Ulwazi malunga neNkqubo zokuQinisa i-Ankle Joint
I-Ankle sprains yingozi yezemidlalo eziqhelekileyo ezinokubangela intlungu kunye nokuvuvukala komdibaniselwano. Ininzi yezigulane, unyango olungaphelelanga luya kunciphisa intlungu kunye nokubuyisela umsebenzi odibeneyo. Nangona kunjalo, kukho iimeko apho utyando lunokuba luyimfuneko ukuzinzisa ukujoyina i-ankle ukuvumela ukubuyela kwimisebenzi epheleleyo yesigulane.
Izibonakaliso zoBuchololi emva kwe-Ankle Sprain
Ngokubanzi, kukho iimeko ezimbini apho utyando lunokuqwalaselwa.
- Ukulimala okuMandla
Imeko yokuqala yenzakaliswa ngokukhawuleza, enye eyenziwa nje ngoku nje. Kule meko, utyando ludla kancinci unyango. Kuphela kwalimala kakhulu, kumagqabi aphezulu asebenzayo, uphando luqwalaselwa. Ezi zi gulane zihlala zixhasa i-bakala ye-bakala ye-Grade III kwaye zineziphumo zekliniki kunye ne-x-ray zesangqa esinzima. Ukulungiswa kwangaphambili kwezi meko kunokunceda ukukhawuleza ukubuyiswa kwemisebenzi yezemidlalo. - Ukukhubazeka okungapheliyo
Ngokuqhelekileyo, utyando luyenziwa xa umgijimi ephethe iimpawu zexesha lokungazinzi kwe-ankle - i-ankle isoloko ikhupha kwaye iphinda ikaliswe. Ezi zi gulane zidla ngokuzama ukunyanga okuquka unyango, ukuqiniswa, ukubethelwa, kwaye kusekho izikhalazo ze-buckling buckling.
Iinkqubo zokuPhepha - Ukuguqulwa kweNdlu kunye nokunye
Kukho iinkqubo ezahlukeneyo zokucatshungulwa eziye zachazwa ukuze zizinze i-ankle kwindawo yokungazinzi kwe-ankle.
Inkqubo ephambili yokugqirha eqhelekileyo esetyenziswa namhlanje ibizwa ngokuba yi-"processed Brostrom". UDkt. Brostrom uchaza ekuqaleni inkqubo yokuhlinzwa, eye ishintshiwe, kwaye sele iyona ndlela isetyenziswa ngokugqithiseleyo yokunyanzeliswa kwe-ankle.
Inkqubo ye-Brostrom eguqulwayo igxininisa imigudu ye-ankal lateral.
Ngokuqhelekileyo ugqirha wakho uya kususa isinamathiselo sethambo le mijelo kwi-fibula, kwaye uphinde ufake i-ligament kwindawo ephakamileyo.
Inkqubo ye-Brostrom ibizwa ngokuba yi-anatomic reconstruction ngoba izama ukubuyisela umatshini oqhelekileyo we-ankle ngokubuyisela i-anatomy evamile. Ezinye iinkqubo zokuphucula zibhekwa njengeendlela zokubuyiswa kwe-anatomic, njengoko zibandakanya ukusebenzisa i- tendon ukuvuselela ukukhawulela ukuhamba kwe-ankle, oko kukuthintela ukungazinzi. Ezi zakhiwo ezingezo-anatomic zenzeke ngaphantsi kakhulu. Amagama angaphantsi kwama-anatomic reconstructions abandakanya i-Chrisman-Snook, i-Watson-Jones kunye neenkqubo ze-Evans; kwakhona, bonke ababizwa ngokuba ngabagqirha abachaza le ndlela.
Kwezinye iimeko, iigaments ziye zanyulwa kakhulu, kwaye ukulungiswa kwemigqa kungakhokelela ekuzinzekeni okuqhubekayo ukuba izicubu zingabonakali ukuba zomelele ngokwaneleyo. Kulezi zi gulane, oogqirha abathile bakhetha ukwakhiwa kwe-non-anatomic. Enye inketho yongeza i-tissue graft kwiigaments yokongeza amandla. Kule meko, abanye oogqirha batusa ukuba basebenzise i-graft evela kwelinye inxalenye yomzimba wakho, okanye u- graft donor .
I-ankle arthroscopy iya kuba yinto esetyenziswa ngokuqhelekileyo njengecandelo lokuhlinzwa kwe-ligament.
Ngokuqhelekileyo i-arthroscope isetyenziselwa ukuqinisekisa ukuxilongwa kunye nokuqinisekisa ukuba i-cartilage kunye nokudibanisa iimeko ezifanelekileyo. Nangona i-arthroscopy ye-ankle ingasetyenziswanga nje njengenkqubo yokulungisa iigamente ezonakalisiweyo, oku kuya kusebenza ngokuqhelekileyo ngokubambisana nokuhlinzwa kwe-ligament.
Ukubuyiswa kokutsha
Ukubuyiselwa emva kokuba utyando lwe-ankle luzinzile ngokuxhomekeka kwinkqubo eyenziweyo. Iziphumo zokuhlinzwa ziye zalungile, kunye nezifundo zenkqubo eguqukileyo ye-Brostrom ebonisa ngcono ngaphezu kwe-90% yezigulane ezisuka kwimisebenzi eqhelekileyo emva kokuhlinzwa kwabo.
Iingxaki ezivela ekutyunjeni zivame ukuhlangana ngexesha lesigaba sokuvuselela.
Ukunyaniseka kwesigxina se-ankle okanye ukungazinzi ngokuphindaphindiweyo zombini iingxaki ezinokuthi zenziwe ngokuzinzileyo. Ezinye izingozi ziquka ukusuleleka, iingxaki zokuphilisa, kunye nokulimala kwentsholongwane.
> Imithombo:
> Maffulli N kunye noFerran NA. "Ulawulo lwe-Ankle Instability Instability" J Am Acad Orthop Surg Oktobha 2008; 16: 608-615.