{"id":1683,"date":"2020-07-05T22:06:44","date_gmt":"2020-07-05T19:06:44","guid":{"rendered":"http:\/\/katsanas.com\/?p=1683"},"modified":"2023-10-10T21:48:12","modified_gmt":"2023-10-10T21:48:12","slug":"cross-cruciate-sutur-teknigi","status":"publish","type":"post","link":"https:\/\/www.katsanas.com\/en\/cross-cruciate-sutur-teknigi\/","title":{"rendered":"CROSS CRUCIATE S\u00dcT\u00dcR TEKN\u0130\u011e\u0130"},"content":{"rendered":"

\"\"<\/p>\n

CROSS CRUCIATE S\u00dcT\u00dcR TEKN\u0130\u011e\u0130<\/h1>\n\n\n

\u00c7apraz ba\u011fl\u0131 s\u00fct\u00fcr tekni\u011finde 14 ad\u0131m vard\u0131r:<\/p>\n\n\n\n

  1. \u0130\u011fneyi insizyonun uzak taraf\u0131ndaki deriden ge\u00e7irilir ve Elinize en yak\u0131n insizyonun sonunda diki\u015fe ba\u015flan\u0131r (sa\u011f elle ise sa\u011f u\u00e7, sol elle ise sol u\u00e7).<\/li>
  2. \u0130\u011fne, kesinin yak\u0131n taraf\u0131ndaki dokudan ge\u00e7irilir; doku hasar\u0131n\u0131 en aza indirmek i\u00e7in; i\u011fne k\u0131vr\u0131mlar\u0131n\u0131 doku boyunca takip etmeli ve cerrahi personel bile\u011fini de d\u00f6nd\u00fcrerek devam etmelidir. K\u0131sa u\u00e7 yakla\u015f\u0131k 3-4 cm uzunlukta kalacak kadar s\u00fct\u00fcr \u00e7ekilir.<\/li>
  3. Bu ad\u0131mda \u00f6nemli bir nokta ise bir d\u00fc\u011f\u00fcm ba\u011flanmamak veya s\u00fct\u00fcr\u00fc kesmemektir. \u0130\u011fneyi diki\u015fin ilk k\u0131sm\u0131ndan yakla\u015f\u0131k 1 cm uzakl\u0131kta bir mesafe b\u0131rak\u0131larak tekrar dokudan ge\u00e7irilir.<\/li>
  4. \u0130\u011fne ve s\u00fct\u00fcr materyali her zaman insizyona dik a\u00e7\u0131da olacak \u015fekilde dokudan ge\u00e7irilmelidir.<\/li>
  5. S\u00fct\u00fcr materyali insizyonun tepesine d\u00fcz bir \u015fekilde oturana kadar, diyagonal y\u00f6nde s\u00fct\u00fcr \u00e7ekilir.<\/li>
  6. Buradaki d\u00fc\u011f\u00fcm, basit kesilmi\u015f s\u00fct\u00fcr ile ayn\u0131 \u015fekilde ba\u011flan\u0131r. Yani i\u011fne tutucular\u0131 insizyonun \u00fczerine yerle\u015ftirilir ve s\u00fct\u00fcr malzemesinin uzun ucu, i\u011fne tutucunun etraf\u0131na iki kez sar\u0131l\u0131r.<\/li>
  7. Diki\u015f malzemesinin k\u0131sa ucu (serbest u\u00e7) yak\u0131n\u0131ndan tutulur ve i\u011fne tutucular\u0131n etraf\u0131ndaki halkadan \u00e7ekilir.<\/li>
  8. Gerilimin e\u015fit olmas\u0131 i\u00e7in iki elle e\u015fit kuvvette \u00e7ekmeye dikkat edilmelidir. S\u00fct\u00fcr, yara kenarlar\u0131n\u0131 olu\u015fturacak kadar s\u0131k\u0131 olmal\u0131d\u0131r. Fakat \u00e7ok s\u0131k\u0131 da olmamal\u0131d\u0131r. S\u00fct\u00fcr\u00fcn \u00e7ok s\u0131k\u0131 ya da gev\u015fek olmas\u0131, rahats\u0131zl\u0131\u011fa neden olabilir ve cilt \u015fi\u015fme meydana gelebilir.<\/li>
  9. \u0130kinci bir \u2018at\u0131\u015f\u2019 i\u00e7in: \u0130nsizyon b\u00f6lgesinin \u00fczerine i\u011fne tutucusu yerle\u015ftirilir.<\/li>
  10. S\u00fct\u00fcr\u00fcn uzun ucu, i\u011fne tutucular\u0131n etraf\u0131na sar\u0131l\u0131r.<\/li>
  11. S\u00fct\u00fcr\u00fcn k\u0131sa ucu ise serbest ucun yak\u0131n\u0131ndan i\u011fne tutucu yard\u0131m\u0131yla tutulur.<\/li>
  12. K\u0131sa u\u00e7 halkadan \u00e7ekilir.<\/li>
  13. 2 \u201cat\u0131\u015f\u201d ile devam edilir ve toplamda at\u0131\u015f say\u0131s\u0131 4 adet olana kadar devam edilir.<\/li>
  14. U\u00e7lar\u0131 yakla\u015f\u0131k 1 cm uzunlu\u011funda kalacak kadar kesilir. S\u00fct\u00fcr ucunun uzunlu\u011fu, diki\u015fleri \u00e7\u0131kar\u0131rken kavramak ve tutmak i\u00e7in yeterince uzun olmal\u0131d\u0131r.<\/li><\/ol>\n\n\n\n

