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"Gukosora imbere havuza ivuza ihuriro ry'amato ukoresheje isahani yo hagati yo hagati osteosynthesis (Tekinike ya Mippo)."

Ibipimo byemewe byo gukiza shacraft shaft nubusobe bwimbere-inyuma bwabatarengeje imyaka 20 °, kuzunguruka munsi ya 15 °, no kugabanya munsi ya 3cm. Mu myaka yashize, hamwe nibisabwa mumikorere yo hejuru no gukira hakiri kare mubuzima bwa buri munsi, kuvura ubwitonzi bwuruganda rumene rwabaye rusange. Uburyo bwingenzi burimo imbere, anterolate, cyangwa gutoranya inyuma kugirango bikosorwe imbere, hamwe na intera imisumari. Ubushakashatsi bwerekana ko igipimo kidasanzwe cyo kugabanya imbere ikosora imisoro ni 4-13%, hamwe na ITTRIGINICIQUE BEALITIKI BY'IMBERE BITANGAZA MURI 7%.

Kugira ngo wirinde igikomere cya Iathrogenic no kugabanya igifuniko kitarimo igabanuka, intiti zo mu rugo mu Bushinwa zashyizeho uburyo bwo hagati, ukoresheje imiterere ya Mippo kugirango ukosore imiterere ya mimero, kandi yageze ku bisubizo byiza.

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Uburyo bwo kubaga

Intambwe ya mbere: Umwanya. Umurwayi aryamye mumwanya utanga ubwuzuzanye, hamwe numurongo wanduye washimuswe dogere 90 hanyuma ugashyirwa kumeza yo gukora kuruhande.

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Intambwe ya kabiri: Kugara kubaga. Mubisobanuro bisanzwe hagati yo gukosora amasahani (Kanghui) kubarwayi, ibipimo bibiri birebire bya 3cm buriwese bikozwe hafi yuburyo bwiza kandi bwa kure. Gukuramo kwa proximinal bikora nkubwinjiriro bwa Deltoid ya Deltoid Pattercial na Pactoralis iri hejuru ya epicondyle ya Humerus, hagati ya Biceps Brachii na Triceps Brachii.

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Igishushanyo cya Schematic cyo gutemangira.

①: Guterwaga; ②: imitwe ya cephali; ③: Majoro ya Pectoralis; ④: imitsi ya deltoid.

Igishushanyo cya Schematic cyo gutemandukira.

①: imitsi ya median; ②: Umutima wa Ulnar; ③: imitsi ya brachialis; ④: Kubaga.

Intambwe ya gatatu: Kwinjiza plaque no gukosorwa. Isahani yinjijwe muburyo bwa proximal, ndwanya amagufwa, anyura munsi yimitsi ya brachiasi. Isahani ibanje kuba yaranzwe cyane kumpera ya fufral shaft. Nyuma, hamwe nigituba cyo guhinduranya ku gihimba cyo hejuru, kuvunika birafunze kandi bihujwe. Nyuma yo kugabanuka gushimishije munsi ya flushroscopy, umuyoboro usanzwe winjijwe mu nkombe za kure kugirango ubone isahani yo kurwanya amagufwa. Gufunga imitekerereze, irangira, irangiza plaque.

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Igishushanyo cya Schematic cyerekana umuyoboro wo hejuru.

①: imitsi ya brachialis; ②: Biceps Brichii Imitsi; ③: ibikoresho byo hagati n'imitsi; ④: Major Pectoralis.

Igishushanyo cya Schematic cyerekana umuyoboro wa direya.

①: imitsi ya brachialis; ②: imitsi ya median; ③: Umutima wa Ulnar.


Igihe cyo kohereza: Nov-10-2023