Posachedwapa, Mtsogoleri wa Chipatala cha Northeast International Hospital Chengjie Liao adachita opaleshoni ya "unicondylar" ya "unicondylar m'malo mwa odwala awiri osteoarthritis wa bondo wokhala ndi prosthesis ya LDK XU UKA, ndipo opaleshoniyo inayenda bwino.
Wodwalayo wakhala akuvutika ndi ululu m'mawondo onse kwa zaka 10 ndipo anali ndi ululu poyenda.Atamaliza mayeso oyenerera, Director Chengjie Liao adapeza kuti mawondo onsewo anali oyenerera kusinthidwa unicondylar, motero adaganiza zopanga mawondo amtundu wa unicondylar m'malo kuti asunge ntchito yoyambirira ya bondo mokulirapo.
Kusinthana m'malo awiri ndi kuteteza mawondo molondola kunathetsa vuto la ululu wa bondo la wodwalayo, ndipo wodwalayo anali wokhutira kwambiri ndi zotsatira za opaleshoniyo.
Kufotokozera:
Wodwala, wamwamuna, wazaka 60
Dandaulo:
Kupweteka kwapawiri kwa mawondo kwa zaka 10, kukulirakulira kwa miyezi iwiri yaposachedwa.
Mbiri yakale yachipatala:
Wodwalayo anali ndi ululu m'mawondo onse a 10 zaka zapitazo, kupweteka pamene akuyenda, bondo lakumanzere linali lovuta pang'ono, ndi mbali yapakati yomwe imakhala yoipitsitsa, palibe choletsa chofunika kwambiri pa kusinthasintha ndi ntchito zowonjezera, ululu unali woonekera poyenda ndi mbali yapakati pa onse awiri. mawondo, kupweteka kwawonjezeka m'miyezi yapitayi ya 2, zotsatira za mankhwala opweteka m'kamwa sizinali zabwino, kuti apitirize kulandira chithandizo kuchipatala.
Mbiri yakale:
Hypertension kwa zaka 3.
Kuwona thupi:
Kupindika kwachibadwa kwa msana, palibe kupanikizika pamayendedwe a spinous a lumbar msana, palibe kutupa kwa mawondo onse, palibe kusinthika koonekeratu, kupindika kwabwino komanso kutambasula kwa mawondo onse, kupweteka kwapakhosi kuzungulira bondo lakumanzere (+), ndi ululu wapakati. monga zodziwikiratu, kuyesa kwabwino kwa patellar kugaya, kuyesa kosayandama kwa patella, kuyezetsa kabati koyipa, kuyenda kwa bondo: kupindika kwa bondo lakumanzere 120 °, kukulitsa 0 °, kupindika kwa bondo lakumanja 120 °, kukulitsa 0 °
Mayeso othandizira:
X-ray yam'mbuyo komanso yam'mbali wa bondo lakumanzere anasonyezama osteophytes m'mphepete mwa mafupa a bondo lakumanzere, phiri la intercondylar linakhala lakuthwa, zina mwazitsulo za articular zinali sclerotic ndi osteophytes, ndipo malo olowa nawo anali ochepa pang'ono.
Ma X-ray akutsogolo ndi akumbali a bondo lakumanja anasonyezama osteophyte akuthwa m'mphepete mwa mafupa a bondo lakumanja, mtunda wa intercondylar unakhala wakuthwa, malo olowa anali osclerotic ndi osteophytes, ndipo malo olowa nawo adakhala opapatiza.
Kujambula kwa maginito a bondo lakumanzere kunawonetsa:sagittal T2WI-FS, coronal T1WI T2WI-FS, ndi zithunzi zodutsa za T2WI: osteophytes ndi osteophytes pabondo lakumanzere, kuchepera kwa malo olumikizirana pakati, kupatulira kwa cartilage, kusakhazikika komanso kusapezeka kwapang'onopang'ono, chizindikiro chapamwamba kwambiri pansi pa olowa. distal femur ndi proximal tibia, ndi chizindikiro chozungulira ngati cystic mu proximal tibia.Zithunzi za FS za meniscus yapakati ndi yam'mbali inawonetsa chizindikiro chapamwamba.Nyanga yam'mbuyo ya meniscus yapakati inali yopangidwa mosadziwika bwino ndi yosasunthika, ndipo chizindikiro chapamwamba chinafikira pamphepete.Mtsempha wamtundu wamtundu wamtundu wamtundu wamtundu wamtundu wamtundu wamtunduwu unali wokhuthala ndi chizindikiro chowonjezeka cha FS, ndipo chithunzi cha FS cha lateral collateral ligament chinasonyeza chizindikiro chapamwamba;kumbuyo kwa cruciate ligament ndi medial collateral ligament sizinawonetse chizindikiro chilichonse chachilendo.Kapsule yolumikizana idawoneka kuti ili ndi madzimadzi, ndipo caruncle idawoneka ngati cystic.Zithunzi za FS za minofu yofewa ya peripatellar ndi mafuta a infrapatellar pad adawonetsa chizindikiro chokwera kwambiri.
Maginito resonance wa bondo lamanja anasonyeza: sagittal T2WI-FS, coronal T1WI T2WI-FS, ndi zithunzi za T2WI zodutsa: mafupa osteophytes a mafupa onse a bondo lakumanja, kuchepa kwa malo olowa, kupatulira kwa cartilage, kusakhazikika, kusakhalapo pang'ono, ndi chizindikiro chapamwamba chapamwamba pansi pa mgwirizano. pamwamba pa distal femur ndi proximal tibia pazithunzi za FS.Zithunzi za FS za meniscus zapakati ndi zam'mbali zinawonetsa chizindikiro chapamwamba kwambiri, ndipo meniscus yapakati inali yosaoneka bwino komanso yosasunthika kunja.Mitsempha yam'mbuyo ndi yam'mbuyo inali ndi morphology yosasinthika ndipo inasonyeza chizindikiro chapamwamba kwambiri pa chithunzi cha FS, pamene mitsempha yapakati ndi yam'mbali sinasonyeze chizindikiro chilichonse chachilendo.Chizindikiro chosokonekera chamadzimadzi chinawoneka mu capsule yolumikizana.Chithunzi cha FS cha minofu yofewa ya peripatellar ndi subpatellar fat pad idawonetsa chizindikiro chokwera kwambiri.
X-ray yam'mbuyo ya mafupa onse a m'chiuno adawonetsedwa:Kuchulukana kwa mafupa ndi ma morphology a mafupa a ziwalo zonse za m'chiuno sizinali zachilendo, ndipo malo olowa nawo adawonetsa momveka bwino, palibe kufutukuka kapena kuchepa, palibe kusweka kwenikweni kapena zizindikiro za kuwonongeka kwa mafupa.Panalibe zachilendo mu minofu yofewa yozungulira.
Kuzindikira kwachipatala:
1. Nyamakazi ya mawondo onse awiri
2. Matenda oopsa
Postoperative:
XU UKA
LIAO Chengjie
Dokotala Wamkulu, Dipatimenti ya Opaleshoni Yamafupa, Northeast International Hospital
Membala wachinyamata wa Bone and Joint and Rheumatism Committee
wa China Society of Rehabilitation Medicine,
Membala wa komiti yoyamba ya Liaoning Medical Association Traumatology Branch,
Membala wa Liaoning Provincial Osteoporosis Professional Committee.
Nthawi yotumiza: Apr-19-2023