Nibihe Byapa Byakoreshejwe Byinshi muri Ortopedie Yihahamuka?

Intwaro ebyiri zubumaji zihahamuka ortopedie, isahani hamwe numusumari. Amasahani nayo ni ibikoresho bikoreshwa cyane mugukosora imbere, ariko hariho ubwoko bwinshi bwamasahani. Nubwo byose ari icyuma, imikoreshereze yabyo irashobora gufatwa nkintwaro igihumbi yitwa Avalokitesvara, itateganijwe. Waba uzi ibyo byose?

1. Itsinda rya Tesion Band

Isahani ni bande?

Iyo ubukanishi bwamagufwa amwe yimuriwe kuri eccentric fixation, isahani yicyuma nigitambambuga, nka femur, kandi isahani yicyuma igomba gushyirwa kuruhande.

2. Uburyo bwo kwikuramo 

Isahani yotswa igitutu ikorwa mu gusunika umugozi mu gifunga, ibyo bikaba ari ihame ryo kunyerera.

Nyamara, umuvuduko uzatuma umuvuduko uri hagati yisahani nigufwa rinini cyane, kandi rimwe na rimwe bigira ingaruka kumagufwa. Kubwibyo, isahani ntarengwa yo guhuza hamwe na point contact ihimbwa, aribyo dukunze kwita LCP.

Niba ushaka kotsa igitutu, mugihe cyo gucukura, ugomba kwitondera ko gucukura bigomba kuba hafi yuruhande rwurufunguzo (hejuru), kandi gucukura mumwanya wo hagati ntibizagira ingaruka zo gukanda impera yamenetse (hepfo). Ingaruka irashobora kwiyongera gusa nka 1mm.

1. Gufunga isahani  

Gufunga isahani, ni ukuvuga, screw hamwe nisahani yabanje guhuzwa muburyo bufunze. Mubisanzwe umwobo wo gufunga nu mwobo ukanda, ariko imikorere yabyo iratandukanye rwose.

Gufunga imigozi birashobora kongera imbaraga zimbere zo gukosora imbere, kandi guhangana kwabo gukururwa nibyiza, cyane cyane imigozi yo gufunga inguni, icyamenyekanye cyane ni plaque ya humeral filime.

1. Uburyo bwo kutabogama 

Isahani yo kutabogama ntabwo itanga compression kumutwe wavunitse, ariko gusa ingaruka yo guhuza kumpera. Kuberako impera zavunitse zotswa igitutu nudukingirizo twa lag, ariko imbaraga zimigozi ya lag zirwanya kugonda, kuzunguruka, no kogosha ni bike, bityo hakenewe isahani yicyuma kugirango ifashe.

Mu isahani idafite aho ibogamiye, imbaraga nyamukuru ni lag screw. Iyo umurongo wavunitse ari munini kandi muremure, imigozi ya lag 2-3 irashobora gukoreshwa mugukurura perpendicular kumurongo wavunitse, hanyuma igafashwa no gutunganya plaque.

Isahani yo kutabogama ikoreshwa cyane mugukosora malleolus na clavicle.

1. Isahani 

Nigute ushobora gushira buttress muri orthopedics? Byibanze gusaba ni kuvunika kurwanya imbaraga zogosha, zashyizwe mubyerekezo bigenda. Icyuma gishyigikira icyuma ntigikeneye kuba kinini ugereranije nicyuma gisanzwe cyotswa igitutu, kandi ntigomba kuzuzwa imigozi.

Isahani yicyuma igomba kuba yabanje kugororwa, gusunikwa mumigozi ya cortique hanyuma ukava kure ukagera hafi, kandi ugakoresha imigozi ya cortical kugirango uhuze icyuma. Bitewe nuburyo bworoshye, isahani yicyuma ifite imyumvire yo gukomeza kunama, kandi izo mbaraga zikoreshwa mugukora imirimo ya buttress.

1. Isahani ya Antiglide  

Nyuma yo gukosora ibyapa, irinde guhagarika kuvunika kunyerera hanze munsi yimbaraga ndende. Ahanini ikoreshwa mumpera ya kure ya fibula.

1. Gufata umwanya munini cyangwa gushiraho ikiraro 

Ubu ni verisiyo yahinduwe ya plaque yo kutabogama, igamije kuvunika kwa cadre, binyuze mugukurikirana fluoroscopi, isahani yambukiranya agace kavunitse kandi igakosora impera zegeranye n’intera zavunitse, kandi agace kavunitse ntikagenwe.

Ubu bwoko bwikoranabuhanga bushimangira cyane guhuza, guhuza, uburebure, no kuzunguruka. Kumenagura hagati birashobora gukorwa hatabayeho kuvurwa, bishobora kurinda neza itangwa ryamaraso yumutwe wacitse. Ariko, twakagombye kumenya ko icyuma kigomba kugira uburebure buhagije, kandi umubare wimigozi kumpande zombi ugomba no kuba uhagije. . Kugeza ubu, amagufwa amwe adakunze kubaho, akeneye kuvurwa neza