Kuputsika kwakagadziriswa kwepatella idambudziko rakaoma rekiriniki. Kuomerwa kuri panzira yekuidzikisa, kuibatanidza pamwe chete kuti iite mubatanidzwa wepamusoro, uye maitiro ekugadzirisa nekuchengetedza kugadzirisa. Parizvino, kune dzakawanda mukati mekugadzirisa nzira dze comminuted patella fractures, kusanganisira Kirschner wire tension band fixation, cannulated nail tension band fixation, wire cerclage fixation, patellar claws, etc. Kunyanya kusarudzwa kwekurapa, kunonyanya kushanda kana kushandiswa nzira dzakasiyana-siyana dzokurapa. Kutyoka kwacho kwakanga kusiri izvo zvaitarisirwa.
Pamusoro pezvo, nekuda kwekuvapo kweakasiyana simbi magadzirirwo emukati uye nepamusoro anatomical chimiro chepatella, kune akawanda matambudziko ane chekuita nekugadziriswa kwemukati kwepashure, kusanganisira kushatirwa kweimplant, K-waya kubviswa, kutsemuka kwewaya, nezvimwe, izvo zvisingawanzo kuitika mumakiriniki maitiro. Kuti izvi zviitike, nyanzvi dzekune dzimwe nyika dzakaronga tekinoroji inoshandisa isingabatike sutures uye mesh sutures, inodaidzwa kuti "spider web technology", uye yakawana mhedzisiro yakanaka yekiriniki.
Nzira yekusona inotaridzwa sezvizvi (kubva kuruboshwe kuenda kurudyi, kubva pamutsara wepamusoro kusvika pasi):
Kutanga, mushure mekunge kuputsika kwaderedzwa, iyo yakatenderedza patellar tendon inoshongedzwa nguva nenguva yakatenderedza patella kuti igadzire akati wandei akasununguka semi-annular zvimiro pamberi pe patella, uye ipapo sutures inoshandiswa tambo imwe neimwe yakasununguka annular chimiro mumhete uye kuisunga mupfundo.
Iyo sutures yakatenderedza patellar tendon yakasimbiswa uye yakasungwa, ipapo maviri diagonal sutures anochinjika-akasonanidzwa uye akaiswa mafundo kugadzirisa patella, uye pakupedzisira sutures inotenderedzwa yakatenderedza patella kwevhiki.
Kana mabvi akabatanidzwa uye akatambanudzwa, zvinogona kuonekwa kuti kuputsika kwakanyatsogadziriswa uye nzvimbo yakabatana yakadzikama:
Kupora maitiro uye chimiro chekushanda kwezvakajairwa kesi:
Kunyange zvazvo nzira iyi yakawana migumisiro yakanaka yekiriniki mukutsvakurudza, pasi pemamiriro ezvinhu aripo, kushandiswa kwesimbi yakasimba yesimbi inogona kunge ichiri sarudzo yekutanga yevanachiremba vepamba, uye inogona kutobatsira postoperative plaster immobilization kukurudzira kuputsika uye kudzivisa kugadzirisa mukati. Kukundikana ndicho chinangwa chikuru; kushanda mugumisiro uye kuoma kwemabvi kunogona kuva pfungwa dzechipiri.
Iyi sarudzo yekuvhiya inogona kushandiswa zvine mwero pane vamwe vakasarudzwa vakakodzera varwere uye haikurudzirwe kuti ishandiswe nguva nenguva. Goverana iyi nzira yehunyanzvi yekunongedza nevarapi.
Nguva yekutumira: Chivabvu-06-2024
