Kusweka kwa patella komwe kumadulidwa ndi vuto lalikulu lachipatala. Vuto lili pa momwe mungachepetsere, kuigwirizanitsa kuti pakhale malo olumikizirana, komanso momwe mungakonzere ndikusunga kukhazikika. Pakadali pano, pali njira zambiri zokhazikitsira mkati mwa patella yomwe imadulidwa ndi kudulidwa, kuphatikizapo Kirschner waya wolimbitsa band, kukhazikika kwa msomali wolimbitsa msomali, kukhazikika kwa waya, zikhadabo za patellar, ndi zina zotero. Njira zambiri zochiritsira, njira zosiyanasiyana zochiritsira zimakhala zothandiza kapena zogwira ntchito. Kachitidwe ka kusweka sikanali komwe kankayembekezeredwa.
Kuphatikiza apo, chifukwa cha kukhalapo kwa zomangira zosiyanasiyana zamkati mwachitsulo ndi kapangidwe ka pamwamba pa thupi la patella, pali zovuta zambiri zokhudzana ndi zomangira mkati mwa opaleshoni, kuphatikizapo kuyabwa kwa implant, kutulutsa waya wa K, kusweka kwa waya, ndi zina zotero, zomwe sizachilendo m'machitidwe azachipatala. Pachifukwa ichi, akatswiri akunja apereka ukadaulo womwe umagwiritsa ntchito zomangira ndi zomangira za mesh zomwe sizingayamwe, zomwe zimatchedwa "ukadaulo wa spider web", ndipo wapeza zotsatira zabwino zachipatala.
Njira yosokera ikuwonetsedwa motere (kuchokera kumanzere kupita kumanja, kuchokera pamzere wapamwamba kupita pamzere wapansi):
Choyamba, pambuyo poti fupa la patellar lachepa, tendon yozungulira imakulungidwa mozungulira patella kuti ipange mapangidwe angapo omasuka a theka-annular kutsogolo kwa patella, kenako ma stiture amagwiritsidwa ntchito kumangirira kapangidwe kalikonse komasuka ka annular mu mphete ndikukamanga mu mfundo.
Ma shoti ozungulira tendon ya patellar amamangiriridwa ndi kumangidwa, kenako ma shoti awiri opingasa amasokedwa ndi kumangidwa kuti akonze patella, ndipo pamapeto pake ma shoti amazunguliridwa mozungulira patella kwa sabata imodzi.
Bondo likapindika ndi kutambasulidwa, zimawoneka kuti choswekacho chakhazikika bwino ndipo pamwamba pake pali polumikizira:
Njira yochiritsira ndi momwe zinthu zilili pazochitika wamba:
Ngakhale njira iyi yapeza zotsatira zabwino zachipatala mu kafukufuku, malinga ndi momwe zinthu zilili pano, kugwiritsa ntchito zipangizo zolimba zachitsulo kungakhalebe chisankho choyamba cha madokotala apakhomo, ndipo kungathandizenso kuletsa plaster pambuyo pa opaleshoni kuti ithandize kusweka kwa mafupa ndikupewa kukhazikika mkati. Cholinga chachikulu ndicho kulephera; zotsatira za ntchito ndi kuuma kwa bondo zingakhale zinthu zina zofunika kuziganizira.
Njira yopangira opaleshoni iyi ingagwiritsidwe ntchito pang'ono kwa odwala ena oyenerera ndipo sikulimbikitsidwa kuti igwiritsidwe ntchito nthawi zonse. Gawani njira iyi yaukadaulo kuti madokotala azigwiritsa ntchito.
Nthawi yotumizira: Meyi-06-2024
