Kwinjiza uburyo bwo kumenya "imitsi ya radial" muburyo bwinyuma bwigitereko

Ubuvuzi bwo kubaga kuvunika hagati ya interineti hagati (nk'ibiterwa na “ukuboko-kurwana”) cyangwa osteomyelitis ya humeral mubisanzwe bisaba ko hakoreshwa uburyo butaziguye bwo mu nda.Ibyago byibanze bifitanye isano nubu buryo ni imvune yumutima.Ubushakashatsi bwerekanye ko amahirwe yo gukomeretsa imitsi ya iatrogène ya radiyo ituruka ku buryo bwinyuma bw’imyanya ndangagitsina kuva kuri 0% kugeza ku 10%, hamwe n’imvune zihoraho z’imitsi ya radiyo iri hagati ya 0% na 3%.

Nubwo igitekerezo cyumutekano wimyanya ndangagitsina, ubushakashatsi bwinshi bwashingiye kumiterere ya bony anatomique nkakarere ka supracondylar ya humerus cyangwa scapula kugirango ihagarare hagati.Ariko, kumenya imitsi ya radiyo mugihe gikomeza bikomeza kuba ingorabahizi kandi bifitanye isano no gushidikanya gukomeye.

Igishushanyo cya zone yumutekano wa radiyo.Impuzandengo mpuzandengo kuva indege ya neru ya radial kugera kumurongo wa nyababyeyi igera kuri 12cm, hamwe na zone yumutekano igera kuri 10cm hejuru ya condyle.

Ni muri urwo rwego, abashakashatsi bamwe bahujije imiterere nyayo yo gukorana no gupima intera iri hagati yisonga rya triceps tendon fascia na nervice ya radial.Basanze ko intera ihoraho kandi ifite agaciro kanini kumwanya wo gukorana.Umutwe muremure wa triceps brachii imitsi yimitsi ikora hafi ihagaritse, mugihe umutwe wuruhande ukora arc igereranijwe.Ihuriro ryibi bice bigize isonga rya triceps tendon fascia.Mugushakisha 2,5cm hejuru yiyi nama, imitsi ya radial irashobora kumenyekana.

 Uburyo bw'imyanya

Ukoresheje apex ya triceps tendon fascia nkibisobanuro, imitsi ya radial irashobora kuboneka mugenda hafi 2,5cm hejuru.

Binyuze mu bushakashatsi bwarimo impuzandengo y’abarwayi 60, ugereranije n’uburyo gakondo bwo gukora ubushakashatsi bwatwaye iminota 16, ubu buryo bwo guhagarara bwagabanije uruhu ku gihe cyo guhura n’imitsi ya radiyo kugeza ku minota 6.Byongeye kandi, yirinze neza gukomeretsa imitsi ya radial.

Intraoperative fixation macroscopic ishusho yo hagati ya 1/3 kuvunika humeral.Mugushira suture ebyiri zishobora gukururwa zihuza hafi 2,5cm hejuru yindege ya triceps tendon fascia apex, ubushakashatsi buciye ahanyura butuma habaho imitsi ya radial hamwe nu mitsi y'amaraso.
Intera yavuzwe rwose ifitanye isano n'uburebure bw'umurwayi n'uburebure bw'ukuboko.Mubikorwa bifatika, birashobora guhinduka gato ukurikije umubiri wumurwayi hamwe nubunini bwumubiri.