Kodi mungasankhe bwanji chogwirira cha bondo?

Cholumikizira bondo chopangidwaIli ndi gawo la femur, gawo la tibia ndi patella, zomwe zimatha kutsanzira ntchito ya bondo la munthu ndikulowa m'malo mwa mafupa odwala kapena owonongeka.

Momwe mungasankhirechopangira bondo?
Pakadali pano, opaleshoni ya bondo ikhoza kugawidwa m'magulu awiri: gawo la opaleshoni ya bondo (unicompartmental knee arthroplasty) ndi gawo lonse la opaleshoni ya bondo (TKA).

Kuduladula kwa bondo pang'ono (kuduladula kwa bondo limodzi)
Kuyika Bondo Pang'onoNdi njira yeniyeni yosinthira pamwamba popanda kuvulala kwambiri kwa opaleshoni, kusunga mitsempha ya kumbuyo ndi kumbuyo, kubwezeretsa mwachangu magwiridwe antchito a mafupa pambuyo pa opaleshoni, kuyenda bwino kwa bondo, komanso kuyenda bwino kwa mafupa ndi kuyenda bwino kungapezeke. Ndi zabwino ndi zizindikiro zapadera, ndi imodzi mwa njira zochiritsira zomwe zimakondedwa kwambiri pa zilonda zomwe zili m'chigawo chimodzi cha tibiofemoral cha bondo. Komabe, UKA ili ndi zizindikiro zochepa komanso kuchuluka kwakukulu kwa kumasuka kwa tibial pambuyo pa opaleshoni, zomwe zimalepheretsa kugwiritsa ntchito UKA m'milandu yachipatala.

Chomera Chosintha Chiuno Chonse
Kuyika Bondo Lonseamagwiritsidwa ntchito kwambiri pochiza matenda a bondo. Mitundu ikuluikulu yomwe imagwiritsidwa ntchito kuchipatala ndi iyi:
Chogwirira cha Posterior Cruciate Lligament-preserving: Ichicholumikizira bondo chopangiraKawirikawiri amadalira ligament ya posterior cruciate ya cholumikizira, kuti atsimikizire kuti kumbuyo kwa tibia kuli kolimba. Ili ndi mulingo wochepa wokwanira komanso choletsa chochepa. Kupsinjika komwe kumachitika chifukwa cha kuyenda kwa mafupa a anthu kumatengedwa ndi ligament, ndipo kupanikizika kwa cholumikizira kumachepa kwambiri. Pa opaleshoni yolumikizira mafupa ndi kusunga ligament ya posterior, katundu womwe uli kumbuyo kwa cholumikiziracho ndi waukulu, zomwe zingapangitse kuti polyethylene insert ya cholumikiziracho iwonongeke. Chifukwa chake, ikufunikabe kuphunziridwa ndikuwongolera m'machitidwe azachipatala.

Chiwalo chopangira minofu chopanda ligament cha Posterior Cruciate: Kapangidwe kakebondokupanga ziwaloCholinga chake ndi kuwonjezera kukhazikika kwa minofu ndikuchepetsa kupsinjika komwe kumakhudzana ndi prosthesis. Ili ndi anastomosis yayikulu ndipo nthawi zambiri imakhala ndi kapangidwe ka CAM. Ubwino wake ndi monga kuchotsa posterior cruciate ligament, kupereka kulinganiza ndi kukhazikika kwa ntchito zopindika ndi zokulitsa; Kuonjezera kupindika kwa mafupa powonjezera mpata wopindika; Prosthesis ili ndi kukhazikika kwakukulu ndipo ndi yoyeneranso kwa odwala omwe ali ndi bondo valgus ndi flexion deformity. Zoyipa zake ndi izi: kuchuluka kwa gap anastomosis kumapangitsa kuti kupsinjika kukhale kwakukulu kudzera mu prosthesis, kumawonjezera katundu wa gawo la femoral, komanso kumakhala ndi liwiro lalikulu lomasula mochedwa kuposa posterior cruciate ligament-preserving prosthesis. Kuchuluka kwa fupa komwe kumachotsedwa poyika prosthesis ndi kwakukulu, zomwe zimapangitsa kuti opaleshoni yokonzanso ikhale yovuta. Prosthesis yopanda ligament ya posterior cruciate ili ndi zizindikiro zambiri, ndipo njira yeniyeni yochitira opaleshoni ndi yosavuta. Ndi mtundu wa prosthesis womwe umagwiritsidwa ntchito kwambiri pochiza matenda pakadali pano.

Ngati mukufuna kudziwa zambiri zakkusowaaopaleshoni ya throplastyichomerachidziwitso, chonde musazengerezeLumikizanani nafe; gulu lathu lidzakupatsani chithandizo cha akatswiri ndi mayankho.