Ururabo rwo mu nda y'ikibunoniinshinge y'amagufwabyagenewe by’umwihariko gushimangira no gushyigikira kuvunika kwa tibia (igufwa rinini ryo mu kaguru ko hasi). Ubu buryo bwo kubaga burakunzwe kuko bugabanya cyane ingaruka, butuma imvune zikira neza, kandi bugatuma umurwayi ashobora kwihuta hakiri kare.
ItsindaUmunyu wa MASTIN wo mu nda y'umugongoni inkoni ndende kandi nto ishyirwa mu muyoboro wa tibia. Umuyoboro unyura hagati muri tibia ugatanga ahantu hakomeye kandi hahamye ho gukosorwa k'umusumari. Ubusanzwe kubagwa bikorwa binyuze mu gukata gato hafi y'ivi cyangwa akaguru, hanyuma umunyururu wo mu nda ushyirwamo. Iyoururabo rwo mu nda y'umugongoIyo ishyizwemo, hakoreshwa vis kuri buri mpera kugira ngo ifatanye neza n'igufwa.
Itsindaseti y'inzara zo mu ndaIgizwe n'umusumari wa MASTIN wo mu gice cy'imbere cy'umutwe, umupfundikizo w'inyuma, umugozi wo gufunga wa DCD, umugozi wo gufunga n'ibindi bice.
Ibyiza byaInzoga z'inzobere mu gusimbuka imisumari
1. Ishusho yo hasi ku mpera ya hafi
2. Umwobo wo gukanda ugenzurwa, Intera ntarengwa yo gukanda ni 7mm
3. Igishushanyo mbonera cya 9º anteflexion kugira ngo byorohere gushyiramo inzara
Amahitamo menshi yo gufunga hafi:
Uburyo butatu bushya bwo gufunga, hamwe n'ibikururu byo gufunga amagufwa, byongera ubushobozi bwo guhagarara kw'igice cya proximal mu gihe cyo kuvunika kwa gatatu kwa proximal.
Uburyo bubiri bugezweho bwo gufunga hagati na hagati butuma habaho gukanda kw'ibanze cyangwa dynamisation ya kabiri igenzurwa.
Umupfundikizo wo ku mpera ubuza umubiri kwinjira kandi worohereza gusohora inzara
Umupfundikizo w'impeta wa 0mm urimo umusumari wa 5mm na 10mm wongera uburebure bw'umusumari niba umusumari urenzeho
Yashyizwe mu kabati
Ifunguye ubwayo kugira ngo ifate umupfundikizo wo ku mpera woroshye kandi woroshye kuwushyiramo
Amahitamo yo gufunga kure agezweho:
Uburyo bwo gufunga bwa distal oblique kugira ngo hirindwe kwangirika kw'ingingo zoroshye no kongera ubusugire bwazo
igice cya kure
Uburyo bubiri bwo gufunga ML n'ubundi bwa AP kugira ngo igice cya distal gikomere neza
Utugozi two gufunga amagufwa tudakora neza:
Byagaragajwe ku buryo butatu bwo gufunga hafi y'imisumari yose ifite umurambararo wa tibial
Igishushanyo mbonera cy'ibanze gifite ibice bibiri kugira ngo kigurwe neza mu igufwa rya cancellous
Unicortical
Uburebure: 40 mm–75 mm
Udukingirizo dusanzwe two gufunga:
Igice kinini cyo kwambukiranya kugira ngo habeho uburyo bwo kunoza ubudahangarwa bw'imashini
Φ4.0 mm kuri Φ8.0 mm na Φ9.0 mm inzara zo mu gice cy'imbere cy'umugongo, uburebure: 28 mm–58 mm
Φ5.0 mm ku nzara zo mu gice cy'imbere cya Φ10.0 mm, uburebure: 28 mm–68 mm