I-Ankle fusion iyindlela yokwelapha eyenziwa ekwelapheni isifo samathambo esiqinile . Uma ubuhlungu be-ankle bubangelwa ngenxa ye-arthritis, futhi ukwelashwa okungewona ukwelashwa akukwazi ukunikeza usizo olufanele, ukuhlinzwa kungacatshangwa. Izinketho zeziguli ezine-arthritis enamandla zibandakanya ukuhlinzwa kwe-ankle esikhundleni sokuhlinzwa kanye nokuhlinzwa kwe- ankle fusion.
I-anthle arthritis isivamile, okungenani uma kuqhathaniswa ne-hip kanye ne-knee arthritis.
Iningi leziguli ezine-arthritis ye-ankle ziye zathola uhlobo oluthile lokuhlukumezeka ekuhlanganyeleni kwe-ankle, njengokuqhekeka kwe- ankle . Izindaba ezinhle ukuthi iziguli eziningi ezine-arthritis ezincane noma ezilinganiselayo ze-ankle zingathola impumuzo ngezokwelapha ezilula. Kodwa-ke, ngeziguli ezine-arthritis enamandla ezingakaze zithole ukukhululeka ngezinyathelo ezilula, ukuhlinzwa kwe-ankle kungaba yindlela yokukhetha.
Izicelo ze-Ankle Fusion
Ukuhlinzeka ngokuhlinzwa kwe-ankle kuyindlela enhle yeziguli ezine-arthritis enamandla yokujoyina futhi engenziwa ngeziguli zonyaka wonke. Uma kuqhathaniswa nokuhlinzwa kwe-ankle esikhundleni, i- ankle fusion ivame ukukhetha iziguli ezikhuthele kakhulu, okungenzeka ziguqulwe esikhundleni sesikhumba .
Ukuhlinzeka ngokuhlinzwa kwe-ankle akuyona ukuphathwa kahle kweziguli ezingakwazi ukuphatha izimpawu zabo ngezokwelapha ezilula, ezingekho ukuhlinzwa: iziguli ezinama-fox fusion zizohlangana ngokuqinile, futhi zingakwazi ukwenza imisebenzi ethile efana nokusebenza.
Ngaphezu kwalokho, i-ankle fusion kufanele iqashwe ngokucophelela ezigulini ezinezifo ezihlangene, noma ezigulini ababhemayo, njengoba lezi ziguli zinengozi enkulu yokuthuthukisa izinkinga kusuka ekuhlinzekeni.
Indlela i-Ankle Fusion eyenziwa ngayo
Kunezinqubo eziningi zokuhlinzeka zokwenza i-fusion yama-ankle, kodwa zonke lezi zinqubo zifezekisa umgomo ofanayo wokuxubha unomphela umjoqo we-ankle ngakho awukwazi ukugoba.
Isinyathelo sokuqala ukususa noma iyiphi i-cartilage esele bese udala ubuso bezithebhu ezingeni eliphezulu phezulu nangaphansi kwesigxobo sezinyolo; isinyathelo esilandelayo ukuvumelanisa amathambo endaweni efanele ye-fusion. Okokugcina, izimpande zensimbi - ngokuvamile izikuluvu ezinkulu - zisetshenziselwa ukubamba amathambo kule ndawo.
Inqubo ingenziwa ngezindlela eziningi ezahlukene, kuye ngokuthi izici ezifana nenani lokubola kwesibambisene, ubukhulu be-arthritis, kanye nokukhethwa kwabahlinzayo. Abanye odokotela abahlinzayo basebenzisa i- ankle arthroscopy ukuze basuse isikhumba , kanti abanye benza ukugxila okukhulu futhi babheke ngqo ngokuhlanganyela.
Kuyathakazelisa ukuthi i-hardware yensimbi efakwe ukubamba amathambo ayidingekile uma kwenzeka ukuhlanganiswa kwethambo : insimbi isetshenziselwa ukubamba iqhaza endaweni lapho i-fusion iphilisa, kodwa uma ithambo likhulile ngaphesheya kokuhlanganiswa, insimbi akusadingeki. Kwezinye izimo, iziguli zingazizwa izikrini zensimbi, ngakho zingasuswa. Kodwa asikho isidingo sokususa izikrini uma kungabangela inkinga.
Ukubuyiswa kwe-Ankle Fusion
Ukuhlinzwa kwe-Ankle fusion kuvame ukulandelwa ukuhlala ubusuku obulodwa esibhedlela ukuqinisekisa ukuthi ubuhlungu buphethwe, futhi isiguli sikhululekile. Iziguli zifakwe esitokisini futhi zizohlala zihlala e-ankle ezithintekile ngokusebenzisa izinsimbi zomculo noma i-walker .
Lokhu kuvumela amathambo amasha ukuba aphulukise kuwo wonke ama-fused joint, futhi uma nje ithambo liqala ukufiphaza, iziguli zingaqala ukubeka isisindo ngokuhlanganyela. Ngokujwayelekile abantu kuzodingeka bahlale emasontweni amasonto angu-8-12, kulandelwa ukuhamba okuvikelwe ku-boot noma ukuphonswa. Ukuphulukiswa okuphelele kwe-fusion yama-ankle kungathatha izinyanga ezingu-4-6.
Izinkinga ze-Ankle Fusion
Ukukhathazeka okubaluleke kakhulu ngemuva kokuhlinzwa kwe-ankle fusion kubizwa ngokuthi yi- nonunion , eyenzeka lapho amathambo ahlanganiswa aphuluki ndawonye. Kunezici ezivame ukuholela ekungabambiswene, kodwa ngisho nasesigulini esihle, ukungaboni ngaso sonke isikhathi kungenzeka. Iziguli ezibhemayo zinenani eliphakeme kakhulu lokungahlanganyeli , futhi kufanele zicabange ngokucophelela ingozi yalesi simo esinzima.
Ukuyeka ukubhema kungaba usizo ekunciphiseni ithuba lokungabambisani.
Ezinye izinkinga ezihambisana nokuhlinzekwa kwe-ankle fusion zihlanganisa ukutheleleka, izinkinga zokuphulukisa, kanye nezinguquko ze-arthritic ezinhlangothini ezincane zenyawo. Ngenxa yokuthi ama-ankle fusion anciphisa ukunyakaza , iziguli zivame ukuthuthukisa i-arthritis emahlangothini enyawo ngaphasi komgwaqo. Ngaphezu kwalokho, iziguli ezihlinzekwa ukuhlinzwa kwe-ankle fusion zingadingeka ukuthi izicathulo zazo ziguqulwe ukuze zisize ekuhambeni konke ukuphila kwazo.
Umthombo
Abhidi, NA, et al. "Ankle Arthrodesis: Izinkomba Nezobuchwepheshe" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi / Juni 2000; 8: 200 - 209.