Imyitozo ya orthopedic hamwe na suture ibyifuzo
Suture irashobora gukoreshwa muribwo urwego rwamagufwa
Igihe gikomeye cyo gukira ibikomere
Uruhu
-Uruhu rwiza hamwe nuburanga nyuma yuburwayi nibibazo byingenzi.
-Hari impagarara nyinshi hagati yo kuva amaraso nyuma yo kuvurwa nuruhu, kandi suture ni nto kandi nto.
Igitekerezo :
Kudashobora gukurura suture yo kubaga :
WEGO-Polypropilene - yoroshye damage ibyangiritse bike P33243-75
Absorbable kubaga suture :
WEGO-PGA - Ntugomba gufata suture , kugabanya igihe cyo gushyirwa mubitaro , Kugabanya ibyago byo kwandura. G33243
Inyama zo munsi
-Gabanya amahirwe yo gupfa no kwandura , byiza kandi bikomeye bihagije nuburyo bwiza cyane bwo kugabanya kuvunika uruhu.
-Birashoboka cyane ko bibaho aho suture yumubiri wamahanga itera kwandura hamwe na cysts ya xenogenous.
Saba : Sutures zo kubaga zidashoboka - 2/0 WEGO-PGA yo kubaga (Ingingo yo hasi) G21402-75 , G21372-75
Fascia layer Igice cy'imitsi
-Fascia - Icyatsi kibisi cya fibrous tissue gitwikiriye imitsi. Irashobora kugarura 40 ku ijana byimpagarara mumezi 2, Impagarara ntarengwa mumezi 12.
Ariko ntishobora na rimwe kugarura impagarara zayo za mbere.
-Imitsi-yuzuye ya fibrous tissue.
-Suture ndende igomba gukoreshwa kugirango itange inkunga ya tensile ikenewe mugihe
igihe gikomeye cyo gukira ibikomere.
Saba :
Amashusho adasanzwe yo kubaga - 2/0 WEGO-PGA yo kubaga (Ingingo yo hasi) G21402-75 , G21372-75
Ibikenewe byibanze byamagufwa na suture
• Gufatanya : Igikorwa kirakomeye , gikeneye impagarara nini.
• Amavuta yo munsi
- Ahantu hato (urugero. Ulna olecranon, patellar) Ntugakore ku ipfundo nyuma yo kubagwa.
- Ahantu hahanamye (urugero. Ikibuno) Ntugabanye ishyirahamwe mukudoda, Irinde ibinure.
- Ibinure byo mu nsi birashobora kwandura.
Amaraso make
• Imikorere idahwitse yumuteguro , Ntabwo bikwiye kuba impamo iss Tissue is
byoroshye kandi byoroshye kurira.
• Gukurura cyane, gukata amashanyarazi , Byoroshye.
• Amavuta ari menshi mumazi thread Urudodo rwa silike rushobora kubyara bagiteri.
Tendon
• Kumeneka kumutwe: igihe cyo gukira cyo gusana imitsi ni kirekire. Icyiciro cya mbere gikeneye gukora imyitozo ikora. Niba umurongo uringaniye ari
bidahagije, kuvunika bibaho kandi ibikorwa bigomba kongera gukorwa.
• Gufata Tendon: nyuma yo gukomeretsa cyangwa kubagwa, akenshi gufatana nuduce tuyikikije, guhuza imitsi, urumuri rugira ingaruka ku kunyerera, kandi kubagwa kwa tendon byarananiranye.
• Kubudozi: 1. Impagarara zikomeye
• 2. Koroha no kwangirika kworoheje
• Suture ya polipropilene isabwa: 2 / 0-5 / 0 (imitwe ibiri izengurutse pin)
Nervus vascularis
•Kubudozi:
• 1. Koroha no kwangirika kwinyama nto
• 2. Ubudodo bwo kudoda burahagaze kandi ntibuzaca umurongo.
• Inkunga ihoraho
• Basabwe kudoda:
• Imiyoboro y'amaraso —– WEGO-polypropilene idoda 6 / 0-10 / 0
• Imitsi - WEGO-polypropilene idoda yo kudoda 8 / 0–10/0
Gusimbuza ikibuno
Urwego rwo kudoda ruva imbere
1.Joint capsule: nyuma yibikorwa, gukenera imyitozo hakiri kare bisaba ubudodo bunini; Birasabwa gufunga ingingo no gukumira urwobo rwihuriro rudahuza hanze, bigatera kwandura (WEGO-PGA).
2. Hashyizweho itsinda ryimitsi yo kuzunguruka hanze kugirango wirinde postdislocation: 1 # (Urushinge rwa WEGO-PGA anti-angle) rurakenewe
3. Imitsi ya fassiya: isaba impagarara nini (WEGO-PGA)
4. Suture yubatswe, gutsemba umwobo wapfuye (WEGO-PGA)
5. Uruhu: indwara zuruhu zidasanzwe zishobora nanone gutera kwandura cyane, biganisha ku kunanirwa kubagwa (WEGO-PGA)