Ukuqhekeka okudibeneyo kwepatella yingxaki enzima yeklinikhi. Ubunzima buxhomekeke kwindlela yokunciphisa, ukuyiqhekeza kunye ukwenza indawo epheleleyo edibeneyo, kunye nendlela yokulungisa nokugcina ukulungiswa. Okwangoku, kukho iindlela ezininzi zokulungiswa kwangaphakathi kwe-patella fractures comminuted patella fractures, kubandakanywa ne-Kirschner wire tension band fixation, i-canulated nail tension band fixation, i-wire cerclage fixation, i-patellar claws, njl. Iinketho zonyango ngakumbi, zisebenza ngakumbi okanye zisebenza iindlela ezahlukeneyo zonyango. Ipateni yokuqhekeka yayingeyona into eyayilindelekile.
Ukongeza, ngenxa yobukho bezinto ezahlukeneyo zokulungiswa kwangaphakathi kwesinyithi kunye nesakhiwo se-anatomical engaphezulu kwepatella, kukho iingxaki ezininzi ezinxulumene nokulungiswa kwangaphakathi kwangemva kokusebenza, kubandakanya ukucaphukisa ukufakelwa, ukurhoxiswa kocingo lwe-K, ukuqhawuka kocingo, njl. Ukuza kuthi ga ngoku, abaphengululi bamazwe angaphandle bacebise itekhnoloji esebenzisa i-sutures engafunxayo kunye ne-mesh sutures, ebizwa ngokuba yi "spider web technology", kwaye ifumene iziphumo ezilungileyo zeklinikhi.
Indlela yokuthunga iboniswe ngolu hlobo lulandelayo (ukusuka ekhohlo ukuya ekunene, ukusuka kumqolo ongasentla ukuya kumqolo osezantsi):
Okokuqala, emva kokuba i-fracture iyancipha, i-tendon ye-patellar ejikelezileyo i-sutured intermittently around the patella ukuze yenze izakhiwo ezininzi ezikhululekileyo ze-semi-annular phambi kwe-patella, kwaye emva koko i-sutures isetyenziselwa ukubopha isakhiwo ngasinye esivulekileyo se-annular kwindandatho kwaye siyibophe kwiqhina.
I-sutures ejikeleze i-tendon ye-patellar iqinisiwe kwaye ifakwe amaqhina, emva koko i-sutures ezimbini ze-diagonal zithungwa kwaye ziboshwe ukulungisa i-patella, kwaye ekugqibeleni i-sutures ijikelezwe kwi-patella iveki.
Xa idolo elidibeneyo liguquguqukayo kwaye landiswa, kunokubonwa ukuba ukuphuka kuqiniswe ngokuqinileyo kwaye indawo edibeneyo ilula:
Inkqubo yokuphilisa kunye nesimo sokusebenza kweemeko eziqhelekileyo:
Nangona le ndlela iphumelele iziphumo ezilungileyo zeklinikhi kuphando, phantsi kweemeko zangoku, ukusetyenziswa kokufakelwa kwetsimbi eqinile kusenokuba yinto yokuqala yokukhetha oogqirha basekhaya, kwaye inokuncedisa i-postoperative plaster immobilization ukukhuthaza ukuphuka kunye nokuphepha ukulungiswa kwangaphakathi. Ukusilela yeyona njongo iphambili; umphumo osebenzayo kunye nokuqina kwamadolo kunokuba yingqwalasela yesibini.
Olu khetho lotyando lunokusetyenziswa ngokumodareyitha kwezinye izigulane ezikhethiweyo ezifanelekileyo kwaye akukhuthazwa ukuba kusetyenziswe rhoqo. Yabelana ngale ndlela yobugcisa ukuze ubhekiselele kwiikliniki.
Ixesha lokuposa: May-06-2024
