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

Kuvunika amaguru ni ibikomere bisanzwe bivura.Bitewe nuduce tworoheje tworoshye dukikije umugongo, habaho ihungabana rikomeye ryamaraso nyuma yimvune, bigatuma gukira bitoroshye.Kubwibyo, kubarwayi bafite ibikomere byuguruye cyangwa imitsi yoroheje idashobora guhita ikosorwa imbere, amakadiri yo gukosora hanze hamwe no kugabanya no gufunga hakoreshejwe insinga za Kirschner mubisanzwe bikoreshwa muguhagarika by'agateganyo.Ubuvuzi bwuzuye bukorwa mugice cya kabiri iyo imiterere yoroheje yimitsi imaze kuba myiza.

Nyuma yo kuvunika gukabije kwa malleolus kuruhande, hariho imyumvire yo kugabanya no kuzunguruka kwa fibula.Niba bidakosowe mugice cyambere, gucunga ibyakurikiyeho bya fibular bigabanuka no guhindagurika bigenda biba ingorabahizi murwego rwa kabiri.Kugira ngo iki kibazo gikemuke, intiti z’amahanga zasabye uburyo bushya bwo kugabanya icyiciro kimwe no gukosora imvune za malleolus ziherekejwe no kwangirika kw’imitsi yoroheje, bigamije kugarura uburebure no kuzunguruka.

Ingingo y'ingenzi 1: Gukosora fibular kugabanya no kuzunguruka.

Kumeneka kwinshi cyangwa kuvunika kwa fibula / kuruhande rwa malleolus ikunze kuganisha ku kugabanuka kwa fibular no guhindura imikorere yo hanze:

Ishusho yo kugabanya fibular (A) no kuzunguruka hanze (B).

Mugukanda intoki zavunitse zimenetse nintoki, mubisanzwe birashoboka kugera kugabanuka ryavunitse rya malleolus.Niba umuvuduko utaziguye udahagije kugirango ugabanuke, hashobora gukorwa uduce duto kuruhande rwinyuma cyangwa inyuma yinyuma ya fibula, kandi imbaraga zo kugabanya zirashobora gukoreshwa mugukata no gusubiramo kuvunika.

Ishusho yo kuzenguruka hanze ya malleolus (A) no kugabanuka nyuma yo kwikuramo intoki n'intoki (B).

Ishusho yo gukoresha agace gato no kugabanya imbaraga zifasha kugabanuka.

Ingingo y'ingenzi 2: Kubungabunga kugabanuka.

Nyuma yo kugabanuka kuvunika kwa malleolus kuruhande, insinga ebyiri za 1,6mm zidafite umugozi wa Kirschner zinjizwa mu gice cya kure cya malleolus.Bashyizwe muburyo butaziguye kugirango bakosore igice cya malleolus kuruhande rwa tibia, bagumane uburebure no kuzunguruka kwa malleolus kuruhande no kwirinda kwimurwa nyuma mugihe cyo kuvura.

Mugihe cyo gukosora neza murwego rwa kabiri, insinga za Kirschner zirashobora gutondekwa mumyobo iri mu isahani.Isahani imaze gukosorwa neza, insinga za Kirschner zivanyweho, hanyuma imigozi ihita yinjizwa mu mwobo wa Kirschner kugirango hongerwe imbaraga.