UJack, oneminyaka engama-22 ubudala othanda ibhola ekhatywayo, udlala ibhola ekhatywayo nabahlobo bakhe veki nganye, kwaye ibhola ekhatywayo iye yaba yinxalenye ebalulekileyo yobomi bakhe bemihla ngemihla. Kwimpelaveki ephelileyo xa edlala ibhola ekhatywayo, uZhang ngempazamo watyibilika wawa, ebuhlungu kangangokuba akazange akwazi ukuma, akakwazi ukuhamba, emva kweentsuku ezimbalwa zokuchacha ekhaya okanye iintlungu, engakwazi ukuma, wathunyelwa kwisebe lamathambo esibhedlele ngumhlobo, ugqirha walufumana uviwo kwaye waphucula idolo iMRI, yafunyaniswa njenge-anterior cruciate ligament ligament for the femoral side of the femoral side of the femoral side. unyango lotyando arthroscopic.
Emva kokugqiba iimviwo zangaphambi kotyando, oogqirha baqulunqa isicwangciso sonyango esichanekileyo kwimeko kaJack, kwaye bagqiba ekubeni bakhe i-ACL ngobuchule obuncinci be-arthroscopic usebenzisa i-autologous popliteal tendon emva konxibelelwano olupheleleyo noJack. Ngosuku lwesibini emva kokuhlinzwa, wakwazi ukuhla phantsi kwaye iimpawu zakhe zentlungu emadolweni zaye zakhululeka kakhulu. Emva koqeqesho olucwangcisiweyo, kungekudala uJack uya kukwazi ukubuyela entsimini.
Ukuqhekeka ngokupheleleyo kwecala le-femoral le-anterior cruciate ligament libonwa nge-microscopically
I-anterior cruciate ligament emva kokwakhiwa ngokutsha kunye ne-autologous hamstring tendon
UGqirha unika isigulana utyando lokwakhiwa kwakhona kwe-arthroscopic ligament
I-anterior cruciate ligament (ACL) yenye yeentambo ezimbini eziwela phakathi kwedolo, ezidibanisa ithambo lethanga kwithambo lethole kunye nokunceda ukuzinzisa idolo. Ukulimala kwe-ACL kwenzeka rhoqo kwimidlalo efuna ukumisa okubukhali okanye utshintsho lwesiquphe, ukutsiba kunye nokuhla, njengebhola ekhatywayo, ibhola yomnyazi, umbhoxo kunye ne-skiing ezantsi. Umboniso oqhelekileyo ubandakanya iintlungu zesiquphe, eziqatha kunye nokuvela okuvakalayo. Xa kwenzeka ukulimala kwe-ACL, abantu abaninzi bava "ukucofa" emadolweni okanye bazive beqhekeza emadolweni. Idolo lisenokudumba, lizive lingazinzanga, kwaye libe nobunzima bokuxhasa ubunzima bakho ngenxa yeentlungu.
Kwiminyaka yakutshanje, ukulimala kwe-ACL kuye kwaba yinto exhaphakileyo yokulimala kwezemidlalo kunye nokugxila okwandisiweyo ekusebenzeni okunempilo. Iindlela zokuxilonga le nzakala ziquka: ukuthatha imbali, ukuhlolwa komzimba, kunye nokuhlolwa kwemifanekiso. I-MRI okwangoku iyona ndlela ibalulekileyo yokucinga yokulimala kwe-ACL namhlanje, kwaye ukuchaneka koviwo lwe-MRI kwinqanaba elibukhali lingaphezulu kwe-95%.
Ukuqhekeka kwe-ACL kuchaphazela ukuzinza kwamadolo, okubangelwa ukungalingani kunye nokugungqa xa i-joint flexes, ikwandisa kwaye ijikeleze, kwaye emva kwexesha elithile, idla ngokubangela ukulimala kwe-meniscus kunye ne-cartilage. Ngeli xesha, kuya kubakho iintlungu emadolweni, uluhlu olulinganiselweyo intshukumo okanye nokuba ngequbuliso "waxinga", ayikwazi ukuhambisa imvakalelo, nto leyo ethetha ukuba ukwenzakala akukho ukukhanya, nokuba wenze utyando ukulungisa kunokuba kwangethuba ukulungisa ukwenzakala kunzima, isiphumo kwakhona ihlwempu ngokwentelekiso. Uninzi lweenguqu ezibangelwa ukungazinzi kwamadolo, ezifana nomonakalo we-meniscus, i-osteophytes, i-cartilage wear, njl., ayinakuguqulwa, ekhokelela kuluhlu lwe-sequelae, kwaye yandisa iindleko zonyango. Ngoko ke, i-arthroscopic anterior cruciate ligament reconstruction inconywa kakhulu emva kokulimala kwe-ACL, ukubuyisela ukuzinza kwamadolo.
