imilo ye-meniscus
I-meniscus yangaphakathi neyangaphandle.
Umgama ophakathi kweziphelo ezimbini ze-medial meniscus mkhulu, ubonisa imo "C", kwaye umphetho uqhagamshelwe kwiijoyinti i-capsule kunye nomaleko onzulu we-medial collateral ligament.
I-meniscus esecaleni inomfanekiso "O". I-tendon ye-popliteus yahlula i-meniscus kwi-capsule edibeneyo embindini nangasemva kwe-1/3, yenza umsantsa. I-meniscus esecaleni yahlulwe kwi-ligament esecaleni.
Isalathisi esiqhelekileyo sotyando lwe-umthungo we-meniscusyikrazu elide kwindawo ebomvu. Ngokuphuculwa kwezixhobo kunye netekhnoloji, uninzi lwezinxeba ze-meniscus zinokuthungwa, kodwa ubudala besigulana, indlela esigula ngayo, kunye nomgca wamandla omlenze osezantsi nazo kufuneka ziqwalaselwe. , ukwenzakala okudibeneyo kunye nezinye iimeko ezininzi, injongo yokugqibela yomthungo kukuthemba ukuba ukwenzakala kwe-meniscus kuya kuphola, kungekhona umthungo womthungo!
Iindlela zokuthunga ze-meniscus zahlulwe ngokubanzi zibe ziindidi ezintathu: ngaphandle-ngaphakathi, ngaphakathi-ngaphandle kunye nangaphakathi konke. Ngokuxhomekeke kwindlela yokuthunga, kuya kubakho izixhobo zokuthunga ezifanelekileyo. Ezona zilula Kukho iinaliti zokubhoboza i-lumbar okanye iinaliti eziqhelekileyo, kwaye kukwakho nezixhobo ezikhethekileyo zokuthunga ze-meniscal kunye nezixhobo zokuthunga ze-meniscal.
Indlela yokungena ngaphandle ingabhobozwa ngenaliti yokubhoboza i-lumbar ene-gauge eyi-18 okanye inaliti eqhelekileyo yokujova ene-gauge eyi-12. Ilula kwaye ilula. Zonke izibhedlele zinayo. Kakade ke, kukho iinaliti ezikhethekileyo zokubhoboza. - Ⅱ kunye ne-0/2 yemeko yothando. Indlela yokungena ngaphandle ithatha ixesha kwaye ayinakulawula ukuphuma kwenaliti ye-meniscus kwilungu. Ifanelekile kwiphondo langaphambili kunye nomzimba we-meniscus, kodwa hayi kwiphondo langasemva.
Kungakhathaliseki ukuba uzifake njani iintambo, isiphumo sokugqibela sendlela yokungena ngaphandle kukutshintsha umthungo ongene ngaphandle nangaphandle kwe-meniscus uye ngaphandle komzimba kwaye ubotshelelwe endaweni yawo ukuze kugqitywe umthungo wokulungisa.
Indlela yokungena ngaphakathi ingcono kwaye ichasene nendlela yokungena ngaphandle. Inaliti kunye ne-lead zidluliselwa ukusuka ngaphakathi kwejoyinti ukuya ngaphandle kwejoyinti, kwaye ikwaqiniswa ngeqhina elingaphandle kwejoyinti. Ingalawula indawo yokufaka inaliti ye-meniscus kwijoyinti, kwaye umthungo ucocekile kwaye uthembekile. . Nangona kunjalo, indlela yokungena ngaphakathi ifuna izixhobo zotyando ezikhethekileyo, kwaye kufuneka ukunqunyulwa okongezelelweyo ukukhusela imithambo yegazi kunye nemithambo-luvo nge-arc baffles xa kuthungwa uphondo olungasemva.
Iindlela ezisetyenziswa ngaphakathi ziquka ubuchwepheshe be-stapler, ubuchwepheshe be-suture hook, ubuchwepheshe be-suture forceps, ubuchwepheshe be-anchor kunye neteknoloji ye-transosseous tunnel. Ikwafanelekile nakwiziphene ze-anterior horn, ngoko ke ihlonitshwa ngakumbi ngoogqirha, kodwa i-intra-articular suturing iyonke ifuna izixhobo zotyando ezikhethekileyo.
