Jack, ane makore makumi maviri nemaviri anofarira nhabvu, anotamba nhabvu neshamwari dzake svondo rega rega, uye nhabvu yave chinhu chakakosha muhupenyu hwake hwezuva nezuva. Svondo rapfuura achitamba nhabvu, Zhang netsaona akatsvedza ndokudonha, zvichirwadza zvekuti akatadza kusimuka, asisagone kufamba, mushure memazuva mashoma ekupora kumba kana kurwadziwa, asingakwanisi kumira, akatumirwa kudhipatimendi remabhonzo echipatara neshamwari, chiremba akagamuchira kuongororwa uye kuvandudza ibvi MRI, akaonekwa seanterior cruciate ligament ligament yechipatara chikamu chekutyoka kwefemoral. arthroscopic kuvhiya kurapwa.
Mushure mekunge vapedza bvunzo dzepreoperative, vanachiremba vakagadzira chirongwa chekurapa chechimiro chaJack, uye vakafunga kuvakazve ACL nehunyanzvi hushoma hweArthroscopic vachishandisa autologous popliteal tendon mushure mekutaurirana kwakazara naJack. Pazuva rechipiri mushure mekuvhiyiwa, akakwanisa kudzika pasi uye zviratidzo zvekurwadziwa kwemabvi zvakasunungurwa zvakanyanya. Mushure mekudzidziswa kwakarongeka, Jack achakurumidza kudzokera kumunda.
Kuputika kwakakwana kwechikamu chechikadzi che anterior cruciate ligament chinoonekwa microscopically
Anterior cruciate ligament mushure mekuvakazve ne autologous hamstring tendon
Chiremba anopa murwere zvishoma invasive arthroscopic ligament reconstruction oparesheni
Iyo anterior cruciate ligament (ACL) imwe yemarunda maviri anoyambuka pakati pemabvi, achibatanidza pfupa rehudyu nepfupa remhuru uye kubatsira kudzikamisa mabvi akabatanidzwa. Kukuvara kweACL kunoitika kazhinji mumitambo inoda kumira kwakapinza kana kungoerekana kwachinja nzira, kusvetuka nekumhara, senhabvu, basketball, rugby uye kudzika skiing. Mharidzo dzakajairika dzinosanganisira kamwe kamwe, kurwadziwa kwakanyanya uye kubuda kunonzwika. Kana kukuvara kweAACL kunoitika, vanhu vazhinji vanonzwa "kudzvanya" mumabvi kana kunzwa kuputika mumabvi. Ibvi rinogona kuzvimba, kunzwa kusagadzikana, uye kunetseka kutsigira uremu hwako nekuda kwemarwadzo.
Mumakore achangopfuura, kukuvara kwe ACL kwave kukuvadzwa kwemitambo kwakapararira nekuwedzera kutarisisa pane hutano kurovedza muviri. Nzira dzekuongorora kukuvara uku dzinosanganisira: kutora nhoroondo, kuongororwa kwemuviri, uye kuongorora kwekufungidzira. MRI ikozvino ndiyo inonyanya kukosha yekufungidzira nzira yekukuvara kweAACL mazuva ano, uye kururamisa kweMRI kuongororwa muchikamu chepamusoro kunopfuura 95%.
Kuputika kweAACL kunokanganisa kugadzikana kwemabvi akabatanidzwa, zvichiita kuti kusaenzana uye kuzununguka apo mubatanidzwa unoshanduka, unowedzera uye unotenderera, uye mushure mechinguva, zvinowanzokonzera meniscus uye kukuvara kwekatekete. Panguva ino, pachava nemarwadzo emabvi, zvishoma zvekufamba kana kunyange kamwe kamwe "kunamatira", haigoni kufambisa manzwiro, izvo zvinoreva kuti kukuvara hakusi chiedza, kunyange kana iwe uchiita kuvhiyiwa kugadzirisa kupfuura kugadzirwa kwekukuvara kwekutanga kwakaoma, mhedzisiro yacho zvakare yakashata. Zvakawanda zvekuchinja kunokonzerwa nekusagadzikana kwemabvi, zvakadai sekukuvadzwa kwemeniscus, osteophytes, cartilage kupfeka, nezvimwewo, hazvigadziriswi, zvichiita kuti zvive zvakatevedzana sequelae, uyewo kuwedzera mari yekurapa. Nokudaro, arthroscopic anterior cruciate ligament reconstruction inokurudzirwa zvikuru mushure mekukuvara kweAACL, kudzorera kugadzikana kwemabvi akabatanidzwa.
