Chimiro cheMeniscus
Yemukati uye ekunze meniscus.
Kureba pakati pemigumo miviri yemi medial mamiscus kwakakura, kuratidza "c" chimiro, uye mupendero wakabatanidzwa kunemubatanidzwa capsule uye yakadzika dura yemu medial aclateral ligrament.
Menisiyo yakatevera "o" yakaumbwa. Iyo popliteus tendon inoparadzanisa meniscus kubva kujoina capsule pakati uye posterior 1/3, kugadzira gap. Iyo yakazotevera meniscus yakaparadzaniswa kubva kuLateral Colateral Lignament.
Iyo yakasarudzika yekuvhiya chiratidzo cheMeniscus Suturendiyo misodzi refu munzvimbo dzvuku. Nekuvandudzwa kwemidziyo uye tekinoroji, kukuvara kwakawanda kweMeniscus kunogona kuitwa, asi zera remurwere, nzira yechirwere, uye yakadzika kumanikidza kumanikidza kunodawo kutariswa. , yakabatanidzwa kukuvara uye mamwe akawanda mamwe mamiriro, chinangwa chekupedzisira chechuru ndechekuvimba kuti kukuvara kweMeniscus kuchaporesa, kwete chekukuvadza!
Nzira dzeMeniscus dzenzvimbo dzinokonzerwa zvakanyanya muzvikamu zvitatu: kunze-mukati, mukati-kunze uye zvese mukati. Zvichienderana nenzira ine mutsa, pachave nekunyorerana kunoenderana zviridzwa. Iwo akarerimukira aripo anovhenekera mashekeri puncture kana vashe vaigara navo, uye pane zvakare zvakakosha zvekutengesa midziyo uye zvishandiso zvemukati zvekushandiswa.
Iyo yekunze-in nzira inogona kurangwa ne 18-geji lumbar puncture sindano kana gumi nemaviri-geji akabatanidzwa zvakajairika jekiseni. Zviri nyore uye nyore. Chipatara chose chinazvo. Ehezve, kune vanonetswa zvakakosha punivhesiti. - ⅱ uye 0/2 yerudo mamiriro. Iyo yekunze-inter inyama inodonha uye haigone kudzora tsono redhlet yeVemiscus mubatanidzwa. Izvo zvakakodzera kune runyanga rwethnior nemuviri wemidziyo, asi kwete yeiyo nyanga yepashure.
Hazvina mhosva kuti iwe unopinda sei
Iyo nzira yemukati-kunze iri nani uye yakatarisana neyenzira yekunze-munzira. Tsono uye kutungamira inopfuudzwa kubva mukati mejoini kusvika kunze kwekubatana, uye yakarongedzwa nejasi kunze kwejoini. Inogona kudzora tsono yekuisa nzvimbo yekuisa nzvimbo yeMeniscus mubatanidzwa, uye iyo suture inonyanya kuve yakachena uye yakavimbika. . Nekudaro, iyo nzira yemukati-kunze inoda zviridzwa zvakakosha zvekuvhiya, uye zvimwe zviitiko zvinodiwa kuti udzivirire mitsipa yeropa uye nerves neArc baffles kana ichitevedzera nyanga yepashure.
Nzira dzese dzekupinda dzinosanganisira Staler Tekinoroji, Suture Hook Tekinoroji, Suture Worthps Technology, Anchor Technology uye inoparidza tunnel hunyanzvi. Izvo zvakakodzerawo kune kukuvara kweanonyanza
1. Iyo nzira yakasarudzika ndiyo inonyanya kushandiswa yakazara-yehunyanzvi nzira. Makambani mazhinji akadai saMitith Mubhuroka, mitek, Linvatec, Arthrere, zimmer, zimmer, etc. gadzira yavo pachavo nzvimbo, imwe neimwe nezvakanaka nezvakanaka. Vanachiremba vanowanzoshandisa zvinoenderana nezvavanofarira kuita uye kuziva kwavo kuti vasarudze, mune ramangwana, mutsva uye vazhinji vanhu vane vanhu vane vanhurume vachabuda muhuwandu.
2.The Chikukutu Hutano Tekinoroji inotorwa kubva kufudzi Arthroscopy tekinoroji. Vanachiremba vazhinji vanofunga kuti hupfumi hwedenga redati rakanakira uye nekukurumidza kushandisa, uye vanoendeswa kuhurongwa hwekukuvara kweMeniscus. Iye zvino pane zvimwe zvinangwa uye nyanzvimeniscus suturespamusika. Pliers kutengeswa. Nekuti kuora kwehunyanzvi hunyanzvi kurerutsa kuvhiyiwa nekupfupisa nguva yekuvhiya, zvakanyatsokosha pakukuvara kweiyo midzi yepashure peMeniscus, iyo yakaoma kuhurika.
3. Iyo chaiyo Anchor tekinoroji inofanirwa kureva kune yekutanga-chizvarwaMeniscal Sature Kugadziriswa, iyo iri stale yakagadzirirwa kunyatsogadzirirwa meniscus kusununguka. Ichi chigadzirwa hachisisipo.
Mazuva ano, anchor tekinoroji inowanzoreva kushandiswa kweanotsamwisa chaiko. Engelsohn et al. Chekutanga kutaurwa muna 2007 kuti iyo Suture Anchor Kugadziriswa nzira yakashandiswa kurapwa kwemu medial mamiscus yepashure midzi yekukuvara kwepamhepo. Anchors akaiswa munzvimbo yakadhindwa uye yakashongedzwa. Suture Anchor Kugadziriswa inofanirwa kuve nzira yakanaka, asi ingave iri medial SEMILUNAROT midzi midzi midzi, yakaoma kuiswa, uye kutadza kuishuvira iyo perpendicular kune pfupa. , kunze kwekunge paine shanduko yekuchinja muAnchor Fabration kana Zvirinani Kuvhiya Kuvhiya Sarudzo, zvakaoma kuva chinhu chakareruka, chakanakira uye chakavimbika uye chinowanzoshandiswa.
4 Muna 2006, raustol akatanga kushandisa nzira iyi yekusaita medial mamiscus yepashure mbozha ACL tiial sight kana inokosha kuona uye kugeza mugero. Imwe-pfupa kana kaviri-pfupa canal inogona kushandiswa, uye imwechete-pfupa canal inogona kushandiswa. Nzira iyo pfupa mugero yakakura uye kuvhiya kuri nyore, asi kumberi kunofanirwa kugadziriswa nemabhatani. Iyo yakapetwa-pfupa tunnel nzira inoda kudhonzera imwe imwe pfupa mugero, iyo isiri nyore kune vanotanga. Kumberi kunogona kurambidzwa zvakananga pane pfupa pamusoro, uye mutengo wakaderera.
Kutumira Nguva: Sep-23-2022
