Kubva sculco et al. Chekutanga kutaurwa zvidiki-zvidiki zvehudyu arthroplasty (Tha) nePashure peSederolateral muna1996, akati wandei mitsva yekunyepedzera kusungwa kwakataurwa. Mazuva ano, pfungwa inonyanya kuraswa yakaiswa zvakanyanya uye zvishoma nezvishoma inogamuchirwa nekiriniki. Nekudaro, kuchine chisarudzo chakajeka-chakachekwa kana kana chiri musinganzwisisike kana maitiro akajairika anofanira kushandiswa.
Zvakanakira kusapindirana zvishoma zvinosanganisira zvinosanganisira zviitiko zvidiki, zvishoma kubuda ropa, kurwadziwa zvishoma, uye kupora nekukurumidza; Nekudaro, izvo zvakashata zvinosanganisira mashoma emunda wekuona, zviri nyore kuburitsa kukuvara kwekurapa, prosthing prosthising chinzvimbo, uye kuwedzera njodzi yekuvhiringidza zvakare kuvhiyiwa.
Muzvishoma zvisingaonekwe Hip Arthroplasty (MIS - Tha) kurasikirwa kwesimba chikonzero chakakosha chinokanganisa kupora, uye nzira yekuvhiya chinhu chakakosha kukanganisa tsandanyama. Semuenzaniso, anteerolateral uye anotungamira anterior nzira dzinogona kukuvadza maAbductor mapoka emapoka, anotungamira kugomba gait (Trendelenburg Limp).
Mukuedza kuwana zvishoma zvinoshungurudza nzira dzinodzora kukuvara kwemasuru, Dr. Amanatullah et al. Kubva kuClinic mayo muUnited States akaenzaniswa neyakasiyana-mbozha yekuswedera, iyo nzira yekutungamira (da) uye yakananga maitiro Mhedzisiro yeiyi ongororo yakaratidza kuti DS nzira haina kunyatsokuvadza mhasuru uye tendons kupfuura iyo nzira yekuda uye inogona kunge iri maitiro akasarudzika eMis-Tha.
Kuedza Kugadziriswa
Chidzidzo ichi chakaitwa pane vasere vasere chando chando vane mapoka masere masere echiuno gumi nematanhatu vasina nhoroondo yekuvhiya kwehudyu. Imwe hip yakasarudzwa zvisina tsarukano kuti isasarudzwe zvisiri izvo Danho rekupedzisira remhasuru uye tendon kukuvara kwakaongororwa neiyo orthopedic kuvhiya kwaisabatanidzwa mukuvhiya.
Zvivakwa zveAnatomari Zvakaverengerwa: Gluteus Maximus, Gluteus: Tendon, Gluteus minister Fasciae Bhaya, PIATTO, Trapezius, Obtirator Internus (Mufananidzo 1). Matsuru akaongororwa misodzi misodzi uye nyoro inoonekwa neziso rakashama.
Fig. 1 Anatomical Diagram yeMuswe wega wega
Mhedzisiro
1. Pasina kukuvara: Pakanga pasina mutsauko wehuwandu mukukura kwepamhepo kuGluteus pakati peDa neDS kusvika. Nekudaro, nekuda kweiyo Gluteus mincle tsandanyama, chikamu chekukuvara kwepamhepo chinokonzerwa neyakawirwa neyava zvakakonzerwa neiyo nzira, uye pakanga pasina musiyano wakakosha pakati pemasweve maviri eiyo quadriceps tsandanyama. Pakanga pasina musiyano wakakosha pakati pematanho maviri maererano nekukuvara kune quadriceps mhasuru, uye perenti yekukuvara kweTensor Fasciae uye rectus Femoris Scle.
2. Tendon kukuvara: Hapana kana kuswedera kwakakonzerwa nekukuvara kukuru.
3. Tendon transaction: Kureba kweGluteus miniminus teronshensiction yaive yakanyanya kukwirisa muboka reD DS, uye muzana yekukuvara yaive yakakwira zvakanyanya muboka reDS. Pakanga pasina musiyano wakakosha muTendon kutsvaira kukuvara pakati pemapoka maviri ePyriformis uye Obturator Intertus. Iyo yekuvhiya scematic inoratidzwa mu fig. 2, Fig. 3 inoratidza nzira yechinyakare, uye fig. 4 inoratidza nzira yetsika yepashure.
Fig. 2 1A. Kupedzwa kwakazara kweiyo gluteus minimum simpinus tendon panguva yekuita nekuda kwekuda kwekuda kwekugadziriswa kwechikadzi; 1b. Chikamu chekutsanangurwa kweiyo gluteus minimum simptus yekukuvara kwekukuvara kune yayo tendon uye tsandanyama mudumbu. gt. Great Trochanter; * Gluteus minimumus.
Fig. 3 Schemagatic yeiyo tsika yakananga nzira neiyo acetabulum inoonekwa kurudyi nehurongwa hwakakodzera
Mufananidzo 4 kuratidzwa kweiyo pfupi yekunze rotator muswe mune yakajairika tha posterior maitiro
Mhedziso uye Clinical Zvinoreva
Zvidzidzo zvakawanda zvepamberi hazvina kuratidzira mutsauko wakakosha pakureba, kurwadzisa, kupererwa kwechipatara, uye kuungana kana kuenzanisa kuongororwa kweMis-tha Akaratidza kusiyana kwakakosha pakati pevaviri, kunze kwekudzikiswa kwakakosha mukurwadziwa, uye hapana mutsauko wakakosha mukubuda ropa, kufamba kushivirira, kana kudzoreredza kwekugadzirisa. Chidzidzo chekiriniki ne goosen et al.
Rct ye goosen et al. yakaratidza kuwedzera kweiyo hhs score mushure mekusanzwisisika kusanzwisisika nzira (kuratidzira kupora zviri nani), asi nguva yekubatira kwenguva refu uye zvakanyanya zvinonyanya kukosha matambudziko. Mumakore achangopfuura, kwave zvakare paine zvidzidzo zvakawanda zvinoongorora kukuvara kwemapepa uye nguva dzekupora nguva nekuda kwekusangana kwekuvhiya kwekuvhiya, asi nyaya idzi hadzisati dzanyatso kugadziriswa. Chidzidzo chazvino chakaitwawo zvichienderana nenyaya dzakadai.
Muchidzidzo ichi, zvakawanikwa kuti DS nzira yakakonzera kushoma kukuvara kwemasuru pane iyo nzira isinganzwisisike pamusuru weGluteus sumpus Uku kukuvara kwaive kwakatemerwa neiyo nzira ye da pacharo uye yakanga yakaoma kugadzirisa mushure mekuvhiyiwa. Kufunga kuti iyi fundo ndeye cadaveic fungidziro, kliniki zvidzidzo zvinodikanwa kuti uongorore kukosha kwekiriniki kwemhedzisiro iyi zvakadzama.
Kutumira Nguva: Nov-01-2023
