Ibipimo byemewe byo gukira kw'imitsi yo mu gice cy'imbere n'inyuma ni ukuzunguruka kw'imbere n'inyuma munsi ya 20°, ukuzunguruka kw'inyuma munsi ya 30°, kuzunguruka kw'inyuma munsi ya 15°, no kugabanuka kw'inyuma munsi ya 3cm. Mu myaka ya vuba aha, bitewe n'ubwiyongere bw'ibyifuzo by'imikorere y'ingingo zo hejuru no gukira hakiri kare mu buzima bwa buri munsi, kubaga imitsi yo mu gice cy'imbere byarushijeho kugaragara. Uburyo busanzwe burimo gufunga imbere, imbere, cyangwa inyuma kugira ngo bifatanye imbere, ndetse no gucura imisumari imbere mu gice cy'imbere. Ubushakashatsi bwerekana ko igipimo cyo kudahuza kw'imitsi yo mu gice cy'imbere cy ...
Kugira ngo hirindwe imvune y’imitsi iterwa n’imitsi itera imirasire no kugabanya igipimo cyo kugabanuka kw’imitsi idafite aho ihuriye, intiti zo mu gihugu cy’Ubushinwa zakoresheje uburyo bwa medial, zikoresha tekiniki ya MIPPO kugira ngo zikosore imvune zo mu gice cy’imitsi, kandi zageze ku musaruro mwiza.
Uburyo bwo kubaga
Intambwe ya mbere: Guhagarara. Umurwayi aryamye aryamye, ukuguru kwangiritse kwakuwemo dogere 90 hanyuma agashyirwa ku meza yo kubaga ku ruhande.
Intambwe ya kabiri: Gukata icyuma cyo kubaga. Mu buryo busanzwe bwo gukata icyuma kimwe (Kanghui) ku barwayi, gukata icyuma bibiri birebire bya cm 3 buri kimwe hafi y'impera ya hafi n'iya kure. Gukata icyuma cyo hafi y'igice cy'inyuma n'icya kure bitanga inzira yo kwinjiramo igice cya deltoid na pectoralis major, mu gihe gukata icyuma cyo hagati kiri hejuru y'igice cya humerus, hagati ya biceps brachii na triceps brachii.
▲ Ishusho y'icyitegererezo cy'agace k'imbere.
①: Gukata amaguru; ②: Umutsi wo mu gifu; ③: Pectoralis major; ④: Imitsi yo mu gice cy'inyuma cy'umubiri.
▲ Ishusho y'icyitegererezo cy'agace ka kure k'umusatsi.
①: Umutsi wo hagati; ②: Umutsi wo mu gituza; ③: Imitsi ya Brachialis; ④: Gukata amaguru.
Intambwe ya gatatu: Gushyiramo no gushyiraho isahani. Isahani ishyirwamo binyuze mu gice cyo hafi, ifatanye n'igufwa, inyura munsi y'imitsi ya brachialis. Isahani ibanza gufatwa ku mpera y'igice cyo hasi cy'aho amenyo yacitse. Nyuma yaho, hamwe no gukurura ku gice cyo hejuru, amenyo arafungwa kandi ahuzwa. Nyuma yo kugabanuka neza hakoreshejwe fluoroscopy, hashyirwamo screw isanzwe inyura mu gice cyo hagati kugira ngo isahani ifatanye n'igufwa. Hanyuma screw ifunga irakomera, irangiza gushyiraho plate.
▲ Ishusho y'icyitegererezo cy'umuyoboro wa superior plate tunnel.
①: Imitsi ya Brachialis; ②: Imitsi ya Biceps brachii; ③: Imitsi yo hagati n'imitsi; ④: Pectoralis major.
▲ Ishusho y'icyitegererezo cy'umuyoboro wa distal plate tunnel.
①: Imitsi ya Brachialis; ②: Imitsi yo hagati; ③: Imitsi yo mu bwonko.
Igihe cyo kohereza: Ugushyingo-10-2023
