Shyiramo uburyo butatu bwo gufata amenyo imbere mu ruhu kugira ngo habeho kuvunika kwa calcaneal.

Muri iki gihe, uburyo bwo kubaga bukoreshwa cyane mu kuvura imvune za calcaneal burimo gufata imbere hakoreshejwe plate na screw binyuze mu nzira yinjirira muri sinus tarsi. Uburyo bwa "L" bukozwe mu buryo bwagutse ntibukikunzwe mu buvuzi kubera ingorane nyinshi ziterwa n'ibikomere. Gufata plate na screw system, bitewe n'imiterere yabyo ya biomechanical yo gufata eccentric, bifite ibyago byinshi byo kutamera neza kwa varus, aho ubushakashatsi bumwe na bumwe bwerekana ko nyuma yo kubagwa, amahirwe yo gufata secondary varus agera kuri 34%.

Kubera iyo mpamvu, abashakashatsi batangiye kwiga uburyo bwo gufata amenyo mu buryo bwo kuvura imvune za calcaneal kugira ngo bakemure ibibazo bifitanye isano n'ibikomere ndetse n'ikibazo cyo kurwara indwara ya secondary varus.

01 Ntekiniki yo gucura imisumari yo hagati

Ubu buryo bushobora gufasha kugabanya ubwinjiriro bwa sinus tarsi cyangwa hakoreshejwe uburyo bwa arthroscopic, bigasaba ko ingingo zoroshye zigabanuka kandi bishobora kugabanya igihe cyo kujya mu bitaro. Ubu buryo bukoreshwa cyane ku mvune zo mu bwoko bwa II-III, kandi ku mvune zikomeye za calcaneal, bushobora kudatanga uburyo bwo kuzigabanya cyane kandi bushobora gusaba ko habaho kongera gufunga vis.

02 Sumusumari wo mu nda ugenda mu kirere kimwe

Umunyu w’imbere mu nda ufite imiterere imwe ufite imisumari ibiri ku mpera z’imbere n’iz’inyuma, hamwe n’umusumari w’ibanze ufite ububobere butuma amagufwa ashobora guterwa mu nzara y’ibanze.

03 Mumusumari wo mu nda utagira ingano

Iyi sisitemu yo gufata imbere, yakozwe hashingiwe ku miterere y’imiterere ya calcaneus ifite imiterere itatu, irimo vis z’ingenzi nka vis z’imbere zitwara imizigo n’vis z’inyuma. Nyuma yo kugabanya binyuze mu nzira yo kwinjira muri sinus tarsi, izi vis zishobora gushyirwa munsi y’agace ka cartilage kugira ngo zishyigikirwe.

Hari impaka nyinshi ku ikoreshwa ry'inzara zo mu nda ku ndwara yo kuvunika kwa calcaneal:

1. Kuba imvune ikwiranye n’uburyo imvune zigoramye: Harigwanwa niba imvune zoroshye zidasaba inzara zo mu nda kandi imvune zikomeye zitazikwiriye. Ku mvune zo mu bwoko bwa Sanders II/III, uburyo bwo kugabanya no gufata uruziga binyuze mu nzira yo kwinjira muri sinus tarsi buracyari bumaze igihe, kandi akamaro k’inzara zo mu nda zikomeye gashobora kwibazwa. Ku mvune zikomeye, ibyiza byo gukoresha uburyo bwa "L" burambuye biracyari ntagereranywa, kuko butanga uburyo buhagije bwo kugaragara.

2. Kuba ari ngombwa ko habaho umuyoboro w’ubukorano: Kalcaneus ibura umuyoboro w’ubukorano. Gukoresha umunyu munini wo mu nda bishobora gutuma amagufwa ahungabana cyane cyangwa agatakaza uburemere bw’amagufwa.

3. Ingorane zo gukuraho: Mu bihe byinshi mu Bushinwa, abarwayi baracyakurwaho ibikoresho nyuma yo gukira kwa mvune. Guhuza inzara n'igufwa no gushyiramo vis ku ruhande munsi y'igufwa rya cortical bishobora gutuma bigorana gukuraho, ibyo bikaba ari ibintu bifatika mu mikoreshereze y'ubuvuzi.