Kuvunika kwa Clavicle ni kimwe mu bivunika cyane, bingana na 2,6% -4% by'imvune zose.Bitewe na anatomique iranga midshaft ya clavicle, kuvunika kwa midhaft biramenyerewe cyane, bingana na 69% byavunitse clavicle, mugihe kuvunika kumpera yinyuma no hagati ya clavicle bingana na 28% na 3%.
Nkubwoko busanzwe budasanzwe bwo kuvunika, bitandukanye no kuvunika kwa clavicle ya midhaft iterwa nihungabana ryigitugu cyigitugu cyangwa kwanduza imbaraga zatewe no gukomeretsa amaguru yo hejuru, kuvunika kumpera yo hagati ya clavicle bikunze kuba bifitanye isano no gukomeretsa byinshi.Mubihe byashize, uburyo bwo kuvura kuvunika kumpera yo hagati ya clavicle mubusanzwe byari byiza.Nyamara, ubushakashatsi bwerekanye ko 14% by’abarwayi bafite imvune zavanywe mu mpera zo hagati bashobora guhura n’ibimenyetso.Kubwibyo, mumyaka yashize, intiti nyinshi ninshi zishimangiye kuvura kubagwa kuvunika kwimuwe kumpera ya mediya irimo ingingo ya sternoclavicular.Nyamara, ibice bya clavicular yo hagati mubisanzwe ni bito, kandi hariho imbogamizi zo gukosora ukoresheje amasahani hamwe na screw.Guhangayikishwa n’ibanze bikomeje kuba ikibazo kitoroshye kubaganga babaga amagufwa muburyo bwo guhagarika neza kuvunika no kwirinda kunanirwa gukosorwa.
I.Distal Clavicle LCP Guhindura
Impera ya kure ya clavicle isangiye imiterere isa na anatomique hamwe nimpera yegeranye, byombi bifite ishingiro ryagutse.Impera ya kure ya clavicle ifunga plaque compression (LCP) ifite ibikoresho byinshi bifunga imiyoboro, bifasha gutunganya neza igice cya kure.
Urebye imiterere ihuza ibyo byombi, intiti zimwe zashyize isahani yicyuma mu buryo butambitse ku nguni ya 180 ° ku mpera ya clavicle.Bagabanije kandi igice cyakoreshwaga mbere kugirango gihagarike impera ya clavicle basanga iyimbere ryimbere rihuye neza bidakenewe gushiraho.
Gushyira clavicle kumpera ya kure mumwanya uhindagurika no kuyitunganya hamwe nisahani yamagufa kuruhande rwagati wasangaga bitanga ibikwiye.
Kubireba umurwayi wumugabo wimyaka 40 wavunitse kumpera yo hagati ya clavicle iburyo, hakoreshejwe icyuma cya clavicle cyuma cya kure.Ikizamini cyo gukurikirana nyuma y'amezi 12 nyuma yo kubagwa cyerekanye ingaruka nziza yo gukira.
Inverted distal clavicle ifunga compression plaque (LCP) nuburyo bukoreshwa muburyo bwo gukosora imbere mubikorwa byubuvuzi.Ibyiza byubu buryo nuko igice cyamagufwa yo hagati gifashwe ninshuro nyinshi, gitanga umutekano muke.Nyamara, ubu buryo bwo gukosora busaba igice kinini cyamagufwa yo hagati kugirango ibisubizo byiza.Niba igufwa ryamagufwa ari rito cyangwa hari imitekerereze yimbere, imikorere yo gukosora irashobora guhungabana.
II.Amashanyarazi abiri yububiko bwa tekinike yo gukosora
Ubuhanga bubiri bwa plaque nuburyo bukoreshwa muburyo bwo kuvunika bigoye, nk'imvune zo mu nda ya kure, kuvunika kwa radiyo na ulna, n'ibindi.Iyo gukosora neza bidashobora kugerwaho mu ndege imwe, ibyuma bibiri bifunga ibyuma bikoreshwa muguhagarikwa neza, kurema imiterere-yindege ihamye.Muburyo bwa biomehanike, gukosora ibyapa bibiri bitanga ibyiza byubukorikori kuruta icyapa kimwe.
Isahani yo hejuru
Isahani yo gukosora yo hepfo hamwe na bine ihuza ibice bibiri
Igihe cyo kohereza: Jun-12-2023
