I-meniscus iphakathi kwe-femur (ithambo lethanga) kunye ne-tibia (ithambo le-shin) kwaye ibizwa ngokuba yi-meniscus ngenxa yokuba ibonakala ngathi i-crescent egobileyo.
I-meniscus ibaluleke kakhulu kumzimba womntu. Kuyafana ne "shim" ekuthwaleni umatshini. Ayinakwandisa nje ukuzinza kunye nokuhambelana kwamadolo, kodwa iphinda ithwale umthwalo osisiseko phakathi kwe-femur kunye ne-tibia, enemisebenzi yokunciphisa, ukuxutywa kokutshatyalaliswa kunye nokuthambisa idolo. Indima yamalungu.
Unyangwa njani ukwenzakala kwimeniscal?
Ukuba i-meniscus yokulimala ayiphathwa ngexesha, ayiyi kwandisa kuphela iimpawu zokulimala, kodwa iphinde ibangele umonakalo we-cartilage yendawo, ekugqibeleni ibangele ukwenzeka kwangaphambili kwe-knee degenerative arthritis, eya kuchaphazela kakhulu ubomi bemihla ngemihla yesigulane kwikamva.
Ngokuqhelekileyo, ukuphumla, unyango lomzimba, unyango lweziyobisi, i-injection intra-articular, njl. Lukhetho lokuqala kwizigulane ezisebekhulile ezineemfuno eziphantsi zokusebenza okanye iimeko zomzimba ezingavumeli utyando kwiingxelo ze-MRI ezihlangeneyo ze-knee kunye nokulimala kwebanga le-I kunye ne-II kunye nokulimala kancinci kancinci. Amanyathelo onyango olulondolozayo.
Kwizigulane ezinokulimala kwe-meniscal ngaphezu kwebanga le-III, ukungenelela kokuhlinzwa kufuneka kuthathelwe ingqalelo. Nangona kunjalo, kwisigwebo sokugqibela sokuba utyando kufuneka lwenziwe, ukubonakaliswa kwekliniki yesigulane, ukuhlolwa komzimba kagqirha kunye neziphumo ze-MRI kufuneka ziqwalaselwe ngokubanzi.
UFaut-il fendre ou couper le ménisque ?
La chirurgie arthroscopique des lésions du ménisque comprend principalement la plastie du ménisque (chirurgie plastique), c'est-à-dire la résection partielle du ménisque et la suture du ménisque. La résection et la suture du ménisque ont leurs propres indications, et le médecin choisira la meilleure méthode de traitement en fonction des conditions spécifiques de votre lésion méniscale.
Quel degré de lésion méniscale peut-on suturer ?
Selon l'apport sanguin, le ménisque peut être divisé en trois régions, dont la zone rouge avec un apport sanguin riche et une forte capacité de guérison, et la zone rouge et blanche (jonction) avec une faible capacit i irréversibles et esisigxina. indawo.
Kwi-meniscus enokuthi iphilise (indawo ebomvu, indawo ebomvu kunye nemhlophe), gcina ubuninzi besakhiwo se-meniscus ngokusemandleni ukugcina umsebenzi wokukhusela we-meniscus emadolweni ukuya kwinqanaba eliphezulu, khetha i-meniscus suture, kwaye usebenzise intambo ukuvala ukukrazula I-meniscus ithungwe.
Okwangoku, ubuchule be-meniscus suture buhlulwe kakhulu: ngaphakathi-ngaphandle (ngaphakathi-ngaphandle), ngaphandle-ngaphakathi (ngaphandle-ngaphakathi), kunye ne-inside-inside (yonke-ngaphakathi) ubuchule be-suture. Kwi-meniscus ekrazukileyo phakathi kunye ne-1/3 yangasemva, xa kuthelekiswa nezinye iindlela ze-suture, i-suture yangaphakathi epheleleyo ine-trauma encinci kwaye ingabuyela kwimidlalo ngaphambili.
01
I-arthroscopy yokuqinisekisa indawo yokulimala
I-scalpel yenza i-incision, kwaye i-arthroscope ingena kwi-joint cavity ukujonga ngokucwangcisiweyo i-cruciate ligament, i-meniscus kunye nezinye izakhiwo zedolo elihlangeneyo.
Ukukrazula okuthe tye kwiphondo elingasemva le-meniscus
Ukukrazula kweMeniscal kubonwa phantsi kwe-arthroscopy
02
I-meniscus suture epheleleyo
Okokuqala, lungisa ubude obufunekayo be-stapler ngokwemiqathango ethile yesigulane. Ngaphantsi kokukhuselwa kwe-baffle, i-stapler ingena kwi-joint kwaye ikhethe indawo efanelekileyo yokufaka inaliti.
Inaliti idlula kwi-meniscus, ngaphandle kwe-capsule edibeneyo, indawo yokuqala yokumisa ibekwe, kwaye inaliti ihoxiswa ngokukhawuleza.
Beka kwakhona kwaye uqhubele phambili inaliti, ngokufanayo beka indawo yokumisa okwesibini ngaphandle kwe-capsule edibeneyo, uyirhoxise ngokukhawuleza inaliti, kwaye ususe i-stapler ngaphandle kwedibeneyo.
Iibhafu ezimbini zisebenza njengokulungiswa ngaphandle kwe-capsule edibeneyo
I-sutures ehlanjululweyo itsalwa i-taut kwaye i-sutures isebenzisa ukunyanzeliswa okufanelekileyo ukuqinisa i-meniscus elungisiweyo. Sebenzisa i-push knot cutter ukusika umsila we-suture ngaphandle kokushiya nawaphi na amaqhina kumphezulu we-meniscus.
Ngokuxhomekeke kubukhulu be-meniscal tear, phinda amanyathelo angentla apha.
Ngaphantsi kwe-arthroscopy, jonga kwakhona ukuba i-meniscus efakwe kwi-sutured izinzile, kwaye faka i-suture incision yotyando emva kokuqinisekisa ukuba yonke into ilungile.
Ukufunda kunye nokuthenga imveliso, nceda uqhagamshelane:
Yoyo
Whatsapp: +86 15682071283
Email: liuyaoyao@medtechcah.com
Ixesha lokuposa: Aug-07-2023
