Umurwayi ashyirwa mumwanya mwiza. Ivunika ryimuwe rigomba kugabanywa intoki; nibiba ngombwa, koresha imbaraga zo kugabanya kugirango ufashe mbere yo kwinjiza DTN. Niba hari kuvunika kwa fibular guherekeza, guhuza neza fibular birashobora gufasha kugabanya tibial.
Ibitekerezo byingenzi: Hindura umwanya, koresha imbaraga zo kugabanya niba bikenewe. Shyira imbere imvune ya fibular kugirango ugabanye neza tibial.
2Uburyo bwo kwinjiza DTN
Uburebure bwa cm 2-33 bukozwe hejuru ya malleolus yo hagati kugirango yerekane ligamenti ya deltoid. Imiyoboro ngenderwaho yinjizwa cyangwa hagati gato kugeza hejuru ya malleolus, mm 4-5 uvuye hejuru ya arctular.
Gutemagura:
Gukata birebire kurwego rwo hagati ya malleolus
Kuyobora pin umwanya:
Mm 4-5 uvuye hejuru
Icyitonderwa:
Guhuza imigozi hafi kandi kure
Igishushanyo 2a: Kuyobora pin kwinjiza
Igishushanyo 2b: Reba kuruhande
Igishushanyo 2c: Uburyo bwo gusubiramo
III. Nyuma yo gusubiza mu buzima busanzwe
0-6
Ibyumweru Kutagira uburemere
Ako kanya imigeri ihuriweho hamwe no guhuza ibirenge-hasi
6-8
Ibyumweru Ibice Biremereye
Iterambere kuri 50% ubushobozi bwo gutwara ibiro
8-12
Ibyumweru Byuzuye Uburemere
Mugihe ukurikirana imiterere ya callus nububabare
Amasezerano yo gusubiza mu buzima busanzwe
Igikorwa cyo guhuza imigeri gitangira ako kanya nyuma yo kubagwa
DTN yatewe mubice bito hamwe no kubika neza ingirabuzimafatizo. Kuvunika kwa fibular byahagaze neza hamwe n'umusumari. Umurwayi yageze gukira byuzuye nta ngorane.
Kwerekana amashusho
Ako kanya Post-op
Amezi 3 Gukurikirana
Umwaka 1
VI. Ikiganiro
1Ibinyabuzima bihamye
Imisumari ya retrograde ifite axial kandi izunguruka igereranije ugereranije no gufunga hagati hamwe na misumari ya antegrade. Greenfield n'abandi. yakoze ibizamini bya biomehanike yerekana ko gukoresha imigozi ibiri ya kure muri DTN yageze kuri 60-70% yo kwikomeretsa no 90% bya torsional gukomera ugereranije ninshuro eshatu.
Igipimo cyo kudahuza no kudahuza imisumari ya antegrade ni 0-25% na 8.3-50%; yo gufunga amasahani, 0-17% na 0–17%. Muri ubu bushakashatsi, imanza zose zageze ku bumwe, kandi 20% gusa ni zo zagize ubumuga> 5 °, ugereranije nuburyo gakondo.
