UJack, umshisekeli webhola lezinyawo oneminyaka engu-22, udlala ibhola nabangane bakhe isonto ngalinye, futhi ibhola seliphenduke ingxenye ebalulekile yokuphila kwakhe kwansuku zonke. Ngempelasonto edlule lapho edlala ibhola, uZhang washelela ngephutha wawa, ebuhlungu kangangokuthi wayengakwazi ukusukuma, engakwazi ukuhamba, ngemva kwezinsuku ezimbalwa elulama ekhaya noma ebuhlungu, engakwazi ukuma, wathunyelwa emnyangweni wamathambo esibhedlela ngumngane, udokotela wathola ukuhlolwa futhi wathuthukisa i-MRI yedolo, kwatholakala ukuthi i-anterior cruciate ligament ligament for the anterior cruciate ligament for the femoral side of the anterior cruciate ligament for the anterior cruciate ligament for the femoral side ukwelashwa kwe-arthroscopic kuhlinzwa.
Ngemva kokuphothula ukuhlolwa kwangaphambi kokuhlinzwa, odokotela benza uhlelo olunembile lokwelapha isimo sikaJack, futhi banquma ukwakha kabusha i-ACL ngenqubo ye-arthroscopic engavamile kakhulu besebenzisa i-autologous popliteal tendon ngemva kokuxhumana okuphelele noJack. Ngosuku lwesibili ngemva kokuhlinzwa, wakwazi ukwehlela phansi futhi izimpawu zakhe zobuhlungu edolweni zakhululeka kakhulu. Ngemva kokuqeqeshwa okuhlelekile, uJack uzokwazi ukubuyela ensimini ngokushesha.
Ukuqhekeka okuphelele kohlangothi lwesifazane lwe-anterior cruciate ligament kubonakala nge-microscope
I-anterior cruciate ligament ngemva kokwakhiwa kabusha nge-autologous hamstring tendon
Udokotela unikeza isiguli ukuhlinza kabusha kwe-arthroscopic ligament reconstruction
I-anterior cruciate ligament (ACL) ingenye yemigqa emibili ewela phakathi kwedolo, ixhuma ithambo lethanga nethambo lethole futhi isiza ukuzinzisa ukuhlangana kwamadolo. Ukulimala kwe-ACL kwenzeka kaningi kwezemidlalo ezidinga ukuma okubukhali noma ukuguqulwa okungazelelwe kwendlela, ukugxuma kanye nokufika, njengebhola lezinyawo, i-basketball, ibhola lombhoxo kanye nokushushuluza ekwehleni. Izethulo ezijwayelekile zihlanganisa ubuhlungu obungalindelekile, obunzima kanye nokuvela okuzwakalayo. Uma kwenzeka ukulimala kwe-ACL, abantu abaningi bezwa "chofoza" emadolweni noma bazwe ukuqhuma emadolweni. Idolo lingase likhukhumale, lizizwe lingazinzile, futhi libe nobunzima bokusekela isisindo sakho ngenxa yobuhlungu.
Eminyakeni yamuva nje, ukulimala kwe-ACL sekuphenduke ukulimala kwezemidlalo okuvame ukugxila kakhulu ekuzivivinyeni okunempilo. Izindlela zokuxilonga lokhu kulimala zihlanganisa: ukuthatha umlando, ukuhlolwa ngokomzimba, nokuhlolwa kwezithombe. I-MRI okwamanje iyindlela ebaluleke kakhulu yokucabanga yokulimala kwe-ACL namuhla, futhi ukunemba kokuhlolwa kwe-MRI esigabeni esibucayi kungaphezu kwama-95%.
Ukuqhekeka kwe-ACL kuthinta ukuzinza kwedolo elihlangene, okuholela ekungalinganini nasekugwemeni lapho ukuhlanganiswa kuguquguquka, kunwebeka futhi kujikeleze, futhi ngemva kwesikhathi esithile, kuvame ukubangela ukulimala kwe-meniscus ne-cartilage. Ngalesi sikhathi, kuyoba nobuhlungu bedolo, uhla olulinganiselwe lokunyakaza noma ngisho nokungazelelwe "ukunamathela", awukwazi ukuhambisa umuzwa, okusho ukuthi ukulimala akulula, ngisho noma wenza ukuhlinzwa ukuze ulungise kunokulungisa ukulimala kwasekuqaleni kunzima, umphumela nawo umpofu kakhulu. Izinguquko eziningi ezibangelwa ukungazinzi kwamadolo, njengokulimala kwe-meniscus, ama-osteophyte, ukugqoka kwe-cartilage, njll, azikwazi ukuhlehliswa, okuholela ochungechungeni lwe-sequelae, futhi futhi kwandise izindleko zokwelashwa. Ngakho-ke, ukwakhiwa kabusha kwe-arthroscopic anterior cruciate ligament kunconywa kakhulu ngemva kokulimala kwe-ACL, ukubuyisela ukuzinza kwamadolo.
