Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya hanze gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yimvune rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gutunganya ibintu hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na Hybrid fixator.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro bike: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

Dynamic Axial Proximal Femoral Fragment Igice cyo hanze: Incamake Yuzuye

Kuvunika ikibuno nikibazo gisanzwe cyamagufwa, cyane cyane kubantu bageze mu zabukuru. Ivunika rishobora gutera uburwayi nimpfu zikomeye, kandi imiyoborere yabo iragoye. Bumwe mu buhanga bukoreshwa mu gucunga kuvunika ikibuno ni dinamike ya axial hafi ya femorale igice cyo hanze (DAPFFEF). Muri iyi ngingo, tuzatanga incamake yuzuye ya DAPFFEF, harimo ibimenyetso byayo, tekinike, ingorane, nibisubizo.

Intangiriro

Kuvunika ikibuno nikibazo gikomeye cyubuzima rusange, aho abantu bagera kuri miriyoni 1,6 baboneka kwisi yose buri mwaka. Ivunika rifitanye isano n'uburwayi bukabije n'impfu, cyane cyane ku barwayi bageze mu zabukuru. Gucunga kuvunika ikibuno akenshi biragoye, kandi tekiniki zitandukanye zo kubaga zikoreshwa mugucunga. Bumwe muri ubwo buhanga ni dinamike axial hafi ya femorale igice cyo hanze (DAPFFEF).

Anatomy ya Hip

Mbere yo kuganira kuri DAPFFEF, ni ngombwa gusobanukirwa anatomiya yibibuno. Ikibuno cyibibuno ni umupira-na-soketi, bigizwe na acetabulum yigitereko numutwe wumugore. Ijosi ryigitsina gore rihuza umutwe wigitsina gore nigiti cyigitsina gore. Igitsina cyegeranye ni igice cyigitsina gore cyegereye ikibuno.

Niki Dynamic Axial Proximal Femoral Fragment Igice cyo hanze?

Igice cya dinamike axial proximal femoral agace kavuye hanze (DAPFFEF) nigikoresho gikoreshwa muguhagarika ibice byigitsina gore. Igikoresho kigizwe nurupapuro rwimashini cyangwa imigozi yinjizwa muri femur yegeranye kandi ihujwe nikintu cyo hanze. Ikadiri itanga ituze kumagufa yamenetse, yemerera gukira.

Ibyerekana kuri DAPFFEF

DAPFFEF ikoreshwa mu kuvura ibice bya femur yegeranye, harimo kuvunika subcapital, kuvunika hagati, hamwe no kuvunika kwa subtrochanteric. Irakoreshwa kandi mukutavura ubumwe hamwe na malunion ya femur yegeranye.

Ubuhanga bwa DAPFFEF

Tekinike ya DAPFFEF ikubiyemo kwinjiza pin cyangwa imigozi muri femur yegeranye, hanyuma igahuzwa nikintu cyo hanze. Amapine cyangwa imigozi byinjizwamo muburyo butuma bakora nkukuboko kwi leveri, bitanga kwikuramo imbaraga kumagufa yamenetse. Ikadiri yahinduwe kugirango igere kurwego rwifuzwa rwo kwikuramo.

Ibyiza bya DAPFFEF

Ibyiza bya DAPFFEF harimo ubushobozi bwayo bwo gutanga ituze rihamye ryigitsina gore cyegeranye, ubushobozi bwo gutanga compression yingirakamaro kumagufa yamenetse, hamwe nubushobozi bwo kwemerera kubyara kare. Izi ngingo zishobora kuganisha ku musaruro unoze ndetse nigihe cyo gukira byihuse kubarwayi.

Ingorane za DAPFFEF

Ingorane za DAPFFEF zirimo kwandura pin tract, kudahuza ubumwe, malunion, gutakaza kugabanuka, no gutsindwa kwatewe. Izi ngorane zirashobora gukemurwa nubuvuzi bukwiye, harimo antibiotike, kubaga ubugororangingo, no gukuraho uwakosoye.

Ibisubizo bya DAPFFEF

Ibyavuye muri DAPFFEF byakozwe mubigeragezo byinshi byamavuriro. Igeragezwa ryerekanye ko DAPFFEF ishobora gutanga igisubizo gihamye cyigitsina gore cyegereye, bigatuma ibiro byabyara kare kandi bikagira ingaruka nziza kubarwayi.

Umwanzuro

Dynamic axial proximal femoral agace kavanze hanze (DAPFFEF) nubuhanga bwo kubaga bukoreshwa muguhagarika ibice byigitsina gore. Itanga gukosorwa gukomeye hamwe no kwikuramo imbaraga kumagufa yamenetse, bigatuma uburemere bwambere ndetse nibisubizo byiza kubarwayi. Ingorane zirashobora kubaho, ariko zirashobora gukemurwa nubuvuzi bukwiye.