siffar meniscus
Meniscus na ciki da na waje.
Nisa tsakanin iyakar biyu na meniscus na tsakiya yana da girma, yana nuna siffar "C", kuma an haɗa gefen zuwa gahadin gwiwa capsule da zurfin Layer na ligament na tsakiya.
Meniscus na gefe yana da siffar "O".Jijin popliteus yana raba meniscus daga capsule na haɗin gwiwa a tsakiya da na baya 1/3, yana samar da rata.Meniscus na gefe yana rabu da ligament na gefe.
Alamar tiyata ta gargajiya donmeniscus sutureshine tsagewar tsayi a yankin ja.Tare da haɓaka kayan aiki da fasaha, yawancin raunin meniscus na iya zama sutured, amma shekarun majiyyaci, yanayin cututtuka, da layin ƙarfin ƙananan ƙananan ya kamata a yi la'akari., Raunin da aka haɗu da wasu yanayi da yawa, babban dalilin suture shine bege cewa raunin meniscus zai warke, ba suture don sutura ba!
Hanyoyin suture na meniscus an raba su zuwa nau'i uku: waje-ciki, ciki- waje da duk-ciki.Dangane da hanyar sutura, za a sami kayan aikin sutura masu dacewa.Mafi sauƙaƙa Akwai alluran huɗa na lumbar ko kuma allura na yau da kullun, kuma akwai na'urori na musamman na meniscal sutuing da na'urori masu ɗorewa.
Ana iya huda hanyar shiga waje da allurar huɗa mai ma'auni 18 ko ma'auni 12 na yau da kullun na allura.Yana da sauƙi kuma mai dacewa.Kowane asibiti yana da shi.Tabbas, akwai alluran huda na musamman.- Ⅱ da 0/2 na yanayin soyayya.Hanya na waje yana ɗaukar lokaci kuma ba zai iya sarrafa tashar allura na meniscus a cikin haɗin gwiwa ba.Ya dace da ƙaho na gaba da jikin meniscus, amma ba don ƙaho na baya ba.
Ko ta yaya kuka zaren jagorar, sakamakon ƙarshe na hanyar zuwa waje shine a mayar da sutuwar da ta shiga daga waje kuma ta tsagewar meniscus zuwa wajen jikin kuma an ɗaure a wuri don kammala suturar gyarawa.
Hanyar ciki ta fi kyau kuma akasin hanyar waje.Ana yin allura da gubar daga cikin haɗin gwiwa zuwa waje na haɗin gwiwa, kuma an gyara shi tare da ƙulli a waje da haɗin gwiwa.Zai iya sarrafa wurin shigar da allura na meniscus a cikin haɗin gwiwa, kuma suture ya fi kyau kuma abin dogara..Duk da haka, hanyar cikin ciki yana buƙatar kayan aikin tiyata na musamman, kuma ana buƙatar ƙarin ƙaddamarwa don kare jini da jijiyoyi tare da arc baffles lokacin suturing ƙaho na baya.
Dukkanin hanyoyin ciki sun haɗa da fasahar stapler, fasahar ƙugiya ta ƙugiya, fasahar tilasta suture, fasahar anga da fasahar rami mai wucewa.Har ila yau, ya dace da raunin ƙaho na baya, don haka likitoci sun fi girmama shi, amma jimlar suturing intra-articular yana buƙatar kayan aikin tiyata na musamman.
1. The stapler dabara ne mafi yawan amfani da cikakken articular hanya.Kamfanoni da yawa irin su ɗan ɗan uwan Smith, Mitek, Linvatec, Arthrex, Zimmer, da dai sauransu. suna samar da nasu ma'auni, kowanne yana da nasa fa'ida da rashin amfani.Likitoci gabaɗaya suna amfani da su bisa ga abubuwan sha'awarsu da kuma Sanin su don zaɓar, a nan gaba, sababbi da ƙarin ƙwararrun maniscus staplers za su fito da yawa.
2.The suture forceps fasahar da aka samu daga kafada arthroscopy fasahar.Yawancin likitoci suna jin cewa suture forceps na rotator cuff sun dace da sauri don amfani, kuma an canza su zuwa suturar raunin meniscus.Yanzu akwai ƙarin masu ladabi da ƙwarewameniscus suturesa kasuwa.Pliers na siyarwa.Saboda fasahar tilasta suture yana sauƙaƙe aikin kuma yana rage yawan lokacin aiki, ya dace musamman don raunin tushen tushen meniscus, wanda ke da wuyar sutura.
3. Haƙiƙanin fasahar anga ya kamata ya koma ƙarni na farkomeniscal jikewa gyara, wanda shine madaidaicin da aka tsara musamman don suturar meniscus.Wannan samfurin baya samuwa.
A zamanin yau, fasahar anga gabaɗaya tana nufin amfani da anka na gaske.Engelsohn et al.na farko ya ruwaito a cikin 2007 cewa an yi amfani da hanyar gyaran gyare-gyaren suture don maganin raunin meniscus na baya.Ana shigar da anka a cikin wurin da aka buga kuma a yi suture.Gyaran anga na sutura ya kamata ya zama hanya mai kyau, amma ko yana da tsaka-tsaki ko na gefe semilunar tushen rauni na baya, suturar sutura ya kamata ya sami matsaloli da yawa kamar rashin tsarin da ya dace, wahalar sanyawa, da kuma rashin iyawa don dunƙule anka a cikin perpendicular zuwa. saman kashi., sai dai idan an sami canji na juyin juya hali a cikin ƙirƙira anka ko mafi kyawun zaɓin samun damar tiyata, yana da wahala a zama hanya mai sauƙi, dacewa, abin dogaro kuma galibi ana amfani da ita.
4. Ƙwararren fili na transosseous yana ɗaya daga cikin jimillar hanyoyin suture na ciki-articular.A cikin 2006, Raustol ya fara amfani da wannan hanyar don suture meniscus na baya na rauni na baya, kuma daga baya an yi amfani dashi musamman don raunin tushen meniscus na baya da radial meniscus jiki hawaye da hawaye a yankin meniscus-popliteus tendon, da dai sauransu Hanyar trans. Suture na osseous shine a fara goge guringuntsi a wurin sakawa bayan tabbatar da rauni a ƙarƙashin arthroscopy, kuma a yi amfani da gani na ACL tibial ko gani na musamman don yin niyya da tona rami.Ana iya amfani da magudanar kashi ɗaya ko kashi biyu, kuma ana iya amfani da magudanar kashi ɗaya.Hanyar Ramin kashi ya fi girma kuma aikin yana da sauƙi, amma dole ne a gyara gaba da maɓalli.Hanyar rami mai kashi biyu yana buƙatar ƙara rami guda ɗaya, wanda ba shi da sauƙi ga masu farawa.Za a iya haɗa gaba da kai tsaye a kan kashin kashi, kuma farashin yana da ƙananan.
Lokacin aikawa: Satumba-23-2022
