I-osteotomy yamadolo

I-osteotomy yamadolo ukuhlinzwa okubandakanya ukusika kwelinye lamathambo emlenzeni wakho ongezansi. Lokhu kungenziwa ukukhulula izimpawu zesifo samathambo ngokulungiswa komlenze wakho.

Kunezinhlobo ezimbili zokuhlinzwa:

• I-Tibial osteotomy ukuhlinzwa okwenziwa ethanjeni le-shin ngaphansi kwengubo yedolo.
• I-osteotomy yabesifazane ukuhlinzwa kwenziwa ethanjeni lethanga ngaphezu kwengubo yamadolo.

Ngesikhathi sokuhlinzwa:

• Ngeke ube nezinhlungu ngesikhathi sokuhlinzwa. Ungathola i-anesthesia yomgogodla noma ye-epidural, kanye nomuthi wokukusiza uphumule. Ungase futhi uthole i-anesthesia ejwayelekile, lapho uzobe ulele khona.
• Udokotela wakho ohlinzayo uzosikwa ngamasentimitha ama-4 kuye kwayi-5 (amasentimitha ayi-10 kuye kwayi-13) endaweni lapho kwenziwa khona i-osteotomy.
• Udokotela ohlinzayo angasusa isigaxa sethambo lakho ngaphansi kohlangothi oluphilile lwamadolo akho. Lokhu kubizwa ngokuthi yi-wedge osteotomy yokuvala.
• Udokotela ohlinzayo angavula futhi i-wedge ohlangothini olubuhlungu lwamadolo. Lokhu kubizwa ngokuthi yi-wedge osteotomy yokuvula.
• Kungasetshenziswa ukudla okuyisisekelo, izikulufo noma amapuleti, kuya ngohlobo lwe-osteotomy.
• Ungadinga ukuhlanganiswa kwamathambo ukuze ugcwalise lo wedge.

Ezimweni eziningi, inqubo izothatha amahora ayi-1 kuye kwayi-1/2.

I-osteotomy yamadolo yenziwa ukwelapha izimpawu zesifo samathambo. Kwenziwa lapho ezinye izindlela zokwelapha zingasanikezi usizo.

I-arthritis ivame ukuthinta ingxenye engaphakathi yedolo. Isikhathi esiningi, ingxenye engaphandle yedolo ayithinteki ngaphandle kokuthi uke walimala edolweni esikhathini esedlule.

Ukuhlinzwa kwe-osteotomy kusebenza ngokususa isisindo kude nengxenye eyonakele yedolo lakho. Ukuze ukuhlinzwa kube yimpumelelo, uhlangothi lwamadolo lapho isisindo siguqulwa khona kufanele lube nesifo samathambo oluncane noma lungabi nalo.

Izingozi zanoma iyiphi i-anesthesia noma ukuhlinzwa yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Ukopha
• Ukutheleleka

Ezinye izingozi ezivela kulokhu kuhlinzwa zifaka:

• Ukuqina kwegazi emlenzeni.
• Ukulimala emthanjeni wegazi noma emsipheni.
• Ukutheleleka emadolweni.
• Ukuqina kwamadolo noma ukuhlangana kwamadolo okungahambisani kahle.
• Ukuqina kwedolo.
• Ukwehluleka kokulungiswa okudinga ukuhlinzwa okwengeziwe.
• Ukwehluleka kwe-osteotomy ukuphola. Lokhu kungadinga ukuhlinzwa noma ukwelashwa okwengeziwe.

Hlala utshela umhlinzeki wakho wezempilo ukuthi imiphi imishanguzo oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izinciphisi zegazi ezifana ne-warfarin (Coumadin), nezinye izidakamizwa.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Tshela umhlinzeki wakho uma ngabe uphuze kakhulu utshwala - iziphuzo ezingaphezu kwezingu-1 noma ezi-2 ngosuku.
• Uma ubhema, zama ukuyeka. Cela usizo kubahlinzeki bakho. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Ngokuthola i-osteotomy, ungakwazi ukubambezela isidingo sokushintshwa kwedolo kuze kube yiminyaka eyi-10, kepha uhlale usebenza ngedolo lakho elihlangene.

I-osteotomy ye-tibial ingakwenza ubukeke ngathi "ungqongqozile." I-osteotomy yesifazane ingakwenza ubukeke "njengomlenze okhothayo."

Uzofakelwa isibopho sokukhawulela ukukhawulela ukuthi uyakwazi kangakanani ukuhambisa idolo lakho ngesikhathi sokululama. Izinsimbi zezilima ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane nazo zingasiza ekubambeni idolo endaweni efanele.

Uzodinga ukusebenzisa izinduku amasonto ayisithupha noma ngaphezulu. Ekuqaleni, ungacelwa ukuthi ungabeki isisindo emadolweni akho. Buza umhlinzeki wakho ukuthi kuzolunga nini ukuhamba ngesisindo emlenzeni wakho obehlinzwa. Uzobona owelapha ngokomzimba ukukusiza ngohlelo lokuzivocavoca umzimba.

Ukululama okuphelele kungathatha izinyanga ezimbalwa kuye onyakeni.

I-proeimal tibial osteotomy; Ukuvalwa kwe-wedge osteotomy kamuva; I-osteotomy ephezulu ye-tibial; I-osteotomy yesifazane ehlukile; I-arthritis - i-osteotomy

• I-Tibial osteotomy - uchungechunge

UCrenshaw AH. Izinqubo zezicubu ezithambile kanye nama-osteotomies okulungisa mayelana nedolo. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 9.

UFeldman A, Gonzalez-Lomas G, Swensen SJ, uKaplan DJ. Osteotomies mayelana nedolo. Ku: Scott WN, ed. Ukuhlinzwa kwe-Insall & Scott kwe-Knee. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2018: isahluko 121.