Ukuphuka okungapheli kwe-patella kuyinkinga enzima yomtholampilo. Ubunzima bukhona endleleni yokunciphisa, ukuyihlanganisa ndawonye ukuze kwakhiwe indawo ehlangene ephelele, nendlela yokulungisa nokugcina ukulungiswa. Njengamanje, kunezindlela eziningi zokulungisa zangaphakathi zokuphuka kwe-patella okungapheli, okuhlanganisa ukulungiswa kwebhendi ye-Kirschner wire tension fixation, ukulungiswa kwebhendi ye-nail tension fixation, ukulungiswa kwe-cerclage yocingo, izinzipho ze-patellar, njll. Izinketho zokwelashwa ezengeziwe, zisebenza kakhulu noma zisebenza kakhulu izinketho zokwelashwa ezihlukahlukene. Iphethini yokuphuka yayingeyona into eyayilindelwe.
Ngaphezu kwalokho, ngenxa yokuba khona kwezinto ezihlukahlukene zangaphakathi zensimbi kanye nesakhiwo se-anatomical esiphezulu se-patella, kunezinkinga eziningi ezihlobene nokulungiswa kwangaphakathi kwangaphakathi, okuhlanganisa ukucasuka kokufakelwa, ukuhoxiswa kwe-K-wire, ukuphuka kocingo, njll, okungavamile ekusebenzeni komtholampilo. Kuze kube manje, izazi zakwamanye amazwe zenze isiphakamiso sobuchwepheshe obusebenzisa ama-sutures angamunceki nama-mesh sutures, abizwa ngokuthi "ubuchwepheshe bewebhu yesicabucabu", futhi buye bathola imiphumela emihle yomtholampilo.
Indlela yokuthunga ikhonjiswe ngale ndlela elandelayo (kusuka kwesobunxele kuye kwesokudla, ukusuka kumugqa ophezulu kuye emgqeni ongezansi):
Okokuqala, ngemva kokunciphisa ukuphuka, i-tendon ye-patellar ezungezile ihlanganiswa ngokuphindaphindiwe ezungeze i-patella ukuze yakhe izakhiwo eziningana ezivulekile ze-semi-annular phambi kwe-patella, bese i-sutures isetshenziselwa ukuhlanganisa isakhiwo ngasinye esivulekile se-annular ibe yindandatho futhi siyibophe ifindo.
Imithungo ezungeze i-patellar tendon iyaqiniswa futhi ifakwe ifindo, bese kuthi i-diagonal sutures emibili ithungwe futhi ihlanganiswe ngamafindo ukuze kulungiswe i-patella, futhi ekugcineni ama-sutures aboshwe azungeze i-patella isonto lonke.
Lapho idolo elihlangene liguquguquka futhi linwetshiwe, kungabonakala ukuthi ukuphuka kugxilwe ngokuqinile futhi indawo ehlangene iphansi:
Inqubo yokwelapha kanye nesimo sokusebenza kwezimo ezijwayelekile:
Nakuba le ndlela iye yazuza imiphumela emihle yomtholampilo ocwaningweni, ngaphansi kwezimo zamanje, ukusetshenziswa kwezimila eziqinile zensimbi kusengase kube yisinqumo sokuqala sodokotela basekhaya, futhi kungase kusize ngisho ne-postoperative plaster immobilization ukukhuthaza ukuphuka nokugwema ukulungiswa kwangaphakathi. Ukwehluleka kuwumgomo oyinhloko; umphumela wokusebenza kanye nokuqina kwamadolo kungase kube ukucatshangelwa kwesibili.
Lolu khetho lokuhlinza lungasetshenziswa ngokusesilinganisweni kwezinye iziguli ezifanele ezikhethiwe futhi alunconyelwe ukusetshenziswa okujwayelekile. Yabelana ngale ndlela yobuchwepheshe ukuze uthole ireferensi yodokotela.
Isikhathi sokuthumela: May-06-2024
