I.Ciminti na kashi cike da dabara
Hanyar ciminti ta kashi ya dace da marasa lafiya tare da ƙananan ƙarancin Aori na da lahani na kashi da ƙarancin aiki.
Yana da sauƙin ciminirar ciminti na kashi na fasaha na buƙatar lahani na kashi, da ciminti na kashi sun cika lahani a cikin sasanninsu kamar yadda zai yiwu, don haka yana iya aiwatar da madaidaiciya tare da keɓaɓɓiyar ƙwararrun mai aiki.
Takamaiman hanyarBɗayaCKayan aiki +SFasahar jirgin ita ce tsabtace lahani sosai a kan kashin mai watsa shiri, kuma ku mai da hankali kada mu bar dunƙule mai dunƙule ya wuce gona da iri na haɗin gwiwa bayan osteotomy; Sa'an nan kuma mix da kashi ciminti, cika lahani kashi a cikin kullu mataki, kuma kunsa dunƙule. Ritter Ma et al. Yayi amfani da wannan hanyar don sake gina lahani na Tibal, da kauri kauri ya kai 6mm, kuma babu latsar shekaru 3 bayan aikin. Ciminti na kashi cike da fasaha yana cire ƙasa da ƙasa, sannan ta rage yawan kuɗin da aka yi don yin rajista na gaba, wanda ke da takamaiman darajar.
Takamaiman hanyar ciminti na kashi + Fasaha na ƙusa shine don tsabtace lahani na kashi, gyara abin da ya kunci dunƙule na dandamalin haɗin gwiwa bayan octeotomy; Sa'an nan kuma mix da kashi ciminti, cika lahani kashi a cikin kullu mataki, kuma kunsa dunƙule. Ritter Ma et al. Yayi amfani da wannan hanyar don sake gina lahani na Tibal, da kuma lalata farin ciki ya kai 9mm, kuma babu latsar shekaru 3 bayan tiyata. Ciminti na kashi cike da fasaha yana cire ƙasa da ƙasa, sannan ta rage farashin magani saboda amfani da ƙima prosthesis, wanda ke da takamaiman darajar (adadiI-1).
SiffaI-1Ciminti ciminti cike da kwayar cutar
II.Kayayyakin grafting dabarun
Za'a iya amfani da ƙashin ƙura don gyara cikakkun lahani na ƙa'idodi ko marasa lahani a cikin tiyata na gwiwa. Ya fi dacewa don sake gina nau'in AROI I zuwa cutar ƙimar kashi na III. A cikin tiyata na tiyata, tunda ikon cutar da kuma lahani na kashi ɗaya gabaɗaya ne a lokacin tiyata don adana taro. Sabili da haka, kashi na ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta don ƙashin ƙimar da aka haɗa a lokacin tiyata.
Amfanin ƙasusuwa na caku grafting sune: riƙe ƙashin kashi na ƙashin rundunar kuɗi; Gyara manyan ƙarancin ƙa'idodi.
Rashin daidaituwa na wannan fasaha sune: aikin yana cin lokaci; Fasahar sake gini tana nema (musamman lokacin amfani da manyan mari na); Akwai yuwuwar watsa cutar.
Sauƙaƙe ƙimar ƙimar ƙira mai sauƙi:Sau da yawa ana amfani da grafting sauƙin matsawa da sau da yawa don lahani na kashi ɗaya. Bambanci tsakanin ƙimar ƙashin ƙirar grafting da tsarin ƙira na gramable shine cewa kayan ƙashin kayan granular na iya zama da sauri da kuma gaba ɗaya revascurized gaba ɗaya.
MIS Karfe Cannin Keɓaɓɓun Kudi Kudi Grafting:Kuskuren ƙimar ƙira da yawa yawanci yana buƙatar sake ginawa ta amfani da Mesh ɗorawa don dasa ƙasusuwa. Sake gina Femur yawanci mafi wahala fiye da sake gina Tibiya. X-haskoki sun nuna cewa haɓakar ƙira da haɓakar kayan graft ɗin ana kammala su a hankali (adadiII-1-1, HotoIi-1-2).
SiffaII-1-1Ish Cas Case na Kwastomar Kasusuwa don gyara lahani na Tibal. Wani intrapari; B onopeative x-ray
Fiurure-1-2Gyara Fantoral da Kayayyakin Kayayyakin Kashi tare da Kayayyakin Kasusuwa na Titanium Wani intrapari; B onopeative x-ray
A lokacin bita da gwiwa, tsarin tsari na yau da kullun ana amfani dashi sosai don sake gina nau'in ƙimar IIori ko III. Baya ga samun ƙwarewar SuperB da kuma kwarewar arziki a hadadden gwiwa, likitan tiyata ya kamata ya mai da hankali da cikakkun shirin abubuwan da ya dace. Za'a iya amfani da ƙirar ƙirar ƙirar don gyara lahani na ƙimar ƙwayar cuta da ƙara yawan kashi.
Abbaka na wannan fasaha sun hada da: ana iya yin shi zuwa kowane irin kuma siffar don daidaitawa da lahani na siffofi daban-daban na geometric. Yana da kyakkyawan tallafawa tasiri kan sake bita; Kuma ana iya samun haɗin haɗi na lokaci na dogon lokaci tsakanin kashi ɗaya na Allogeneic da kuma karbar bakunci.
