Kuvunika muri tibial byahujwe nibice bya tibilateral bikunze kugaragara nkimvune zingufu nyinshi, hamwe na 54% bifunguye. Ubushakashatsi bwabanje bwasanze 8.4% by'urubuga rw'ikibaya cya Tibial bifitanye isano na Concraft Cructlet, mu gihe 3.2% by'umuti wa Tibial Racrati bavunika imiti ifite uburinganire. Biragaragara ko guhuza ibibaya bya IPISITAL na Shaft biranga ntabwo bisanzwe.
Kubera imiterere yingufu nyinshi zibikomeretsa nkibi, akenshi byangirika kwimigambi yoroshye. Mu nyigisho, isahani na sisitemu ya screw ifite ibyiza mugukosora imbere, ariko niba tissue yoroheje yaho ishobora kwihanganira gukosorwa imbere hamwe na sisitemu ya plate na screw nayo yatekerezaga kandi. Kugeza ubu, ubu hari amahitamo abiri asanzwe akoreshwa mugukosora imbere yimbere ya Tribial Flateau yahujwe nigiti cya Tibial Claft:
1. MIPPO (Ibinyabuzima bidatera ibitsina osteosynthes) tekinike ifite isahani ndende;
2. Intramedillary umusumari + plateau screw.
Amahitamo yombi mubitabo, ariko kuri ubu nta bwumvikane busumba hejuru cyangwa ruruta mumabwiriza yo gukiza igipimo cyo gukiza, kuvuza igihe cyo gukiza, guhuza amano, nibibazo byo hasi, nibibazo byo hasi, nibibazo byo hasi, nibibazo byo hasi, nibibazo byo hasi, nibibazo byo hasi, nibibazo. Kugira ngo akemure ibi, intiti zo mu bitaro bya kaminuza ya koreya byakoze ubushakashatsi bugereranya.
Ubushakashatsi bwarimo abarwayi 48 bafite imivurure ya tibial yahujwe nibice bya tibial. Muri bo, havuwe amakimbirane yabereye muri mippo, hamwe no kwinjiza isahani y'ibyuma byo gukosora, kandi harwa imanza 13 zahujwe n'inzira ya infrapatellar yo gukosora imisumari.
Urubanza 1: Ikipe ya Mippo ya Mippo ibyuma byimbere. Umugabo w'imyaka 42, wagize uruhare mu mpanuka y'imodoka, yerekanwe hamwe n'igice gifunguye cya gibile) hamwe no gutunganya ibibanza byo muri Tibial Thibial.
Urubanza 2: Tibial Plateau yometse + Porogaramu ya Intramedillary imisumari yo gukosora imbere. Umugabo w'imyaka 31, yagize uruhare mu mpanuka y'imodoka, yashyirwaho ubwoko bw'igituba. Ubwoko bwa III) hamwe no kuvunika ibibaya bya Tibial Nyuma yo guhagarika umutima no kuvura indwara mbi zakomeretse (vsd), igikomere cyari uruhu. Imigozi ibiri 6.5mm yakoreshejwe mugushira no gukosora ikibaya, ikurikirwa na inttttttttttttttttttttttttttttttterlary gukosora imisumari ya tibial ukoresheje uburyo bwo gukwirakwiza.
The results indicate that there is no statistically significant difference between the two surgical approaches in terms of fracture healing time, fracture healing rate, lower limb alignment, and complications.
Bisa no guhuza imiyoboro ya tibial hamwe no kuvunika amavuta hamwe no kuvunika imyenda hamwe nijosi ry'ibinyabuzima, imivurungano ya tibial-iterwa n'imbaraga ziterwa no gukomeretsa no gukomeretsa mu gikomere cyegeranye. Mu myitozo y'amavuriro, kwirinda nabi ubuhanga ni ikintu cyibanze mu gusuzuma no kuvurwa. Byongeye kandi, muguhitamo uburyo bwo gukosora, nubwo ubushakashatsi bwubu buryo bwerekana ko nta tandukaniro rikomeye, haracyari ingingo nyinshi zo gusuzuma:
1. Mu bihe byaciwe ibibaya bya Tibial aho byoroshye gukosora biragoye, Ibyingenzi birashobora guhabwa ikoreshwa ry'isahani ndende hamwe no gukosorwa mu buryo buhagije, kugarura ihuriro ry'ubutaka no kugabanya ingingo zo hasi.
2. Mugihe c'ibibaya byoroshye bya tibial, munsi yimiterere idakura, kugabanuka neza no gukosorwa gukosorwa birashobora kugerwaho. Mu bihe nk'ibi, icyambere gishobora guhabwa gukosorwa gukurikizwa na Suprapatellar IntramediLary gukosora imisumari yo gukosora igiti cya Tibial.
Igihe cyohereza: Werurwe-09-2024
