Yeka ukuthi ukuhlinzekwa kwe-ACL Reconstruction Graft Surgery kwenziwa kanjani
Izinyembezi ze-ACL yinto ejwayelekile yokulimala kwezemidlalo evame ukudinga ukwelapha okuhlinzekwa. Uma usuqumile ukuqhubeka nokuhlinzwa kwe-ACL, uzibophezele ekubeni ne-ACL entsha efakwe emadolweni akho. Funda izinyathelo zokuhlinzwa kwe-ACL, nokuthi i-ACL yenziwe kanjani futhi ivikeleke ngaphakathi kwegxoke lakho elihlangene.
Hlola uhlobo lwe-ACL Graft
Kunezinhlobo ezintathu ze-ACL graft esetshenziswa kakhulu.
Lokhu kufaka phakathi i-patellar tendon, i-hamstring tendon, ne-cadaver (donor). Kunezinzuzo ezihlukahlukene nezingozi zohlobo ngalunye lokufakelwa, futhi sinquma ukuthi yini engcono kakhulu kuwe kungaba yisinqumo esinzima.
Ukuhlinza Ukuhlolwa Kwe-arthroscopic
Isinyathelo sokuqala sokuhlinzekwa ukufaka i- arthroscope emadolweni okuhlanganyelwe ukuhlola umonakalo owenziwe kuhlangene. Udokotela wakho uzoqinisekisa ukuxilongwa kwezinyembezi ze-ACL, futhi ahlole omunye umonakalo. I-meniscus, i-cartilage, nezinye izigamu zingabuyekezwa ngomonakalo okungenzeka kwenzeke. Kuvamile ukuphatha imithi ye- meniscus nokulimala ngesikhathi esifanayo nokwenza kabusha i-ACL.
'Ukuvuna' futhi Lungiselela i-ACL Graft
Uma ngabe izinyembezi ze-ACL ziqinisekisiwe, kufanele kutholakale ukuhlanganiswa, inqubo ebizwa ngokuthi "ukuvuna" ukuhlanganiswa. Endabeni ye-graft donor , izicubu kumele zihlulwe. Ezimweni lapho ukuhlanganiswa kuvela khona esigulini esinokwakhiwa kwe-ACL, kuzotholakala ukukhipha ukuthola izicubu.
Ngemuva kokuthola i-graft, izicubu ezisetshenziselwa ukwakha i-ACL entsha zilungele ukuba ubude nobubanzi obufanele. Ezinye zokunciphisa zingenziwa ukuze kuqinisekiswe ubukhulu obufanele be-graft. I-graft isethwe eceleni kuze kube yilapho idolo lilungele i-ACL entsha.
Umhubhe we-Tibial
Isinyathelo esilandelayo ukudala indawo ye-ACL entsha ukuhlala ngaphakathi kwamadolo.
I-ACL iphakathi nendawo yehlangothini lamadolo futhi idinga ukunamathela etheni phezulu nangaphansi kokujoyina. Ngakho-ke, umgogodla omusha kufanele uqale ngaphakathi kokuphela kwethambo lesiteni bese uphela ngaphakathi kwe-bone bone.
I-drill isetshenziselwa ukwenza umhubhe esitokisini shin. Ukuphela kwalo mhubhe ohlangothini lwamadolo kuqondile ngqo lapho i-ACL kufanele ifake khona emthini we-shin.
Umhubhe wesifazane
Ngomhubhe we-tibial osanda kudala, i-drill idluliselwa ngqo phakathi kwehlangothini lamadolo . Umshini wesibili wamathambo wenziwa ngaphakathi emadolweni kuze kube sekupheleni kwesifazane. Lo mhubhe wethambo uzoba nomkhawulo owodwa we-ACL entsha, futhi umhubhe we-tibial uzobamba enye.
Dlula i-Graft
Ngamathanga amabili amathambo - enye ekupheleni kwe-femur, kanti enye ephezulu kwe- tibia - i-graft entsha ye-ACL kumele idluliselwe esikhundleni. I-pin enkulu idluliselwa kuwo wonke ama-tanks, futhi ifakwe ekupheleni kwepini yi-ACL entsha. I-ACL entsha ishuthelwa emhubheni wesifazane ukuze ukuphela komunye kungagcinwa ku-femur. Okunye okuphelile manje kumhubhe we-tibial, kanti ingxenye engaphakathi ye-graft iphakathi nendawo yamadolo ethatha indawo ye-ACL endala.
I-Secure Femoral Side of Graft
Nge-graft ye-ACL esimweni, ukuhlanganiswa kufanele kufakwe ngokuqinile endaweni yayo entsha.
Kunezindlela eziningana zokuvikela ukuhlanganiswa. Enye indlela evamile yokwenza lokhu ukusebenzisa i-screw ukuze ubambe ukuphela kwe-graft ngaphakathi komugudu. Isikrini singenziwa ngensimbi, impahla epulasitiki-engaxhunyiwe, noma into ehambisana ne-calcium ephenduka ithambo. Udokotela wakho angancoma uhlobo oluthe xaxa lwezinto ezibonakalayo, nakuba kungekho okubonisiwe ukuthi "kungcono" ekuvikeleni ukuhlanganiswa.
I-Side Tibial Side ye-Graft
Uma ukuhlanganiswa sekugxilwe ngokuqinile ohlangothini lwesifazane, ukushayisana kufakwe ekupheleni kokuhlanganiswa ngakho-ke i-ACL entsha izoba yinkimbinkimbi. Uhlangothi lwe-tibial lomgogodla olusha lubekwe eceleni, ngokufanayo nehlangothini lobufazi. Futhi, izinto ezihlukile zingasetshenziselwa ukulungisa i-graft endaweni.
Ngokuhamba kwesikhathi, i-graft izopholisa amathambo azungezile, okwenza amadivaysi okulungisa angadingekile. Ngezinye izikhathi, isikhunta esivelele noma isitshalo esasetshenziswa ukubamba ukufakwa kwesinye isikhundla singasuswa ngemuva konyaka. Uma kungabangela izinkinga, lezi zinto zivame ukushiya endaweni.
> Imithombo:
> I-Prodromos CC, et al. "Izingxabano Emathanjeni Ashukela Ngaphambili I-Ligament I-Ligament Ukwakhiwa kabusha: Imidwebo, Izinqwaba, Imigudu, Ukulungiswa Nokuvunwa" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoJulayi 2008; 16: 376 - 384.