Ulwazi Ngezinqubo ZokuQinisa I-Ankle Joint
I-Ankle sprains yingozi yokudlala yezemidlalo engabangela ubuhlungu nokuvuvukala kokujoyina. Eziningi zeziguli, ukwelashwa okungeyona okuhlinzeka kuzokwehlisa ubuhlungu futhi kubuyisele umsebenzi ohlangene. Kodwa-ke, kunezimo ezithile lapho kungase kudingeke ukuthi ukuhlinzeka kudingekile ukuze kuqiniswe ukuhlanganiswa kwe-ankle ukuvumela ukubuyiselwa kwemisebenzi egcwele isiguli.
Izinkomba Zezokwelapha Emva Kwe-Ankle
Ngokuvamile, kunezimo ezimbili lapho ukuhlinzwa kungacatshangwa khona.
- Ukulimala Okumangalisayo
Isimo sokuqala ukulimala kanzima, okuvele kusanda kwenzeka. Kulezi zimo, ukuhlinzwa akuvamile ukwelashwa. Kulimala kanzima kuphela, kuma-athlete aphezulu, kuhlolwa ukuhlinzwa. Lezi ziguli zivame ukusekela i-Grade III ye-ankle sprain futhi zibe nokutholwa kwe-clinical kanye ne-x-ray ye-ankle enzima kakhulu. Ukulungiswa kokuqala kulezi zimo kungasiza ukusheshisa ukutakula kwemisebenzi yezemidlalo. - Ukukhubazeka Okungapheliyo
Ngokuvamile, ukuhlinzwa kwenziwa lapho umdlali ephethe izimpawu zokungazinzile kwe-ankle - i-ankle ngokuvamile iveza futhi ilimale kabusha. Lezi ziguli zivame ukuzama ukwelashwa okulula okubandakanya ukwelapha, ukuqinisa, ukugubha, futhi kusenesikhalazo se-ankle buckling.
Izinqubo Zokuhlinza - Ukuguqulwa Okuxubile Nokuningi
Kunezinqubo eziningi zokuhlinza ezihlukahlukene eziye zachazwa ukuze zizinzile isikhumba lapho kusetshenziselwa ukungazenzeki kwamagxolo.
Inqubo evamile kakhulu yokuhlinza esetshenziswa namuhla ibizwa ngokuthi "inqubo ye-Brostrom eguquliwe." UDkt Brostrom ekuqaleni uchaze inqubo yokuhlinzwa, eselokhu ishintshiwe, futhi yayisilokhu inqubo yokuhlinzwa engavamile kakhulu yokunyakaza kwe-ankle.
Inqubo ye-Brostrom eguqulwe ngokuyinhloko iqinisa imisipha ye-ankal lateral.
Ngokuvamile udokotela wakho ohlinzayo uzosusa okunamathiselwe kwethambo lale migqa ku-fibula, futhi usethe kabusha i-ligament ngesimo esiphezulu.
Inqubo ye-Brostrom ibizwa ngokuthi i-anatomic reconstruction ngoba izama ukubuyisela umshini ojwayelekile we-ankle ngokubuyisela i-anatomy evamile. Ezinye izinqubo zokuhlinza zibhekwa njengezindawo ezingezona-anatomic, njengoba zibandakanya ukusetshenziselwa ukwakhiwa kwetendon ukukhawulela ukuhamba kwe-ankle, ngaleyo ndlela kuvimbele ukungazinzi. Lezi zakhiwo ezingezona-anatomiki zingaphansi kakhulu ezenziwa. Amagama ezakhiwo ezingezona-anatomic zihlanganisa izinqubo zikaChrisman-Snook, Watson-Jones, kanye no-Evans; futhi, bonke ababizwa ngokuthi abahlinzayo abachaze le nqubo.
Kwezinye izimo, izigxobo ziye zanwetshwa kakhulu, futhi ukulungiswa kwemigqa kungaholela ekusimeni okuqhubekayo uma izicubu zingabonakali ukuthi ziqinile ngokwanele. Kulezi ziguli, odokotela abathile bakhetha ukuvuselelwa okungezona-anatomic. Enye indlela ukwengeza ama-tissue graft emigqeni yokwengeza amandla. Kulezi zimo, abanye odokotela abahlinzayo batusa ukusebenzisa i-graft kusuka kwenye ingxenye yomzimba wakho, noma u- graft donor .
I-anthle arthroscopy iba yinto evame ukusetshenziswa kakhulu njengengxenye yokuhlinzwa kwe-ligament ye-ankle.
Ngokuvamile i-arthroscope isetshenziselwa ukuqinisekisa ukuxilongwa futhi kuqinisekiswe ukuthi i-cartilage ne-joint ziyisimo esihle. Ngenkathi i-ankle i-arthroscopy engasetshenziswanga njengendlela yokulungisa imilayezo eyonakalisiwe, lokhu kusebenza ngokujwayelekile ngokubambisana nokuhlinzwa kwe-ligament.
Ukubuyiswa kokuhlinzwa
Ukuvuselelwa emva kokuhlinzwa kokuqina kwe-ankle kuncike kwinqubo eyenziwe. Imiphumela yokuhlinzwa iye yaba kuhle, ngezifundo zenqubo eguquliwe ye-Brostrom ebonisa kangcono kuneziguli ezingu-90% ukuqala imisebenzi evamile ngemuva kokuhlinzwa kwabo.
Izinkinga ezivela ekuhlinzekeni zivame ukuhlangana phakathi nesigaba sokuvuselela.
Ukuqina kwesibindi se-ankle noma ukungazinzi okuphindaphindiwe kokubili kuyinkinga evela ekuhlinzekeni okuzinzile. Ezinye izingozi zibandakanya ukutheleleka, izinkinga zokuphulukisa isilonda, nokulimala kwenzwa.
> Imithombo:
> Maffulli N noFerran NA. "Ukuphathwa Kwe-Ancle Instability Instability" J Am Acad Orthop Surg Okthoba 2008; 16: 608-615.