Mbali Yachigawo Yosinthira Kneecap
Kuchitidwa opaleshoni kwa mawondo ndi njira yomwe imachitikira anthu omwe azivala chovala chodontheka cha mawondo awo, ndipo amasiyidwa ndi mawonekedwe a fupa-fupa pamphati. Izi zimabweretsa ululu ndi zovuta ndi ntchito zomwe zimawoneka mu nyamakazi yambiri yamondo .
Mwamwayi, opaleshoni yoweramitsa bondo, njira yowonjezera yowonjezera ndi chitsulo ndi pulasitiki yothandizira , imapindulitsa kwambiri kuthetsa ululu ndi kupititsa patsogolo ntchito.
Komabe, anthu ambiri omwe ali ndi nyamakazi yochepa ya bondo amadandaula za kuchotsa zonsezi. Palinso njira ina kwa anthu omwe ali ndi nyamakazi yokwanira mbali imodzi ya mawondo , ndipo amatchedwa kusankhidwa kwa mawondo a mbali .
Mbali Yachigawo Yosintha
Kusintha kwa mawondo osakanikirana, kumatchedwanso malo osakanikirana a mawondo, kumatanthauza kuti mbali yotsala kwambiri ya bondo ikulowetsedwa. Kawirikawiri, bondo limagawidwa m'zipinda zitatu , ndipo m'malo mwake mawondo amalowa m'malo osankhidwa amatchedwa mawonekedwe osayendetsa mawondo omwe amalowa m'malo amodzi. Zipinda zitatuzi ndi mbali ya bondo, mbali ya bondo, ndi gawo pansi pa kneecap. Mafupa ambiri osankhidwa m'malo amawongolera mbali yamkati (yamkati) kapena mbali yonyamulira (yotsatira). Komabe, palinso makonzedwe a mawondo amagawo m'malo mwa kanyumba pansi pa kneecap.
Chipinda chokhala pansi pa kneecap chimatchedwa chipinda cha patellofemoral. Pansi pamtundu wa thivu (femur) ndi mbali inayo. Zipangizo zomwe zimagwiritsidwa ntchito m'malo mwa chipinda cha patellofemoral zimakhala ndi chitsulo chomwe chimagwirizanitsa kumapeto kwa chikazi, ndi dothi la pulasitiki lomwe limamatira kumapeto kwa kneecap.
Patellofemoral Surgery Surgery & Recovery
Pa opaleshoni kuti apange mawondo a patellofemoral, dokotalayo ayenera kuyika pamwamba pa nsanamira ya kneecap ndi groove kumapeto kwa fupa la ntchafu kuti agwirizane nawo. Mgwirizano womwe umaloledwa nthawi zambiri umagwiritsidwa ntchito ndi simenti ya fupa , mofanana ndi mawondo omwe amawongolera mawondo . Gawo lofunika kwambiri la opaleshoni ndikutsimikizira kuti mawotchi amatha kutsetsereka ndi kutsika mumphuno kumapeto kwa fupa la ntchafu mwachizolowezi. Ngati izi sizikutchulidwa mosamalitsa, mawotchi atsopano omwe amalowetsedwa amatha kutha msanga.
Kubwezeretsa pambuyo pa mtundu uliwonse wa mawondo osankhidwa, kuphatikizapo malo a patellofemoral , kawirikawiri ndikuthamanga kuposa mawondo onse . Wodwala ayamba kuchita masewero olimbitsa thupi mwamsanga atatha opaleshoni . Ngakhale kulemera kwamphamvu kungathe kuikidwa pa bondo, zibondo kapena kuyenda zimagwiritsidwa ntchito pochirikiza masabata angapo oyamba.
Zotsatira za Patellofemoral Replacement
Zimakhala zovuta kudziwa nthawi yomwe malo ogwiritsira ntchito patellofemoral adzatha. Mapangidwe omwe asintha amatha kusintha kwambiri zaka khumi zapitazi, akuyembekeza kuti mapulaneti abwino adzawathandiza kupeza zotsatira zabwino. Tsoka ilo, palibe deta yambiri ya nthawi yayitali, ndipo ife timasiyidwa ndi kufufuza kwaifupi.
Tikudziwa kuti muzofukufuku zambiri zakhala zikuchitika, kuti odwala 80 mpaka 90% adzakhala ndi zotsatira zabwino m'zaka 10 zoyambirira pambuyo pa patellofemoral m'malo mwake, koma ngati angakhalepo nthawi yayitali kusiyana ndi zomwe sakuzimvetsa.
Tikudziwanso kuti chifukwa chodziwika kuti malo a patellofemoral sagwira ntchito bwino, si chifukwa cha vuto lokhazikitsa, komabe vuto liri lonse pambali ya mawondo - gawo lomwe silinalowe m'malo. Pafupifupi 25 peresenti ya odwala adzafuna kutembenuzidwa kwapadera kwawo kwa patellofemoral m'malo mwa mawondo onse chifukwa cha kuwonongeka kwa nyamakazi kuzipinda zina za bondo.
Ichi ndichifukwa chake odwala omwe ali ndi zotsatira zabwino za mawondo a patellofemoral ndiwo odwala omwe ali ndi vuto lomwe ali ndi mawondo awo, monga kupweteka kwa patella kapenanso mavuto omwe akuwatsatira . Mkhalidwe umenewu ukhoza kuyambitsa kuvala kofiirala pansi pa kneecap. Komabe, odwala omwe amachititsa kuti mafupa a magetsi asagwiritsidwe ntchito, osati chifukwa cha vuto linalake la mawotchi, amatha kukhala ndi mawondo awonthu .
Zotsatira:
Lonner JH "Patellofemoral Arthroplasty" J Am Acad Surgp Surgery August 2007; 15: 495-506.