I.Amagufwa Yuzuza Tekinike
Uburyo bwo kuzuza amagufwa bwuzuza uburyo bukwiriye abarwayi bafite ubwoko buto bwa Aori I amagufwa inenge nibikorwa bidakora neza.
Ubuhanga bworoshye bwamagufwa busaba uburyo bwo guhanagura neza inenge, kandi sima ya magufa yuzuza icyuho cyimpande zose zishoboka, bityo igera ku ingirakamaro cyane hamwe nimikoreshereze yakiriye.
Uburyo bwihariye bwaBimweCKwiyongera +SIkoranabuhanga rya Crew ni ugusukura neza inenge, hanyuma ukosore imiyoboro yamagufwa yakiriye, kandi witondere kutareka umugozi urenze amagufwa arenze osteotomy; Noneho vanga ingwate yamagufwa, uzuza inenge mumagufwa, hanyuma uzenguruke inkubi y'umuyaga. Ritter ma et al. Ikoresheje ubu buryo bwo kubaka inenge y'ibibaya bya Tibial, kandi ubururu bw'ineza bwageze kuri 9mm, kandi nta myaka 3 itajega nyuma y'iki gikorwa. Guhindura amagufa yuzuza ikoranabuhanga rikuraho amagufwa make, hanyuma akoresha prosthosi isanzwe gusubiramo, bityo bikagabanya ibiciro bivuzi kubera gukoresha prostate, bifite agaciro gafatika.
Uburyo bwihariye bwamagufwa + yerekana ikoranabuhanga ni ugusukura neza amagufwa, gutunganya imiyoboro y'amagufwa, kandi ukemure ko umugozi wakiriye utagomba kurenza amagufwa akurikiraho; Noneho vanga ingwate yamagufwa, uzuza inenge mumagufwa, hanyuma uzenguruke inkubi y'umuyaga. Ritter ma et al. Yakoresheje ubu buryo bwo kubaka inenge y'ibibaya bya Tibial, kandi uburinganire bw'ineza bwageze kuri 9mm, kandi nta myaka 3 itajega kubagwa. Bityo amagufwa yuzuza ikoranabuhanga akuramo amagufwa make, hanyuma akoresha prosthosi isanzwe gusubiramo kubera gukoresha prosthos, ifite agaciro keza (ishushoI-1).
IshushoI-1Amagufwa yuzuye kandi ashimangira
II.Uburyo bwo gufata amagufwa
Gutegura amagufwa birashobora gukoreshwa mugushakisha amagufwa akubiyemo amagufwa asigaye mu kubagwa ivi. Ari akwiriye cyane cyane kwiyubaka Aroi Ubwoko II kugeza III. Mu kubagwa, kubera ko urugero n'umutwe w'amagufwa muri rusange bikabije, umubare w'amagufwa yo mu binonyo yabonetse kandi ahanini amagufwa atose igihe prostèse yakuweho mugihe cyo kubagwa amagufwa. Kubwibyo, amagufwa ya granular ya granular akoreshwa mugukoresha amagufwa mugihe cyo kubaga.
Ibyiza byo Gutegura Amagufwa ni: Gumana amagufwa ya igufwa ryakiriye; gusana ibishushanyo mbonera byoroshye cyangwa bigoye.
Ibibi by'inabuhanga ni: Igikorwa ni ugutwara igihe; Ikoranabuhanga ryo kubaka rirasaba (cyane cyane iyo ukoresheje akazu ganini); Hariho amahirwe yo kwanduza indwara.
Gutegura Amagufwa yoroshye:Gutegura amagufwa byoroshye akenshi bikoreshwa muburyo bwo gukuramo amagufwa. Itandukaniro riri hagati yububiko bwa comprestion hamwe nuburyo bwo gufatwa kububiko bwa grant grant ya grant na grant ya grant ya prantion ikorwa mububiko bwa compression bushobora guhitana bushobora guhitana kandi busubirwamo rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi bivuguruza rwose kandi byuzuye.
Mesh Icyuma Cyuma + Gutegura Amagufwa:Inkunga y'amagufwa idahwitse isaba kwiyubaka ukoresheje mesh cyuma gitanga amagufwa. Gucunga Femur mubisanzwe biragoye kuruta kongera kubaka Tibia. X-Imirasire yerekana ko kwishyira hamwe kwamagufwa hamwe nubukungu bituma ibikoresho bya graf buhoro buhoro birangira (ishushoII-1-1, IshushoII-1-2).
IshushoII-1-1Mesh Cage compression Amagufwa arateganya gusana inenge ya tibial. Hakati. B pose ya posita x-ray
FigurE II-1-2Gusana amagufwa ya tibia na tibia hamwe na titanium mesh compression yububiko. Hakati. B pose ya posita x-ray
Mugihe cyo kuvugurura arthroplasty, igufwa rya allogeneic rikoreshwa cyane cyane ryo kubaka ubwoko bwa Aori Ubwoko bwa Aori Ubwoko bwa Aori Ubwoko bwa Ii cyangwa III yamagufa. Usibye kugira ubumenyi buhebuje hamwe nubunararibonye bukize mugusimbuza ivi, kandi hagomba kandi kwiyitaho kandi birambuye. Gukoresha amagufwa yububiko birashobora gukoreshwa mugusana inenge yamagufwa kandi yongera amagufwa.