Rashin daidaituwa ya haɗa da: lokacin aiki mai tsawo lokacin da yake yankan kashi na Allogeneic; iyakantaccen tushen kashi na Allogeneic; Hadarin nakasance da kuma jinkirin kungiyar saboda dalilai kamar yadda aka gabatar da rasuwar kashi da karancin hadewar kashi kafin a kammala aikin hadewar kashi. Matsaloli tare da sha da kamuwa da kayan da aka dasa; yuwuwar watsa cutar; da kuma baancin yanayin gabaɗaya na kashi na Allogeneic. An girbe kashi mai yawa na Allogeneic daga Distal Femur, Thiximal Tibia, ko kuma Feralor shugaban. Idan kayan dasawa yana da girma, cikakken recascular sau da yawa ba ya faruwa. Za'a iya amfani da shugabannin da aka yi amfani da su don gyara cikakkiyar lahani na Pinkau da Tibal, galibi don gyaran ƙimar ƙashin kafa, kuma an saita su ta hanyar latsawa bayan trimming da gyarawa. Sakamakon farkon asibiti na amfani da ƙimar tsarin al'ada don gyara lahani na kashi na kashi ya nuna babban nauyin warkarwa na ƙashi (adadiII-1-3, HotoII-1-4).
SiffaII-1-3Gyara Limor Limory Lemory tare da Allogeneic Matsakaicin Tsarin Kashi na Kashi
SiffaII-1-4Gyara lahani na Tibal tare da Allogeneic Shugaban Kashi na Kashi
III.Fasahar cikawa
Fasaha na zamani na zamani yana nufin cewa za a iya tara masu ƙarfe na ƙarfe tare da karba da kuma shigar da shiga mai tushe mai tushe. Masu fashin sun hada da samfura daban-daban don sauƙaƙe sake cin hanci da ƙimar kashi daban-daban masu girma dabam.
Ƙarfe M Agusta:Speckular Karfe Spaceer ya fi dacewa don lahani na Aori wanda ba shi da matsala na II mara amfani tare da kauri har zuwa 2 cm.Yin amfani da abubuwan da aka gyara na ƙarfe don gyara lahani kashi na kashi ya dace, mai sauƙi, kuma yana da ingantaccen tasirin asibiti.
Karfe sararin ƙarfe na iya zama mai kyau ko m, kuma sifofinsu sun hada da wedges ko toshe. Za'a iya haɗa sararin ƙarfe zuwa ga haɗin gwiwa ta prosthesis ta hanyar skurs ko gyara ta ciminti na kashi. Wasu malamai sun yi imanin cewa ficewar sumin kashi zai iya guje wa sawa tsakanin ƙarfe kuma bayar da shawarar ma'aunin siminti kashi. Wasu malamai ma suna ba da shawarar hanyar ta amfani da cemet na kashi da farko sannan kuma yana ƙarfafa tare da sukurori tsakanin mai sarari da prosthesis. Lamoran bukukuwan suna faruwa sau da yawa suna faruwa a cikin ɓangaren ɓangare da na karkara na Fimiyya ta Femyle, ana yawan sanya sararin ƙarfe a cikin sassan da na karkara. Don lahani na kashi na tibial, ana iya zaba wake wake, don sake ginawa don sake daidaitawa da siffofi daban-daban daban-daban. Rahotuta sun ba da rahoton cewa kyakkyawan tsari da kyawawan kudaden suna da girma kamar kashi 84% zuwa 98%.
Ana amfani da shinge mai siffa-wead da aka yi amfani da shi lokacin da lahani na kasusuwa yake da siffa-mai siffa, wanda zai iya adana ƙarin mai karbi hannu. Wannan hanyar tana buƙatar madaidaicin osteotomy don haka cewa farfajiyar Osteotomy ta dace da toshe. Baya ga damuwar damuwa, akwai kuma garkuwar karfi tsakanin musayar taɗi. Saboda haka, kwana na weji kada wuce 15 °. Idan aka kwatanta da tubalan da aka sawa, ƙarfe na silima suna da hakkin ƙara yawan oharin ostteotomy, amma aikin tiyata ya dace da sauƙi, kuma tasirin inji yana kusa da al'ada (III-1-1A, B).
SiffaIII-1-1Sararin ƙarfe: mai siye mai siffa don gyara lahani na tibial; B Kalaman mai siffa ta B don gyara lahani na Tibail
Saboda an tsara sararin samaniya a cikin siffofi da girma dabam, ana yin amfani dasu sosai a cikin rashin lahani na kashi da ƙa'idodi daban-daban siffofi, kuma samar da kyakkyawan kwanciyar hankali. Koyaya, karatun na dogon lokaci sun gano cewa sararin ƙarfe sun kasa saboda kare danniya. Idan aka kwatanta da kayan kwalliya, idan sararin ƙarfe sun kasa kuma bukatar a bita su, za su haifar da lahani na ƙimar ƙashi.
Lokaci: Oct-28-2024
