Gucika k'umugongo w'ikiziba cy'imbere mu minwe ni imvune ikunze kugaragara. Gufata inzara imbere mu minwe bifite akamaro ka biyomekeniki ko kuziba inzara mu buryo budatera cyane cyangwa bufata amaguru yombi, bigatuma biba igisubizo gisanzwe cyo kuvura inzara. Hari uburyo bubiri bw'ingenzi bwo gufata inzara mu minwe mu minwe: gukata inzara mu minwe no kuziba inzara mu minwe, ndetse n'uburyo bwa parapatellar bukoreshwa na bamwe mu bahanga.
Ku mvune ya 1/3 cya tibia, kubera ko uburyo bwo gupfuka ivi busaba gupfuka ivi, biroroshye gutuma imvune ihinduka intera imbere mu gihe cyo kubagwa. Kubwibyo, uburyo bwo gupfuka ivi bukunze kubazwa mu kuvura.
▲Ishusho igaragaza aho urugingo rwangiritse ruherereye binyuze muri suprapatellar approach
Ariko, niba hari ibintu binyuranyije n'uburyo bwo gukoresha suprapatellar, nko kurwara ibisebe byoroshye mu mubiri, uburyo bwo gukoresha infrapatellar bugomba gukoreshwa. Uburyo bwo kwirinda kugorama kw'impeshyi mu gihe cyo kubaga ni ikibazo kigomba kugerwaho. Hari abahanga bakoresha ibyuma bito kugira ngo bakosore by'agateganyo cortex y'imbere, cyangwa bagakoresha inzara zifunga kugira ngo bakosore kugorama.
▲ Ishusho igaragaza ikoreshwa ry'imisumari ifunga kugira ngo ikosore inguni.
Kugira ngo iki kibazo gikemuke, intiti z'abanyamahanga zakoresheje uburyo bworoshye bwo kubangamira. Iyi nkuru iherutse gusohoka mu kinyamakuru "Ann R Coll Surg Engl":
Hitamo vis ebyiri z'uruhu za mm 3.5, zegereye umutwe w'intambwe yavunitse, shyiramo vis imwe imbere n'inyuma mu bice by'amagufwa biri ku mpera zombi z'aho imvune yavunitse, hanyuma usige cm zirenga 2 hanze y'uruhu:
Shyira ibyuma byo kugabanya kugira ngo ukomeze kugabanya, hanyuma ushyiremo inzara zo mu nda ukurikije uburyo busanzwe. Nyuma yo gushyiramo inzara zo mu nda, kuramo vis.
Ubu buryo bwa tekiniki bukwiriye mu bihe byihariye aho inzira za suprapatellar cyangwa parapatellar zidashobora gukoreshwa, kandi ntizisabwa buri gihe. Gushyira iyi screw bishobora kugira ingaruka ku ishyirwa ry'umusumari mukuru, cyangwa hashobora kubaho ibyago byo kuvunika screw. Bushobora gukoreshwa nk'icyitegererezo mu bihe byihariye.
Igihe cyo kohereza: Gicurasi-21-2024