Ziziphi iimpawu zokulimala kwe-ACL?
Umsebenzi ophambili we-ACL kukukhawulela ukufuduka kwangaphambili kwe-tibia kunye nokugcina ukuzinza kwayo okujikelezayo. Emva kokuphuka kwe-ACL, i-tibia iya kuhamba phambili ngokuzenzekelayo, kwaye isigulane sinokuziva singazinzile kwaye sigxininise ekuhambeni kwansuku zonke, imidlalo okanye imisebenzi yokujikeleza, kwaye ngamanye amaxesha sivakalelwa kukuba idolo alikwazi ukusebenzisa amandla ayo kwaye libuthathaka.
Ezi mpawu zilandelayo ziqhelekileyo ngokulimala kwe-ACL:
① Iintlungu zedolo, ezibekwe kwindawo edibeneyo, izigulana zinokoyika ukuhamba ngenxa yeentlungu ezibuhlungu, ezinye izigulana zinokuhamba okanye ziqhubeke nomthambo ophantsi ngenxa yeentlungu ezincinci.
② ukudumba kwedolo, ngenxa yokopha kwe-intra-articular okubangelwa kukuhlangana kwedolo, ngokuqhelekileyo kwenzeka kwimizuzu ukuya kwiiyure emva kokulimala kwedolo.
Isithintelo sokwandiswa kwamadolo, isiphunzi se-ligament rupture ligament siguqukele kwi-intercondylar fossa yangaphambili ukuvelisa ukucaphuka okuvuthayo. Ezinye izigulane zinokuba nokwandiswa okulinganiselwe okanye ukuguquguquka ngenxa yokulimala kwe-meniscus. Idibaniswe nokulimala kwe-collateral ligament, ngamanye amaxesha iphinda ibonakaliswe njengomda wokwandiswa.
Ukungazinzi kwedolo, ezinye izigulana ziziva intshukumo engalunganga kwilungu ledolo ngexesha lokwenzakala, kwaye ziqala ukuva ukushukuma kwedolo eliguquguqukayo (oko kukuthi imvakalelo yokuqhekeka phakathi kwamathambo njengoko kuchaziwe zizigulane) xa bephinda behamba malunga neeveki ezi-1-2 emva kokwenzakala.
⑤ Ukuhamba okulinganiselweyo kwamadolo, okubangelwa yi-synovitis ephazamisayo ebangela ukuvuvukala kunye nentlungu edibeneyo emadolweni.
Ugqirha wazisa ukuba i-arthroscopic anterior cruciate ligament reconstruction ijolise ekulungiseni i-anterior cruciate ligament emva kokuphuka, kwaye unyango oluqhelekileyo lwangoku luyi-arthroscopic transplantation ye-tendon kwi-joint joint ukuze kwakhiwe ngokutsha i-ligament entsha, eyona nkqubo incinci. I-tendon etshintshiweyo ikhethwa kwi-autologous popliteal tendon, enenzuzo yokuncincika okuncinci, impembelelo encinci kumsebenzi, akukho kugatywa, kunye nokuphulukiswa kwethambo le-tendon elula. Izigulane ezineenkqubo zokuvuselela emva kokuhlinzwa zihamba ngeentonga ngoJanuwari, zihamba ngeentonga ngoFebruwari, zihamba kunye nenkxaso ekhutshwe ngo-Matshi, zibuyele kwimidlalo jikelele kwiinyanga ezintandathu, kwaye zibuyele kwinqanaba labo lokulimala kwangaphambili kwezemidlalo ngonyaka omnye.
Ixesha lokuposa: May-14-2024
