Ukuhlolwa kukaLachman kusetshenziselwa ukuxilonga izinyembezi ze-ACL . I-ACL, noma i-anterior cruciate ligament, ingenye yama-kneam ligaments amakhulu amakhulu abangela ukuzinza kwamadolo . Izinyembezi ze-ACL zivame ukulimala okuhlobene nomdlalo, futhi zingadinga ukulungiswa kabusha kokwelapha ukwelashwa.
Yenza Uhlolo Lachman
Njengoba isiguli silele phansi futhi sikhululekile, umhloli uphonsa ngamadolo (cishe ngama-15-20 degrees).
Umhloli wabe eseqinisa isithanga ngenkathi edonsa phambili. Ukubamba umlenze ngokujikeleza okuncane kwangaphandle (ngaphandle) kuzosiza ukuphumula i- IT band .
Ukuhlolwa kubeka ukucindezeleka kwi-ACL. Kokubili inani lokunyakaza (ukuguquguquka) kwethambo le-shin, kanye nokuzizwa kokuphela kokuhamba (ukuthi i-ligament iqinile kanjani), nikeza ulwazi mayelana ne-ACL. Ukuqhuma nge-ACL ewonakele kungabonisa ukunyakaza okuningi nokuphelela okungapheli ngesikhathi sokuhlolwa kwe-Lachman.
Ukufaka Uhlolo Lachman
Abahloli abaningi banquma imiphumela yokuhlolwa kukaLachman ngezinkomba ezimbili. Okokuqala, iphuzu lokugcina, nelesibili, inani lokukhipha. Uma uhlola i-endpoint, umhloli uzizwa ukuthi i-ACL inciphisa inani lokushintshwa kwesifuba shin. Ngokuvamile umhloli uzochaza ukuthi ukuphela kokugcina kungakhathaliseki ukuthi "ukuqina" noma "okulula." Ukuphela okuqinile kuveza ukuthi i-ACL yenza umsebenzi wayo ukukhawulela inani lokunyakaza emadolweni.
Isiphetho esincane sisho ukuthi i-ACL ayisebenzi kahle futhi ezinye izakhiwo (iziqiniseko eziyisibili) zikhawulela inani lokuhamba ngokuhlanganyela.
Indlela yesibili yokuhlola ukuhlolwa kukaLachman yilapho inani lexity (ukunyakaza) kokujoyina. Ukubamba kuncike ekuqhathaniseni nomkhawulo ongakalimeli.
Ngakho-ke, kuvamile ukuba udokotela wakho ahlole amaviki amabili ukuze athole ibanga lokuhlolwa kukaLachman. Ukufakwa kokuhlolwa kukaLachman kungaba:
- Kuyajwayelekile: Akukho umehluko ohlangothini ohlangothini.
- Ibanga 1 (eliphansi): ukuhumusha okungaphezulu kwe-0-5 mm kwe-tibia ku-femur.
- Ibanga lesi-2 (elinganiselayo): ukuhumusha okungaphezulu kuka-5-10 mm we-tibia ku-femur.
- Ibanga lesi-3 (esinzima): ukuhumusha okungaphezulu kuka-10-15 mm we-tibia ku-femur.
Lezi zilinganiso zizithoba, futhi abahloli abahlukahlukene bavame ukuthola imiphumela ehlukene. Abanye odokotela basebenzisa ithuluzi, elibizwa ngokuthi i-KT-1000, ukwenza lokhu kuhlolwa. I-KT-1000 iboniswe njengesilinganiso esinokwethenjelwa esingakwazi ukukala ngokucacile ibanga lokuhlolwa kukaLachman.