Ivunika rya radiyo ya kure nimwe mubisanzwekuvunikamubikorwa byubuvuzi.Kubenshi bavunitse kure, ibisubizo byiza byo kuvura birashobora kugerwaho hifashishijwe isahani yegereye palm na screw imbere.Mubyongeyeho, hari ubwoko butandukanye bwihariye bwavunitse bwa radiyo ya kure, nkibice bya Barton, kuvunika-gupfa,Imvune za Chauffeur, nibindi, buri kimwe gisaba uburyo bwihariye bwo kuvura.Intiti z’amahanga, mu bushakashatsi bwakozwe ku ngero nini z’imvune za radiyo ya kure, zagaragaje ubwoko runaka aho igice cy’urugingo kirimo kuvunika kwa radiyo ya kure, kandi ibice byamagufwa bigize imiterere ihuriweho na base ya “mpandeshatu” (tetrahedron), byitwa ubwoko bwa "tetrahedron".
Igitekerezo cya "Tetrahedron" Ubwoko bwavunitse bwa Radius: Muri ubu bwoko bwavunitse bwa radiyo ya kure, kuvunika bibaho mugice cyurugingo, birimo palmar-ulnar na radiyo styloide, hamwe na triangulaire ihindagurika.Umurongo wavunitse ugera kumpera ya radiyo.
Umwihariko w'ukuvunika kugaragarira mubintu byihariye biranga palmar-ulnar ibice by'amagufwa ya radiyo.Ku ruhande rumwe, fossa yukwezi ikozwe nibi bice byamagufwa ya palmar-ulnar ikora nkigikoresho cyumubiri cyo kurwanya volar kwimura amagufwa ya carpal.Gutakaza inkunga bivuye kuriyi miterere bivamo volar dislocation yikiganza.Kurundi ruhande, nkibigize igice cya radioulnar ya ruguru ya radial arctular arctular, kugarura iki gice cyamagufwa kumwanya wacyo wa anatomique nikintu gisabwa kugirango ugarure ituze mubice bya radiyo ya kure.
Ishusho ikurikira irerekana Urubanza 1: Kwerekana amashusho yubwoko bwa "Tetrahedron" busanzwe bwavunitse bwa radiyo.
Mu bushakashatsi bumaze imyaka itanu, hagaragaye ibibazo birindwi by'ubu bwoko bwo kuvunika.Kubyerekeranye nibimenyetso byo kubaga, kubibazo bitatu, harimo Urubanza 1 mwishusho hejuru, aho habanje kuvunika kutimuwe, hatoranijwe ubuvuzi bwa conservateur.Ariko, mugihe cyo kubikurikirana, izo manza uko ari eshatu zahuye no kuvunika kuvunika, biganisha kubagwa imbere.Ibi birerekana urwego rwo hejuru rudahungabana hamwe ningaruka zikomeye zo kwimurwa mu kuvunika kwubu bwoko, bishimangira ikimenyetso gikomeye cyo kubaga abantu.
Kubijyanye no kuvura, imanza ebyiri zabanje gukoreshwa muburyo bwa volar hamwe na flexor carpi radialis (FCR) kugirango isahani hamwe na screw imbere.Muri kimwe muri ibyo bibazo, gukosora byarananiranye, bivamo kwimura amagufwa.Icyakurikiyeho, uburyo bwa palmar-ulnar bwakoreshejwe, kandi gukosora byihariye hamwe nisahani yinkingi byakozwe kugirango inkingi yo gusubiramo.Nyuma yo kubaho kunanirwa gukosorwa, imanza eshanu zakurikiyeho zose zakorewe palmar-ulnar kandi zashyizwe hamwe na plaque 2.0mm cyangwa 2.4mm.
Ikiburanwa cya 2: Gukoresha uburyo busanzwe bwa volar hamwe na flexor carpi radialis (FCR), gukosora hamwe nisahani yimikindo byakozwe.Nyuma yo kubagwa, gutandukana imbere yikiganza cyamaboko byagaragaye, byerekana kunanirwa gukosorwa.
Kubibazo 2, gukoresha uburyo bwa palmar-ulnar no gusubiramo hamwe nisahani yinkingi byavuyemo umwanya ushimishije wo gukosora imbere.
Urebye ibitagenda neza bya plaque isanzwe ya radiyo yamenetse mugukosora iki gice cyamagufwa, hariho ibibazo bibiri byingenzi.Ubwa mbere, gukoresha uburyo bwa volar hamwe na flexor carpi radialis (FCR) bishobora kuvamo guhura bidahagije.Icya kabiri, ubunini bunini bwibikoresho byo gufunga imikindo ntibishobora kurinda neza uduce duto twamagufwa kandi birashobora kubimura mugushyiramo imigozi mu cyuho kiri hagati yibi bice.
Kubwibyo, intiti zitanga igitekerezo cyo gukoresha ibyapa bifunga 2.0mm cyangwa 2,4mm kugirango bikosorwe neza igice cyamagufwa yo hagati.Usibye isahani ishigikira, ukoresheje imigozi ibiri kugirango ukosore igice cyamagufwa no gutesha agaciro isahani kugirango urinde imigozi nubundi buryo bwo gukosora imbere.
Muri iki gihe, nyuma yo gutunganya igice cyamagufwa hamwe ninshuro ebyiri, isahani yashizwemo kugirango irinde imigozi.
Muri make, ubwoko bwa "Tetrahedron" bwavunitse bwa radiyo yerekana ibimenyetso bikurikira:
1. Indwara nkeya hamwe nigipimo kinini cya firime isanzwe ya mbere yo gusuzuma nabi.
2. Ibyago byinshi byo guhungabana, hamwe nogushaka kwimurwa mugihe cyo kuvura indwara.
3. Isahani isanzwe yo gufunga ibyapa byavunitse bya radiyo ya kure bifite imbaraga zo gukosora, kandi birasabwa gukoresha ibyapa bifunga 2.0mm cyangwa 2.4mm kugirango bikosorwe neza.
Urebye ibyo biranga, mubikorwa byubuvuzi, birasabwa gukora CT scan cyangwa kwisuzumisha buri gihe kubarwayi bafite ibimenyetso byingenzi byamaboko ariko X-X mbi.Kuri ubu bwoko bwakuvunika, hakiri kare kubagwa hamwe nisahani yihariye irasabwa gukumira ingorane nyuma.
Igihe cyo kohereza: Ukwakira-13-2023
