Ufite umugambi wo gukoreshwa forfixation ya tissue, harimo ligament cyangwa tendon kumagufa, cyangwa igufwa / tendon kumagufa.Gukosora ibyemezo birakwiye kubagwa ivi, urutugu, inkokora, amaguru, ikirenge, n'ukuboko / ukuboko aho ubunini butangwa butangwa. ihangane bikwiye.
Sisitemu ya screw na sheath ikoreshwa muburyo bwo kubaga amagufwa kubikoresho bitandukanye, nko gukosora amagufwa cyangwa gusana ligament.Dore muri rusange ishusho yimikorere ya sisitemu ya screw na sheath: Igenamigambi mbere yo kubaga: Umuganga ubaga azasuzuma uko umurwayi ameze, asuzume amashusho y’ubuvuzi (nka X-ray cyangwa scan ya MRI), kandi amenye ingano nubwoko bukwiye. imigozi n'ibishishwa bisabwa muburyo bukurikizwa.Gufata no kwerekana: Umuganga ubaga azakomeretsa ahabagwa kugirango agere aho yibasiwe.Uturemangingo tworoheje, imitsi, nizindi nzego byimuwe neza kuruhande cyangwa bigasubizwa inyuma kugirango berekane igufwa cyangwa ligamente bisaba gusanwa.Gucukura umwobo windege: Ukoresheje imyitozo yihariye yo kubaga, umuganga azabishiraho yitonze umwobo windege mumagufwa kugirango yemere imigozi.Ibyo byobo byindege byemeza neza neza kandi neza.Ikora nk'ubuyobozi, ikingira imyenda yoroshye ikikije kandi ikemerera gushyira neza neza umugozi. Gushyira imiyoboro: Imashini, ubusanzwe ikozwe muri titanium cyangwa ibyuma bitagira umwanda, yinjizwa mumashanyarazi no mu mwobo windege.Imigozi irashushanyijeho kandi irashobora gukomera kugirango ikosore igufwa cyangwa igahuza ibice bibiri byamagufwa hamwe. Kurinda umugozi: Iyo umugozi umaze kwinjizwamo byuzuye, umuganga abaga ashobora gukoresha icyuma cyangwa ikindi gikoresho gikwiye kugirango umutekano ube wanyuma.Ibi birashobora kuba bikubiyemo kwizirika umugozi kugirango ugere ku kwifata cyangwa guhagarara neza. Gufunga: Iyo umugozi nurupapuro bimaze gushyirwaho neza kandi bigashyirwaho umutekano, umuganga ubaga azafunga ibice akoresheje suture cyangwa staples.Igikomere noneho gisukurwa kandi cyambaye.Ni ngombwa kumenya ko imikorere ya sisitemu ya screw na sheath ishobora gutandukana bitewe nuburyo bwihariye hamwe na anatomique irimo.Ubuhanga bwo kubaga hamwe nuburambe ni ngombwa mugushakisha neza ibisubizo byiza.