Guhagarika imigozi ikoreshwa cyane mubikorwa byubuvuzi, cyane cyane mugukosora imisumari miremire.
Mubusanzwe, imirimo yo guhagarika imigozi irashobora kuvunagurwa nkinshuro ebyiri: icya mbere, kugabanya, naho icya kabiri, kugirango byongerwe imbere imbere.
Kubijyanye no kugabanya, igikorwa cyo 'guhagarika' ibikorwa byo guhagarika ikoreshwa kugirango uhindure icyerekezo cyambere cyo gukosora imbere, kugera kugabanuka kwifuzwa no gukosora guhuza.Ni muri urwo rwego, umugozi wo guhagarika ugomba guhagarikwa ahantu 'utagiye', bivuze ko aho gukosora imbere bitifuzwa.Gufata tibia na femur nk'urugero:
Kuri tibia: Nyuma yo gushyiramo insinga ziyobora, ishyirwa imbere yinyuma yinyuma yumutwe wa tibial shaft, itandukana hagati yumuyoboro wa medullary.Mu cyerekezo 'kitifuzwa', cyane cyane igice cy'inyuma cya metafizisi, hashyizwemo umugozi wo guhagarika kugira ngo uyobore insinga imbere y'umuyoboro wa medullary. "
Femur: Mu gishushanyo gikurikira, herekanwa umusumari wa retrograde femorale, hamwe nuduce twavunitse twerekana uburakari bwo hanze.Umusumari winjiye ushyizwe muburyo bwimbere bwumuyoboro wa medullary.Kubwibyo, umugozi wo guhagarika winjizwa kuruhande rwimbere kugirango ugere ku mpinduka yumwanya wumusumari.
Mu rwego rwo kuzamura ituze, guhagarika imigozi byakoreshejwe bwa mbere kugirango bishimangire ituze ryimvune ngufi kumpera yimvune ya tibial shaft.Muguhagarika urujya n'uruza rw'imisumari yinjiye binyuze mugikorwa cyo guhagarika imigozi kumpande zimbere ninyuma, nkuko bigaragazwa nurugero rwimvune ya femorale intercondylar na supracondylar yavunitse hepfo, ituze ryimpera zimeneka zirashobora gushimangirwa.Ibi bifasha kwirinda guhindagurika kwimisumari yimbere hamwe nuduce twa magufa ya kure.
Mu buryo nk'ubwo, mugukosora kuvunika kwa tibial hamwe n imisumari yimbere, gukoresha imiyoboro yo guhagarika bishobora no gukoreshwa kugirango iterambere ryimitsi irangire.
Igihe cyo kohereza: Gashyantare-02-2024
