Kuvuka kwa CotrtrochanterIc of Femur konte ya 50% byibibuno musaza. Kuvura ibimutwe bikunze kugaragara nkibibazo nka vein trombose yimbitse, embolism, ibisebe byigitutu, hamwe nindwara zidubu. Igipimo cy'impfu mu mwaka umwe kirenze 20%. Kubwibyo, mugihe imiterere yumubiri yumurwayi yemerera, kubaga hakiri kare gukosorwa imbere nicyo cyatoranijwe kubiranganya.
Intramedillary umusumari imbere ni urwego rwa zahabu kugirango tuvure imivurure ya Soctrochanter. Mu myiyero kubintu bigira ingaruka kuri PFNA Imbere, ibintu nkuburebure bwa pfna, inguni ya varkus, nashushanyije byavuzwe mubushakashatsi bwibanze. Ariko, biracyasobanutse niba umubyimba wimisumari nyamukuru bigira ingaruka kumikorere. Kugira ngo akemure ibi, intiti zo hanze zakoresheje intera imisumari hamwe n'uburebure bungana ariko ubunini butandukanye bwo gukosora imivurungano mu bageze mu za bukuru (imyaka> 50), bigamije kugereranya niba hari itandukaniro mu bisubizo bidakora.
Ubushakashatsi bwarimo imyaka 191 yo kuvunika gutandukanya buringaniye, bose bavuwe na PFNA-II ikosora imbere. Iyo umutobwe trocher yavunitse aruhuka, umusumari wa 200m wakoreshejwe; Iyo umutobwe trochanar yari adafite ishingiro cyangwa atatandukanye, 170m ultra-umusumari mugufi wakoreshejwe. Diameter yumusumari munini yagabanutse kuva kuri 9-12mm. Kugereranya nyamukuru mu kwiga byibanze kubipimo bikurikira:
1. Ubugari buke bwo gupfuka, kugirango basuzume niba imyanya yari isanzwe;
2. Isano iri hagati ya cortex Hagati yumutwe-ijosi nigice cya kure, kugirango isuzume ireme ryo kugabanya;
3. Intera-Apex Intera (Tad);
4.Namurika-to-canal (NCR). NCR niyo kigereranyo cyimisumari nyamukuru kugeza kuri medullary callary diameter ku indege ya kure.
Mu barwayi 191 harimo, gukwirakwiza imanza zishingiye ku burebure na diameter y'imisumari nyamukuru yerekanwe mu ishusho ikurikira:
Impuzandengo ncr yari 68,7%. Ukoresheje iyi mpuzanderi nkuru nkurugero, imanza hamwe na NCR irenze impuzandengo yafatwaga nk'imikorere ikomeye y'imisumari, mu gihe imanza zifite NCR zitari iy'ibigereranyo. Ibi byatumye hashyirwa mu byiciro abarwayi mu itsinda ryinshi ryimisumari (90) hamwe nitsinda rito rinini (101).
Ibisubizo byerekana ko nta tandukaniro rikomeye rifite hagati yitsinda ryinshi ryimisumari hamwe nitsinda rito rinini mubijyanye nitsinda-apex, amanota yo gukiza, yatinze gutangaza, hamwe nibipimo byo gusuzugura, nibipimo byamaguwe, nibibazo byamaguwe, nibibazo byamaguwe, hamwe nibipimo bya orthopetion, nibibazo byamavurungano, nibipimo bya orttopetion, nibibazo byamaguwe, nibibazo byamaguwe, hamwe nibipimo bya orthopetion, nibibazo byamavuko, nibipimo bya orthopetion, hamwe nibipimo bya orthopetion, nibipimo byamaguwe, hamwe nibipimo bya orthopetion, nibipimo byamaguwe, nibibazo by'amagupo, n'ibibazo by'amagupo, n'ibibazo by'amagupo, n'ibibazo by'amagupo, n'ibibazo by'amasako
Kimwe n'ubushakashatsi, ingingo yasohotse mu "kinyamakuru cy'ihungabana rya orthopedic" muri 2021: [Umutwe w'ingingo].
Inyigisho yarimo 168 abarwayi bageze mu za 16. Imyaka> 60) hamwe no kuvunika kwa Cortrochanter, bose bavuwe nimisumari ya cephalomedilamerlary. Dushingiye kuri diameter yumusumari munini, abarwayi bagabanijwemo itsinda rya 10mm hamwe nitsinda rifite diameter arenga 10mm. Ibisubizo byagaragaje kandi ko nta tandukaniro rikomeye rifite imibare mu rwego rwo kwisubiraho (haba muri rusange cyangwa kutandura) hagati yaya matsinda yombi. Abanditsi b'Ubushakashatsi bavuga ko, mu barwayi bageze mu zabukuru bafite imivurungano ya sertrochanter, bakoresheje imisumari ya 10 mu misumari ihagije, kandi nta mpamvu yo kongera gusubira hejuru, kuko ishobora kugera ku bisubizo byiza.
Igihe cyagenwe: Gashyantare-23-2024
