Ukuqhekeka kwepatella okuqhekekileyo yingxaki enzima yezonyango. Ubunzima bukwindlela yokuyinciphisa, ukuyidibanisa ukuze kwenziwe umphezulu opheleleyo wamalungu, kunye nendlela yokulungisa nokugcina ukutywinwa. Okwangoku, kukho iindlela ezininzi zokubopha ngaphakathi zokuqhekeka kwepatella okuqhekekileyo, kubandakanya ukulungiswa kwebhendi yoxinzelelo lwentambo yeKirschner, ukulungiswa kwebhendi yoxinzelelo lwezipikili ezifakwe kwi-cannulated, ukulungiswa kwebhendi yoxinzelelo lwentambo, uzipho lwepatellar, njl. Okukhona kukho iindlela ezininzi zonyango, kokukhona iindlela ezahlukeneyo zonyango zisebenza ngakumbi okanye zisebenza ngakumbi. Ipateni yokuqhekeka yayingekuko oko bekulindelwe.
Ukongeza, ngenxa yokubakho kweentlobo ngeentlobo ze-metal internal fixations kunye nesakhiwo esingaphezulu se-anatomical ye-patella, kukho iingxaki ezininzi ezinxulumene ne-postoperative internal fixation, kubandakanya ukurhawuzelelwa kwe-implant, ukurhoxiswa kwe-K-wire, ukuqhekeka kwe-wire, njl.njl., ezingaqhelekanga kwi-clinical practice. Ngenxa yesi sizathu, iingcali zamanye amazwe zicebise itekhnoloji esebenzisa i-sutures ezingenakufunxwa 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 ophezulu ukuya kumqolo ongezantsi):
Okokuqala, emva kokuba ukwaphuka kuncitshisiwe, i-tendon ye-patellar ejikelezileyo ithungwa rhoqo ijikeleze i-patella ukuze yenze izakhiwo ezininzi ezikhululekileyo ze-semi-annular phambi kwe-patella, kwaye emva koko kusetyenziselwa ukuthungwa kwesakhiwo ngasinye esikhululekileyo se-annular sibe yiringi kwaye sibotshwe sibe yiqhina.
Iisutures ezijikeleze i-tendon ye-patellar ziyaqiniswa kwaye zibotshelelwe, emva koko iisutures ezimbini ezithe tyaba zithungwe kwaye zibotshelelwe ukuze kulungiswe i-patella, kwaye ekugqibeleni iisutures zijikeleziswa zijikeleze i-patella kangangeveki.
Xa idolo ligobile kwaye landisiwe, kubonakala ukuba ukwaphuka kuzinzile kwaye umphezulu wedolo uthe tyaba:
Inkqubo yokuphiliswa kunye nemeko yokusebenza kwamatyala aqhelekileyo:
Nangona le ndlela ifumene iziphumo ezilungileyo kuphando, phantsi kweemeko zangoku, ukusetyenziswa kwezinto zokufakelwa zesinyithi ezinamandla kusesenokuba lolona khetho lokuqala loogqirha basekhaya, kwaye kunokunceda ukuthintela ukungasebenzi kweplasta emva kotyando ukukhuthaza ukwaphuka nokuthintela ukufakwa kwangaphakathi. Ukungaphumeleli yeyona njongo iphambili; iziphumo zomsebenzi kunye nokuqina kwamadolo kunokuba zizinto zesibini ekufuneka ziqwalaselwe.
Olu khetho lotyando lungasetyenziswa ngokulinganiselweyo kwezinye izigulana ezifanelekileyo ezikhethiweyo kwaye alukhuthazwa ukuba lusetyenziswe rhoqo. Yabelana ngale ndlela yobugcisa ukuze ibhekiselwe koogqirha.
Ixesha leposi: Meyi-06-2024
