Tekinike yo kubaga | Kumenyekanisha tekinike yo kugabanya by'agateganyo no kubungabunga uburebure bwo hanze no kuzunguruka.

Kuvunika kkle ni imvune isanzwe. Bitewe n'ingingo zidafite intege nke zikikije akantu, hari guhungabana gake mu maraso nyuma yo gukomeretsa, gukiza gukira. Kubwibyo, kubarwayi bafite ibikomere bifunguye cyangwa tissue yoroshye bidashobora gukosorwa imbere, amakadiri yo gukosora amaturo ahujwe no kugabanya insinga afunzwe mubisanzwe akoreshwa muburakari bwigihe gito. Kuvura neza bikorwa mu cyiciro cya kabiri iyo imiterere yoroshye ya tissue yateye imbere.

Nyuma yo kuvunika umurongo wa Mainleolus kuruhande, hari imyumvire yo kugabanya no kuzunguruka fibula. Niba bidakosowe mugice cyambere, gucunga ibikurikira bya fibulant ya fibulant na rosulity biba bigoye mugice cya kabiri. Kugira ngo iki kibazo gikemuke, intiti z'amahanga zasabye uburyo bwo kugabanya icyiciro kimwe cyo kugabanya imirongo imwe n'igice cya Malleolus cyaherekejwe na kanseri ikabije yangiritse, igamije kugarura uburebure no kuzunguruka.

Ingingo y'ingenzi 1: Gukosora Fibular na Kuzenguruka.

Kuvunika byinshi cyangwa kuvunika byashyizweho na fibula / latil malleolus isanzwe iganisha kuri fibuland igabanya fibular na ortiction:

▲ Ishusho yo kugabanya fibular (a) no kuzunguruka (B).

Mugutera intoki birangizwa nintoki, mubisanzwe birashoboka kugera ku kugabanya kuvunika malleolus. Niba igitutu kidasanzwe kidahagije kugirango kigabanuke, kitonyanga gito kuruhande rwimbere cyangwa inyuma ya fibula irashobora gukorwa, kandi imbaraga zo kugabanya zirashobora gukoreshwa mu guhanura no gusubiramo kuvunika.

▲ Ishusho yo kuzunguruka hanze ya Malleolus ya Painleolus (a) no kugabanya nyuma yintoki yintoki (B).

▲ Ishusho yo gukoresha ingufu zito no kugabanya kugirango ugabanye.

Ingingo y'ingenzi 2: Kubungabunga kugabanuka.

Nyuma yo kugabanya umurongo wa Malleolus ya Malleolus, abiri 1.6mm itari intera yinjijwe binyuze mu gice cya discool ya kure. Bashyizwe mu buryo butaziguye agace ka Malleolus kuruhande rwa Tibia, gukomeza uburebure no kuzunguruka Malleolus kuruhande no gukumira kwimurwa nyuma mugihe cyo kwivuza.

Mugihe cyakosowe mu cyiciro cya kabiri, insinga za kirsclener irashobora gutontoma binyuze mu mwobo uri mu isahani. Isahani imaze gukosorwa neza, insinga za kirsclone irakuweho, kandi imigozi noneho yinjijwe binyuze muri Kirchner Wire umwobo winyongera kugirango uhuze ninyongera.