Kuvunika kw'imitsi yo mu bwoko bwa Clavicular bingana na 2.6% by'imvune zose z'abantu bakuru, aho 80% biba mu gace k'imitsi yo hagati. Kuva mu ntangiriro za 1990, gahunda yo gucunga imiterere yatanzwe na Neer imaze igihe kinini ifatwa nk'uburyo bwa mbere bwo kuvura kuvunika kw'imitsi yo mu bwoko bwa Clavicular. Nyamara, ubushakashatsi bwinshi bwerekanye ko kuvura udakoresheje ubuvuzi butavura indwara yo mu bwoko bwa Clavicular akenshi binanirwa kugabanya kugabanuka kw'imvune zo mu mitsi yo hagati cyangwa iyo mu mitsi yo hagati, bigatuma habaho kwimuka no kugabanuka cyane, ibyo bikaba byongera ibyago byo kurwara indwara yo kutagira uruhu cyangwa kutavunika. Byongeye kandi, raporo zagaragaje ko abarwayi bavuwe batabanje kubagwa bahura n'intege nke z'urutugu. Bityo, kubagwa byarushijeho gukundwa cyane n'abarwayi bafite imvune zo mu bwoko bwa Clavicular mu myaka ya vuba aha, muri zo hakaba harimo no gufunguka no gufunga imbere mu mubiri (ORIF) hakoreshejwe uburyo bwo gufunga plaque.

Ku bijyanye n’ivunika rigoye nk’iryo, muganga yibanze ku buryo bwo gufunga bukongerwamo mini-plates. Izi plates zigira akamaro nk’ingufu zitagira aho zibohera ariko zoroshye kuzikoresha. Isuzuma ryakozwe mu gihe cyo kubagwa ryagaragaje ko zihamye, kandi ingaruka nziza zabonetse mu buvuzi zikoreshwa mu gufunga kwa patellar. Ashingiye ku bushakashatsi bwemeza ko gufunga kwa dual-plates bitanga umutekano uhagije mu buryo bw’ikoranabuhanga, muganga yakoreshejeoindwara ya rtopedicminipgutindaGufata ibice bito byavunitse ku gice cy'ingenzi cy'amagufwa, bigatuma imiterere y'amagufwa avunitse ihinduka iyoroheje. Nyuma yo kugabanya ubuso bwavunitse byorohejwe, hagakurikiraho gushyiraho icyuma gihanitseisahani yo gufunga(LCP). Kugira ngo bigabanye imvune zo mu maraso, hakozwe gusa icyuho gito cyane kugira ngo hagaragare ahantu ho gushyira vis, bityo bigakorwa hakurikijwe amahame ya minimally invasive plate osteosynthesis (MIPO).

Urubanza rw'abaganga

Isuzuma ry’imiterere y’imvune mbere yo kubagwa ryakozwe hakoreshejwe filimi za X-ray na CT scan za 3D. Umurwayi w’umugabo w’imyaka 22 yasuzumwe afite imvune ya clavicular midshaft yabayeho mu mikino. Ishusho ya anteroposterior clavicular radiograph (a) na apical oblique radiograph (b) byemeje ko imvune yari iyo mu bwoko bwa AO/OTA classification type 15.2C (comminuted multifragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentary fragmentation). Amashusho ya CT y’umurwayi y’ibice bitatu yagaragaje ishusho ya stereoscopic y’imiterere y’imvune y’ahantu, atanga ibimenyetso by’imiterere y’umubiri we mu gutegura mbere yo kubagwa.

Umurwayi yashyizwe ku ntebe yo ku mucanga akoresheje ikinya rusange, umutwe n'ijosi birekuye ku ruhande rw'umurwayi. Nyuma yo gusukura imitsi no gusiga irangi ridafite umwanda, imiterere yose y'aho clavicle n'aho imvune yavunitse byashyizweho ikimenyetso cyo kubagwa hifashishijwe fluoroscopic hakoreshejwe ukuboko kwa C. Icamo ry'inyuma ryakozwe ku murongo wa cm 5 (ujyanye n'uburebure bw'aho imvune yavunitse) ku murongo wa clavicle.Isahani ya Titanium Clavicle(2.0 mm ntoyaIsahani ya Clavicle y'amagufwa) byakoreshejwe kugira ngo bifashe kugabanya kuvunika kw'ingingo.

Isahani ya Claviclebyakoreshejwe mu guhuza no gusana ibice by'amagufwa bifite ishusho y'urukiramende cyangwa byacitse ku bice by'ingenzi byavunitse. Nyuma yo guhindura imvune ikomeye mu buryo bworoshye, kuyishyiraho hakoreshejwe icyuma gihanitseicyapa cyo gufunga cy'ubuvuzihakozwe. Inzira yo gupima clavicular LCP (3.5 mm superior clavicular LCP system) yashyizwe ku buso bwa clavicle buhanitse hanyuma ishyirwamo hakoreshejwe uburyo bwa minimally invasive plate osteosynthesis (MIPO).

Umurwayi yambaye agapira ko kugabanya ububabare mu minsi 7 ya mbere nyuma yo kubagwa kugira ngo agabanye ububabare, hagakurikiraho gutangira imyitozo yo gukora imyitozo ngororamubiri. Nyuma y'ibyumweru 8 nyuma yo kubagwa, hatangiye imyitozo yo gukomeza imitsi nyuma yo kwerekana ko amagufwa ahuye kandi isuzuma rya muganga rigaragaza ububabare bworoheje. Isuzuma rya X-ray (anteroposterior clavicular view na apical oblique clavicular view) ryakorwaga ako kanya nyuma yo kubagwa no kuri buri suzuma rya nyuma ry’umurwayi wo hanze.

Niba ushaka kumenya byinshi kuriAmasahani yo gufunga amagufwa ya Clavicleubumenyi, nyamuneka mwumve nezaTwandikire; itsinda ryacu rizaguha ubufasha bw'inzobere n'ibisubizo.