“Ku ndwara zo mu ijosi ry’ingobyi zitari iza bukuru, uburyo bwo gufata imbere bukoreshwa cyane ni imiterere ya ‘inverted triangle’ ikoresheje vis eshatu. Screws ebyiri zishyirwa hafi y’imbere n’inyuma y’ijosi ry’ingobyi, kandi vis imwe ishyirwa hepfo. Mu ishusho ya anteroposterior, vis ebyiri zifatanye, zigakora igishushanyo cya ‘2-screw’, mu gihe mu ishusho ya side, hagaragara igishushanyo cya ‘3-screw’. Iyi imiterere ifatwa nk’ahantu heza cyane ho gushyira vis.”
“Umutsi w’amaraso wo mu bwoko bwa medial circumflex femoral ni wo utanga amaraso y’ibanze ku mutwe w’umugore. Iyo vis zishyizwe hejuru y’inyuma y’ijosi ry’umugore, bitera ibyago byo kwangirika kw’imitsi y’amaraso, bishobora kwangiza uburyo amaraso anyura mu ijosi ry’umugore, bityo bigatuma amagufwa akira.”
“Kugira ngo hirindwe ko habaho ikintu cyitwa ‘in-out-in’ (IOI), aho vis zinyura mu gice cyo hanze cy’ijosi ry’ijosi ry’ijosi, zigasohoka mu igufwa ry’ijosi, zikongera kwinjira mu ijosi ry’ijosi n’umutwe, intiti zo mu gihugu no mu mahanga zakoresheje uburyo butandukanye bwo gusuzuma. Acetabulum, iri hejuru y’ijosi ry’ijosi ry’ijosi ry’ijosi, ni agace k’igufwa gafite imiterere y’ijosi. Mu kwiga isano iri hagati y’vis zishyizwe hejuru y’ijosi ry’ijosi ry’ijosi n’ijosi ry’ijosi mu ishusho ya anteroposterior, umuntu ashobora kumenya cyangwa gusuzuma ibyago byo kurwara vis IOI.”
▲ Ishusho igaragaza ishusho y'amagufwa yo mu mutwe ya acetabulum mu gice cyo hejuru cy'ingingo y'ikibuno.
Ubushakashatsi bwakorewe ku barwayi 104, kandi hasuzumwe isano iri hagati y’igufwa rya acetabulum n’impande zo inyuma. Ibi byakozwe binyuze mu kugereranya kuri X-rays kandi byuzuzwa no kongera kubakwa kwa CT kugira ngo harebwe isano iri hagati yabo bombi. Mu barwayi 104, 15 bagaragaje ko hari ikibazo cya IOI gisobanutse neza kuri X-rays, 6 bari bafite amakuru atuzuye yo gufata amashusho, naho 10 bari bafite impande zombi hafi cyane y’ijosi ryo hagati mu ijosi ry’ijosi, bituma isuzuma ritagerwaho neza. Kubwibyo, abantu 73 bemewe bose hamwe bashyizwe mu isesengura.
Mu manza 73 zasesenguwe, kuri X-rays, abantu 42 bari bafite vis zishyizwe hejuru y'igufwa rya acetabulum, mu gihe abantu 31 bari bafite vis zishyirwa munsi. Icyemezo cya CT cyagaragaje ko IOI yabaye muri 59% by'abantu. Isesengura ry'amakuru rigaragaza ko kuri X-rays, vis zishyizwe hejuru y'igufwa rya acetabulum zari zifite ubushobozi bwo kwiyumvisha 90% n'uburyo bwihariye bwa 88% mu guhanura IOI.
▲ Igice cya Mbere: X-ray yo mu kibuno mu ishusho ya anteroposterior igaragaza vis zihagaze hejuru y'igufwa rya acetabulum. Ishusho ya CT coronal n'iy'inyuma byemeza ko hariho IOI.
▲Urugero rwa Kabiri: X-ray yo mu kibuno mu ishusho ya anteroposterior igaragaza vis zishyizwe munsi y'igufwa rya acetabulum. CT coronal na transverse views byemeza ko vis z'inyuma ziri mu gice cy'igufwa cyose.
Igihe cyo kohereza: Ugushyingo-23-2023
