Inotarirwa kushandiswa kwekugadzirisa kwenyama, kusanganisira ligament kana tendon kune pfupa, kana pfupa / tendon kune pfupa.Kupindira kwekugadziriswa kwakakodzera kuvhiyiwa kwemabvi, pfudzi, gokora, chitsiko, tsoka, uye ruoko / wrist apo zviyero zvinopiwa zvakafanira kushivirira.
Iyo screw uye sheath system inowanzoshandiswa mukuvhiya kwemapfupa kune akasiyana maapplication, akadai sekugadzirisa mapfupa ekutyoka kana kugadzirisa ligament. Heino mhedziso yakawanda yekushanda kwescrew uye sheath system: Pre-operative kuronga: Chiremba anovhiya achaongorora mamiriro emurwere, kuongorora mifananidzo yezvokurapa (yakadai se-X-rays kana MRI scans), uye inoona hukuru hwakakodzera uye rudzi rwezviputi uye sheaths zvinodiwa pakuita.Incision uye exposure: Chiremba anovhiya achaita incision panzvimbo yekuvhiya yakakanganiswa kuti iwane nzvimbo yekuvhiya yakakanganiswa. Zvinyoro zvinyoro, tsandanyama, uye zvimwe zvimiro zvinonyatsofambiswa parutivi kana kudzoserwa pachena kuti bhonzo kana ligament rinoda kugadziriswa.Kuchera maburi ekutyaira: Achishandisa madhiri ekuvhiya akasarudzika, chiremba anovhiya achanyatsogadzira maburi ekutyaira mubhonzo kuti agone kugarisa screws. Aya maburi ekutyaira anovimbisa kuiswa kwakakodzera uye kugadzikana kwescurus.Kupinza sheath: Sheath ihollow tube-like structure inopinzwa mupilot gole. Inoshanda segwara, inodzivirira matishu akapfava akatenderedza uye ichibvumira kunyatsoiswa kwescrew.Siruuru yekuisa: Iyo sikuruu, inowanzo gadzirwa netitanium kana simbi isina simbi, inopinzwa nemusheath uye mugomba rekutyaira. Iyo sikuruu inoiswa shinda uye inogona kusimbiswa kugadzirisa bhonzo kana kubatanidza zvidimbu zviviri zvebhonzo pamwechete.Kuchengetedza sikuruu: Kana screw yangopinzwa zvizere, chiremba anovhiya anogona kushandisa screwdriver kana zvimwe midziyo yakakodzera kuchengetedza sikuru panzvimbo yayo yekupedzisira. Izvi zvinogona kusanganisira kuomesa sikuruu kuti uwane kudzvanya kwaunoda kana kudzikamisa.Kuvhara: Kana iyo screw uye sheath zvaiswa zvakanaka uye zvakachengetedzwa, chiremba anovhiya achavhara incision achishandisa sutures kana staples. Ronda rinobva racheneswa ropfekedzwa.Zvakakosha kuziva kuti screw and sheath system's operation inogona kusiyana zvichienderana nemaitiro chaiwo uye nzvimbo yeanatomical inobatanidzwa. Hunyanzvi hwechiremba wekuvhiya uye ruzivo rwakakosha mukuona kwekuiswa kwechokwadi uye nemhedzisiro yakakwana.