UJack, umdlandla webhola oneminyaka engu-22 ubudala, udlala ibhola nabangane bakhe masonto onke, kanti ibhola libe yingxenye ebaluleke kakhulu empilweni yakhe yansuku zonke. Ngempelasonto edlule lapho udlala ibhola, uZhang wehla ngengozi wawa ngengozi, kubuhlungu kangangokuba wayengeke akwazi ukusukuma, atholakale ebhekiswe emnyangweni wezokwelapha, isidingo sokulungiswa esibhedlela sokuhlasela okuncane ukwelashwa okuhliswa komzimba kwe-arthroscopic.
Ngemuva kokuphothula izivivinyo zokubambisana, odokotela bakha uhlelo oluqondile lokwelashwa ngesimo sikaJack, futhi banquma ukwakha kabusha i-ACL ngenkuthalo ye-arthroscopic enokuhlasela okuncane kakhulu kusetshenziswa i-poolliteal tendon ngemuva kokuxhumana okugcwele noJack. Ngosuku lwesibili ngemuva kokuhlinzwa, wakwazi ukwehla waya emhlabathini futhi izimpawu zobuhlungu bakhe zakhululeka kakhulu. Ngemuva kokuqeqeshwa okuhlelekile, uJack uzokwazi ukubuyela endle.
Ukuqhekeka okuphelele kohlangothi lwabesifazane be-ligament ye-antererior ruciate ligament kubonwa ngokwezimoto
I-anterior elwalulela i-ligament ngemuva kokwakhiwa kabusha nge-autolovous hamstring tendon
Udokotela unikeza isiguli i-arthroscopic ligament rap ukuhlinzwa kabusha kabusha
I-ligament ye-anterior ye-anterior (ACL) ingenye yama-ligaments amabili awela maphakathi nedolo, axhuma ithambo ithambo ethafeni futhi asiza ekusebenzeni i-knee ngokuhlangana. Ukulimala kwe-ACL kwenzeka kaningi emidlalweni edinga ukuyeka okubukhali noma izinguquko ezingazelelwe zokuqondisa, ukugxuma nokufika, njenge-basketball, umbhoxo kanye nokushushuluza phansi. Izintshumayelo ezijwayelekile zifaka ubuhlungu obungazelelwe, obunzima nokuphuma okuzwakalayo. Lapho kwenzeka ukulimala kwe-ACL, abantu abaningi bazwa "ngokuchofoza" edolweni noma bazizwe kuqhekeke edolweni. Idolo lingavuvukala, zizwe ukungazinzi, futhi kunzima ukusekela isisindo sakho ngenxa yobuhlungu.
Eminyakeni yamuva nje, ukulimala kwe-ACL sekube ukulimala okuvamile kwezemidlalo ngokugxila kakhulu ekuzivocavoca okunempilo. Izindlela zokuhlonza lokhu kulimala kufaka phakathi: Ukuthatha umlando, ukuhlolwa ngokomzimba kanye nokuhlolwa kwemicabango. I-MRI njengamanje iyindlela ebaluleke kakhulu yokucabanga ye-ACL ukulimala kulezi zinsuku, kanye nokunemba kokuhlolwa kwe-MRI ngesiteji esibi kungaphezu kwama-95%.
Ukuqhuma kwe-ACL kuthinta ukuqina kokuhlanganiswa kwedolo, okuholele ekungalinganiseni nasekunciphiseni lapho ukuhlangana kuguquguquka lapho ukuhlangana kuguquguquka, kuvame ukujikeleza, kuvame ukujikeleza ukulimala kwe-meniscus kanye ne-cartilage. Ngalesi sikhathi, kuzoba nobuhlungu be-knee, uhla olunganiselwe lokunyakaza noma kungazelelwe "kunamathele", kungakwazi ukuhambisa umuzwa, noma ngabe ukulimala akunakukhanya, noma ngabe ukulimala kuwukulungiswa kunzima ukulungiswa kokulimala, umphumela umpofu futhi. Izinguquko eziningi ezibangelwa ukungazinzi kwamadolo, njengokulimala kwe-meniscus, ama-osteophytes, ukugqoka kwe-cartilage, njll. Ngakho-ke, ukwakhiwa kabusha kwe-anthroscopic anterior ligament kabusha kunconywa kakhulu ngemuva kokulimala kwe-ACL, ukubuyisela ukuqina kokuhlanganiswa kwedolo.
