Igisubizo cy'iki kibazo ni uko nta gucika kw'agatsinsino bisaba ko amagufwa ashyirwa mu mwanya umwe mu gihe cyo gukora isuku y'imbere.
Sanders yavuze
Mu 1993, Sanders et al [1] basohoye inkuru y’ingenzi mu mateka y’ubuvuzi bwo kubaga imvune za calcaneal muri CORR, aho bashyize mu byiciro CT by’imvune za calcaneal. Vuba aha, Sanders et al [2] basanze nta gufunga amagufwa cyangwa gushyiramo ibyuma byari bikenewe mu mvune 120 z’agatsinsino, hagakurikiranwa igihe kirekire cy’imyaka 10-20.
Uburyo bwo gushushanya imvune y'agatsinsino ku mashini (CT) bwashyizwe ahagaragara na Sanders et al. muri CORR mu 1993.
Guteranya amagufwa bifite intego ebyiri z'ingenzi: guteranya imiterere y'umubiri kugira ngo bishyigikire imikorere y'imashini, nko muri fibula, no guteranya ingano y'amagufwa kugira ngo byuzuze kandi bitere osteogenesis.
Sanders yavuze ko igufwa ry'agatsinsino rigizwe n'igishishwa kinini cy'umutima gifunga igufwa rya cancellous, kandi ko imvune zo mu gice cy'umubiri w'agatsinsino zavuye mu myanya yazo zishobora kongera kuvugururwa vuba hakoreshejwe igufwa rya cancellous rifite imiterere ya trabecular niba igishishwa cya cortical gishobora kongera kuvugururwa. Palmer et al [3] ni bo ba mbere bavuze ku bijyanye no gutera amagufwa mu 1948 bitewe n'uko nta bikoresho byo gutera amagufwa bikwiye kugira ngo bikomeze kuvunika kw'ubuso bw'umubiri muri icyo gihe. Kubera iterambere rihoraho ry'ibikoresho byo gutera amagufwa nk'ibice bya nyuma n'ibisuguti, gukomeza kubungabunga uburyo bwo kugabanya hakoreshejwe igufwa rya concentrated byabaye ngombwa. Ubushakashatsi bw'igihe kirekire bwagaragaje iki gitekerezo.
Ubushakashatsi bwakozwe ku buvuzi bwagaragaje ko gutera amagufwa mu buryo butari ngombwa
Longino et al [4] n'abandi bakoze inyigo igenzurwa ku magufwa 40 yavunitse mu gice cy'agatsinsino, nibura imyaka 2 yo gukurikirana, ariko nta tandukaniro rigaragara basanze hagati yo gushyiramo amagufwa no kutashyiramo amagufwa mu bijyanye no gushushanya cyangwa umusaruro w'imikorere. Gusic et al [5] bakoze inyigo igenzurwa ku magufwa 143 yavunitse mu gice cy'agatsinsino, ibisubizo bisa.
Singh n'abandi [6] bo muri Mayo Clinic bakoze ubushakashatsi bwo gusuzuma abarwayi 202 kandi nubwo guteranya amagufwa byari byiza ukurikije ingano ya Bohler n'igihe cyo kwitwara neza, nta tandukaniro rigaragara mu mikorere n'ingorane byagaragaye.
Gutera amagufwa nk'ikintu gishobora gutera ibibazo by'ihungabana
Porofeseri Pan Zhijun n'ikipe ye mu bitaro bya kabiri by'ubuvuzi bya Zhejiang bakoze isuzuma n'isesengura rya meta mu 2015 [7], ryakubiyemo inyandiko zose zashoboraga gukurwa mu bubiko bw'amakuru bw'ikoranabuhanga mu 2014, harimo n'ibyavunitse 1651 ku barwayi 1559, maze banzura ko gutera amagufwa, diyabete, kudashyiramo umuyoboro w'amazi, no kuvunika cyane byongera cyane ibyago byo kugira ibibazo nyuma yo kubagwa.
Muri make, guteranya amagufwa si ngombwa mu gihe cyo gufata imbere imvune z'agatsinsino kandi ntibigira uruhare mu mikorere cyangwa umusaruro wa nyuma, ahubwo byongera ibyago byo kugira ibibazo bikomeye.
1.Sanders R, Fortin P, DiPasquale T, n'abandi. Ubuvuzi bwo kubaga mu maraso 120 yavuye mu maguru ya calcaneal. Ibisubizo hakoreshejwe uburyo bwo gupima imiterere y'amajwi. Clin Orthop Relat Res. 1993; (290): 87-95.
2.Sanders R, Vaupel ZM, Erdogan M, n'abandi. Kuvura indwara zo mu mutwe zivunika mu buryo bwa "calcaneal fracture": igihe kirekire (imyaka 10-20) bitera kuvunika inshuro 108 hakoreshejwe uburyo bwa "prognostic CT classification". J Orthop Trauma. 2014;28 (10):551-63.
3. Palmer I. Uburyo n'uburyo bwo kuvura imvune ya calcaneus. J Bone Joint Surg Am. 1948; 30A: 2–8.
4.Longino D, Buckley RE. Gutera amagufwa mu kuvura imvune zo mu mutwe zivuye mu ngingo: ese birafasha? J Orthop Trauma. 2001;15(4):280-6.
5.Gusic N, Fedel I, Darabos N, n'abandi. Uburyo bwo kuvura imvune zo mu mutwe zivunika mu ngingo: Ingaruka z'imiterere n'imikorere y'uburyo butatu butandukanye bwo kubaga. Imvune. 2015;46 Suppl 6:S130-3.
6. Singh AK, Vinay K. Kubaga imvune zo mu gice cy'imbere cy'umutwe w'amagufwa zavuye mu magufwa: ese ni ngombwa guteranya amagufwa? J Orthop Traumatol. 2013;14(4):299-305.
7. Zhang W, Chen E, Xue D, n'abandi. Ibintu bishobora gutera ingorane zo kuvunika kwa calcaneal nyuma yo kubagwa: isuzuma ryakozwe ku buryo bunonosoye no gusesengura. Scand J Trauma Resusc Emerg Med. 2015;23:18.
Igihe cyo kohereza: Ukuboza-07-2023
