Li Guishan, director weDhipatimendi reArthroplasty reGuizhou Huaxia Orthopedic Hospital, akaona murwere akasarudzika ari kurwadziwa nemabvi maviri kwemakore 11+, akauya kuchipatara aine bhenji kuti apinde mudhipatimendi, aine hurema hwakanyanya hwevaviri. mabvi uye kuoma kukuru mukufamba.Radiographs yakaratidza kuti murwere akanga ane kuputsika kwekare (kusapora) kwekuruboshwe distal femur + kuparara kwekare kwebvi rekuruboshwe + osteoarthrosis yebvi rorudyi.Kuti arambe achirapwa, murwere akatsvaga rubatsiro kubva kubazi rekuvhiya majoints reGuizhou Huaxia Orthopedic Hospital, achitarisira kuvhiyiwa ibvi.
Mukupindura mamiriro emurwere maviri maviri emabvi, boka raDirector Guishan Li rakaita kubvunzana kwakanyatso uye vakadzidza nezve kuvhiyiwa, uye pakupedzisira vakagadzira chirongwa chakazara uye chakakwana chekuvhiya murwere, ndokuzoita "bilateral" knee arthroplasty vachishandisa LDK "Hinged. Knee Prosthesis "uye" Modular Tumor Knee Prosthesis ", uye kuvhiyiwa kwakafamba zvakanaka.
Tsanangudzo:
Murwere, mukadzi, 62 makore
Chichemo:
Bilateral ibvi kurwadziwa uye kudzikiswa kwekufamba kwe11+ makore.
Nhoroondo yezvino yekurapa:
Murwere aiva nemarwadzo mumabvi maviri kubvira makore anenge 11+ apfuura pasina chikonzero chakajeka, uye zvishoma nezvishoma akazova mashoma mukufamba (kuruboshwe rwakanyanyisa), asi haana hanya panguva iyoyo uye haana kugamuchira kurapwa kwakarongeka.Akanga asisagone kufamba, akakamhina pakufamba nemadondoro, kugwara uye kufamba achikwira nekudzika materu, uye mamwe mabasa anorema.Ruboshwe ibvi dislocation deformity zvishoma nezvishoma kuipa;ibvi rorudyi zvishoma nezvishoma rakatanga kuwedzera uye flexion inversion deformity, iyo yakakanganisa zvakanyanya hupenyu hwezuva nezuva.
Mugore rapfuura, zviratidzo zviri pamusoro apa zvakawedzera kuipa, uye akapinzwa muchipatara chomunzvimbomo kuti apfuurire kurapwa, uye akakumbira kuvhiyiwa ibvi revarwere.
Nhoroondo yapfuura:
13+ makore apfuura, kukuvadzwa kunorwadza kumabvi ekuruboshwe kwakakonzera kuremara uye kurwadziwa uye basa shoma, uye mushure mekuzvirapa, kuremara, kurwadziwa uye kushanda kwebvi rekuruboshwe kwakavandudzwa;mumakore 13+, akaitwa mahara kubviswa kwebvi rekuruboshwe pachipatara cheko uye akaburitswa muchipatara akarapwa;kwe8+ makore, aive nenhoroondo yezvitsiga zvitema zvisina kurapwa.
Specialized bvunzo:
The spinal physiological curvature yakave isina kudzika, pakanga pasina marwadzo ekumanikidzwa uye marwadzo ekuputika munharaunda ye lumbosacral, uye lumbar spine yaifambiswa kumativi ose.
Ruboshwe rworuboshwe rwakaderera rwakapfupika kupfuura rworudyi rwakaderera neanenge 6.0 cm;ibvi rorudyi rakawedzerwa uye flexion yakaremara (inversion yeinenge 30 °);chidya chekuruboshwe chaiva pseudo-articularly dislocated pedyo nebvi;ruvara rweganda uye tembiricha yemabvi ose zviri zvenguva dzose;anenge 8.0 masendimita ekureba mavanga ekare ekuvhiya akaonekwa kune anterior side rekuruboshwe ibvi, iro rakapora zvakanaka.
Mabvi ese ari maviri aive neakakosha peripatellar uye yakazara medial uye lateral ibvi gap kudzvinyirira kurwadziwa, inoyangarara patella bvunzo (-), kurudyi dhirowa bvunzo (-), kuruboshwe dhirowa bvunzo (yaisagona kuongororwa kazhinji), lateral stress test (+), chiratidzo cheMcSweeney ( +), patellar grinding test (+), negative right straight gumbo simudza bvunzo, yekuruboshwe yakatwasuka gumbo simudza bvunzo yatadza kuitwa;kufamba kwebvi rekurudyi kwaive kwakadzikira: kukwidziridzwa kwebvi rekurudyi nezve -5 °;ibvi rekurudyi kuchinjika anenge 70 °;ibvi rekurudyi kutenderera kwemukati anenge 5 °, kutenderera kwekunze nezve 5 °.
Kurasikirwa kwekuwedzera, kuputika, kutenderera kwemukati uye kutenderera kwekunze kwebvi reruboshwe;kunzwa kwakanaka uye kuyerera kweropa munzvimbo iri kure yemakumbo maviri ezasi;yakajairika tsandanyama toni mugumbo rezasi kurudyi;inzwi retsandanyama mugumbo rezasi rekuruboshwe raisagona kuyerwa zvakajairika;kupuruzira kwakanaka kwe dorsalis pedis artery bilateral.
Mazama ebetsero:
1, Bilateral knee osteoarthrosis
2, Kutsemuka kwekare kweiyo distal kuruboshwe femur (isina-kuporesa)
3, Kuparara kwekare kwegumbo rekuruboshwe
4, Kubuda ropa mudumbu?
Preoperative
Postoperative
Chiremba Wokuvhiya Nhanganyaya
Guishan LI
Mutungamiriri weJoint Surgery, Guizhou Huaxia Orthopedic Hospital
Aimbova Mutungamiriri weDhipatimendi reOrthopedic, 91st PLA Hospital
Master's Degree, Associate Chief Chiremba
Yakamira nhengo yeTatu Professional Komiti yeTrauma uye Kugadziriswa kweGuizhou Rehabilitation Medicine Association;
Nhengo yeGuiyang City Medical Accident Technical Appraisal Expert Pool
Specialties:artificial joint replacement operation and revision operation, sports medicine (arthroscopic surgery), kurapwa kwekuvhiya kwekukuvara kwemusana, kutsemuka kwakaoma kwemakumbo, kukanganiswa kwenyama yakapfava, nekugadziriswa kwehurema, nezvimwewo. Ane ruzivo rwakanyanya pamusoro pekuongororwa uye kurapwa kwemusoro wevakadzi. necrosis.
Nguva yekutumira: Chivabvu-09-2023