Ukuphuka kwe-patella okuhlanganisiwe kuyinkinga enzima yezokwelapha. Ubunzima busekutheni ungayinciphisa kanjani, uyihlanganise ukuze kwakhiwe ubuso obuphelele bamalunga, nokuthi ungayilungisa kanjani futhi uyigcine iqinile. Njengamanje, kunezindlela eziningi zokubopha ngaphakathi zokuphuka kwe-patella okuhlanganisiwe, okuhlanganisa ukulungiswa kwebhendi yokucindezela ucingo lwe-Kirschner, ukulungiswa kwebhendi yokucindezela izinzipho okufakwe ku-cannulated, ukulungiswa kwebhendi yokuqinisa ucingo, uzipho lwe-patellar, njll. Uma kunezinketho eziningi zokwelapha, izinketho ezahlukene zokwelapha zisebenza kahle noma zisebenza kakhulu. Iphethini yokuphuka yayingeyona into eyayilindelwe.
Ngaphezu kwalokho, ngenxa yokuba khona kwezinhlobo ezahlukene zokubopha kwangaphakathi kwensimbi kanye nesakhiwo esingaphezulu se-patella, kunezinkinga eziningi ezihlobene nokubopha kwangaphakathi ngemva kokuhlinzwa, okuhlanganisa ukucasuka kokufakelwa, ukuhoxiswa kwentambo ye-K, ukuphuka kwentambo, njll., okungavamile emtholampilo. Ngenxa yalokhu, izazi zakwamanye amazwe ziphakamise ubuchwepheshe obusebenzisa izithungo ezingamuncwa kanye nezithungo ze-mesh, obubizwa ngokuthi "ubuchwepheshe be-spider web", futhi buthole imiphumela emihle yezokwelapha.
Indlela yokuthunga iboniswe kanje (kusukela kwesobunxele kuya kwesokudla, kusukela emgqeni ophezulu kuya emgqeni ongezansi):
Okokuqala, ngemva kokuba ukuphuka sekunciphile, i-tendon ye-patellar ezungezile ithungwa ngezikhathi ezithile izungeze i-patella ukuze kwakheke izakhiwo eziningana ezikhululekile ze-semi-annular phambi kwe-patella, bese kusetshenziswa ama-suture ukubopha isakhiwo ngasinye esikhululekile se-annular sibe yindandatho bese sibopha sibe yifindo.
Imisipha ezungeze i-tendon ye-patellar iyaqiniswa futhi ifindwe, bese kuthi imisipha emibili evundlile ithungwe futhi ifindwe ukuze kulungiswe i-patella, bese ekugcineni imisipha ivalwe izungeze i-patella isonto lonke.
Uma idolo ligobile futhi linwetshiwe, kungabonakala ukuthi ukuphuka kuqinile futhi ubuso bejoyinti buyisicaba:
Inqubo yokuphulukisa kanye nesimo sokusebenza kwamacala ajwayelekile:
Nakuba le ndlela ithole imiphumela emihle yocwaningo, ngaphansi kwezimo zamanje, ukusetshenziswa kwezifakelo zensimbi eziqinile kungase kube ukukhetha kokuqala kodokotela basekhaya, futhi kungasiza ngisho nokuvimbela ukunyakaza kweplasta ngemva kokuhlinzwa ukukhuthaza ukwaphuka nokugwema ukuqina kwangaphakathi. Ukwehluleka kuyinjongo eyinhloko; umphumela wokusebenza kanye nokuqina kwamadolo kungaba yizinto ezimbili ezibalulekile.
Lolu khetho lokuhlinzwa lungasetshenziswa ngokulinganisela kwezinye iziguli ezikhethiwe ezifanele futhi alunconywa ukusetshenziswa njalo. Yabelana ngale ndlela yobuchwepheshe ukuze kubhekwe kuyo odokotela.
Isikhathi sokuthunyelwe: Meyi-06-2024
