Li Guishan, mkulu wa dipatimenti ya Arthroplasty ya Guizhou Huaxia Orthopedic Hospital, anaona wodwala wapadera amene akudwala mawondo awiri kwa zaka 11+, iye anabwera kuchipatala ndi benchi kuti apite ku dipatimenti, ndi kupunduka kwakukulu kwa onse awiri. maondo ndi kuvutika kwambiri kuyenda.Ma radiographs amasonyeza kuti wodwalayo anali ndi fracture yakale (yopanda machiritso) ya distal distal femur + yachikale ya kusuntha kwa bondo lakumanzere + osteoarthrosis ya bondo lamanja.Kuti alandire chithandizo chowonjezereka, wodwalayo adapempha thandizo kuchokera ku dipatimenti ya opaleshoni ya mafupa a Guizhou Huaxia Orthopedic Hospital, akuyembekeza kuti adzachitidwa opaleshoni ya mawondo.
Poyankha momwe mawondo a wodwalayo alili, gulu la Director Guishan Li lidakambirana mozama ndikuwerenga tsatanetsatane wa opaleshoniyo, ndipo pamapeto pake adapanga dongosolo lathunthu la opaleshoni ya wodwalayo, kenako adachita "bilateral" arthroplasty pogwiritsa ntchito LDK "Hinged". Knee Prosthesis” ndi “Modular Tumor Knee Prosthesis”, ndipo opaleshoniyo idayenda bwino.
Kufotokozera:
Wodwala, wamkazi, wazaka 62
Dandaulo:
Kupweteka kwa mawondo apawiri komanso kuchepetsa kuyenda kwa zaka 11+.
Mbiri yakale yachipatala:
Wodwalayo anali ndi ululu m'mawondo onse kuyambira pafupifupi 11+ zaka zapitazo popanda chifukwa chomveka bwino, ndipo pang'onopang'ono anayamba kuyenda pang'onopang'ono (mbali yakumanzere ndi yovuta kwambiri), koma sanasamale panthawiyo ndipo sanalandire chithandizo chamankhwala.Iye sankatha kuyenda, kuledzera poyenda ndi ndodo, kugwada ndi kuyenda m’mitsinje, ndi zinthu zina zolemetsa.Kumanzere bondo dislocation chilema pang`onopang`ono kuipa;bondo lakumanja pang'onopang'ono linayamba kukula ndi kupunduka kosinthika, zomwe zinakhudza kwambiri moyo wa tsiku ndi tsiku.
M’chaka chathachi, zizindikiro zimene zili pamwambazi zinakula kwambiri, ndipo anagonekedwa m’chipatala cha m’deralo kuti akalandire chithandizo chowonjezereka, ndipo anapempha opareshoni ya bondo.
Mbiri yakale:
Zaka 13+ zapitazo, kuvulala koopsa kwa bondo lakumanzere kunayambitsa kupunduka ndi kupweteka ndi ntchito zochepa, ndipo pambuyo podzichitira nokha, kupunduka, kupweteka ndi ntchito za bondo lakumanzere zinakhala bwino;m'zaka 13+, adachotsa bondo lakumanzere kuchipatala chapafupi ndipo adatulutsidwa kuchipatala;kwa zaka 8+, anali ndi mbiri ya chopondapo chakuda chapakatikati popanda chithandizo chovomerezeka.
Mayeso apadera:
Kupindika kwa thupi la msana kunakhala kosazama, kunalibe kupweteka kwapakhosi ndi kupweteka kwa phokoso m'dera la lumbosacral, ndipo msana wa lumbar unkasuntha mbali zonse.
Kumanzere kumanzere kunali kofupikitsa kuposa kumanja kumanja ndi pafupifupi 6.0 cm;bondo lakumanja linakulitsidwa ndikupindika (kutembenuka kwa pafupifupi 30 °);ntchafu yakumanzere inali pseudo-articularly yosweka pafupi ndi bondo;khungu ndi kutentha kwa mawondo onse awiri zinali zachilendo;pafupifupi 8.0 masentimita a zipsera zakale za opaleshoni zakale zinkawoneka kumbali yakumbuyo ya bondo lakumanzere, lomwe linachiritsa bwino.
Mawondo onsewa anali ndi peripatellar yofunikira komanso kupweteka kwapakati komanso kumbuyo kwa mawondo, mayeso oyandama a patella (-), mayeso a drawer kumanja (-), mayeso otengera kumanzere (sangathe kuyesedwa bwino), mayeso a lateral stress (+), chizindikiro cha McSweeney ( +), mayeso akupera a patellar (+), kuyesa kokwezera mwendo wakumanja wowongoka, kuyesa kokweza mwendo wakumanzere sikutheka;kusuntha kwa bondo lakumanja kunali kochepa: kutambasula kwa bondo lakumanja pafupifupi -5 °;kupindika kwa bondo lakumanja pafupifupi 70 °;bondo lakumanja kuzungulira mkati pafupifupi 5 °, kuzungulira kwakunja pafupifupi 5 °.
Kutayika kwa kutambasula, kusinthasintha, kuzungulira kwa mkati ndi kuzungulira kwakunja kwa bondo lakumanzere;kumva bwino komanso kutuluka kwa magazi m'dera lakutali la miyendo yonse yapansi;yachibadwa minofu kamvekedwe kumanja m'munsi mwendo;kamvekedwe ka minofu kumanzere kumanzere sikanayesedwe bwino;kugunda kwabwino kwa mtsempha wa dorsalis pedis pawiri.
Mayeso othandizira:
1, Bilateral knee osteoarthrosis
2, Kuphulika kwakale kwa distal left femur (osachiritsa)
3, Kusuntha kwakale kwa bondo lakumanzere
4, Kutuluka magazi m'mimba?
Preoperative
Postoperative
Chiyambi cha Opaleshoni
Guishan LI
Director of Joint Surgery, Guizhou Huaxia Orthopedic Hospital
Mtsogoleri wakale wa Dipatimenti ya Orthopedic, 91st PLA Hospital
Digiri ya Master, Associate Chief Doctor
Membala woyimilira wa Komiti Yachitatu Yogwira Ntchito Yopweteka ndi Kukonzanso kwa Guizhou Rehabilitation Medicine Association;
Membala wa Guiyang City Medical Accident Technical Appraisal Expert Pool
Zapadera:Opaleshoni yopangira olowa m'malo ndi kukonzanso, masewera olimbitsa thupi (opaleshoni ya arthroscopic), chithandizo cha opaleshoni ya kuvulala kwa msana, zosweka zovuta za malekezero, zofooka za minofu yofewa, ndi kukonza zolakwika m'malekezero, ndi zina zambiri. necrosis.
Nthawi yotumiza: May-09-2023