Isambai-prosthesis yamadoloIqukethe izingxenye ezintathu: ingxenye ye-femoral, ingxenye ye-tibial kanye nengxenye ye-patellar. Yenzelwe ukulingisa umsebenzi we-gumbo lomuntu lendabuko futhi ithathe indawo yezakhiwo ze-articular ezigulayo noma ezonakele.Ki-prosthesis yamalungazihlukaniswa ngokwezinga lokufakwa esikhundleni zibe yimiklamo yokugcina izinto (CR) kanye nemiklamo ezinzile (PS).Ukuhlinzwa kwe-total knee arthroplasty kungadambisa ubuhlungu, kuthuthukise ukuzinza kwamalunga, kuthuthukise ukunyakaza kwamadolo, kubuyisele i-kinematics yemvelo yamadolo, futhi kubuyisele ukuhamba kweziguli.

Ukwabelana Ngecala Lomtholampilo - Ukufakwa Kwejoyinti Lamadolo

Isiguli: Nkk Huang, Owesifazane, oneminyaka engu-62 ubudala
Isimo Sesiguli: Ubuhlungu bedolo obuhambisana nezinhlangothi zombili iminyaka engaphezu kwe-10, ubuhlungu obukhulu obuhambisana nokunyakaza okulinganiselwe kwamalunga izinyanga ezi-3.
Umlando Wesifo Samanje: Isiguli sibike ubuhlungu obungacacile emadolweni kanye nobuhlungu obuqala eminyakeni engaphezu kweyi-10 eyedlule. Ubuhlungu banda kakhulu ngesikhathi sokukhuphuka izitebhisi kanye nokuquleka, futhi kwancishiswa kancane ngokuphumula. Sathola ukwelashwa okuphindaphindiwe ngaphandle ezibhedlela zasendaweni, okuhlanganisa ukwelashwa ngokomzimba kanye nokujova i-sodium hyaluronate ngaphakathi kwe-articular. Izimpawu zadamba okwesikhashana kodwa zaphinde zabuya njalo, ngokuthuthukiswa kancane kancane kokukhubazeka kwe-genu varum emadolweni. Cishe ezinyangeni ezi-3 ngaphambi kokungeniswa, ubuhlungu emadolweni baba bubi kakhulu ngaphandle kokubangela okusobala, okuhambisana nokugoba kwamadolo, okunzima kakhulu ohlangothini lwesokudla. Safika esibhedlela sethu futhi sangeniswa ngaphansi kokuxilongwa kwe-osteoarthritis emadolweni ...
Ukuhlolwa Okukhethekile Komzimba: Isiguli sangena egunjini ngezinduku zokusibekela. Ukugoba komgogodla ngokomzimba kwagcinwa; ukuhlolwa kwesinqe kwakungavamile. Ukukhubazeka kwe-genu varum kwaphawulwa, okubonakala kakhulu edolweni lesokudla. Isikhumba esingaphezulu sasiphelele ngaphandle kwe-erythema, ukuvuvukala, ukufudumala noma ukuthamba. Ubuthakathaka babukhona engxenyeni ephakathi yamadolo womabili, kanye nama-osteophyte azwakalayo azungeze amalunga edolo. Kwabonakala ukulinganiselwa okukhulu kokunyakaza kwedolo: ibanga lokunyakaza kwedolo lesobunxele elingu-10° kuya ku-80°, ibanga lokunyakaza kwedolo lesokudla elingu-20° kuya ku-25°. Izingalo ezingezansi ezimbili zazilingana ngobude. Ukuhlolwa kokucindezeleka ohlangothini, ukuhlolwa kwedrowa kanye nokuhlolwa kwe-patellar float kwakune-negative zombili. Ukuhlolwa kukaMcMurray kwakune-positive kuzo zombili izinhlangothi. Amandla emisipha yezingalo ezingezansi ezimbili ayejwayelekile, ngaphandle kokuncipha kwemizwa yesikhumba. Ukusabela kwedolo neqakala elihlangothini zombili kwakufana futhi kungavela; azikho ezinye izimpawu zesifo ezitholakele.
Ukuxilongwa: I-osteoarthritis yamadolo amabili ane-flexion kanye ne-varus deformity
Inqubo Yokuhlinzwa: I-Right total knee arthroplasty (TKA)

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Uma ufuna ukufunda kabanzi mayelanaizifakelo zamadolo, Sicela ukhululekeXhumana nathi, ithimba lethu lizokunikeza ukwesekwa kochwepheshe kanye nempendulo.