Ibyiza byiri ikoranabuhanga birimo: Birashobora gukorwa mubunini nubunini kugirango uhuze n'amagufwa and fone zitandukanye za geometrike; Ifite ingaruka nziza gushyikirana protates; no kwishyira hamwe kwigihe kirekire birashobora kugerwaho hagati yamagufa ya Allogeneic hamwe namagufa yakiriye.
Ibibi birimo: Igihe cyo gukora igihe kirekire mugihe gitema igufwa rya Allogeneic; Inkomoko ntarengwa y'amagufwa ya allogeneic; ibyago byo kuba nonion kandi byatinze gutinda bitewe nibintu nkibivumburwa byamagufwa no kuvunika amagufwa mbere yuko gahunda yo kwishyira hamwe igurwa ryamagufwa irangiye; ibibazo byo kwinjiriza no kwandura ibikoresho byahinduwe; ubushobozi bwo kwanduza indwara; Kandi bidahagije amagufwa ya allogeneic. Amagufwa ya Allogeneic yubatswe asarurwa na femur ya kure, tibia, cyangwa umutwe wibinyabuzima. Niba ibikoresho byoroheje ari binini, byuzuye gusubiramo mubisanzwe ntibibaho. Imitwe ya allogeneic irashobora gukoreshwa mugusana ububiko bwamagufwa ya femoral na tibial igufwa ya tibial, cyane cyane gusana amagufwa ya kaviti-yubwoko bwa kavitike, kandi bugenwa no gutondekanya amakuru nyuma yo gutema hamwe. Ibisubizo bya Clinique hakiri kare gukoresha amagufwa ya allogeneic kugirango usane inenge y'amagufwa yerekanaga igipimo kinini cyo gukiza amagufwa yatewe (ishushoII-1-3, IshushoII-1-4).
IshushoII-1-3Gusana femoral igufwa ryumugore hamwe numutwe wa allogeneic femoral
IshushoII-1-4Gusana inenge ya tibial igufwa rya allogeneic femoral
III.Ikoranabuhanga ryuzuza Ibyuma
Ikoranabuhanga rya Modular Ikoranabuhanga risobanura ko filime yicyuma ishobora guteranwa hamwe na prostate na IntramediLlary. Abayungurutsa barimo moderi zitandukanye kugirango borohereze iyubakwa ryamagufwa andy yubunini butandukanye.
Metallic Prosthetic Yongera:Modular Stal Stracer ibereye cyane cyane Aori Ubwoko bwa Aori Ibikubiyemo Byuzuye hamwe nubunini bwa cm igera kuri 2.Gukoresha ibice by'ibyuma byo gusana indero y'amagufwa biroroshye, byoroshye, kandi bifite ingaruka zizewe.
Ibikoresho byicyuma birashobora kuba byiza cyangwa bikomeye, kandi imiterere yabo ikubiyemo imirongo cyangwa ibice. Ibikoresho by'icyuma birashobora guhuzwa ninkoni ihuriweho nimigozi cyangwa ikosorwa na enament. Bamwe mu bahanga bemeza ko gukosora amagufwa gukosora bishobora kwirinda kwambara imiti no gusaba amakosa y'amagufa. Intiti zimwe na zimwe zirafasha uburyo bwo gukoresha ingwate ryamagufwa mbere hanyuma ushimangire hamwe na screw hagati ya spacer na prostrasi. Inenge zanya femoral zikunze kugaragara mubice byinyuma kandi bya kure byumuyoboro, bityo imyanya y'ibyuma isanzwe ishyirwa mubice byinyuma kandi bya kure bya femoral cingyle. Kubumbano bwa tibial igufwa ,dges cyangwa guhagarika birashobora gutorwa kwiyubaka kugirango uhuze nuburyo butandukanye. Ubuvanganzo buvuga ko igipimo cyiza kandi cyiza kiri hejuru ya 84% kugeza 98%.
Ibice bya Wedge bikoreshwa mugihe inenge yamagufa ari wedge yashizwemo, ishobora kubika igufwa ryakiriwe. Ubu buryo busaba Osteotomy cyane kuburyo hejuru ya osteotomy ihuye na blok. Usibye imihangayiko yo kwikuramo, hariho kandi imbaraga zo gukosora hagati yimikino. Kubwibyo, inguni yumurongo ntigomba kurenza 15 °. Ugereranije nibice bya Wedge Wedge, ibyuma bya silindrical bifite ibibi byo kongera umubare wa Osteotomy, ariko ibikorwa byo kubaga biroroshye kandi byoroshye, kandi ingaruka zamashini ni hafi mubisanzwe (III-1-1A, b).
IshushoIII-1-1Ikibanza cy'icyuma: Ikibanza-gihwanye na wedge yo gusana inenge za tibial; B inkingi yambaye imyenda yo gusana inenge za tibial
Kuberako imyanya yicyuma yateguwe muburyo butandukanye, bikoreshwa cyane mumagufwa adafite amagufwa atari mumagufwa atandukanye, kandi atanga ibyiza byambere. Nyamara, ubushakashatsi burebure bwasanze umwanya wicyuma cyananiwe kubera guhangayika. Ugereranije nububiko bwububiko, niba ibikoresho byicyuma birananirana kandi bigomba kuvugururwa, bizatera inenge nini yamagufwa.
Igihe cyagenwe: Ukwakira-28-2024
