Akuti: Ntchito yopambanayi imawonetsa kutalika kwatsopano m'chipinda cha chipatala chotupa ndi chotupa chotsutsananso, kubweretsa uthenga wabwino kwa odwala omwe ali ndi milandu yovuta.
Aunt LIU, zaka 56 chaka chino, anali ndi phewa zaka zingapo zapitazo. Zimakhala zokulirapo miyezi 4 yapitayo, makamaka usiku. Chipatala cha komweko chidapezeka "chotupa chakumaso chakumaso" pafilimuyo. Anabwera ku dipatimenti ya Orthopedics ndi Chotupa cha chipatala cha Wuhan Union kuti alandire chithandizo. Gulu la Professor Liu JIan Jianxiang adalandira wodwala, mapewa olumikizirana ct ndipo mayeso a Mr adachitidwa, ndipo chotupa chake chidachitika ndi humesal humerus ndi scapula, ndi mitundu yambiri. Choyamba, kapumilo yakwanuko idachitidwa kwa wodwalayo, ndipo matenda a patlogical chipatala adatsimikiziridwa kuti ndi "bipasic synovial sarmo la phewa loyenera". Poganizira kuti chotupa ndi chotupa chimodzi thupi lonse, gululi lidapanga dongosolo lokonzedwa ndi nthawi yayitali ya scaperus ndi theka la scapula, ndi 3D-yolowera pamapewa. Cholinga chake ndikupangitsa kuti kulowetsanso chotupa ndi kukonzanso ma prosthesis, pokonzanso odwala omwe wodwalayo amakhala nawo komanso ntchito.
Atayambira mkhalidwe wa wodwalayo, dongosolo, komanso kuyembekezera wodwalayo ndi wodwalayo, komanso kupeza chilolezo, gululi linayamba kukonzekera opaleshoni ya wodwalayo molimbika. Pofuna kuonetsetsa kuti muli ndi chotupa chokwanira, theka la scapula ayenera kuchotsedwa mu opareshoni iyi, ndikumanganso kwa phewa limodzi ndi mfundo yovuta. Pambuyo pakuwona mosamalitsa mafilimuwo, kuyezetsa thupi, ndi zokambirana, pulofesa LIU Jianxiang, Dr. Zhao Lei, ndipo adakambirana za ma prostoris nthawi zambiri. Amatulutsa mawu otupa ostesoms ndi prosthesis pa mtundu wa 3D wosindikizidwa, ndikupanga chinsinsi "kwa wodwalayo - njira yosinthira njira yamatumbo omwe amafanana ndi magawo awo.
A.meretus mitundu ya osterotomy. B. Tsitsani Prosthesis ya 3d. C. 3D Print Prostasis. D. Pre-kukhazikitsa Prossias.
Kulumikizana kwa phewa sikosiyana ndi cholumikizira chamapewa chambiri, chokhala ndi chikho cholumikizidwa ndi glenoid ndi chikho chomwe chimayikidwa pa humesis yokhazikika mu phesi la semi-center. Opaleshoniyi ali ndi maubwino otsatirawa: 1. Itha kufanana kwambiri ndi mafupa akuluakulu oyambitsidwa ndi chotupa; 2. Maboti opangidwa ndi omwe adapangidwanso amatha kukonza minofu yofewa ndikupewa kusakhazikika kwa zolumikizira zopangidwa ndi vuto vuni; 3. 4. Kulumikizana kwamphamvu kwa mapewa kumatha kuchepetsa mosamala postoperative disclocation ya prossana. Mosiyana ndi njira yachiwiri yobwezeretsanso, opaleshoniyi imafunikiranso kuchotsedwa kwa mutu wonse ndi theka la chikho chamiyendo ndi chikho choyambirira, chomwe chimafunikira njira yopangira opaleshoni.
After careful planning and preparation during the perioperative period, the surgery was successfully performed on the patient recently, under the direction of Professor Liu Jianxiang. Gululi linagwirizana kwambiri ndipo limagwira ntchito moyenera kuti amalize kuchotsa kwathunthu kwa chotupacho, ostefams olondola, kukhazikitsa ndi msonkhano wa prosthesis wochita masewera olimbitsa thupi, komwe kumatenga maola awiri kuti amalize.
D: kudula moyenerera humerus yonse ndi scapula ndi mbale yoyendetsa fupa kuti muchotse chotupa (h: fluorive fluoroscopy yochotsa chotupa)
Postrataltal, mkhalidwe wa wodwalayo anali wabwino, ndipo adatha kuyenda mothandizidwa ndi kayendedwe ka gawo lazomwe zakhudzidwa tsiku lachiwiri ndikuchita mapewa olumikizira. Tsatirani X-rays adawonetsa bwino mapewa olumikizira mapewa komanso kuchira bwino.
Opaleshoni yapano ndiye mlandu woyamba ku dian Union Internatic of Orthoptics omwe amatengera chitsogozo chodulira cha 3D kuti chikhale cholumikizira komanso champhamvu. Kukhazikitsa kwaukadaulo bwino kumabweretsa chiyembekezo chopulumutsa miyendo kwa odwala ambiri omwe ali ndi zotupa, ndikupindulitsa odwala ambiri.
Post Nthawi: Apr-2822023
