Ukuqhekeka okwenziwe nge-Patella kuyinkinga enzima yomtholampilo. Ubunzima busendleleni yokuyinciphisa, bube ndawonye ukwakha indawo ephelele ehlanganyelwe, nokuthi ungalungisa kanjani futhi ugcine ukulungiswa. Njengamanje, kunezindlela eziningi zokulungiswa kwangaphakathi ze-Patella Fractures, kufaka phakathi ukulungiswa kwebhendi ye-kirschner wire, ukulungiswa kwe-cerclage, njll. Izinketho zokwelashwa, zisebenza kakhulu noma zisebenza ngezinketho ezahlukahlukene zokwelashwa. Iphethini ye-Fracture bekungeyona into okulindeleke.
Ngaphezu kwalokho, ngenxa yokuba khona kokulungiswa kwensimbi okuhlukahlukene kanye nokwakheka kwe-anatomical okuphezulu kwe-patella, kunezinkinga eziningi ezihlobene nokulungiswa kwangaphakathi kwe-postoperative, kufaka phakathi ukucasuka okufakwayo, ukukhishwa kocingo, njll., Okungekho okujwayelekile ekusebenzeni kwemitholampilo. Kuze kube manje, izazi zakwamanye amazwe zihlongoze ubuchwepheshe obusebenzisa ama-sutures angabonakali kanye nama-mesh suture, abizwa ngokuthi "ubuchwepheshe be-spider web", futhi bathole imiphumela emihle yomtholampilo.
Indlela yokuthunga iboniswa kanjena (ukusuka kwesobunxele kuye kwesokudla, kusuka kumugqa ophezulu kuya emugqeni ongezansi):
Okokuqala, ngemuva kokuncipha kokuncipha, i-patellar tandon ezungezile yathuthukiswa phakathi ne-patella ukwakha izakhiwo eziningana ezikhululekile ezihle kakhulu phambi kwe-patella, bese kuthi ama-sutures ajwayele ukubopha indandatho futhi ayibophezele kwifindo.
Ama-suture azungeze i-telellar tendon aqiniswa futhi avalwe, khona-ke ama-diagonal tutures amabili athule athule futhi agodliwe ukulungisa i-patella, futhi ekugcineni ama-suture athunyelwa ezungeze i-patella isonto lonke.
Lapho i-Knee Joint iguqulwe futhi inwetshiwe, ingabonakala ukuthi ukuqhekeka kumiswe ngokuqinile futhi indawo ehlanganisiwe iyisicaba:
Inqubo yokuphulukisa kanye nesimo sokusebenza samacala ajwayelekile:
Yize le ndlela ithole imiphumela emihle yomtholampilo ecwaninganeni, ngaphansi kwezimo ezikhona, ukusetshenziswa kwezimilo eziqinile zensimbi kungase kube ukukhetha kokuqala kodokotela basekhaya, futhi kungasiza ngisho nokukhohlisa kokukhohlisa ukuthuthukisa ukuqhekeka futhi kugweme ukulungiswa kwangaphakathi. Ukwehluleka kuyinjongo eyinhloko; Umphumela osebenzayo nokuqina kwedolo kungaba ukucatshangelwa kwesibili.
Le ndlela yokuhlinzwa ingasetshenziswa ngokulinganisela kwezinye iziguli ezikhethiwe futhi ayinconyelwe ukusetshenziswa kwendlela ejwayelekile. Yabelana ngale ndlela yezobuchwepheshe ukuze kubhekwe odokotela.
Isikhathi sePosi: Meyi-06-2024
