Kuvunika mukarere ka Comrtrochanter of Femur Konti ya 50% byimivundaro kandi nuburyo bukunze kuvuka buvunika mubarwayi bageze mu zabukuru. Intramedillary gukosora imisumari nigipimo cya zahabu cyo kuvura stactrochantere. Hariho ubwumvikane buba abaganga ba oropepedic kugirango birinde "ingaruka ziciriritse" bakoresheje imisumari ndende cyangwa ngufi, ariko kuri ubu nta bwumvikane ku guhitamo imisumari ndende kandi ngufi.
Mu nyigisho, imisumari ngufi irashobora kugabanya igihe cyo kubaga, kugabanya gutakaza amaraso, kandi irinde kuzungura, mugihe imisumari itoroshye itanga umutekano mwiza. Mugihe cyo gushiramo umusumari, uburyo busanzwe bwo gupima uburebure bwimisumari ndende nugupima ubujyakuzimu bwimikorere yinjijwemo. Ariko, ubu buryo mubisanzwe ntabwo ari ukuri, kandi niba hari uburebure bwo gutandukana, gusimbuza imisumari yinjira bishobora kuganisha ku gutakaza amaraso, kongera ihungabana ryo kubaga, no kubaga umwanya wo kubaga. Kubwibyo, niba uburebure bwimisumari bwimisumari bushobora gusuzumwa mbere, intego yo kwinjiza imigezi irashobora kugerwaho muburyo bumwe bwo kugerageza, kwirinda ingaruka zifatika.
Kugira ngo akemure iki kibazo cy'amavuriro, intiti z'amahanga zakoresheje agasanduku k'imirire ya Intramedulllary (Agasanduku) kugira ngo zisuzume uburebure bw'imisumari y'inkinga z'intambwe munsi ya fluoroscopi, ivugwa nk '"Tekinike". Ingaruka ya Clinical Ingaruka ni nziza, nkuko bisangiwe hepfo:
Ubwa mbere, shyira umurwayi ku buriri bwo gukurura no gukora gare ifunze ifunze mu gukurura. Nyuma yo kugera ku kugabanya umusumari
Hifashishijwe imashini ya C-ARTSCOSCOP, Umwanya wa Proximal uhuza impera yinyuma yisi hamwe na cortex hejuru yijosi ryinjira mumwanya wimisumari ya IntramediLary.
Umwanya wa mbere umaze kunezeza, ukomeze umwanya wa Proximal, hanyuma usunike C-ukuboko werekeza kumpera ya kure hanyuma ukore flueroscopy kugirango ubone umwanya wukuri wikivi. Umwanya wa kure ni intercondylar yo muri femur. Simbuza imisumari y'intangiriro hamwe n'uburebure butandukanye, bigamije kugera kure hagati y'impera z'imisumari y'umunya femorale na intercondylar umusumari muri diameters 1-3. Ibi byerekana uburebure bukwiye bwimisumari.
Byongeye kandi, abanditsi basobanuye ibiranga bibiri byerekana bishobora kwerekana ko intera intera ni ndende cyane:
1. Iherezo rya IltttttttttttttttttttttTulLary ryinjijwe mu gice cya 1/3 cya Patellofemmoral ihuriweho (imbere yumurongo wera mumashusho hepfo).
2. Iherezo rya kure ryisi ryinjijwe muri mpandeshatu ryakozwe numurongo wa Blumensaat.
Abanditsi bakoresheje ubu buryo kugirango bapime uburebure bwimisumari ya Intramedullary mu barwayi 21 basanga igipimo cyukuri cya 95.2%. Ariko, hashobora kubaho ikibazo gishobora kuba ubu buryo: Iyo imisumari yinjijwemo yinjijwe muri tissue yoroshye, hashobora kubaho ingaruka zo kurakuza mugihe cya flueroscopy. Ibi bivuze ko uburebure nyabwo bwimisumari yintangiriro yakoreshejwe birashobora gukenera kubura gato kuruta gupima mbere. Abanditsi babonye iki kibazo mu barwayi babigiranye umubyibuho ukabije maze basaba ko abarwayi bafite umubyibuho ukabije, uburebure bw'imisumari iri hagati y'imisumari ya femur iri muri diameteley.
Mu bihugu bimwe, imisumari yinjira irashobora gupakirwa kugiti cyagaburirwaga kandi ikabomba, ariko mubihe byinshi, uburebure butandukanye bwimisumari ivanze hamwe hamwe na shitingi hamwe nabakora. Nkigisubizo, ntibishobora gushoboka gusuzuma uburebure bwa intera inzitizi mbere yo kuboneza urusasu. Ariko, iyi nzira irashobora kurangira nyuma ya drape ya sterilisation yakurikijwe.
Kohereza Igihe: APR-09-2024
