Ukuze sikhulume nge-MAKOplasty kufanele siqale ukukhuluma nge-unicompartmental knee arthroplasty (UKA noma i- 'uni' yesikhashana). Lokho kungase kube yimbangela yokwesabeka yezokwelashwa, kusho ukuthi kusho ukuguqulwa kwamadolo okukodwa (noma amadolo aphinde avuselele uma ufuna ukusebenzisa ubuchwepheshe). Ibhande linamakamelo amathathu: okuphakathi (ngaphakathi kwamadolo), i-patellofemoral (emkhatsini we-knee cap ne-femur), kanye ne-lateral (ngaphandle kwesigxathu segolo).
Ifomu ejwayelekile kakhulu ye-osteoarthritis yimizimba yamathambo e-tri-compartmental ethinta wonke amagumbi amathathu emadolweni. Ngakho-ke, kunengqondo ukuthi ukuguqulwa kwamadolo wendabuko kuyi-arthroplasty ene-tri-compartment efaka indawo yonke emagcekeni amathathu emadolweni. Ingxenyana encane yabantu abane- osteoarthritis emadolweni ine-OA engenazo izindlu. Loluhlobo lwe-arthritis luthinta kwenye yamakamelo amathathu. I-UKA iklanyelwe ukubhekana ne-OA ye-unicompartmental. I-UKAs ijwayele ukuklama isifo samarthritis esinqunyiwe segceke, kodwa-ke, imiklamo emisha iye yatholakala ecacile kwi-OA.
Ngenkathi i-knee yangasese ehlangene ehlangene ne-OA yinkomba yendabuko ye-UKA, lokhu kungenzeka ukuthi akuyona indlela engcono kunazo zonke iziguli ezinezimo. Kungakhathaliseki ukuthi i-UKA iyindlela ehlelekile futhi ixhomeke kwisisindo somuntu, isimo sokusebenza, ubudala, nokuba khona kwanoma yikuphi ukulinganisa okungavamile kwamadolo (uma umuntu ekhothamela noma egoqa).
Ngakho-ke nazo zonke lezi zimingcele kungani uthole i-UKA ngokuvumelana ne-knee arthroplasty yendabuko? Impendulo yale mibuzo iyinkimbinkimbi futhi ihlanganiswe. Ukuze isiguli esiphelele, i-UKA izwa ngokwemvelo ngokwengeziwe, njengokuhlola okukodwa okutholile ukuthi iziguli zacela i-UKA eyenziwe ngakolunye uhlangothi futhi idolo eliphelele kwelinye elitholakalayo.
Manje njengoba sinesisekelo salokho okushiwo 'uni uni', ingxoxo ingashintsha ku-MAKOplasty. I-MAKOplasty imane nje iwukuthi 'uni' ebizwa ngokusebenzisa i-computer navigation kanye nengalo ekhethekile ye-robotic. Ukuhlanganiswa kwemikhumbi ye-computer kanye nengalo ye-robotic kwenza kube lula ukuba udokotela ohlinzayo abeke izingxenye ngendlela efanele yokulungiswa kwemishini. I-Robotics ne-computer navigation zidayiswa kalula kubathengi, futhi lokhu kwenza i-MAKOplasty ibe inketho ethandwa kakhulu.
Ngenkathi izifundo zibonise ukuthi ukuhamba kwekhompiyutha ekusebenzisweni okuhlanganyelwe okuhlanganyelwe kuholela ekulungiseni okunye okuhambisanayo kwemishini, kuze kube yimanje akukho zifundo ezibonisa imiphumela ephuthumayo yemitholampilo nokusetshenziswa kwalesi buchwepheshe. Ukusetshenziswa kwe-computer navigation kudinga ukuboleka kwezikhonkwane ezengeziwe ku-femur ne-tibia. Abanye odokotela abahlinza bathi lokhu kudala amandla okudala ukulimala kwengozi kulawo mathambo. Enye iphuzu elibalulekile ukuthi abahlinzayo abahlangene ne-UKAs bayakwazi ukufaka ama-prostheses ahambisana kahle ngaphandle kwezindleko ezengeziwe kanye nesikhathi esidingekayo ukusebenzisa i-MAKOplasty.
Kukhona ingxabano enamandla ukuthi ukusetshenziswa kwe-computer navigation kuzosiza labo ohlinzayo abangenalwazi oluncane. Lokhu kuzoqeda 'ama-outliers,' okusho ukuthi inamba encane ye-'isis 'yokuthi labo odokotela abahlinzekele kulokho kungabangela ukulungiswa okungafanele; ukuhamba ngekhompiyutha kuzoqinisekisa ukuthi konke okufakiwe 'kwe-unis' kungena ebangeni elilinganiselwe.
Ngakho-ke uma unesiguli esingasese, sokuphela kwesigaba, i-osteoarthritis yegumbi eliphakathi kwamadolo, ingabe kunengqondo ukuthola i-MAKOplasty? Kunzima ukusho, okudinga ingxoxo ende nodokotela wakho ohlinzayo. Futhi umzila ongcono kunazo zonke kungase ukhethe udokotela ohlinzayo owamethembayo futhi amvumele akhethe ithuluzi elikufanele kakhulu futhi uzizwa ekhululekile kakhulu. Ekupheleni kosuku, ithuluzi lapho udokotela wakho ohlinzayo ezwa sengathi ukhululekile futhi unolwazi oluhle kakhulu kulowo okwazi ukuholela emthonjeni omuhle kakhulu. Ukuthatha okungcono kakhulu ukwenza konke okusemandleni ethu ukuba singabi yisisulu ekuthengiseni okuphumelelayo: ama-robot akhulu, kodwa angase angenzi abahlinzayo abahlinzayo.
> Imithombo:
> MAKOplasty Inhlangothi Eyingxenye Yokuvuselela. Imfundo yeziguli. MAKO Ukuhlinzwa.
> MAKOplasty Inhlangothi Eyingxenye Yokuvuselela. I-Q & A.
> I-Journal ye-AAOS