Kuvunika kwa patella ni ikibazo kigoye cyane mu buvuzi. Ikibazo kiri mu buryo bwo kuyigabanya, kuyiteranya kugira ngo habeho ubuso bwuzuye bw'ingingo, n'uburyo bwo kuyikosora no kuyikomeza. Muri iki gihe, hari uburyo bwinshi bwo kuyifata imbere mu gihe cyo kuvunika kwa patella, harimo kuyifata mu buryo bwa Kirschner, kuyifata mu buryo bwa cannulated, kuyifata mu buryo bwa cerclage, inzara za patellar, nibindi. Uko uburyo bwinshi bwo kuvura burushaho kuba bwiza cyangwa bukoreshwa, niko uburyo butandukanye bwo kuvura burushaho kuba bwiza cyangwa bufatika. Imiterere y'ivunika ntabwo yari iteganijwe.
Byongeye kandi, bitewe n'uko hari uburyo butandukanye bwo gufata ibyuma imbere mu mubiri ndetse n'imiterere y'umubiri wa patella, hari ingorane nyinshi zijyanye no gufata ibyuma imbere nyuma yo kubagwa, harimo gushyuha kw'implant, gusohora K-wire, gucika kw'insinga, nibindi, ibyo bikaba bidakunze kugaragara mu buvuzi. Muri urwo rwego, intiti z'abanyamahanga zatanze igitekerezo cy'ikoranabuhanga rikoresha imigozi idapfa gukururwa n'imigozi y'imigozi, ryitwa "ikoranabuhanga rya spider web", kandi ryageze ku musaruro mwiza mu buvuzi.
Uburyo bwo kudoda bugaragazwa ku buryo bukurikira (kuva ibumoso ujya iburyo, kuva ku murongo wo hejuru ujya ku murongo wo hasi):
Ubwa mbere, nyuma yo kugabanuka kw'imvune, umutsi w'amaraso ukikije patellar ushyirwa ku ruhande ukikije patella kugira ngo hakorwe imiterere myinshi idafite aho ihuriye imbere ya patella, hanyuma hagakoreshwa imigozi kugira ngo buri gice cy'amaraso kidafite aho gihuriye kibe impeta hanyuma kiyihambiremo ipfundo.
Imigozi ikikije umutsi wa patellar irakomera kandi ipfundikirwa, hanyuma imigozi ibiri igororotse iradodwa kandi ipfundikirwa kugira ngo patella ikorwe, hanyuma imigozi irapfundikirwa hafi ya patella mu gihe cy'icyumweru.
Iyo ingingo y'ivi igoswe kandi ikarangirira, bigaragara ko aho yavunitse hahamye kandi ubuso bw'ingingo bukaba burambuye:
Uburyo bwo gukira n'imikorere y'indwara zisanzwe:
Nubwo ubu buryo bwageze ku musaruro mwiza mu bushakashatsi, muri iki gihe, gukoresha ibikoresho bikomeye by'icyuma bishobora kuba amahitamo ya mbere y'abaganga bo mu rugo, ndetse bishobora no gufasha guhagarika plaster nyuma yo kubagwa kugira ngo ivunike kandi hirindwe ko ivunika imbere. Intego nyamukuru ni ukunanirwa; ingaruka ku mikorere no gukomera kw'ivi bishobora kuba ibya kabiri.
Ubu buryo bwo kubaga bushobora gukoreshwa ku barwayi bamwe na bamwe batoranyijwe kandi ntibwakwifashishwa mu buryo busanzwe. Sangiza ubu buryo bwa tekiniki kugira ngo abaganga babukoreshe.
Igihe cyo kohereza: Gicurasi-06-2024
