Mafupa a titaniyamu a bondo olowa m'malo
Bondo ndilo gawo lalikulu kwambiri m'thupi la munthu. Zimagwirizanitsa chikazi chanu ndi tibia. Zimakuthandizani kuima, kusuntha ndi kusunga bwino. Bondo lanu limakhalanso ndi cartilage, monga meniscus, ndi mitsempha, kuphatikizapo anterior cruciate ligament, middle cruciate ligament, anterior cruciate ligament, ndi anterior cruciate ligament.
Chifukwa chiyani tikufunikirabondo olowa m'malo?
Chifukwa ambiribondo m'malo opaleshonindi kuthetsa ululu wobwera chifukwa cha nyamakazi. Anthu omwe amafunikira opaleshoni yolumikizira mawondo amavutika kuyenda, kukwera masitepe ndikudzuka pamipando. Cholinga cha prosthesis m'malo mwa mawondo ndi kukonza pamwamba pa malo owonongeka a bondo ndi kuchepetsa kupweteka kwa mawondo komwe sikungathe kulamulidwa ndi mankhwala ena. Ngati mbali yokha ya bondo yawonongeka, dokotala wa opaleshoni amatha kusintha gawolo. Izi zimatchedwa kusintha pang'ono kwa bondo. Ngati mgwirizano wonsewo uyenera kusinthidwa, mapeto a fupa la femur ndi tibia ayenera kukonzedwanso, ndipo mgwirizano wonsewo uyenera kukhala pamwamba. Izi zimatchedwakusintha kwa bondo (TKA). Fupa la femur ndi tibia ndi machubu olimba okhala ndi malo ofewa mkati mwake. Mapeto a gawo lochita kupanga amalowetsedwa m'chigawo chofewa chapakati cha fupa.
Pewani pendency ndi zinthu zitatu
1.Mapangidwe amitundu yambiri amapereka
s ufulu wokhotakhota ndi kuzungulira.
2.Mapangidwe a decrescent radius a J curve femoral condyles amatha kunyamula malo okhudzana ndi kusinthasintha kwakukulu ndikupewa kuyika kukumba.
Mapangidwe osakhwima a POST-CAM amakwaniritsa osteotomy yaing'ono ya intercondylar ya PS prosthesis. Mlatho wosungidwa wapambuyo wopitilira wa mafupa umachepetsa chiopsezo chothyoka.
Mapangidwe abwino a trochlear groove
Patellatrajectory yodziwika bwino ndi mawonekedwe a S.
● Pewani kukondera kwa patella panthawi yopindika kwambiri, pamene bondo ndi patella zimakhala ndi mphamvu yometa ubweya wambiri.
● Musalole patella trajectory cross center line.
1.Matchable wedges
2.The kwambiri opukutidwa intercondylar mbali khoma amapewa post abrasion.
3.Bokosi lotseguka la intercondylar limapewa kuphulika kwa post top.
Flexion 155 digiri ikhoza kukhalazathekandi njira yabwino yopangira opaleshoni komanso masewera olimbitsa thupi
Ma cones osindikizira a 3D kuti mudzaze zolakwika zazikulu za metaphyseal ndi zitsulo zokhala ndi porous kuti zilole ingrowth.
Matenda a nyamakazi
Nyamakazi ya post-traumatic, osteoarthritis kapena osteoarthritis
Osteotomies olephera kapena kusintha kwa unicompartmental kapena kusintha mawondo onse