Ibikoresho byo kuziba bikoreshwa cyane mu buvuzi, cyane cyane mu gushyiraho inzara ndende zo mu nda.
Muri make, imikorere ya vis zo kuziba ishobora kuvugwa mu buryo bubiri: ubwa mbere, kugabanya, n'ubwa kabiri, kongera ubushobozi bwo guhagarara imbere.
Mu bijyanye no kugabanya, igikorwa cyo 'gufunga' cy'urushundura rwo guhagarika gikoreshwa mu guhindura icyerekezo cy'umwimerere cyo gushyiraho imbere, kugira ngo hagerwe ku kugabanya kwifuzwa no gukosora imiterere. Muri uru rwego, urushundura rwo guhagarika rugomba gushyirwa ahantu 'hatagomba kujya', bivuze ahantu kudashaka gushyiraho imbere. Dufashe urugero rwa tibia na femur:
Ku gice cy'imbere cy'umugongo: Nyuma yo gushyiramo insinga iyobora, ishyirwa ku gice cy'inyuma cy'umugongo wa tibial, ikava hagati mu gice cy'imbere cy'umugongo wa medullary. Mu cyerekezo 'kidakenewe', cyane cyane inyuma y'inyuma ya metaphysis, hashyirwamo vis yo kuziba kugira ngo iyobore insinga imbere ku mugongo wa medullary.
Femur: Mu ishusho iri hepfo, hagaragara inzara y'inyuma y'inyuma, aho impera z'aho yavunitse zigaragaza imiterere y'inyuma. Uruzi rwa intramedullary rushyirwa imbere mu gice cy'imbere cy'umuyoboro wa medullary. Kubwibyo, hashyirwamo vis yo kuziba ku ruhande rw'imbere kugira ngo hahindurwe imiterere y'uruzi rwa intramedullary.
Mu rwego rwo kongera ubusugire, vis zo kuziba zakoreshejwe mu ntangiriro kugira ngo zishimangire ubusugire bw'imivuniko migufi ku mpera z'imivuniko ya tibial shaft. Mu kubuza imisumari ya intramedullary kugenda binyuze mu kuziba kw'vis ku mpande z'imbere n'inyuma, nk'uko bigaragazwa mu rugero rw'ivuniko rya femoral intercondylar na supracondylar riri hepfo, ubusugire bw'imivuniko bushobora gukomezwa. Ibi bifasha gukumira ko imisumari ya intramedullary n'ibice by'amagufwa biri kure bihindagurika.
Mu buryo nk'ubwo, mu gushyiraho inzara zo mu gice cy'imbere cy'umugongo hakoreshejwe inzara zo mu gice cy'imbere cy'umugongo, hashobora no gukoreshwa ibyuma bifunga kugira ngo impera z'umugongo zikomeze gukomera.
Igihe cyo kohereza: Gashyantare-02-2024