1. Indlela yokuqhobosha i-stapler yeyona ndlela isetyenziswa kakhulu. Iinkampani ezininzi ezifana nomtshana kaSmith, uMitek, uLinvatec, uArthrex, uZimmer, njl.njl. zenza i-staplers zazo, nganye ineengenelo kunye neengxaki zayo. Oogqirha ngokubanzi bazisebenzisa ngokwezinto abazithandayo kunye nokuqhelana nokukhetha, kwixesha elizayo, i-staplers ezintsha nezinobuntu ziya kuvela ngamanani amakhulu.
2. Itekhnoloji ye-suture forceps ithathwe kwitekhnoloji ye-arthroscopy yamagxa. Oogqirha abaninzi bacinga ukuba i-suture forceps ye-rotator cuff ilula kwaye isetyenziswa ngokukhawuleza, kwaye idluliselwa kwi-suture yokwenzakala kwe-meniscus. Ngoku kukho i-suture ephucukileyo nekhethekileyo.i-meniscus sutureskwimarike. Iiplasta ziyathengiswa. Ngenxa yokuba iteknoloji ye-suture forceps yenza kube lula utyando kwaye inciphisa kakhulu ixesha lotyando, ifanelekile ngakumbi ekonzakaleni kwengcambu engasemva ye-meniscus, ekunzima ukuyithunga.
3. Itekhnoloji yokwenyani ye-anchor kufuneka ibhekisele kwisizukulwana sokuqalaukulungiswa kwe-meniscal sature, nto leyo esisiseko eyenzelwe ngokukodwa i-meniscus suture. Le mveliso ayisafumaneki.
Kule mihla, iteknoloji ye-anchor ibhekisa ekusetyenzisweni kwee-anchor zokwenyani. U-Engelsohn nabanye baxele okokuqala ngo-2007 ukuba indlela yokulungisa i-anchor ye-suture yayisetyenziselwa unyango lokulimala kweengcambu ze-meniscus zangasemva. Ii-anchor zifakwa kwindawo eprintiweyo kwaye zifakwe i-suture. Ukulungiswa kwe-anchor ye-suture kufuneka kube yindlela elungileyo, kodwa nokuba kukulimala kweengcambu zangasemva ze-medial okanye ze-lateral semilunar, i-suture anchor kufuneka ibe neengxaki ezininzi ezifana nokungabikho kwendlela efanelekileyo, ubunzima bokubekwa, kunye nokungakwazi ukujija i-anchor ngokuthe nkqo kumphezulu wethambo. , ngaphandle kokuba kukho utshintsho olukhulu ekwenziweni kwe-anchor okanye iindlela ezingcono zokufikelela kutyando, kunzima ukuba yindlela elula, elula, ethembekileyo nesetyenziswa rhoqo.
4. Indlela yokusebenzisa i-transosseous tract yenye yeendlela zokuthungela ngaphakathi kwe-articular. Ngo-2006, iRaustol yaqala ukusebenzisa le ndlela ukuthungela ukulimala kweengcambu ze-medial meniscus posterior, kwaye kamva yasetyenziswa ngokukodwa ukwenzakala kweengcambu ze-lateral meniscus posterior kunye nokukrazulwa komzimba we-meniscus radial kwindawo ye-meniscus-popliteus tendon, njl. Indlela yokusebenzisa i-trans-osseous suture kukuqala ngokukrwela i-cartilage kwindawo yokufakelwa emva kokuqinisekisa ukwenzakala phantsi kwe-arthroscopy, kwaye usebenzise i-ACL tibial sight okanye i-special sight ukujolisa nokugqobhoza i-tunnel. I-single-bone okanye i-double-bone can be used, kwaye i-single-bone can be used. Indlela I-bone tunnel inkulu kwaye umsebenzi ulula, kodwa umphambili kufuneka ulungiswe ngamaqhosha. Indlela ye-double-bone tunnel kufuneka igqobhoze enye i-bone tunnel, engelula kubaqalayo. Umphambili ungabotshelelwa ngokuthe ngqo kumphezulu wethambo, kwaye ixabiso liphantsi.
Ixesha lokuthumela: Sep-23-2022
