Muva nje, uMqondisi u-Chengjie Liao we-Northeast International Hospital wenze ukuhlinzwa “kwezinhlangothi zombili” ze-unicondylar esikhundleni sesiguli esine-osteoarthritis yamadolo amabili ne-LDK XU UKA prosthesis, futhi ukuhlinzwa kwahamba kahle.
Isiguli sase sihlushwa izinhlungu emadolweni womabili iminyaka engu-10 futhi sinezinhlungu lapho sihamba.Ngemva kokuphothula izivivinyo ezifanele, uMqondisi u-Chengjie Liao uthole ukuthi womabili amadolo ayekufanelekela ukushintshwa kwe-unicondylar, ngakho wanquma ukwenza i-unicondylar yamadolo amabili ahlangene ukuze alondoloze umsebenzi wasekuqaleni wedolo ngokwezinga elikhulu.
Ukushintshwa kwamazwe amabili kanye nokulondolozwa kwamadolo okunembile kuxazulule ngempumelelo inkinga yobuhlungu bamadolo ezinhlangothi zombili, futhi isiguli saneliseke kakhulu ngomphumela wokuhlinzwa.
Incazelo:
Isiguli, owesilisa, iminyaka engama-60
Isikhalazo:
Ubuhlungu bamadolo ahlangene iminyaka eyi-10, bubhebhetheke kakhulu ezinyangeni ezi-2 zakamuva.
Umlando wamanje wezokwelapha:
Isiguli sasinobuhlungu emadolweni womabili iminyaka engu-10 edlule, ubuhlungu lapho sihamba, idolo lesokunxele lalinzima kancane, uhlangothi oluphakathi lube lubi kakhulu, akukho mkhawulo obalulekile emisebenzini ye-flexion kanye nokwandiswa, ubuhlungu babusobala lapho uhamba nohlangothi oluphakathi kokubili. amadolo, ubuhlungu buye banda ezinyangeni zokugcina ze-2, umphumela wama-painkillers womlomo awuzange ube muhle, ukuze uthole ukwelashwa okwengeziwe okungeniswe esibhedlela.
Umlando odlule:
I-Hypertension iminyaka emi-3.
Ukuhlolwa ngokomzimba:
I-curvature evamile yomzimba yomgogodla, akukho ukucindezela ezinqubweni ze-spinous zomgogodla we-lumbar, akukho ukuvuvukala kwawo womabili amadolo, akukho ukukhubazeka okusobala okuguquguqukayo, ukugoba okujwayelekile nokwandiswa kwamadolo womabili, ubuhlungu bengcindezi ezungeze idolo lesokunxele (+), nobuhlungu obuphakathi. njengokusobala, ukuhlolwa kokugaya kwe-patellar enhle, ukuhlolwa kwe-patella entantayo engalungile, ukuhlolwa kwedrowa elingalungile, ukuhamba kwamadolo: ukugoba kwedolo kwesokunxele 120 °, isandiso esingu-0 °, ukugoba kwedolo kwesokudla 120 °, isandiso esingu-0 °
Izivivinyo ezisizayo:
I-x-ray yangaphambili nangemuva wedolo lesokunxele wabonisaama-osteophyte emaphethelweni amathambo wejoyinti yesokunxele, i-intercondylar ridge yaba bukhali, ezinye ze-articular surfaces zaziyi-sclerotic ne-osteophyte, futhi isikhala esihlangene sancipha kancane.
I-X-ray yangaphambili nangemuva yedolo elingakwesokudla wabonisaama-osteophyte abukhali emaphethelweni amathambo ejoyinti ledolo elingakwesokudla, i-intercondylar ridge yaba bukhali, indawo ehlangene yaba yi-sclerotic nama-osteophyte, futhi indawo ehlangene yaba mncane.
