I-Prosthesis yeDolo eliNxibeleleneyo

Ngu-CAH Medical | eSichuan, eTshayina

Kubathengi abafuna ii-MOQ eziphantsi kunye nohlobo oluphezulu lwemveliso, ababoneleli beMultispecialty banikezela ngokwezifiso ze-MOQ eziphantsi, izisombululo zezothutho ukusuka ekuqaleni ukuya ekugqibeleni, kunye nokuthengwa kweendidi ezininzi, kuxhaswa ngamava abo atyebileyo kushishino kunye neenkonzo kunye nokuqonda okuqinileyo kweendlela ezintsha zemveliso.

Ⅰ. Yeyiphi indlela entsha yokutshintsha idolo?

I-knee arthroplasty lutyando lwamathambo olubuyisela ukusebenza kwamalungu nge-prostheses zokwenziwa ngokutshintsha indawo eyonakeleyo yelungu ledolo, kwaye lufanelekile kwizigulana ezine-osteoarthritis enzima, i-rheumatoid arthritis okanye ukwenzakala kwamalungu okwenzakala. Olu tyando kufuneka lwenziwe phantsi kwe-anesthesia, kubandakanya ukususa izicubu ezigulayo, ukufaka i-prosthesis ngokuchanekileyo, kunye nokuqalisa kwakhona intshukumo yamalungu emva kotyando kunye noqeqesho lokubuyisela amalungu kwimeko yesiqhelo.

1. I-Anesthesia kunye neNdawo yoMzimba

Indlela yokubulala iintlungu: Eyona ndlela isetyenziswa kakhulu kukubulala iintlungu zomqolo (i-hemibody anesthesia) okanye i-general anesthesia.

Indawo ezinzileyo: Isigulana silele phantsi, kwaye ilungu elichaphazelekayo lihlanjululwe kwaye liphakanyisiwe ukuze kube lula ukuba umntu abonakale kwindawo yotyando.

2. Ukusikwa kunye nokuvezwa

Kwenziwa ukusika okude (malunga ne-15-20 cm) phambi kwedolo, kwaye ulusu, i-fascia kunye nemisipha zisikwa umaleko ngamnye ukuze kubonakale umngxuma wamalungu.

Susa i-meniscus eyonakeleyo, i-hypertrophic osteophytes kunye nezicubu ze-synovial ezinesifo.

3. Unyango lomphezulu wethambo

Sebenzisa isikhokelo se-osteotomy ukuze unqumle ngokuchanekileyo i-cartilage eyonakeleyo kunye nenxalenye yethambo kwi-femur kunye ne-tibia ukuze ugcine izicubu zethambo ezisempilweni.

Ngokuxhomekeke kuhlobo lwe-prosthesis, khetha ukuba uyayisusa na i-patellar articular surface (uninzi lwe-patella yokuqala igciniwe).

4. Ukufakelwa kwe-prosthesis

I-prosthesis enesamente: Faka isamente yethambo kumphezulu we-osteotomy, uze ulungise i-metal femoral component, i-tibial support, kunye ne-polyethylene spacer.

Izinto ezifakelweyo ezingafakwanga cemented: Zikhuthaza ukukhula kwamathambo nge-coating enemingxuma, efanelekileyo kwizigulana ezineengxaki zamathambo ezilungileyo.

Ⅱ.Zithini iingxaki zokutshintshwa kwedolo elinomqolo ogobileyo?

Uhlalutyo lwemeko: I-Rotational hinge knee arthroplasty isetyenziselwa ikakhulu izilonda zamalungu edolo ezinokukhubazeka okukhulu okanye iziphene ze-ligament, kwaye nangona iluncedo kakhulu kwiimeko ezithile, ikwanazo nezinye iziphene.

1. Uyilo oluntsonkothileyo: Uyilo lwe-hinged knee prosthesis luntsonkothile ngakumbi kuba kufuneka luhlangabezane neentshukumo zokugoba kunye nokujikeleza.

2. Umngcipheko wokushukuma: Xa kuthelekiswa nezinye iintlobo zeeprostheses zedolo, idolo elixhonyiweyo lisenokuba yingozi enkulu yokuba i-implant ishukume. Kuba lifuna ukulungiswa ngcono, kwaye ngexesha lotyando kufuneka kuqinisekiswe ukuba ufakelo oluchanekileyo.

3. Umngcipheko wokosuleleka: Ugqirha wenza inxeba elikhulu xa esenza utyando, ulwakhiwo oluntsonkothileyo lwedolo elinomqolo omkhulu kunye nomphezulu omkhulu wenxeba lomguli lunokunyusa umngcipheko wokosuleleka.

4. Uluhlu olulinganiselweyo lokushukuma: Nangona ivumela ukujikeleza, uluhlu lokushukuma lusenokuba lulinganiselwe, nto leyo ethetha ukuba lunemida ethile. Ngoko ke i-hinged knee prothesis isebenza kuphela kwiimeko ezithile ezikhethekileyo.

5. Iimpawu ezilinganiselweyo: I-hinge knee arthroplasty ifanelekile kuphela kwiimeko ezithile ezinzima kwaye ayisebenzi kubo bonke abaguli. Kubalulekile ukukhetha indlela efanelekileyo yotyando ukuze kuthintelwe iziphumo ezingalindelekanga. Inyathelo lokuqala kugqirha kukugweba imeko yabaguli.

I-Hinge knee arthroplasty inezicelo kunye nemida eyahlukileyo. Xa ukhetha le ndlela yotyando, kuyimfuneko ukuqwalasela iimeko ezithile zesigulana kunye nokuvavanya iingozi kunye neenzuzo.