Kukonzekera kugwiritsidwa ntchito kwa minofu, kuphatikizapo ligament kapena tendon ku fupa, kapena fupa / tendon ku fupa. Kusokoneza kusokoneza ndi koyenera kwa maopaleshoni a bondo, phewa, chigongono, bondo, phazi, ndi dzanja / dzanja kumene kukula kwake kumaperekedwa. woyenera wodwala.
The screw and sheath system imagwiritsidwa ntchito popanga opaleshoni ya mafupa pazinthu zosiyanasiyana, monga kukonza mafupa othyoka kapena kukonza ligament.Nayi chithunzithunzi chonse cha magwiridwe antchito a screw and sheath system:Kukonzekera koyambirira kwa opaleshoni: Dokotala wa opaleshoni adzawunika momwe wodwalayo alili, kuwunikanso kujambula kwachipatala (monga ma X-ray kapena ma scan a MRI), ndikuzindikira kukula koyenera ndi mtundu wa zomangira ndi zomangira zofunika pa kachitidwe.Kudula ndi kuwonetseredwa: Dokotala wa opareshoni adzapanga chocheka pamalo opangira opaleshoni kuti apeze malo okhudzidwawo.Minofu yofewa, minofu, ndi ziwalo zina zimasunthidwa mosamala pambali kapena kubwezeretsedwa kuti ziwonetse fupa kapena ligament zomwe zimafuna kukonzanso.Kubowola mabowo oyendetsa ndege: Pogwiritsa ntchito makina opangira opaleshoni, dokotalayo adzapanga mosamala mabowo oyendetsa fupa kuti agwirizane ndi zomangira.Mabowo oyendetsa awa amatsimikizira kuyika koyenera ndi kukhazikika kwa zomangira.Kuyika sheath: Mchimake ndi chobowo ngati chubu chomwe chimalowetsedwa mu dzenje loyendetsa.Zimagwira ntchito ngati kalozera, kuteteza minyewa yofewa yozungulira ndikuloleza kuyika koyenera kwa screw. Kuyika kwa screw: Zomangira, zomwe nthawi zambiri zimapangidwa ndi titaniyamu kapena chitsulo chosapanga dzimbiri, zimalowetsedwa kupyola mu sheath ndi kulowa mu dzenje loyendetsa.Zomangirazo zimakhala ndi ulusi ndipo zimatha kumangika kuti fupalo likhale lolimba kapena kulumikiza zidutswa ziwiri za fupa limodzi. Kuteteza wononga: Chibolibolicho chikalowa mokwanira, dokotala angagwiritse ntchito screwdriver kapena zida zina zoyenera kuti ateteze wonongayo pamalo ake omaliza.Izi zingaphatikizepo kumangitsa screw kuti mukwaniritse kupanikizika komwe mukufuna kapena kukhazikika.Kutseka: Pamene screw ndi sheath ziyikidwa bwino ndi kutetezedwa, dokotala wa opaleshoni adzatseka incision pogwiritsa ntchito sutures kapena staples.Chilondacho chimatsukidwa ndikuvekedwa. Ndikofunikira kudziwa kuti wononga ndi sheath system imagwira ntchito mosiyanasiyana malinga ndi momwe zimachitikira komanso malo omwe akukhudzidwa.Ukatswiri wa ochita opaleshoniyo komanso zomwe wakumana nazo ndizofunikira pakuwonetsetsa kuyika kolondola komanso zotsatira zabwino.