Igisubizo cyiki kibazo nuko nta kuvunika agatsinsino gukenera amagufwa mugihe ukora imbere.
Sanders ati
Mu 1993, Sanders et al [1] yasohoye amateka yingenzi mu mateka yo kubaga imiti ivura kanseri muri CORR hamwe na CT ishingiye ku byiciro byavunitse.Vuba aha, Sanders n'abandi [2] banzuye ko nta guteranya amagufwa cyangwa amasahani yo gufunga byari ngombwa mu kuvunika agatsinsino 120 hamwe n’igihe kirekire cyo gukurikirana imyaka 10-20.
CT wandika kuvunika agatsinsino byatangajwe na Sanders nabandi.muri CORR mu 1993.
Gufata amagufwa bifite intego ebyiri zingenzi: gushushanya muburyo bwo gukanika imashini, nko muri fibula, hamwe no guhunika granular yo kuzuza no gutera osteogenez.
Sanders yavuze ko igufwa ry'agatsinsino rigizwe n'igikonoshwa kinini gikubiyemo igufwa rya kanseri, kandi ko kuvunika kwimbere mu nda-amagufwa yo mu magufa y'agatsinsino bishobora gusubirwamo vuba n'amagufwa ya kanseri afite imiterere ya trabecular niba igikonoshwa gishobora gusubirana neza.Palmer et al [ 3] ni bo babanje gutanga raporo ku bijyanye no gutera amagufwa mu 1948 kubera kubura ibikoresho byabigenewe byo gutunganya imbere kugira ngo habeho kuvunika hejuru y’imitsi muri kiriya gihe.Hamwe niterambere rihoraho ryibikoresho byo gukosora imbere nka plaque ya plaque na screw, inkunga yo gukomeza kugabanuka hakoreshejwe igufwa ryamagufwa yabaye nkenerwa.Ubushakashatsi bwigihe kirekire bwubuvuzi bwemeje iki gitekerezo.
Ubushakashatsi bugenzurwa na Clinical bwanzuye ko gutera amagufwa atari ngombwa
Longino et al [4] nabandi bakoze ubushakashatsi buteganijwe kugenzurwa n’imvune 40 zimuwe mu nda-articular zavunitse agatsinsino byibuze imyaka 2 yo gukurikirana kandi basanga nta tandukaniro rikomeye riri hagati yo guhuza amagufwa kandi nta magufa yatewe mu bijyanye no gufata amashusho cyangwa imikorere ibisubizo.Gusic et al [5] yakoze ubushakashatsi bugenzurwa bwimvune 143 yimuwe yimbere-articular ivunika ryagatsinsino hamwe nibisubizo bisa.
Singh n'abandi [6] bo mu ivuriro rya Mayo bakoze ubushakashatsi bwihuse ku barwayi 202 kandi nubwo gutera amagufwa byari hejuru ukurikije inguni ya Bohler ndetse n’igihe cyo kubyara ibiro byuzuye, nta tandukaniro rikomeye ryagaragaye mu mikorere no mu ngorane.
Gutera amagufwa nkimpamvu ishobora gutera ibibazo byihungabana
Porofeseri Pan Zhijun n'itsinda rye mu bitaro bya kabiri by’ubuvuzi bya Zhejiang bakoze isuzuma rifatika n’isesengura rya meta mu mwaka wa 2015 [7], rikubiyemo ibitabo byose byashoboraga gukurwa mu bubiko bwa elegitoronike guhera mu 2014, harimo kuvunika 1651 ku barwayi 1559, na yanzuye avuga ko guhuza amagufwa, diyabete mellitus, kudashyira imiyoboro, hamwe no kuvunika gukabije byongera cyane ibyago byo guhura n’ihungabana nyuma yo kubagwa.
Mu gusoza, guhuza amagufwa ntabwo ari nkenerwa mugihe cyo gukosora imbere kuvunika agatsinsino kandi ntabwo bigira uruhare mubikorwa cyangwa ibisubizo byanyuma, ahubwo byongera ibyago byo guhura nihungabana.
1.Sanders R, Fortin P, DiPasquale T, nibindi.Ubuvuzi bukora muri 120 bwimuwe imbere yimitsi ya calcaneal.Ibisubizo ukoresheje prognostic computing tomografi scan ibyiciro.Clin Orthop Relat Res.1993; (290): 87-95.
2.Sanders R, Vaupel ZM, Erdogan M, n'abandi.Kuvura uburyo bwo kuvura ibice byimuwe byimitsi ya calcaneal: igihe kirekire (Imyaka 10-20) bivamo kuvunika 108 ukoresheje ibyiciro bya CT byamenyekanye.J Ihahamuka.2014; 28 (10): 551-63.
3.Palmer I. Uburyo no kuvura kuvunika kwa calcane.J Amagufwa Yunganira Surg Am.1948; 30A: 2-8.
4.Longino D, Buckley RE.Amagufwa yamagufa muburyo bwo kuvura bwimuwe bwimitsi ya calcaneal yimuwe: birafasha?J Ihahamuka.2001; 15 (4): 280-6.
5.Gusic N, Fedel I, Darabos N, n'abandi.Ubuvuzi bukora kuvunika kwa calcaneal intraarticular: Ibisubizo bidasanzwe nibikorwa byubuhanga butatu bukora.Gukomeretsa.2015; 46 Inyongera 6: S130-3.
6.Singh AK, Vinay K. Kuvura kubaga kuvunika kwimitsi yimbere yimitsi ya calcaneal: birakenewe ko amagufwa akenerwa?J Orthop Traumatol.2013; 14 (4): 299-305.
7. Zhang W, Chen E, Xue D, n'abandi.Impamvu zishobora gutera ibikomere byo kuvunika kwa calcaneal nyuma yo kubagwa: gusubiramo buri gihe na meta-gusesengura.Scand J Trauma Resusc Emerg Med.2015; 23: 18.
Igihe cyo kohereza: Ukuboza-07-2023
