I-exostectomy ye-ankle iyindlela yokuhlinza ukususa ama- bone spurs ethuthuka phambi komhlangane we-ankle. I-ankle bone iqhuma isakhiwe ngenxa yesifo samathambo. I-spurs ingaba enkulu futhi ebuhlungu. Iziguli ezine-arthritis yama-ankle ezifuna ukuhlinzeka zithola ukuthi kunezinketho eziningi zokuhlinzwa kuye ngokuthi ubukhulu benkinga buyini.
Iyini i-Ankle Arthritis?
I-anthle arthritis yisimiso lapho umxube we-joint we-ankle uwohloka futhi ukunyakaza kunomkhawulo futhi kubuhlungu.
I-arthritis eqhubekayo iholela kuma-cysts ne-bones spur. I-bone spurs ngokuvamile ifaka phambi komhlangane wezinyosi futhi ingaba enkulu kakhulu. Lezi bone zithuthuka ezakhayo, zithuthukise ngaphandle (noma i-periphery) yenhlanganisela, ngenjongo yokuvimbela ukunyakaza. I-spurs ye-bone iyindlela yokuphendula emvelo emzimbeni we-arthritic. Ngezinye izikhathi ama-spurs amathambo abe amakhulu kangangokuthi aphule noma aphule, abe yizingxenye ze-boney ezingavamile. Ithimba lizilimaza lingase libuhlungu uma likhulu, lingena eduze kwe-bones spurs kanye / noma lihambisana nezicubu zokuvuvukala.
Ukwelapha
Kunezinketho eziningi zokwelapha i-ankle yamathambo - okungenasidingo nokuhlinzeka. Izinketho ezingenasidlangalaleni zihlanganisa imishanguzo yobuhlungu, imishanguzo yokulwa nokuvuvukala, ama-brace angama-ankle, ukwelashwa ngokomzimba kanye / noma ukujova. Izinketho zokuhlinza izifo zamathambo zihlanganisa izinqubo ezigcina ukuhlanganiswa kwe-ankle (izinqubo zokujoyina ndawonye) noma izinqubo ezikhipha ukuhlanganiswa kwe-ankle (izinqubo ezihlangene zokulimaza).
Ngokuvamile, izinqubo zokujoyina i-joint salvage zenzelwe izinyathelo zangaphambilini ze-arthritis kanti izinqubo eziyingozi zokuhlanganyela ziwukuphela kwe-arthritis yokuphela.
I-Ankle Exostectomy
Ukuhlinzwa ukukhipha i-spurs bone kuthiwa yi-exostectomy. Umgomo we-ankle exostectomy ukukhipha ama-spur (s) amathambo. Uma ithambo lizikhukhumeza ngokwawo libuhlungu bese ukumane nje lisuse i-spurs bone linganciphisa ukungajabuli.
Ukwengeza, uma i-spurs bone ithuthuka ukuze ikwazi ukulinganisa ukunyakaza, ukususa i-spurs bone kunganciphisa izimpawu.
Kunezindlela ezimbili zokususa i-spurs bone:
1. I-Arthroscopic Ankle Exostectomy
2. Vula i-Ankle Exostectomy
I-Arthroscopic Ankle Exostectomy: Lolu hlobo lwe-exostectomy yama-ankle luhilela ukusetshenziselwa okuncane / okulinganiselwe ukukhipha ama-spurs amathambo ngosizo lwekhamera kanye ne-shaver bone. Inzuzo yale nqubo ukuthi ngokuvamile ibhekwa njengento encane, futhi ezinye izici ze-arthritis ye-ankle zingabhekiswa - njengezinye izifuba zethambo kanye / noma izicubu ezinzima. Kodwa-ke, i-ankle arthroscopy iboniswa kangcono ukuze i-arthritis ye-ankle ibe yinkimbinkimbi ngoba i-arthritis enamandla kakhulu yenza kube nzima ukuthola i-arthroscopically ngokuhlanganyela.
Vula i-Ankle Exostectomy
I-exostectomy ye-ankle evulekile yindlela yokwedlula ngokwengeziwe yokususa i-spurs ye-bone ngokwenza ukuchotshozwa phambi kwe-ankle. Lapha ukuboniswa okuqondile kungatholakala futhi i-spurs ithebhu isusiwe. Ngenxa yokuthi ukuvezwa kuvulekile, ukuhluma kwamathambo okungase kube nzima ukususa nge-arthroscopy kungasuswa ngethuluzi elivulekile. Le ndlela ikulungele kangcono isifo se-arthritis esiphezulu, noma lawo mathambo aphikisana ne-arthritis ye-ankle yokuphela.
Ukubuyisela
Ukubuyiselwa kwe-ankle exostectomy kuthathwa njengokusheshisa ukuthi iziguli zivame ukuvunyelwa ukuhamba emkhakheni wokusebenza ngemva kokuhlinzwa. Lokhu kuyasiza uma ucabangela ezinye izindlela zokuhlinzeka ngokuhlinzeka ngamathambo e-ankle, lapho ukuphola kungase kube khona isikhathi eside.
The Upside And Downside
I-exostectomy ye-ankle iyindlela ephumelelayo yokususa ama-bone spurs, futhi uma ithambo lithemba noma ukuvivinya okuvimbelayo kubangela ubuhlungu, khona-ke inqubo ingaba yimpumelelo enkulu. Kodwa-ke, ukususa i-spurs bone kukhulula futhi ukuhlanganiswa kwe-ankle ukuhamba, futhi lokhu kungabangela inkinga ngokuhlanganyela kwe-ankle okuphulukisiwe njengoba lokhu kungabangela ukunyakaza okubuhlungu.
I-bone spurs ingashintsha ngokuhamba kwesikhathi nento okufanele ihlolwe. Ngesikhathi ukunyakaza kungase kuthuthukiswe ekuqaleni ngemuva kwe-exostectomy, izicubu ezibomvu zingathuthuka futhi ziphinde zinciphise ukunyakaza.
Kungani Khetha i-Ankle Exostectomy?
Ngenkathi i-exostectomy ingeke iphilise i-arthritis, ingase isuse izimpawu ezihambisana ne-bone spurs futhi mhlawumbe ithuthukise ukunyakaza. Kungcono kakhulu uma kwenzeka izifo ezinamandla ze-arthritis, futhi zivame ukusetshenziswa njengendlela yokwazisa uma i-arthritis iqhubekela phambili ekugcineni.