Yiziphi izimpawu zokulimala kwe-ACL?
Umsebenzi oyinhloko we-ACL ukunciphisa umkhawulo wokuthunyelwa kwe-tibia futhi ulondoloze ukuzinza kwayo kokujikeleza. Ngemuva kokuqhuma kwe-ACL, iTibia izoqhubekela phambili ngokuzenzekelayo, futhi isiguli singase sizizwe singazinzi futhi sihamba ngezinyawo nsuku zonke, ezemidlalo noma ngokushintshana, futhi kwesinye isikhathi zinomuzwa wokuthi idolo alikwazi ukusebenzisa amandla alo futhi libuthakathaka.
Izimpawu ezilandelayo zivamile ngokulimala kwe-ACL:
Ubuhlungu be-①KNKee, ohlelwe ngokuhlanganyela, iziguli zingesaba ukuhamba ngenxa yobuhlungu obukhulu, ezinye iziguli zingahamba noma ziqhubeke nokuzivocavoca okuphansi ngenxa yobuhlungu obuncane.
② Ukuvuvukala kwamadolo, ngenxa ye-hamorrhage ye-intra-articular articular kubangelwa yi-Knee Joint, kuvame ukwenzeka kungakapheli imizuzu kuze kube amahora ngemuva kokulimala kwamadolo.
Imikhawulo yokwandiswa kwamadolo, i-ligamente yokuqhuma kwe-ligament stump yaphendukela kwi-intercondylar fossa angerior ukukhiqiza ukucasuka kokuvuvukala. Ezinye iziguli zingaba nokunwetshwa okulinganiselwe noma ukuguquguquka ngenxa yokulimala kwe-meniscus. Kuhlanganiswe nokulimala kwe-Medial Collateral Ligament, kwesinye isikhathi kuboniswa njengokomkhawulo wesandiso.
Ukungezwani kwamadolo, ezinye iziguli zizizwa zihamba ngendlela engafanele ejobelweni ngesikhathi sokulimala, bese ziqala ukuzwa umuzwa ohlanganayo we-knee ehlanganisiwe (okusho ukuthi uqhubeka nokuhamba ngeziguli ezingaba ngu-1-2 ngemuva kokulimala.
⑤ Ukuhamba okulinganiselwe kokuhlanganiswa kwedolo, okubangelwa yi-traumatic synovitis okuholela ekuvuvukeni nasebuhlungu ekuhlanganiseni kwedolo.
Udokotela wethule ukuthi ukwakhiwa kabusha kwe-arthroscopic okubalulekile kuhloselwe ukulungisa i-ligament ye-anterior ye-ligament ngemuva kokuqhuma kwe-ligament ngemuva kokuqhuma kwe-arthroscopic ukuhanjiswa kwe-tendon kuhlasele i-ligament entsha, okuyinqubo engahlaseli kancane. I-tendon efakwe okutshalwe kabusha ilindelwe kwi-poololous poelliteal tendon, enezinsizakalo zokuncipha okungenakuqhathaniswa okuncane, umthelela omncane emsebenzini, akukho ukwenqatshwa, kanye nokwelashwa kwamathambo kalula. Iziguli ezinezinqubo zokuvuselelwa kwe-postoperative aslouperative zihamba ngezintambo ngoJanuwari, zihamba ngoFebhuwari, zihambe ngokusekelwa zisuswe ngoMashi, zibuyele ezingeni lazo langaphambi kokulimala kwemidlalo ngonyaka owodwa.
Isikhathi sePosi: Meyi-14-2024
