Kusa ta Tibial intramedullarywani abu nedashen ƙashi na kashin bayaAn tsara shi musamman don daidaita da tallafawa karyewar tibia (babban ƙashi a ƙasan ƙafa). Wannan dabarar tiyata ta shahara saboda ba ta da wani tasiri sosai, tana haɓaka warkar da karyewar da kyau, kuma tana ba da damar motsa majiyyaci da wuri.
TheKusa ta ciki ta MASTINDogon sanda ne mai siriri wanda aka saka a cikin magudanar medullary na tibia. Magudanar tana ratsa tsakiyar tibia kuma tana samar da yanayi mai ƙarfi da kwanciyar hankali don a gyara ƙusa. Yawanci ana yin tiyatar ta hanyar ƙaramin yankewa kusa da gwiwa ko idon sawu, kuma ana saka ƙusa ta intramedullary a ciki. Da zarar an yi tiyatar, sai a saka ƙusa ta intramedullary a ciki.ƙusa ta intramedullaryidan an saka shi, ana amfani da sukurori a kowane gefe don a ɗaure shi da ƙarfi a kan ƙashin.
TheSaitin ƙusa na intramedullaryya ƙunshi ƙusa ta tibial ta MASTIN, murfin ƙarshe, ƙulli na DCD, ƙulli na kullewa da sauransu.
Fa'idodinƘwararren ƙusa na Tibial
1. Ƙananan bayanin martaba a ƙarshen kusanci
2. Ramin matsi na axial mai sarrafawa, Nisa mafi girma shine 7mm
3. Tsarin anteflexion mai tsawon 9º don sauƙin saka ƙusa
Zaɓuɓɓukan kullewa na kusanci iri-iri:
Zaɓuɓɓuka guda uku masu ƙirƙira na kullewa, tare da sukurori masu ɗaure ƙashi, suna ƙara kwanciyar hankali na ɓangaren da ke kusa don karyewar ƙashi na uku.
Zaɓuɓɓuka biyu na zamani na kullewa na tsakiya suna ba da damar matsi na farko ko ƙarfin sarrafawa na biyu.
Murfin ƙarshe yana hana girman nama kuma yana sauƙaƙa cire ƙusa
Murfin ƙarshen 0mm yana da laushi tare da ƙusa mai girman 5mm da murfi na ƙarshe 10mm suna faɗaɗa tsayin ƙusa idan an saka ƙusa fiye da kima
An yi wa gwangwani
Wurin kulle kai don ɗaukar murfin ƙarshe ba tare da wahala ba da sauƙin sakawa
Zaɓuɓɓukan kulle nesa masu ci gaba:
Zaɓin kullewa mai ɓoye don hana lalacewar nama mai laushi da ƙara kwanciyar hankali
gutsuren nesa
Zaɓuɓɓukan kulle ML guda biyu da AP ɗaya don kwanciyar hankali na ɓangaren nesa
Sukurori masu kulle ƙashi masu sauƙi:
An nuna don zaɓuɓɓukan kullewa guda uku na kusantowa na duk diamita na kusoshin tibial
Tsarin tsakiya mai kusurwa biyu don ingantaccen siye a cikin ƙashi mai lalacewa
Unicortical
Tsawonsa: 40 mm–75 mm
Sukurori na kullewa na yau da kullun:
Babban sashe na giciye don ingantaccen juriya na injiniya
Φ4.0 mm don kusoshin tibial na Φ8.0 mm da Φ9.0 mm, tsayi: 28 mm–58 mm
Φ5.0 mm don kusoshin tibial na Φ10.0 mm, tsayi: 28 mm–68 mm