Kuphwanyidwa kwapang'onopang'ono kwa patella ndi vuto lovuta lachipatala. Vuto liri momwe mungachepetsere, kuphatikizira pamodzi kuti mupange malo ophatikizana athunthu, ndi momwe mungakonzere ndikusungirako. Pakali pano, pali njira zambiri zokonzera mkati mwa comminuted patella fractures, kuphatikizapo Kirschner wire tension band fixation, cannulated misomali yolimba band fixation, waya cerclage fixation, patellar zikhadabo, etc. The zambiri njira mankhwala, ogwira kapena ntchito njira zosiyanasiyana mankhwala. Chitsanzo cha fracture sichinali chomwe chinkayembekezeredwa.
Kuonjezera apo, chifukwa cha kukhalapo kwazitsulo zosiyanasiyana zamkati zamkati ndi mawonekedwe apamwamba a patella, pali zovuta zambiri zokhudzana ndi kukonzanso mkati mwa postoperative, kuphatikizapo kupsa mtima kwa implant, kuchotsa K-waya, kusweka kwa waya, ndi zina zotero, zomwe si zachilendo muzochitika zachipatala. Kuti izi zitheke, akatswiri akunja apereka ukadaulo womwe umagwiritsa ntchito ma sutures osayamwa komanso ma mesh sutures, otchedwa "ukadaulo waukonde wa kangaude", ndipo wapeza zotsatira zabwino zachipatala.
Njira yosoka ikuwonetsedwa motere (kuchokera kumanzere kupita kumanja, kuchokera pamzere wapamwamba mpaka pansi):
Choyamba, fracture ikachepetsedwa, tendon yozungulira ya patellar imagwedezeka mozungulira patella kuti ipange mapangidwe angapo otayirira a semi-annular kutsogolo kwa patella, ndiyeno ma sutures amagwiritsidwa ntchito kulumikiza dongosolo lililonse lotayirira la annular mu mphete ndikumanga mfundo.
Ma sutures ozungulira patellar tendon amakhala omangika ndikumangika, kenako ma sutures awiri a diagonal amasokedwa pamtanda ndikumangidwa kuti akonze patella, ndipo pamapeto pake ma suture amazunguliridwa mozungulira patella kwa sabata.
Pamene mgwirizano wa bondo umasinthasintha ndikuwonjezedwa, zikhoza kuwoneka kuti kupasukako kumakhala kokhazikika ndipo malo ophatikizana ndi ophwanyika:
Njira yochiritsira ndi momwe zimagwirira ntchito pazochitika zenizeni:
Ngakhale kuti njirayi yapeza zotsatira zabwino zachipatala mu kafukufuku, pazochitika zamakono, kugwiritsa ntchito zitsulo zolimba zokhala ndi zitsulo zolimba kungakhale chisankho choyamba cha madokotala apakhomo, ndipo ngakhale kuthandizira pulasitala ya postoperative immobilization kulimbikitsa fractures ndi kupewa fixation mkati. Kulephera ndicho cholinga chachikulu; zotsatira zogwira ntchito ndi kuuma kwa mawondo kungakhale zoganizira zachiwiri.
Njira yopangira opaleshoniyi ingagwiritsidwe ntchito moyenera kwa odwala ena osankhidwa oyenera ndipo sikuvomerezeka kuti azigwiritsidwa ntchito mwachizolowezi. Gawanani njira yaukadauloyi kuti athandizidwe ndi achipatala.
Nthawi yotumiza: May-06-2024
