Impamvu kubaga bahitamo ibyapa bifunga kuruhande kugirango basane inkokora

Uruhare rwa Hafi ya Humerus Ifunga Amasahani mugihe kigezweho

Icyuma cya Distal Lateral Humerus Gufunga cyashizweho byumwihariko kugirango gikemure ibibazo bya biomehaniki na clinique byo gukemura ibibazo byavunitse byimyanya ndangagitsina. Gushyira mu bikorwa ku mpande zemewe:

Guhitamo neza no kuboneka mugihe cyo kubagwa

Inguni ihamye binyuze mugufunga screw-plate

Anatomical kontouring kugirango arusheho gutera amagufwa

Amahitamo menshi ya screw kugirango akemure ibice byaciwe

 

Shakisha impamvu iyi sisitemu igenda ikundwa nihungabana naba orthopedic kubaga kwisi yose.

1. Guhagarara kw'inguni muri Osteoporotic n'amagufwa yagabanijwe

Mu barwayi ba osteoporotique, kugera kuri screw yizewe ni ikibazo gihoraho. Gufunga tekinoroji ya tekinoroji itanga inguni zifunga umutwe wa screw mu isahani, ugakora inguni ihamye. Ibi biremera:

Kurwanya gukomeye kurekura imigozi cyangwa guhindagurika

Gukwirakwiza umutwaro mwiza, cyane cyane metafhyseal comminution

Gukenera kugabanya kugura neza-amagufwa, byingenzi mumagufwa yoroshye

Iyi mikorere ni ingirakamaro cyane cyane mubantu bageze mu zabukuru, aho imiyoboro gakondo idafunga idashobora gutanga gufata bihagije.

 

2. Gukosora Byinshi Mubice Byimbere

Imikorere yinkokora iterwa nubuso bwuzuye bwubaka. Mubice byimbere byimyanya ndangagitsina (nka AO yo mu bwoko bwa C ivunika), icyuma gifunga icyuma cya kure gitanga:

Inzira nyinshi zifunga inzira zo gukosora ibice byumutwe neza

Igishushanyo cyo hasi kugirango ugabanye ingirabuzimafatizo zoroshye

Kunonosora ubukana bwo gukosora hakiri kare

Imiterere ya anatomique hamwe nubushobozi bwo gukoresha imiyoboro ihuza cyangwa itandukanya ituma umuganga abaga gufata uduce duto, tutajegajega neza.

 

3. Yongerewe imbaraga zo kubaga no guhuza ibintu neza

Igishushanyo cy'isahani gikunze kubamo umwirondoro wabanjirije guhuza inkingi ya kure ya humerus. Ibi bigabanya gukenera kunama imbere kandi bigafasha kurinda amaraso ya periosteal. Inyungu zinyongera zirimo:

Amahitamo maremare menshi kugirango ahuze urwego rutandukanye

Guhuza hamwe nuburyo bworoshye bwo gutera

Gutobora umwobo cyangwa K-wire kugirango ufashe mugukosora by'agateganyo cyangwa inyama zoroshye

Ibiranga bigabanya igihe cyo gukora no kuzamura imyororokere.

 

4. Gutezimbere Ibikorwa Byambere Byakorewe

Gukosora bihamye ningirakamaro mugusubirana hakiri kare, nibyingenzi kugirango wirinde gukomera hamwe no kugarura inkokora. Imbaraga za biomehanike zitangwa nugukingura zifasha kubaga:

Tangira imyitozo ya pasiporo kare cyangwa ifashwa-ifasha inkokora

Mugabanye gukenera igihe kirekire

Mugabanye ibyago byo malunion cyangwa gutsindwa ibyuma

Gukangurira hakiri kare ni ngombwa cyane cyane ku barwayi bageze mu za bukuru cyangwa polytrauma kugirango bagabanye ibibazo kandi bitezimbere muri rusange.

 

5. Ibimenyetso bya Clinical hamwe nibyifuzo byo kubaga

Ubuvuzi bwa Clinical bwagiye bugaragaza umusaruro ushimishije hamwe na sisitemu yo gufunga isahani ya sisitemu mu kuvunika inkokora. Inyungu zavuzwe zirimo:

Igipimo cyo hasi cyo kudahuza hamwe no kunanirwa ibyuma

Kugarura neza inkokora urwego rwimikorere

Gusubiramo bike ugereranije no gusya bisanzwe

Abaganga babaga baha agaciro ibyateganijwe hamwe nicyizere icyapa gifunga gitanga, cyane cyane muburyo bwo kuvunika.

 

6. Gusaba muburyo bubiri bwo guhuza

Mubice bidahungabana cyane cyangwa byavunitse, cyane cyane mumyanya ndangagitsina ya kure ifite uruhare rwa bicondylar, ibyapa bifunga impande zombi bikoreshwa kenshi hamwe nibisahani byo hagati muburyo bwa 90-90. Mubihe nkibi, isahani yinyuma itanga inkingi zingirakamaro zinkingi, mugihe gufunga imigozi byemeza neza umutekano muke mu ndege zihinduka.

 

Guhitamo Ubwenge Kuburyo bwo Kuvunika Inkokora

Mu kubaga ihahamuka rya kijyambere, Distal Lateral Humerus Ifunga Amasahani yagaragaye nkuburyo bwatoranijwe bwo gukosorwa bitewe nuburyo budasanzwe, butajegajega, hamwe nubushobozi bwo gukomeza gukosorwa mumagufwa ya osteoporotic kandi yanduye. Igishushanyo cyabo cyoroshya kugabanya neza no gutuza gukomeye, gushyigikira gusubizwa hakiri kare hamwe nubuvuzi bwiza bwo kwa muganga.

Kubaganga babaga amagufa bashaka igisubizo cyizewe cyo kuvunika inkokora zoroshye, cyane cyane mumagufwa yoroshye, iki gitera gitanga imikorere, ituze, hamwe nuburyo bwo kubaga busabwa kugirango ugere kubisubizo byiza.

Nkumushinga wihariye wimyitozo ngororamubiri, Jiangsu Shuangyang Medical Instrument Co., Ltd itanga uburyo butandukanye bwo gufunga ibyapa kugirango bikosore. Ibyapa byacu bya kure bya Humerus bifunga ibyapa byakozwe neza muburyo bwo guhuza imiterere no kuvura neza, byizewe nabaganga babaga mubitaro no mubigo byihungabana kwisi. Reka tugufashe kuzamura ibisubizo byawe byo kubaga hamwe na sisitemu yo gukosora byagaragaye.