Uburyo bwo Kubaga | “Uburyo bwo Gukoresha Umugozi w'Insinga wa Kirschner” bwo Gufata Imbere mu Kuvura Ivunika rya Bennett

Kuvunika kwa Bennett bingana na 1.4% by'amagufwa avunitse ku ntoki. Bitandukanye n'amagufwa asanzwe yo hasi ku igufwa rya metacarpal, kwimuka kw'amagufwa ya Bennett ni ikintu cyihariye. Igice cy'ubuso bw'ingingo kiguma mu mwanya wacyo wa mbere bitewe no gukururwa n'umugozi wa metacarpal, mu gihe igice cyo hagati, bitewe no gukururwa n'imitsi ya abductor pollicis longus na adductor pollicis, kivunika inyuma y'igufwa no hejuru.

Ku mvune za Bennett zavuye mu myanya y'umubiri, ubusanzwe ubuvuzi bwo kubaga bugirwa inama yo kwirinda kwangiza imikorere y'ingingo za carpometacarpal n'igikumwe. Ku bijyanye n'uburyo bwo kuvura, uburyo bwo gufata ibyuma n'imigozi, ndetse no gufata ibyuma bya Kirschner, bikoreshwa cyane mu buvuzi. Intiti zo mu bitaro bya gatatu bya Hebei zatanze igitekerezo cy'uburyo bwo gufata ibyuma bya Kirschner, bukoresha gukata ibyuma bito cyane kugira ngo hakosorwe imvune za Bennett, bigatuma habaho umusaruro mwiza.

Intambwe ya 1: Kora icyuho cya cm 1.3 ku ruhande rw'urugingo rwa carpometacarpal, gabanya urwego ku rundi kugira ngo ugaragaze aho hantu, subiza inyuma abductor pollicis longus ugana ku ruhande rw'inyuma, hanyuma ushyire ahagaragara uruhande rw'inyuma rw'urugingo rwa carpometacarpal.

Intambwe ya 2: Shyiraho intoki hanyuma ushyire igikumwe imbere kugira ngo ugabanye kuvunika. Shyiramo insinga ya Kirschner ya mm 1 unyuze ku mpera y'aho imvune iherereye, cm 1-1.5 uvuye ku ngingo ya carpometacarpal, kugira ngo ukomereze igice cy'igufwa cyo hafi. Nyuma yuko insinga ya Kirschner yinjira mu gice cy'igufwa, komeza uyitere imbere ho cm 1.

Intambwe ya 3: Fata insinga uyishyire mu buryo bwa "figure-8" ku mpera zombi z'insinga ya Kirschner, hanyuma uyihambire mu mwanya wayo.

Uburyo bwo gufunga umugozi wa Kirschner bwakoreshejwe mu gufunga imigozi myinshi, ariko ku mvune za Bennett, gukata gato akenshi bituma umuntu atabona neza kandi bigatuma inzira igorana. Byongeye kandi, iyo imvune yacitse, umugozi umwe wa Kirschner ushobora kudakomeza neza igice cy'amagufwa yo hafi. Ingufu zawo zishobora kuba nke. Uretse uburyo bwo gufunga umugozi wavuzwe haruguru, hari kandi uburyo bwo gufunga umugozi wa Kirschner buhujwe n'uburyo bwo gufunga umugozi, nk'uko byanavuzwe mu nyandiko.