Yiziphi izimpawu zokulimala kwe-ACL?
Umsebenzi oyinhloko we-ACL ukukhawulela ukufuduka kwangaphambili kwe-tibia nokugcina ukuzinza kwayo kokujikeleza. Ngemva kokuphuka kwe-ACL, i-tibia izoqhubekela phambili ngokuzenzakalelayo, futhi isiguli singase sizizwe singazinzile futhi sinyakaza ekuhambeni kwansuku zonke, ezemidlalo noma emisebenzini yokujikeleza, futhi ngezinye izikhathi sinomuzwa wokuthi idolo alikwazi ukusebenzisa amandla alo futhi libuthakathaka.
Izimpawu ezilandelayo zivamile ngokulimala kwe-ACL:
① Ubuhlungu bedolo, obusendaweni ehlangene, iziguli zingase zesabe ukunyakaza ngenxa yobuhlungu obukhulu, ezinye iziguli zingakwazi ukuhamba noma ukuqhubeka nokuzivocavoca okuphansi ngenxa yobuhlungu obuncane.
② Ukuvuvukala kwedolo, ngenxa yokopha kwe-intra-articular okubangelwa ilunga ledolo, ngokuvamile kwenzeka phakathi nemizuzu kuya emahoreni ngemva kokulimala kwedolo.
Ukuvinjelwa kwesandiso samadolo, isiphunzi se-ligament rupture ligament siphendukele ku-intercondylar fossa anterior ukukhiqiza ukucasuka okuvuvukala. Ezinye iziguli zingase zibe nokunwetshwa okulinganiselwe noma ukuguquguquka ngenxa yokulimala kwe-meniscus. Kuhlanganiswe nokulimala kwe-medial collateral ligament, ngezinye izikhathi kubuye kubonakale njengomkhawulo wesandiso.
Ukungaqini kwedolo, ezinye iziguli zizwa ukunyakaza okungalungile ejoyintini lamadolo ngesikhathi sokulimala, futhi ziqala ukuzwa ukuzwa okunyakazayo kwelunga ledolo (okungukuthi umuzwa wokuphazamiseka phakathi kwamathambo njengoba kuchazwe iziguli) lapho ziqala kabusha ukuhamba cishe amasonto angu-1-2 ngemva kokulimala.
⑤ Ukuhamba okulinganiselwe kwejoyinti lamadolo, okubangelwa i-synovitis ehlukumezayo okuholela ekuvuvukeni nobuhlungu ekuhlanganyeleni kwamadolo.
Udokotela wethula ukuthi i-arthroscopic anterior cruciate ligament reconstruction ihloselwe ukulungisa i-anterior cruciate ligament ngemva kokuphuka, futhi ukwelashwa okujwayelekile kwamanje ukufakelwa kwe-arthroscopic ye-tendon emadolweni ukuze kwakhiwe kabusha i-ligament entsha, okuyinto inqubo encane engavamile. I-tendon etshalwe kabusha ikhethwa kune-autologous popliteal tendon, enezinzuzo zokusikwa okuncane okubuhlungu, umthelela omncane ekusebenzeni, akukho ukwenqatshwa, kanye nokuphulukiswa kwethambo le-tendon kalula. Iziguli ezinezinqubo ezibushelelezi zokuhlunyeleliswa kwezimilo ngemva kokuhlinzwa zihamba ngezinduku ngoJanuwari, zisuke ngezinduku ngo-February, zihambe nokusekelwa ngoMashi, zibuyele emidlalweni evamile ngemva kwezinyanga eziyisithupha, bese zibuyela ezingeni lazo lezemidlalo zangaphambi kokulimala ngonyaka owodwa.
Isikhathi sokuthumela: May-14-2024
