I-exostectomy ye-ankle yindlela yokuhlinzwa ukuba isuse i- spurs ye-bone ephuhliswa phambi kwe-joint joint. I-Ankle bone ithambile ihlala ifake ngenxa ye-ankle arthritis. I-spurs ingaba enkulu kwaye ibuhlungu. Izigulane ezine-arthritis ze-ankle ezifuna ukuhlinzwa zifumanisa ukuba kukho ukhetho oluninzi oluxhomekeke kukuxinwa kwengxaki.
Yintoni iAnkle Arthritis?
I-Ankle arthritis yimeko apho i-cartilage yehlangane ye-ankle iyancipha kwaye ukunyakaza kuya kuba nzima kwaye kubuhlungu.
I-arthritis eqhubela phambili iqhubela kwi-bone cysts kunye ne-bone spur. I-bone spurs ngokuvamile ifakwe phambi kwendibano egciniweyo kwaye ingaba enkulu kakhulu. Ezi zifuba zithemba, ziphuhlise ngaphandle (okanye kwipheriphery) yomdibaniselwano, ngenjongo yokuthintela inkqubela. I-bone spurs yimpendulo yendalo yomzimba kwi-arthritic process. Maxa wambi i-bone spurs ibe enkulu kangangokuthi iyaphuka okanye iphule, ibe yimiqulu ye-boney. Isithambo sitshiza siba neentlungu xa zikhulu, zingena kwi-bone spurs kunye / okanye zidibaniswa nezicubu ezivuthayo.
Unyango
Kukho iindlela ezininzi zokuphatha i-arthritis ye-ankle. Izinketho zezononophelo ziquka imishanguzo yeentlungu, iziyeza ezichasayo, izibilini zesikhumba, unyango lomzimba kunye / okanye iigciwane. Izinyathelo zokuhlinzwa ze-arthritis ze-Ankle ziquka iinkqubo ezigcina ukudibanisa kwe-ankle (iinkqubo zokudibanisa i-joint salvage) okanye iinkqubo ezisusa umxhasi we-ankle (iinkqubo ezidibeneyo zokulimala).
Ngokuqhelekileyo, iinkqubo zokunxibelelana kunye ne-salvage zenzelwe izigaba zokuqala zesifo se-arthritis kanti iinkqubo ezonakalisiweyo kunye ne-arthritis yokuphela.
IAnkle Exostectomy
Utyando lokususa i-spurs bone kuthiwa yi-exostectomy. Injongo ye-ankle exostectomy kukususa i-bone spur (s). Ukuba ithambo litshiza ngokwabo libuhlungu kwaye ukususa nje ukutshatyalaliswa kwethambo kunokunciphisa ukuphazamiseka.
Ukongezelela, ukuba i-spurs bone ikhula ukuze iyanqande ukunyakaza, ukususa i-bone spurs kunganciphisa impawu.
Kukho iindlela ezimbini zokususa i-spurs bone:
1. I-Arthroscopic Ankle Exostectomy
2. Vula i-Ankle Exostectomy
I-Arthroscopic Ankle Exostectomy: Olu hlobo lwe-ankle exostectomy lubandakanya ukusetyenziswa okuncinci / okuncinci ukukhupha i-bone spurs ngoncedo lweekhamera kunye ne-shavers bone. Inzuzo yale nkqubo kukuba ngokuqhelekileyo ibonwa njengento encinci, kwaye ezinye iinkalo ze-arthritis ye-ankle zingabhekiswa - njengethambo lesithambo kunye / okanye iishubhu ezibomvu. Nangona kunjalo, i-ankle arthroscopy ibonakaliswe bhetele kwi-arthritis ye-ankle emancinci ukuze ilandele i-arthritis ngenxa yokuba i-arthritis enamandla kakhulu yenza ukuba kube nzima ukufikelela kwi-arthroscopically.
Vula i-Ankle Exostectomy
I-exostectomy ye-ankle evulekile yindlela yendabuko yokususa i-bone spurs ngokwenza i-incision (front) ye-ankle. Nanku ukubonakala okuthe ngqo kunokufezekiswa kwaye i-spurs bone ifakwe. Ngenxa yokuba ubume banzi bubanzi, i-bone spurs engaba nzima ukuyisusa nge-arthroscopy ingasuswa ngeendlela ezivulekile. Le ndlela ifaneleke ngakumbi kwi-arthritis ehamba phambili, okanye loo bone ithambile nge-arthritis.
Ukubuyisela
Ukubuyiselwa kwe-ankle exostectomy kuthathwa njengokukhawuleza ukuba izigulane zivame ukuhamba kwindawo yokusebenza emva kokuhlinzwa. Oku kunenzuzo xa kuqwalaselwa ezinye iindlela zokugonywa kwe-arthritis ye-ankle, apho ukuphinda kuphuculwe kungekude.
I-Upside ne-Downside
I-ankle exostectomy yindlela ephumelelayo yokususa i-bone spurs, kwaye ukuba ithambo likhupha okanye isithintelo abavimbelayo sinokubangela intlungu, ngoko inkqubo inokuphumelela. Nangona kunjalo, ukususa i-bone spurs kwakhona kukhulula umxhasi we-ankle ukuba uhambe, kwaye oku kunokubangela ingxaki kwi-joint joint ye-ankle njengoko oku kungabangela ukunyakaza okubuhlungu.
I-bone spurs ingaguquka ngokuhamba kwexesha kunye nento emele icatshangelwe. Ngethuba ukunyakaza kungaphucula okokuqala emva kwe-exostectomy, izicubu ezinqabileyo zingaphuhlisa kwaye zinciphise ukunyakaza.
Kutheni Ukhetha i-Ankle Exostectomy?
Nangona i-exostectomy ayiyi kuphilisa i-arthritis, ingasusa iimpawu ezihambelana neethambo kunye nokuba mhlawumbi ziphuculwe. Kungcono kwiimeko ezinzima ze-arthritis, kwaye ngokuqhelekileyo zisetyenziselwa njengenkqubo yomlambo kufuneka i-arthritis iqhubekele ekupheleni kwesigaba.