Kuvunika byimbere akenshi bisaba kugabanuka no gukosora imbere, haba hamwe no gukosora wenyine cyangwa hamwe no guhuza amasahani n'imigozi.
Ubusanzwe, kuvunika by'agateganyo bikoreshwa by'agateganyo hamwe na Kirschner PIN hanyuma ugashyirwaho hamwe na kimwe cya kabiri-impagarara zo guhagarika umutima, zishobora no guhuzwa nitsinda ryamaganwa. Intiti zimwe zakoresheje imigozi yuzuye-yuzuye yo kuvura ibirenge hagati, kandi imikorere yabo iruta iy'umugozi gakondo wa kabiri. Ariko, uburebure bwimigozi yuzuye-yuzuye ni mm 45, kandi yometse kuri metaphysis, kandi benshi mubarwayi bazagira ububabare mumaguru yo hagati kuberako protrusion yo gukosora imbere.
Dr Barnes, kuva mu ishami rya Ortchopedic Thauma mu bitaro bya kaminuza ya St Louis muri Amerika, yemera ko imigozi mira itagira ingano ishobora gukosora amagufwa mu buryo bworoshye bwo gukosora, no guteza imbere gukiza. Kubera iyo mpamvu, Dr Barnes yakoraga ubushakashatsi ku bikorwa by'imikorere itagira umutwe mu kuvura ibirenge by'imbere mu gihe, iherutse gusohoka mu gukomeretsa.
Ubushakashatsi bwarimo abarwayi 44 (bivuze imyaka 45, 18-80) bavuwe imigozi y'imbere mu bitaro bya kaminuza ya Saint Louis hagati y'ibitaro bya kaminuza ya Saint Louis hagati y'ibitaro byuzuye bikabije.
Ibyinshi mubivunika byatewe no kugwa mumwanya uhagaze kandi ahasigaye byatewe nimpanuka za moto cyangwa siporo nibindi 1). Makumyabiri na batatu muri bo yari afite kuvunika inshuro ebyiri, 14 yari afite amaguru ya gatatu kandi 7 asigaye yari afite ibiyobyabwenge bimwe (Ishusho 1a). Kuvura, abarwayi 10 bavuwe hamwe na stomey imwe itagira ingano yo kuvunika gukabije, mugihe abarwayi 34 basigaye bafite imigozi ibiri idafite imitwe idahwitse (Ishusho 1B).
Imbonerahamwe 1: Uburyo bwo gukomeretsa
Igishushanyo 1a: kuvunika amaguru; Igishushanyo 1b: kuvunika amaguru kavuwe hamwe nimigozi 2 idafite imitwe.
Kubisobanuro bikurikirana ibyumweru 35 (ibyumweru 12-20), bitanga ibimenyetso byerekana gukira gukiza byabonetse mubarwayi bose. Nta murwayi wasabye ko wasuzumye kubera screw sputrusion, kandi umurwayi umwe gusa yasabye gukuramo amashusho kubera kwandura byambere bya Marsa muri kasheri yo hepfo na selile nyuma yo gutangirira. Byongeye kandi, abarwayi 10 bari bafite ikibazo cyoroheje kuri palpation yintambara yimbere.
Kubwibyo, abanditsi banzuye ko kuvura amaguru yimbere hamwe n'imigozi itagira ingano yaturutse ku kuvuza ibipimo byo hejuru, imikorere myiza yo gukira, kandi ububabare buke bwa nyuma.
Igihe cyo kohereza: APR-15-2024
