Kutyoka kwepatella kwakachekwa nepakati idambudziko rakaoma rekurapa. Dambudziko riri pakuti ingaderedzwa sei, kuibatanidza pamwe chete kuti igadzire nzvimbo yakakwana yejoini, uye kuti ingagadziriswa sei uye irambe yakachekwa. Parizvino, kune nzira dzakawanda dzekugadzirisa mukati dzepatella yakachekwa nepakati, dzinosanganisira Kirschner wire tension band fixation, cannulated nail tension band fixation, wire cerclage fixation, patellar claws, nezvimwewo. Kana nzira dzakawanda dzekurapa dzikawa, nzira dzakasiyana dzekurapa dzinoshanda kana kushanda. Maitiro ekutyoka akanga asiri iwo aitarisirwa.
Pamusoro pezvo, nekuda kwekuvapo kwesimbi dzakasiyana-siyana dzakagadziriswa mukati uye chimiro chepamusoro chemuviri wepatella, kune matambudziko akawanda ane chekuita nekugadziriswa mukati mushure mekuvhiyiwa, kusanganisira kutsvaira kweimplant, kubvisa K-wire, kutyoka kwewaya, nezvimwewo, izvo zvisingawanzoitika mukurapa. Nechinangwa ichi, nyanzvi dzekune dzimwe nyika dzakapa tekinoroji inoshandisa sutures dzisinganyorove uye sutures dzemesh, inonzi "spider web technology", uye yakawana mhedzisiro yakanaka yekiriniki.
Nzira yekusona inoratidzwa seinotevera (kubva kuruboshwe kuenda kurudyi, kubva pamutsara wepamusoro kusvika pamutsara wepasi):
Kutanga, mushure mekunge kukuvara kwadzikira, tendon yakapoteredza patellar inosundwa nguva nenguva yakatenderedza patella kuti igadzire zvivako zvakasiyana-siyana zvisina kusimba pamberi pepatella, uye zvino stool dzinoshandiswa kusungirira chivako chimwe nechimwe chisina kusimba murin'i uye kuchisunga kuita pfundo.
Masuture akatenderedza tendon yepatellar anosungwa zvakasimba uye anosungwa, uye masuture maviri akapatsanurwa anosonerwa pamwe chete uye anosungwa kuti patella igare, uye pakupedzisira masuture anosungirirwa patella kwevhiki.
Kana gumbo rebvi ragonyaniswa uye ratambanudzwa, zvinoonekwa kuti kukuvara kwacho kwakasimba uye pamusoro pegumbo pacho pati sandara:
Maitiro ekuporeswa uye mamiriro ekushanda kwezvirwere zvakajairika:
Kunyangwe nzira iyi yakawana mhedzisiro yakanaka muongororo, mumamiriro ezvinhu aripo iye zvino, kushandiswa kwesimbi yakasimba kungave kuri iko kusarudzwa kwekutanga navanachiremba vemumba, uye kunogona kutobatsira kudzivirira kufamba kweplaster mushure mekuvhiyiwa kukurudzira kutyoka uye kudzivirira kusimba kwemukati. Kukundikana ndicho chinangwa chikuru; mhedzisiro yekushanda uye kuomarara kwemabvi zvinogona kunge zviri zvinhu zvechipiri.
Sarudzo iyi yekuvhiya inogona kushandiswa zvine mwero kune vamwe varwere vakakodzera uye haikurudzirwi kushandiswa nguva dzose. Goverana nzira iyi yehunyanzvi kuti ishandiswe navanachiremba.
Nguva yekutumira: Chivabvu-06-2024
