Tsarin ƙusa Intramedullary Tibia
Ƙarshen Cap
Matsakaicin Zare Biyu 5.0
Tsarin Kulle Nail
Distal 4.5 zaren biyu
kulle ƙusa tsarin
Alamu
Karya Shaft Tibia
Tibial metaphyseal karaya
Wani sashi na tibial plateau karaya ta cikin-gogi
Da kuma karaya daga cikin tibia mai nisa
Multi-planar threaded kulle dunƙule rami zane a kusa da ƙarshen babban ƙusa, haɗe tare da na musamman soke kashi dunƙule, ya ba shi mara misaltuwa "kwantar da hankali", saduwa da bukatun ga kayyade na proximal soke kashi na tibia, da kuma samar da. karfi rike karfi.
Tsarin rami mai nisa yana hana ƙusa kullewa fita kuma yana haɓaka amincin gyare-gyare.
Tsarin ramin kulle ultra-distal yana ba da kewayon gyarawa mai faɗi.
An sanya ƙusa mafi nisa a kusurwa don guje wa lalacewa ga mahimman kyawu masu laushi irin su tendons da inganta kwanciyar hankali na gyaran karaya.
Kayan aiki
Harka
Tips na Likita
Bambanci tsakanin incision na tiyata
Hanyar Parapatella: Yi aikin tiyata kusa da patella na tsakiya, yanke ƙungiyar goyon bayan patellar, kuma shigar da rami na haɗin gwiwa.Wannan tsarin tiyata yana buƙatar subluxation na patella.
Hanyar suprapatellar: kuma shigar da sararin haɗin gwiwa don aiki, aikin tiyata yana samuwa a kan patella kusa da patella, kuma ƙusa intramedullary ya shiga tsakanin patella da tsagi na internodal.
Hanya na uku na tiyata, kama da na farko, ƙaddamarwa na iya kasancewa a ciki ko waje na patella, kawai bambanci shi ne cewa baya shiga cikin rami na haɗin gwiwa.
Hanyar infrapatellar
An fara gabatar da shi a Jamus a cikin 1940 kuma sau ɗaya ya zama daidaitaccen aikin tiyata don kusoshi intramedullary na tibial don karyewar tibial.
Siffofinsa: ƙananan cin zarafi, hanya mai sauƙi, saurin karyewar waraka, babban adadin waraka, aikin farko na aikin bayan tiyata.