Ndezvipi zviratidzo zvekukuvara kwe ACL?
Basa rekutanga re ACL nderekudzikamisa kusimuka kwemukati kwetibia uye kuchengetedza kugadzikana kwayo. Mushure mekuputika kweAACL, tibia ichaenda mberi pakarepo, uye murwere anganzwa asina kugadzikana uye achizununguka mukufamba kwemazuva ose, mitambo kana kutenderera, uye dzimwe nguva anonzwa kuti ibvi haikwanisi kushandisa simba rayo uye haina simba.
Zviratidzo zvinotevera zvinowanzoonekwa nekukuvara kwe ACL:
① Kurwadziwa kwebvi, kuri mujoini, varwere vanogona kutya kufamba nekuda kwekurwadziwa kwakanyanya, vamwe varwere vanogona kufamba kana kuenderera yakaderera-yakanyanya maekisesaizi nekuda kwekurwadziwa kwakapfava.
② kuzvimba kwebvi, nekuda kwe-intra-articular haemorrhage inokonzerwa nemabvi akabatanidzwa, inowanzoitika mukati memaminitsi kusvika maawa mushure mekukuvara kwebvi.
Kudziviswa kwekuwedzera kwemabvi, ligament rupture ligament stump yakashandurwa kune intercondylar fossa anterior kuti ibudise kutsamwa kwekuputika. Vamwe varwere vanogona kuve nekuwedzera kushoma kana kuchinjika nekuda kwekukuvara kwemeniscus. Yakasanganiswa neve medial collateral ligament kukuvara, dzimwe nguva inoratidzwawo sekuganhurwa kwekuwedzera.
Kusagadzikana kwebvi, vamwe varwere vanonzwa kufamba kwakashata mumabvi akabatanidzwa panguva yekukuvara, uye vanotanga kunzwa kuzununguka kwekunzwa kwemabvi akabatanidzwa (kureva manzwiro ekuputika pakati pemapfupa sezvinotsanangurwa nevarwere) pavanotangazve kufamba anenge mavhiki e1-2 mushure mekukuvara.
⑤ Mafambiro mashoma emabvi akabatanidzwa, anokonzerwa nekushungurudzika synovitis kunokonzera kuzvimba uye kurwadziwa mumabvi akabatanidzwa.
Chiremba akazivisa kuti arthroscopic anterior cruciate ligament reconstruction inotarisirwa kugadzirisa anterior cruciate ligament mushure mekuputika, uye ikozvino kurapwa kwepamusoro ndeye arthroscopic transplantation ye tendon mumabvi akabatanidzwa kuti ivakezve mutsva mutsva, iyo inzira shoma shoma. Iyo tendon yakasimwa inosarudzwa kune autologous popliteal tendon, iyo ine zvakanakira zvekusanyanya kushungurudza incision, kuderera kwekuita basa, hapana kurambwa, uye nyore tendon bone kuporesa. Varwere vane yakatsetseka postoperative rehabilitation maitiro vanofamba pamadondoro muna Ndira, kubva pamadondoro munaFebruary, vanofamba nerutsigiro rwakabviswa munaKurume, kudzokera kumitambo yakawanda mumwedzi mitanhatu, uye kudzokera kumitambo yavo isati yakuvadzwa mugore rimwe chete.
Nguva yekutumira: May-14-2024
