo kurakara kwatewe, gukuramo K-wire, kumena insinga, nibindi, ntibisanzwe. mubikorwa byubuvuzi. Kugira ngo ibyo bishoboke, intiti z’amahanga zasabye ikoranabuhanga rikoresha suture idashobora kwinjizwa hamwe na mesh seshure, bita "spider web technology", kandi byageze ku mavuriro meza.
Uburyo bwo kudoda bwerekanwe kuburyo bukurikira (uhereye ibumoso ugana iburyo, kuva kumurongo wo hejuru kugeza kumurongo wo hasi):
Ubwa mbere, nyuma yo kuvunika kugabanuka, imitsi ya patellar ikikijwe isudira rimwe na rimwe ikikije patella kugirango ibe inyubako nyinshi zidafite igice cya kabiri cyumwaka imbere ya patella, hanyuma udushushanyo dukoreshwa muguhuza buri nyubako ya buri mwaka irekuye mukuzenguruka hanyuma uyihambire. ipfundo.
Ubudodo buzengurutse imitsi ya patellar burakomezwa kandi burapfundikirwa, hanyuma suture ebyiri za diagonal zirahuzagurika kandi zipfundikirwa kugirango zikosore patella, amaherezo suture izunguruka kuri patella icyumweru.
Iyo ivi rihindagurika kandi ryaguwe, birashobora kugaragara ko kuvunika gukomeye kandi hejuru yuburinganire buringaniye:
Uburyo bwo gukiza nuburyo bukoreshwa mubibazo bisanzwe:
Nubwo ubu buryo bwageze ku bisubizo byiza by’ubuvuzi mu bushakashatsi, mu bihe turimo, gukoresha ibyuma bikomeye byatewe birashobora kuba amahitamo ya mbere y’abaganga bo mu rugo, ndetse birashobora no gufasha ubudahangarwa bwa plaster nyuma yo kubaga kugira ngo biteze kuvunika no kwirinda gukosorwa imbere. Kunanirwa nintego yibanze; ibisubizo byimikorere no kunanirwa kumavi birashobora kuba ibitekerezo bya kabiri.
Ubu buryo bwo kubaga bushobora gukoreshwa mu buryo bushyize ku barwayi bamwe batoranijwe kandi ntibisabwa gukoreshwa bisanzwe. Sangira ubu buryo bwa tekiniki bwo kwifashisha abaganga.
Igihe cyo kohereza: Gicurasi-06-2024
