Munguva pfupi yapfuura, Director Chengjie Liao weNortheast International Hospital akavhiya “bilateral” unicondylar replacement murwere ane bilateral knee osteoarthritis ane LDK XU UKA prosthesis, uye kuvhiyiwa kwacho kwakafamba zvakanaka.
Murwere akanga achitambura nemarwadzo mumabvi ose kwemakore gumi uye ane marwadzo pakufamba.Mushure mekupedza bvunzo dzakakodzera, Director Chengjie Liao vakawana kuti mabvi ese ari maviri akakodzera kutsiva unicondylar, saka akasarudza kuita bilateral knee unicondylar replacement kuchengetedza basa rekutanga remabvi kusvika pamwero mukuru.
Bilateral replacement uye kunyatso chengetedza ibvi kwakabudirira kugadzirisa dambudziko remurwere remabvi maviri, uye murwere aigutsikana zvikuru nemugumisiro wekuvhiya.
Tsanangudzo:
Murwere, murume, 60 makore
Chichemo:
Marwadzo mumabvi maviri emabvi kwemakore gumi, akawedzera kwemwedzi miviri ichangopfuura.
Nhoroondo yezveutano:
Murwere aiva nemarwadzo mumabvi maviri 10 makore apfuura, kurwadziwa pakufamba, ibvi rekuruboshwe rakanga rakanyanya kuoma, uye rutivi rwepakati rwakanyanya kuipa, pasina chirambidzo chakakosha mukutenderera uye mabasa ekuwedzera, kurwadziwa kwaioneka pakufamba nerutivi rwepakati rwezvose zviri zviviri. mabvi, kurwadziwa kwakawedzera mumwedzi yekupedzisira ye2, mhedzisiro yemuromo painkillers yakanga isina kunaka, kuti iwedzere kurapwa yakagamuchirwa kuchipatara.
Nhoroondo yapfuura:
Hypertension kwemakore matatu.
Kuongorora muviri:
Normal physiological curvature yemuzongoza, hapana kudzvinyirirwa pamitsipa ye lumbar spine, hapana kuzvimba kwemabvi ose, hapana kujeka inversion deformity, kuchinjika kwakajairika uye kuwedzera kwemabvi maviri, kudzvinyirira kurwadziwa kwakatenderedza ibvi rekuruboshwe (+), nekurwadziwa kwepakati. sezviri pachena, positive patellar grinding test, negative inoyangarara patella bvunzo, negative dhirowa bvunzo, kufamba kwemabvi: kuruboshwe ibvi kuchinjika 120 °, kuwedzera 0 °, kurudyi ibvi flexion 120 °, kuwedzera 0 °
Mazama ebetsero:
Frontal uye lateral x-ray yebvi rekuruboshwe akaratidzaosteophytes pamucheto wemapfupa egumbo rekuruboshwe, iyo intercondylar ridge yakave yakapinza, mamwe mazamu articular aiva sclerotic ane osteophytes, uye nzvimbo yekubatana yakaderedzwa zvishoma.
Frontal uye lateral X-ray yebvi rekurudyi akaratidzamaosteophyte anopinza pamicheto yemapfupa emabvi akabatana, iyo intercondylar ridge yakave yakapinza, iyo yakabatana pamusoro yaive sclerotic ine osteophytes, uye nzvimbo yakabatana ikava diki.
Magnetic resonance imaging yebvi rekuruboshwe yakaratidza:sagittal T2WI-FS, coronal T1WI T2WI-FS, uye yakachinjika T2WI mifananidzo: osteophytes uye osteophytes mubvi rekuruboshwe, kutetepa kwepakati pekubatana nzvimbo, kutetepa kwearticular cartilage, kusarongeka uye kusavapo kwechikamu, chigamba chepamusoro chiratidzo pasi pekubatana kwechiso. iyo distal femur uye proximal tibia, uye denderedzwa-senge cystic chiratidzo mu proximal tibia.Mifananidzo yeFS yepakati uye lateral meniscus yakaratidza mutsara wakakwirira chiratidzo.Runyanga rwekumashure rwemeniscus yemukati rwakanga rusina kuumbwa uye rwakatamiswa, uye chiratidzo chepamusoro chakawedzera kusvika kumucheto.Iyo anterior cruciate ligament yakasvibiswa nekuwedzera FS chiratidzo chemufananidzo, uye mufananidzo weFS we lateral collateral ligament wakaratidza linear high signal;iyo posterior cruciate ligament uye medial collateral ligament haina kuratidza chero chiratidzo chakakosha chisina kujairika.Iyo capsule yakabatanidzwa yakaonekwa izere nemvura, uye caruncle yakaonekwa se cystic.Mifananidzo yeFS ye peripatellar soft tissue uye infrapatellar fat pad yakaratidza heterogeneous patchy high signal.
Magnetic resonance yebvi rekurudyi yakaratidza: sagittal T2WI-FS, coronal T1WI T2WI-FS, uye transverse T2WI mifananidzo: osteophytes yemapfupa ose emabvi ekurudyi, kuderera kwenzvimbo yakabatana, kuonda kwearticular cartilage, kusagadzikana, kusavapo kwechidimbu, uye chigamba chepamusoro chiratidzo pasi pekubatana. pamusoro peiyo distal femur uye proximal tibia paFS mifananidzo.Mifananidzo yeFS yemukati uye lateral meniscus yakaratidza mutsara wakakwirira chiratidzo, uye meniscus yepakati yakanga isina kuumbwa uye kunze kwekunze.Iyo anterior uye posterior cruciate ligaments yakanga ine morphology isina kukwana uye yakaratidza heterogeneous high signal paFS image, nepo medial uye lateral collateral ligaments haina kuratidza chero chiratidzo chakakosha chisina kujairika.Irregular fluid accumulation signal yakaonekwa mujoint capsule.Mufananidzo weFS we peripatellar soft tissue uye subpatellar fat pad yakaratidza heterogeneous patchy high signal.
Anterior X-ray yemajoini ose ehudyu akaratidzwa:Kuwanda kwepfupa uye morphology yemapfupa emakumbo maviri ehudyu yakanga isiri yakashata, uye nzvimbo yakabatana yakaratidza zvakajeka, pasina kuwedzera kana kuderera, hapana kunyatsoputsika kana zviratidzo zvekuparara kwemapfupa zvakaonekwa.Pakanga pasina abnormality mumanyoro akatenderedza.
Clinical kuongororwa:
1. Osteoarthritis yemabvi ose
2. Hypertension
Postoperative:
XU UKA
LIAO Chengjie
Chiremba Mukuru, Dhipatimendi reOrthopedic Surgery, Northeast International Hospital
Nhengo yechidiki yeBone uye Joint uye Rheumatism Committee
yeChina Society yeRehabilitation Medicine,
Nhengo yedare rekutanga reLiaoning Medical Association Traumatology Branch,
Nhengo yeLiaoning Provincial Osteoporosis Professional Committee.
Nguva yekutumira: Kubvumbi-19-2023