Implants zo gusimbuza ingingo z'amavi nziza cyane za titanium
Ibikoresho byo gutera iviizwi kandi nkaicyuma gishushanya ingingo z'ivi, ni ibikoresho by'ubuvuzi bikoreshwa mu gusimbuza ingingo z'ivi zangiritse cyangwa zirwaye. Bikunze gukoreshwa mu kuvura abarwayi bafite rubagimpande ikomeye, imvune, cyangwa izindi ndwara zitera ububabare budakira bw'ivi no kugenda gake. Intego nyamukuru yo gushyira ingingo z'ivi mu ngingo ni ukugabanya ububabare, kugarura imikorere, no kunoza ubuzima rusange bw'abarwayi bafite ingingo z'ivi zangiritse cyane.
Igice cy'abagore murigusimbuza ingingo y'ivini icyuma cyangwa icyuma gisimbura impera y'igufwa ry'ikibero (femur) mu ngingo y'ivi. Gifite ishusho isa n'imiterere karemano y'igufwa kugira ngo gifashe kwinjira neza mu ngingo. Igice cy'igufwa gikunze gushyirwa ku igufwa hakoreshejwe sima yihariye cyangwa binyuze mu buryo bwo gushyiramo ingufu butuma amagufwa akura hafi y'igitereko.
Mu gihe cyagusimbuza ingingo y'iviMu kubaga, umuganga w’inzobere azaca ivi agakuramo igice cyangiritse cy’umugongo. Hanyuma umuganga w’inzobere azategura igufwa kugira ngo rihabwe ishinge rya femoral. Igice cya femoral kizashyirwa ahantu hakonjeshwa hakoreshejwe sima y’amagufwa cyangwa tekiniki yo gushyiramo ishinge. Igice cya femoral kimaze gushyirwaho, umuganga w’inzobere azafunga ishinge maze umurwayi atangire gukira. Nyuma yo kubagwa, abarwayi bazakenera kwitabira imyitozo ngororamubiri kugira ngo bakomeze ivi kandi bakomeze gukira. Nyuma y’amezi make yo kuvura, abarwayi bashobora kwitega ko ivi rizamera neza kandi rikagira imikorere myiza. Ariko, ni ngombwa gukurikiza amabwiriza yose atangwa na muganga w’inzobere kugira ngo akire neza kandi akire neza.
Irinde ibintu bitatu byo kwibandaho
1. Igishushanyo mbonera cy'imirongo myinshi gitangaubwisanzure bwo kuzunguruka no kuzenguruka.
2. Imiterere y'umurambararo wa J curve femoral condyles ishobora kwihanganira agace gakoranaho mu gihe cyo gucura cyane kandi ikirinda gucukura.
Imiterere yoroshye ya POST-CAM ituma habaho osteotomy ntoya ya PS prosthesis. Ikiraro cy'igufwa gikomeza imbere kigabanya ibyago byo kuvunika.
Igishushanyo cyiza cy'imirongo ya trochlear
Patellatrajectory isanzwe ni ishusho ya S.
● Irinde ko patella medial bias mu gihe cyo gupfuka cyane, iyo ivi na patella ari byo bifite imbaraga zo gukata cyane.
● Ntukemere ko umurongo wa patella trajectory wambukiranya hagati.
1. Uduce dushoboka guhuza
2. Urukuta rwo ku ruhande rufite ibara ryinshi ryirinda kwangirika kw'inyuma.
3. Agasanduku k'imbere gafunguye karinda kwangirika kw'inkingi hejuru.
Guhinduranya dogere 155 bishobora kubabyagezwehohamwe n'ubuhanga bwiza bwo kubaga n'imyitozo ngororamubiri
Udupira twa 3D two gucapa kugira ngo twuzuze inenge nini za metaphyseal ukoresheje icyuma gifite imyenge kugira ngo gishobore kwinjira.
Indwara ya rubagimpande
Nyuma y’ihungabana rikomeye, rubagimpande cyangwa rubagimpande yo mu bwonko itera indwara yo mu bwonko
Kunanirwa gupima amagufwa cyangwa gusimbuza ivi ryose cyangwa gusimbuza ivi ryose