I-Osteotomy yedolo

I-Osteotomy yedolo lutyando olubandakanya ukusika kwelinye lamathambo emlenzeni wakho osezantsi. Oku kunokwenziwa ukunciphisa iimpawu zesifo samathambo ngokulungelelanisa umlenze wakho.

Zimbini iintlobo zotyando:

• I-osteotomy ye-Tibial yonyango olwenziwe kwithambo le-shin ngaphantsi kwe-cap cap.
• I-osteotomy yabasetyhini kukuhlinzwa okwenziwa kwithambo lethanga ngaphezulu kwentloko yedolo.

Ngexesha lotyando:

• Awuyi kuba nazintlungu ngexesha lotyando. Unokufumana i-anesthesia yomqolo okanye ye-epidural, kunye neyeza lokukunceda uphumle. Unokufumana kwakhona i-anesthesia ngokubanzi, apho uya kulala khona.
• Ugqirha wakho uza kwenza i-intshi ezi-4 ukuya kwezi-5 (iisentimitha ezili-10 ukuya kwezili-13) ezisikiweyo kwindawo ekwenziwa kuyo i-osteotomy.
• Ugqirha ususa umda wethambo lakho ngaphantsi kwecala eliphilileyo ledolo. Oku kubizwa ngokuba yi-wedge osteotomy yokuvala.
• Ugqirha usenokuvula i-wedge kwicala elibuhlungu lamadolo. Oku kubizwa ngokuba yi-wedge osteotomy.
• Izitya, izikrufu, okanye iipleyiti zinokusetyenziswa, kuxhomekeke kuhlobo lwe-osteotomy.
• Unokufuna ukufakelwa kwethambo ukuze ugcwalise wedge.

Kwiimeko ezininzi, inkqubo iya kuthatha iiyure eziyi-1 ukuya kwi-1/2.

I-Osteotomy yamadolo iyenziwa ukunyanga iimpawu zesifo samathambo. Kuyenziwa xa olunye unyango lungasaboneleli.

IArthritis ihlala ichaphazela indawo engaphakathi emadolweni. Uninzi lwexesha, icandelo elingaphandle kwamadolo alichaphazeleki ngaphandle kokuba ukhe wenzakala edolweni kwixa elidlulileyo.

Utyando lwe-Osteotomy lusebenza ngokutshintsha ubunzima kude nenxalenye eyonakeleyo yedolo lakho. Ukuze utyando lube yimpumelelo, icala lamadolo apho ubunzima bususwa khona kufuneka bube nesifo samathambo esincinci.

Umngcipheko wayo nayiphi na i-anesthesia okanye utyando zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha
• Usulelo

Eminye imingcipheko kolu tyando ibandakanya:

• Igazi elijiyileyo emlenzeni.
• Ukwenzakala kumthambo wegazi okanye kwimithambo-luvo.
• Usulelo kwixolo elihlangeneyo.
• Ukuqina kwamadolo okanye idolo elingadibananga kakuhle.
• Ukuqina emadolweni.
• Ukusilela kulungiso olufuna utyando olungakumbi.
• Ukusilela kwi-osteotomy yokuphilisa. Oku kunokufuna utyando okanye unyango olungaphezulu.

Soloko uxelela umboneleli wakho wezempilo ukuba zeziphi iziyobisi ozithathayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izicoci gazi ezifana ne-warfarin (Coumadin), kunye nezinye iziyobisi.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu- ngaphezulu kwe-1 okanye i-2 yeziselo ngosuku.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kubaboneleli bakho. Ukutshaya kungathoba amanxeba kunye nokuphilisa amathambo.

Ngomhla wotyando lwakho:

• Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na iiyure ezingama-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Ngokufumana i-osteotomy, unokukwazi ukulibazisa isidingo sokutshintshwa kwedolo ukuya kwi-10 iminyaka, kodwa uhlale usebenza kunye nexolo lakho.

I-osteotomy ye-tibial inokukwenza ubonakale ngathi "unkqonkqozile." I-osteotomy yobufazi inokukwenza ubonakale "ugobile imilenze."

Uyakufakelwa isibiyeli sokunciphisa umda wokuba ukwazi kangakanani ukuhambisa idolo lakho ngexesha lokubuyisela. Izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana nazo zinganceda ukubamba idolo lakho kwindawo efanelekileyo.

Uya kudinga ukusebenzisa iintonga zokuthwala iintonga kangangeeveki ezi-6 okanye nangaphezulu. Ekuqaleni, unokucelwa ukuba ungabeki bunzima emadolweni. Buza umboneleli wakho xa kulungile ukuba uhambe nobunzima emlenzeni wakho otyandiweyo. Uya kubona ugqirha oza kukunceda ngenkqubo yokuzilolonga.

Ukubuyiselwa ngokupheleleyo kungathatha iinyanga ezininzi ukuya kunyaka.

Proximal osteotomy; Icala lokuvala i-wede osteotomy; I-osteotomy ephezulu ye-tibial; I-osteotomy yobufazi ekude; Isifo samathambo - osteotomy

• I-osteotomy ye-Tibial - uthotho

ICrenshaw AH. Iinkqubo zethishu ethambileyo kunye nee-osteotomies zokulungisa malunga nedolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 9.

UFeldman A, uGonzalez-Lomas G, uSwensen SJ, uKaplan DJ. Osteotomies malunga nedolo. Ku: Scott WN, ed. Utyando lwe-Insall kunye ne-Scott lweKnee. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2018: isahluko 121.