I-Ankle fusion yinkqubo yokucwangcisa eyenziwa ukunyanga kwe- arthritis enamandla. Xa intlungu ye-ankle ivela ngenxa ye-arthritis, kwaye unyango olungaphelelanga alukwazi ukubonelela ngokukhawuleza, utyando lunokuqwalaselwa. Izinketho kwizigulane ezinesifo esiqheqhaqhaqhaqhakathaka ziquka ukuhlinzwa kwendawo ye- ankle kunye nokuhlinzwa kwe- ankle fusion.
I-ankle arthritis ayiqhelekanga, ubuncinane ifaniswa ne-hip kunye ne-knee arthritis.
Uninzi lwezigulane ezine-arthritis ze-ankle ziye zenza uhlobo oluthile lokuxhatshazwa kwi-joint joint, njenge- fracture ye-ankle . Iindaba ezilungileyo kukuba izigulane ezininzi ezine-arthritis ezinomzimba okanye ezinomlinganiselo we-ankle ziyakwazi ukufumana uncedo ngemithi elula. Nangona kunjalo, kwizigulane ezine-arthritis ezinzulu ezingakhange zifumane ukuphucula ngamanyathelo alula, ukuhlinzwa ngesikhumba kunokukhetha.
Abaviwa be-Ankle Fusion
Ukuhlinzwa ngonyango lwe-Ankle yindlela efanelekileyo kwizigulane ezine-arthritis enamandla kunye kunye nokwenziwe kwizigulana zonyaka. Xa kuthelekiswa nokuhlinzwa okwenziwa ngamagqabi, i-fusion ye-ankle isoloko ikhethwa kwizigulane ezisebenzayo, ezinokuthi ziguqulwe esikhundleni sesikhumba .
Utyando lwe-Ankle fusion alukho unyango olungileyo kwizigulana ezingakwazi ukulawula iimpawu zabo ngokulula, ezingekho unyango: izigulane ezinama-fusion ezinamaqanda ziya kubambisana ngokusisigxina, kwaye zingenako ukwenza imisebenzi ethile efana nokusebenza.
Ukongezelela, i-fusion fusion kufuneka yenziwe ngokucophelela kwizigulane ezinezifo ezisebenzisayo, okanye kwizigulane ababhemayo, njengoko ezi zigulane zinomngcipheko omkhulu wokuba neengxaki ezivela kutyando.
Indlela i-Ankle Fusion eyenziwa ngayo
Kukho iindlela ezininzi zokugada ukwenza i-fusion ye-ankle, kodwa zonke ezi nkqubo zifezekisa injongo efanayo yokuqhawula ngokusisigxina umxhasi we-ankle kangangokuba awukwazi ukugoba.
Isinyathelo sokuqala ukususa nayiphi na i-cartilage eseleyo kwaye udale umgangatho weethambo phezulu kunye nangaphantsi kwehlangane; Isinyathelo esilandelayo kukulungelelanisa amathambo kwindawo efanelekileyo yokuxuba. Ekugqibeleni, ukufakelwa kwesinyithi - ngokuqhelekileyo izikhonkwane ezinkulu - zisetyenziselwa ukubamba amathambo kule ndawo.
Inqubo ingenziwa ngeendlela ezahlukeneyo, kuxhomekeke kwizinto ezinjengexabiso lokungafihlisiyo, umlinganiselo wesifo se-arthritis kunye nodokotela ogqithisileyo. Abanye oogqirha basebenzisa i- ankle arthroscopy ukususa i-cartilage, ngelixa abanye benza i-incision enkulu kwaye bajonge ngqo kwidibeneyo.
Okuthakazelisayo, i-hardware yensimbi ebeka ukuba ibambe amathambo ayifuni xa kuqhutywe ithambo : itsimbi isetyenziselwa ukubamba iqhagamshelo ngexesha i-fusion iyaphilisa, kodwa emva kokuba ithambo likhule lihlangene kunye, isinyithi akusafuneka. Kwezinye iimeko, izigulana zivakalelwa izilwanyana zetsimbi, ngoko ziyakususwa. Kodwa akukho sidingo sokususa i-screws xa bengabangela ingxaki.
Ukubuyiswa kwe-Ankle Fusion
Utyando lwe-Ankle fusion luvame ukulandelwa ukuhlala ubusuku obubodwa esibhedlele ukuqinisekisa ukuba intlungu ilawulwa, kwaye isigulane sikhululekile. Izigulane zifakwe kwi-cast and will remain off of the axle affected by using knutches or walker .
Oku kuvumela amathambo amatsha ukuba aphilise kwi-joint fused, kwaye emva kokuba ithambo liqala ukuxhamla, izigulane ziqala ukubeka isisindo kwidibeneyo. Ngokuqhelekileyo abantu kuya kufuneka bahlale ekhisini kwiiveki ezi-8 ukuya ku-12, balandelwe ukuhamba ngokukhuselekileyo kwi-boot okanye ukuphosa. Ukuphulukiswa ngokupheleleyo kwe-fusion ye-ankle kunokuthatha inyanga ezi-4-6.
Iingxaki ze-Ankle Fusion
Ixhalaba elibalulekileyo emva kokuba utyando lwe-fusion lubizwa ngokuba yi- nonunion , eyenzekayo xa amathambo ahlaselwa aphilwanga kunye. Kukho izinto ezithatha ukukhokelela ekungabandakanyekanga, kodwa kwimeko yesigulane esifanelekileyo, kungabikho nxaxheba. Izigulane ababhemayo banomlinganiselo ophezulu kakhulu wokungabandakanywa , kwaye kufuneka baqwalasele ngenyameko ingozi yolu ngxaki.
Ukuyeka ukubhema kunokuba luncedo ekunciphiseni ithuba lokungabambisani.
Ezinye iingxaki ezinxulumene nophando lwe-ankle fusion ziquka ukusuleleka, iingxaki zokuphilisa izilonda, kunye nezinguqu ze-arthritic kwiindawo ezincinane zonyawo. Ngenxa yokuba ukunyuka kwe- ankle fusion, izigulane zihlala zihlakulela i-arthritis kumalungu enyawo ngaphantsi kwendlela. Ukongezelela, izigulane ezithotyelwa ngophenyo lwe-fusion zingadinga ukufumana izicathulo zazo ziguqulwe ekuncedeni ukuhamba bonke ubomi babo.
Umthombo
Abhidi, NA, et al. "I-Ankle Arthrodesis: Iinkcazo kunye Nezobugcisa" J. Am. Acad. IOrn. Ugqirha, ngoMeyi / Juni 2000; 8: 200 - 209.