Isithombe se-magnetic resonance sedolo lesokunxele sibonisiwe:i-sagittal T2WI-FS, i-coronal T1WI T2WI-FS, nemifanekiso ye-T2WI eguquguqukayo: ama-osteophyte nama-osteophyte edolweni lesokunxele, ukuncipha kwesikhala esihlangene esimaphakathi, ukuncipha koqwanga lwe-articular, ukungahambi kahle kanye nokungabikhona ngokwengxenye, isignali ephakeme enezibazi ngaphansi kobuso obuhlangene. i-distal femur kanye ne-proximal tibia, kanye nesignali ye-cystic efana neyindilinga ku-tibia eseduze.Izithombe ze-FS ze-meniscus emaphakathi ne-lateral zibonise isignali ephezulu yomugqa.Uphondo olungemuva lwe-meniscus ephakathi lwalubunjwe ngendlela engavamile futhi lususiwe, futhi isignali ephakeme yanwetshwa emaphethelweni.I-anterior cruciate ligament yaqina ngokunyuka kwesignali yesithombe se-FS, futhi isithombe se-FS se-lateral collateral ligament sabonisa isignali ephezulu yomugqa;i-posterior cruciate ligament kanye ne-medial collateral ligament ayizange ibonise isignali ephawulekayo engavamile.I-capsule ehlangene ibonakala igcwele uketshezi, futhi i-caruncle ibonakale iyi-cystic.Izithombe ze-FS zethishu ethambile ye-peripatellar kanye nephedi yamafutha e-infrapatellar ibonise isignali ephezulu ene-patchy ephezulu.
Kubonisiwe i-resonance yamagnetic yedolo langakwesokudla: i-sagittal T2WI-FS, i-coronal T1WI T2WI-FS, nemifanekiso ye-T2WI eguquguqukayo: ama-osteophyte awo wonke amathambo edolo lesokudla, ukuncipha kwendawo ehlangene, ukuncipha kwe-articular cartilage, ukungahambi kahle, ukungabikho ngokwengxenye, kanye nesignali ephakeme ebabazekayo ngaphansi kwelunga. ubuso be-distal femur kanye ne-proximal tibia ezithombeni ze-FS.Izithombe ze-FS ze-meniscus emaphakathi ne-lateral zibonise isignali ephezulu yomugqa, futhi i-meniscus ephakathi yayingakhiwe ngendlela engavamile futhi ikhishwe ngaphandle.Imigqa ye-cruciate yangaphambili nengemuva yayine-morphology engavamile futhi ibonise isignali ephezulu ehlukile kumfanekiso we-FS, kuyilapho imigqa ye-collateral collateral ligaments ephakathi nendawo ayizange ibonise noma iyiphi isignali ebalulekile engavamile.Isignali yokunqwabelana koketshezi engavamile ibonakale ku-capsule ehlangene.Isithombe se-FS sethishu ethambile ye-peripatellar kanye nephedi yamafutha e-subpatellar sibonisa isignali ephezulu ene-patchy ephezulu.
I-X-ray yangaphambili yawo womabili amalunga enyonga yaboniswa:Ukuqina kwamathambo kanye ne-morphology yamathambo kokubili amalunga e-hip kwakungeyona into engavamile, futhi isikhala esihlangene sabonisa ngokucacile, akukho ukunwebeka noma ukuncipha, akukho ukuphuka okuqondile noma izimpawu zokubhujiswa kwamathambo eziboniwe.Kwakungekho okungavamile ezicutshini ezithambile ezizungezile.
Ukuxilongwa komtholampilo:
1. I-osteoarthritis yawo womabili amadolo
2. Umfutho wegazi ophezulu
Ngemuva kokuhlinzwa:
XU UKA
LIAO Chengjie
Udokotela Omkhulu, uMnyango Wokuhlinza Amathambo, Isibhedlela Samazwe Ngamazwe SaseNyakatho-mpumalanga
Ilungu elincane le-Bone and Joint and Rheumatism Committee
weChina Society of Rehabilitation Medicine,
Ilungu lekomiti lokuqala le-Liaoning Medical Association Traumatology Branch,
Ilungu le-Liaoning Provincial Osteoporosis Professional Committee.
Isikhathi sokuthumela: Apr-19-2023