    Diki\u015f tekni\u011finizin kontrol\u00fcn\u00fc sa\u011flamak i\u00e7in baz\u0131 \u00f6nemli noktalar:<\/strong><\/p>\n\n\n\n

    • Uzun bir kesi veya yara i\u00e7in ve yara kenarlar\u0131n\u0131n iyi bir \u015fekilde yerle\u015ftirilmesini sa\u011flamak i\u00e7in basit diki\u015f yerine \u00e7apraz diki\u015fleri tercih edebilirsiniz.<\/li>
    • \u0130\u011fne tutucular\u0131n t\u0131rt\u0131kl\u0131 kenar\u0131, yani i\u00e7 k\u0131s\u0131mlar\u0131 p\u00fcr\u00fczl\u00fcd\u00fcr ve diki\u015f malzemesini kavramak veya gev\u015fetmek i\u00e7in kullan\u0131lmamal\u0131d\u0131r (bir d\u00fc\u011f\u00fcm ba\u011flarken k\u0131sa ucu kavramak hari\u00e7). S\u00fct\u00fcr, t\u0131rt\u0131kl\u0131 kenardan zarar g\u00f6r\u00fcr ve k\u0131sa s\u00fcrede par\u00e7alanabilir.<\/li>
    • \u0130\u015flem bitti\u011finde, yaran\u0131n iki taraf\u0131 \u015f\u00f6yle olmal\u0131d\u0131r:<\/li>
    • Kesinin t\u00fcm uzunlu\u011fu boyunca uygun olmal\u0131<\/li>
    • Her iki ucunda veya diki\u015fler aras\u0131nda bo\u015fluk olmamal\u0131d\u0131r.<\/li>
    • Diki\u015fler do\u011fru gerginlikte olacakt\u0131r:<\/li>
    • \u00c7ok s\u0131k\u0131 de\u011fil: aksi takdirde kesi b\u00f6lgesinin etraf\u0131nda \u015fi\u015flik, k\u0131zar\u0131kl\u0131k ve rahats\u0131zl\u0131k ile iltihaplanma geli\u015febilir.<\/li>
    • \u00c7ok gev\u015fek de de\u011fil: Doku bo\u015fluklar\u0131na kir girer ve enfeksiyon olu\u015fur.<\/li>
    • Diki\u015fler insizyona \u00e7ok yak\u0131n olmamal\u0131d\u0131r: Her s\u00fct\u00fcr insizyon kenar\u0131ndan yakla\u015f\u0131k 5 mm uzakl\u0131kta olmal\u0131d\u0131r.<\/li>
    • Diki\u015fler birbirine e\u015fit aral\u0131klarla yerle\u015ftirilmeli ve s\u00fct\u00fcr u\u00e7lar\u0131n\u0131n uzunlu\u011fu yeterli olmal\u0131d\u0131r.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"

      \u00c7apraz ba\u011fl\u0131 s\u00fct\u00fcr tekni\u011finde 14 ad\u0131m vard\u0131r: 1 -\u0130\u011fneyi insizyonun uzak taraf\u0131ndaki deriden ge\u00e7irilir…<\/p>\n","protected":false},"author":2,"featured_media":1684,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[],"class_list":["post-1683","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-tr"],"_links":{"self":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/comments?post=1683"}],"version-history":[{"count":1,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1683\/revisions"}],"predecessor-version":[{"id":11083,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/posts\/1683\/revisions\/11083"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media\/1684"}],"wp:attachment":[{"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/media?parent=1683"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/categories?post=1683"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.katsanas.com\/en\/wp-json\/wp\/v2\/tags?post=1683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}