Suzuma inzara zacu zo mu nda za Tibial Intramedullary

Kuki kubaga inzara zo mu bwoko bwa Tibial ari ngombwa?
Intramedullar y'ikibunoyUmusumariIkomeje kuba uburyo bwiza bwo kuvura imvune zidakora neza kandi zitameze neza ku bantu bakuru. Intego zo kubaga ni ukugarura uburebure, imiterere, n'izunguruka bya tibia no gukira kw'imvune. Ibyiza byoIinteramedullaryNkurwaraharimo ibikomere bike byo kubagwa no kubungabunga amaraso y'aho yavunitse. Byongeye kandi,Inzoga z'inzobere mu gusimbuka imisumarigutanga ubushobozi buhagije bwo gucika intege mu mubiri no gukora nk'ibikoresho byo gusangira imizigo, bigatuma habaho kwihuta mu gihe cyo kubagwa. Iterambere mu miterere y'inzara zo mu nda no kugabanya inzara ryazamuye ibimenyetso byo gufata inzara zo mu nda, harimo kuvunika kw'inyuma no kuvunika kw'igice cya gatatu cyo hagati n'icya kure cya tibia.

Ni iki clinicalaporogaramuby'ishyirwa ry'inzara zo mu bwoko bwa Tibial?
Gucika intege guhamye kwa 1/3 cyo hagati cya tibia: kuvunika kw'inyuma, kuvunika gugufi kw'inyuma, pseudarthrosis.Kuvunika kudahamye mu gice cya 60% cy'uburebure bwo hagati mu gice cy'amagufwa: kuvunika hafi y'aho ibice biherereye, kuvunika kure mu buryo bw'uruziga, kuvunika ibice, kuvunika kwangiritse, kuvunika kw'amagufwa.

Ni ibihe bice by'ingenzi bigizesisitemu y'inzara zo mu gice cy'imbere cy'umugongo?
UbusanzweUmusumari wo mu bwoko bwa Tibialsisitemu igizwe n'umusumari wo mu gice cy'imbere cy'umutwe, umugozi wo gufunga n'umupfundikizo wo ku mpera.
Sisitemu yo gufata umugongo imbere igizwe na screw, screw isanzwe, inkoni yo guhuza, na crosslink.

Ni izihe nyungu z'umusumari wacu uhuza?
Inzara z'amagufwa
Ishusho yo hasi ku mpera ya hafi
Umwobo wo gukanda ugenzurwa
Intera ntarengwa yo gukanda ni 7mm
Igishushanyo 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.

Umusozo w'Impera
Umupfundikizo wo ku mpera ubuza umubiri kwinjira kandi worohereza gusohora inzara
Umupfundikizo w'impera wa 0mm urimo umusumari wa 5mm na 10mm wongera uburebure bw'umusumari niba umusumari aribyashyizwemo hejuru
Yashyizwe mu kabati
Ifunguye ubwayo kugira ngo ifate umupfundikizo wo ku mpera woroshye kandi woroshye kuwushyiramo

Umugozi wo Gufunga
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