Ukuqhekeka kwethafa le-tibial kukulimala okuqhelekileyo kwezonyango, apho ukwaphuka kohlobo lwesibini lweSchatzker, okubonakala ngokuqhekeka kwe-cortical lateral kunye nokuxinana komphezulu we-articular lateral, kuyeyona nto ixhaphakileyo. Ukubuyisela umphezulu we-articular oxinzelelweyo kunye nokwakha kwakhona ukulungelelaniswa okuqhelekileyo kwamalungu edolo, unyango lotyando ludla ngokucetyiswa.
Indlela yokujolisa idolo kwicala langaphambili ibandakanya ukuphakamisa ngokuthe ngqo umphezulu we-lateral articular ecaleni kwe-split cortex ukuze kubekwe kwakhona umphezulu we-articular oxinzelelweyo kwaye kwenziwe i-bone grafting phantsi kombono othe ngqo, indlela esetyenziswa kakhulu kwizonyango eyaziwa ngokuba yindlela "yokuvula incwadi". Ukudala ifestile kwi-lateral cortex nokusebenzisa ilifti ngefestile ukuze kubekwe kwakhona umphezulu we-articular oxinzelelweyo, eyaziwa ngokuba yindlela "yokufaka ifestile", ngokwethiyori yindlela engaphantsi kakhulu.
Akukho sigqibo sicacileyo sokuba yeyiphi kwezi ndlela zimbini engcono. Ukuze bathelekise ukusebenza kakuhle kwezonyango kwezi ndlela zimbini, oogqirha baseNingbo Sixth Hospital benze uphando oluthelekisayo.
Olu phononongo luquke izigulane ezili-158, apho amatyala angama-78 asebenzisa indlela yokuvula iifestile kunye namatyala angama-80 asebenzisa indlela yokuvula iincwadi. Idatha esisiseko yamaqela amabini ayibonisanga mahluko abalulekileyo ngokwezibalo:
▲ Lo mfanekiso ubonisa iimeko zeendlela ezimbini zokunciphisa umphezulu odibeneyo: AD: indlela yokufaka iifestile, EF: indlela yokuvula incwadi.
Iziphumo zophando zibonisa:
- Akukho mahluko ubalulekileyo ngokwezibalo kwixesha ukusuka ekwenzakaleni ukuya kutyando okanye ubude botyando phakathi kwezi ndlela zimbini.
- I-CT scans emva kotyando ibonise ukuba iqela le-windowing lalinamatyala ama-5 okucinezelwa komphezulu we-articular emva kotyando, ngelixa iqela lokuvula incwadi lalinamatyala ali-12, umahluko obalulekileyo ngokwezibalo. Oku kuthetha ukuba indlela yokwenza i-windowing inika ukunciphisa umphezulu we-articular okungcono kunendlela yokuvula incwadi. Ukongeza, ukuxhaphaka kwe-arthritis ebuhlungu emva kotyando kwakuphezulu kwiqela lokuvula incwadi xa kuthelekiswa neqela le-windowing.
- Akukho mahluko ubalulekileyo ngokwezibalo kumanqaku okusebenza kwedolo emva kotyando okanye amanqaku e-VAS (Visual Analog Scale) phakathi kwala maqela mabini.
Ngokwethiyori, indlela yokuvula incwadi ivumela ukubonakala ngokuthe ngqo komphezulu we-articular, kodwa inokukhokelela ekuvulekeni kakhulu komphezulu we-articular, nto leyo ebangela ukuba kungabikho manqaku aneleyo okunciphisa kunye neziphene ekunciphiseni komphezulu we-articular okulandelayo.
Kwimisebenzi yeklinikhi, yeyiphi indlela onokuyikhetha?
Ixesha leposi: Julayi-30-2024
