Gucika kw'imitsi yo mu gice cy'imbere cy'umutwe ni kimwe mu bikunze kuvunika cyane, bingana na 2.6%-4% by'ibikomere byose. Bitewe n'imiterere y'umubiri w'igice cy'imbere cy'umutwe, ibikomere byo mu gice cy'imbere cy'umutwe bikunze kugaragara cyane, bingana na 69% by'ibikomere byo mu gice cy'imbere cy'umutwe, mu gihe ibikomere byo mu gice cy'inyuma n'icy'inyuma cy'umutwe bingana na 28% na 3%.
Nk'ubwoko budasanzwe bwo kuvunika, bitandukanye n'imvune zo mu gice cyo hagati cy'umugongo ziterwa n'ihungabana ry'urutugu cyangwa ikwirakwizwa ry'imbaraga zituruka ku bikomere byo hejuru y'ikirenge, kuvunika kw'igice cyo hagati cy'umugongo bikunze kujyana n'imvune nyinshi. Mu bihe byashize, uburyo bwo kuvura imvune zo mu gice cyo hagati cy'umugongo bwakunze kuba ubw'ubudahangarwa. Ariko, ubushakashatsi bwagaragaje ko 14% by'abarwayi bafite imvune zo mu gice cyo hagati bashobora kugira ibimenyetso bitajyanye n'aho bahurira. Kubwibyo, mu myaka ya vuba aha, intiti nyinshi zagiye zigana ku kuvura imvune zo mu gice cyo hagati cy'umugongo ziterwa n'ingingo ya sternoclavicular. Ariko, ibice bya clavicular byo mu gice cyo hagati akenshi biba ari bito, kandi hari imbogamizi zo gufunga hakoreshejwe ibyuma n'amapine. Kwiyongera k'umuvuduko mu gace biracyari ikibazo kitoroshye ku baganga b'amagufwa mu bijyanye no gutuza neza imvune no kwirinda ko ipfundo rinanirwa.
I.Distal Clavicle LCP Inversion
Impera ya kure y'agace k'inyuma isangiye imiterere y'umubiri n'impera ya hafi, byombi bifite ishingiro rigari. Impera ya kure y'agace k'inyuma k'inyuma k'inyuma k'inyuma (LCP) ifite imyobo myinshi yo gufunga, bigatuma igice cya kure gifata neza.
Bakurikije isano iri hagati y’imiterere y’ibi byombi, bamwe mu bahanga bashyize icyuma gitambaro mu buryo butambitse ku nguni ya 180° ku mpera ya clavicle. Banagabanyije igice cyakoreshwaga mbere mu gushimangira impera ya clavicle, basanga icyo gitereko cy’imbere gikwira neza nta mpamvu yo kugishushanya.
Gushyira impera y'inyuma y'ikirenge mu mwanya uhindukiye no kuyishyiraho igufwa ku ruhande rwo hagati byagaragaye ko bitanga uburyo bushimishije bwo kuyifata.
Ku murwayi w’umugabo w’imyaka 40 ufite ikibazo cyo kuvunika ku mpera y’iburyo bw’ikirenge, hakoreshejwe icyuma gikozwe mu cyuma cya clavicle. Isuzuma ryakurikiyeho nyuma y’amezi 12 akoreweho ububabare ryagaragaje ko yakize neza.
Inverted distal clavicle locking compression plate (LCP) ni uburyo bukunze gukoreshwa mu buvuzi mu gufata amagufwa. Akamaro k'ubu buryo ni uko igice cy'amagufwa yo hagati gifatwa n'imisumari myinshi, bigatuma habaho gufata amagufwa mu buryo bwizewe. Ariko, ubu buryo bwo gufata amagufwa busaba igice kinini gihagije cy'amagufwa yo hagati kugira ngo habeho umusaruro mwiza. Niba igice cy'amagufwa ari gito cyangwa hari impumuro hagati y'ingingo, ubushobozi bwo gufata amagufwa bushobora kwangirika.
II. Uburyo bwo Gushyiraho Ibyuma Bibiri Bihagaze
Uburyo bwo gufata ibyuma bibiri ni uburyo bukoreshwa cyane mu gucikamo ibice bigoye, nko gucikamo ibice bya humerus iri kure, gucikamo ibice bya radius na ulna, n'ibindi. Iyo gucikamo ibice neza bitagerwaho mu gice kimwe, ibyuma bibiri bifunga bikoreshwa mu gucikamo ibice bihagaze, bigatuma habaho imiterere ihamye. Mu buryo bwa biomechanic, gucikamo ibice bibiri bitanga inyungu za mekanike kuruta gucikamo ibice bimwe.
Icyapa cyo hejuru cyo gufatisha
Icyapa cyo hasi cyo gufunga hamwe n'uburyo bune bwo guhuza imiterere y'ibyapa bibiri
Igihe cyo kohereza: Kamena-12-2023
