Kuvunika kw'ijosi ry'ingore bingana na 50% by'imvune zo mu kibuno. Ku barwayi batari abageze mu zabukuru bafite imvune zo mu ijosi ry'ingore, ubusanzwe ni byo byiza ku buvuzi bwo gushyiramo imbaraga imbere. Ariko, ingorane nyuma yo kubagwa, nko kudahuza kw'imvune, kugabanuka k'umutwe w'ingore, no kugabanuka k'ijosi ry'ingore, ni ibintu bisanzwe mu buvuzi. Muri iki gihe, ubushakashatsi bwinshi bwibanda ku buryo bwo gukumira kugabanuka k'umutwe w'ingore nyuma yo kuvunika imbere kw'ijosi ry'ingore, mu gihe ikibazo cyo kugabanuka k'ijosi ry'ingore nticyitabwaho cyane.
Muri iki gihe, uburyo bwo gufata imbere mu mitsi yo mu ijosi ry’impyiko, harimo no gukoresha vis eshatu zifite icyuma, FNS (Femoral Neck System), na vis zo mu kibuno zikoresha imbaraga, byose bigamije gukumira verus y’impyiko y’impyiko no gutanga pressure axial kugira ngo hirindwe ko impyiko ikomeza. Ariko, gukanda cyane cyangwa ku buryo bukabije bituma impyiko y’impyiko igabanuka. Kubera iyo mpamvu, impuguke zo mu bitaro bya kabiri by’abantu bifatanya na Kaminuza ya Fujian y’ubuvuzi gakondo bw’abashinwa, zitekereza ku kamaro k’uburebure bw’impyiko y’impyiko mu gukira kw’imvune no gukora neza kw’ikibuno, zatanze igitekerezo cyo gukoresha "vis yo kurwanya kugabanya impyiko" hamwe na FNS mu gufata vis yo mu ijosi ry’impyiko. Ubu buryo bwagaragaje umusaruro mwiza, kandi ubushakashatsi bwasohotse mu kinyamakuru Orthopaedic Surgery giheruka.
Iyi nkuru ivuga ubwoko bubiri bwa "vis-anti-shortening": bumwe ni vis-to-shortening isanzwe n'ubundi ni vis-to-shortening ifite imiterere y'imigozi ibiri. Mu matsinda 53 y'ama-vis-shortening arwanya-shortening, ama-vis-to-shortening 4 gusa ni yo yakoresheje vis-to-shortening ifite imigozi ibiri. Ibi bitera kwibaza niba koko vis-to-shortening ifite imigozi ibiri ishobora kurwanya-shortening.
Ubwo vis zombi zifite imigozi ibiri n'iz'imigozi ibiri byasesenguwe hamwe bikagereranywa n'uburyo bwa FNS bwo gushyiramo imigozi gakondo, ibyavuye mu bushakashatsi byagaragaje ko urwego rwo kugabanya imigozi mu itsinda ry'iz'imigozi zirwanya imigozi rwari hasi cyane ugereranije n'itsinda rya FNS risanzwe mu gihe cy'ukwezi kumwe, amezi atatu, n'umwaka umwe w'ikurikirana, hamwe n'akamaro k'imibare. Ibi bitera ikibazo: Ingaruka zishobora guterwa n'iz'imigozi isanzwe cyangwa iz'imigozi ibiri?
Iyi nkuru igaragaza imanza 5 zijyanye n'ama-vis arwanya kugabanya, kandi iyo urebye neza, byagaragaye ko mu rubanza rwa 2 na 3, aho hakoreshejwe ama-vis afite imigozi mike, hagaragaye ko hari uburyo bwo gukuraho no kugabanya ama-vis (amashusho yanditseho inomero imwe ahuye n'isanduku imwe).
Hashingiwe ku mashusho y'inyuma, akamaro ka screw ifite imigozi ibiri mu gukumira kugabanuka karagaragara cyane. Ku bijyanye na screws zifite kannule, iyi nkuru ntabwo itanga itsinda ritandukanye ryo kugereranya. Ariko, iyi nkuru itanga igitekerezo cy'ingirakamaro ku bijyanye no gufata imbere mu ijosi ry'ijosi ry'ijosi ry'ijosi, ishimangira akamaro ko kubungabunga uburebure bw'ijosi ry'ijosi ry'ijosi ry'ijosi.
Igihe cyo kohereza ubutumwa: Nzeri-06-2024
