Ivunika rya Clavicle nimwe mubikunze kuvunika amaguru yo hejuru mubikorwa byubuvuzi, hamwe na 82% byavunitse clavicle ni kuvunika hagati.Ibice byinshi byavunitse bya clavicle bidafite kwimurwa gukomeye birashobora kuvurwa muburyo bwimbitse hamwe nigitambambuga-umunani, mugihe abafite kwimuka gukomeye, ingirabuzimafatizo zoroheje, ibyago byo guhungabana kwimitsi cyangwa imitsi, cyangwa ibyifuzo byinshi birashobora gukenera gukosorwa imbere hamwe namasahani.Igipimo cyo kudahuza nyuma yo gukosora imbere kuvunika clavicle ni muke, hafi 2,6%.Ibimenyetso simusiga mubisanzwe bisaba kubagwa gusubiramo, hamwe nuburyo bukuru aribwo buryo bwo guhagarika amagufwa hamwe no gukosora imbere.Nubwo bimeze bityo ariko, gucunga inshuro nyinshi zidafite ishingiro ku barwayi bamaze gukosorwa bidahuje ubumwe biragoye cyane kandi bikomeje kuba ikibazo ku baganga ndetse n’abarwayi.
Kugira ngo iki kibazo gikemuke, umwarimu w’ibitaro bya Croix-Rouge ya Xi'an yakoresheje mu buryo bushya uburyo bwo guhuza amagufwa ya iliac amagufwa y’amagufwa ahujwe no kuvura amagufwa ya autologique cancellous amagufwa kugira ngo avure udusimba twinshi twavunitse twa clavicle nyuma yo kubagwa kunanirwa gusubiramo, agera ku musaruro ushimishije.Ibisubizo by'ubushakashatsi byasohotse mu kinyamakuru "International Orthopedics".
Uburyo bwo kubaga
Uburyo bwihariye bwo kubaga bushobora kuvunagurwa nkishusho iri hepfo ：
a: Kuraho clavicular yumwimerere, ikureho amagufwa ya sclerotic hamwe ninkovu ya fibre kumeneka yamenetse;
b: Amasahani yo kongera kubaka plastike clavicle yarakoreshejwe, imigozi yo gufunga yinjizwa mumutwe wimbere ninyuma kugirango igumane ituze muri clavicle, kandi imigozi ntiyashyizwe mukarere kugirango ivurwe kumutwe wacitse.
c: Nyuma yo gukosora isahani, fata umwobo hamwe nurushinge rwa Kirschler kuruhande rwacitse kumeneka kugeza imbere no hanze kugeza umwobo wamennye amaraso (ikimenyetso cya pepper itukura), byerekana gutwara neza amagufwa hano;
d: Muri iki gihe, komeza utobore 5mm imbere no hanze, hanyuma utobore umwobo muremure mu mugongo, ibyo bikaba bifasha osteotomy itaha;
e: Nyuma ya osteotomy ikurikira umwobo wumwimerere, wimure cortex yo hepfo kugirango usige inkono yamagufa;
f: Amagufa ya Bicortical iliac yatewe mumagufwa yamagufwa, hanyuma cortex yo hejuru, igikonjo cya iliac na cortex yo hepfo yashizwemo imigozi;Amagufwa ya iliac cancellous yinjijwe mumwanya wavunitse
Ibisanzwe
manza:
▲ Umurwayi yari umugabo w'imyaka 42 y'amavuko ufite igice cyo hagati cyo kuvunika clavicle y'ibumoso yatewe n'ihahamuka (a);Nyuma yo kubagwa (b);Kuvunika gukomeye hamwe n'amagufwa adahuza mumezi 8 nyuma yo kubagwa (c);Nyuma yo kuvugurura bwa mbere (d);Kumeneka kw'icyuma nyuma y'amezi 7 nyuma yo kuvugururwa no kudakira (e);Ivunika ryakize (h, i) nyuma yo guhuza amagufwa yubatswe (f, g) ya ilium cortex.
Mu bushakashatsi bw’umwanditsi, harimo abantu 12 bose batewe no kunanirwa amagufwa, bose bakaba barageze gukira amagufwa nyuma yo kubagwa, n’abarwayi 2 bagize ibibazo, ikibazo 1 cy’inyana intermuscular vein trombose na 1 y’ububabare bwo gukuramo amagufwa ya iliac.
Unavion clavicular nonunion nikibazo kitoroshye mubikorwa byubuvuzi, bizana umutwaro uremereye mumitekerereze kubarwayi n'abaganga.Ubu buryo, bufatanije no guhuza amagufwa yububiko bwamagufwa ya cortical ya ilium hamwe no guhimba amagufwa ya kanseri, byageze ku musaruro mwiza wo gukiza amagufwa, kandi nibikorwa ni ukuri, bishobora gukoreshwa nkibisobanuro by’abaganga.
Igihe cyo kohereza: Werurwe-23-2024
