Indlela ukuvuselelwa kwe-ACL yokuHlonyelwa kwe-Graft kwenziwa ngayo
Iinyembezi ze-ACL ziyingozi edlalayo yezemidlalo ekufuneka ifune unyango. Emva kokuba ugqibe ekubeni uqhubeke nokuhlinzwa okwenziwa yi-ACL, uzinikezele ukuba ube ne-ACL entsha efakwe kwiidolo. Funda amanyathelo okuhlinzwa kwe-ACL, kunye nendlela i-ACL eyenziwa ngayo kwaye ikhuselekile phakathi kwexolo lakho.
Misela uhlobo lwe-ACL Graft
Kukho iintlobo ezintathu ze-ACL graft esetyenziswa ngokuqhelekileyo.
Ezi ziquka i-tendellar tendon, i-tendstring tendon, kunye ne-cadaver (abaxhasi). Kukho iintlobo ezahlukahlukeneyo kunye neentlobo zeentlobo ezahlukeneyo zokufakelwa , kunye nokuthatha isigqibo malunga nokuba kukuphi na okusemandleni akho ukuba ube yisigqibo esinzima.
Ugqirha lweArthroscopic
Isinyathelo sokuqala sotyando kukuba kufakwe i- arthroscope ukuya emadolweni ekuhlanganyeleni ukuhlola umonakalo owenziwe kwidibeneyo. Ugqirha wakho uya kugqiba ukuxilongwa kweendlebe ze-ACL, kwaye uhlole enye imonakalo. I-meniscus, i-cartilage, kunye nezinye iigaments iyakwazi ukuhlolwa ngenxa yemonakalo eyenzekayo. Kuqhelekile ukuphatha i- meniscus iinyembezi kunye nokulimala kwe-cartilage ngexesha elifanayo kunye nokwenza i-ACL yokwakhiwa.
'Ukuvuna' kwaye Lungiselela i-ACL Graft
Xa i-ACL izinyembezi ziqinisekisiwe, kufuneka ukuba kufakwe i graft, inkqubo ebizwa ngokuthi "ukuvuna" ulwahlulo. Kwimeko yomncedisi wokuxhaswa , izicubu kufuneka zihlulwe. Kwiimeko apho ulwahlulo oluvela kwisigulane esinokubuyiselwa kwe-ACL, kuya kwenziwa ukuba kufikelelwe izicubu.
Emva kokufumana ulwahlulo, izicubu ezisetyenziselwa ukwakha i-ACL entsha lilungele ukuba ubude nobubanzi obufanelekileyo. Ezinye zokunciphisa zingenziwa ukuze kuqinisekiswe ubungakanani obufanelekileyo befayile. Uluhlu lubekwa bucala kude kube idolo lilungele i-ACL entsha.
Tibial Tunnel
Isinyathelo esilandelayo kukudala indawo entsha ye-ACL ukuba ihlale emadolweni.
I-ACL ichanekile phakathi kwendawo yedolo kunye kwaye kufuneka ifakwe kwithambo elingentla naphantsi kwe-joint. Ngoko ke, i- ligament entsha kufuneka iqale ngasekupheleni kwethambo lethanga kwaye iphele ngaphakathi kwiphantshi ye-bone.
I-drill isetyenziselwa ukwenza urhubhe kwi-bone bone. Ukuphela kwesi sikhokelo emadolweni ngokuxhomekeke ngqo apho i-ACL ifanele ifake kwi bone bone.
I-Tunnel
Ngomlambo we-tibial owenziwe nje, i-drill idluliselwa ngokuthe ngqo phakathi phakathi kweedolo . Isalathisi lesibini lesithambo lenziwe ngaphakathi kwidolo kuze kube sekupheleni kwesibini. Eli thuba leethambo liza kubamba umgca omnye we-ACL entsha, kunye ne-tibial tunnel iya kubamba enye.
Dlula i Graft
Amathambo amabini amathambo - enye ekupheleni kwe-femur, kunye nomnye kwinqanaba le- tibia- i-ACL entsha yegraft kufuneka ifakwe kwisithuba. Iipinki ezinkulu zigqitywa ngamabhanki amathambo, kwaye iqhotyoshelweyo ekupheleni kwepini yi-ACL entsha. I-ACL entsha ithathelwa kwi-tunnel ye-femal ukwenzela ukuba umgca omnye ungagcinwa kwi-femur. Esinye siphelo sisekuhlaleni kwe-tibial, kwaye inxalenye ebalulekileyo ye-graft iphakathi kwendima ehlangene ithatha indawo ye-ACL endala.
Okhuselekileyo Owesifazane Ngecala leGraft
Nge-graft ye-ACL kwisikhundla, i-graft kufuneka ifakwe ngokuqinisekileyo kwindawo yayo entsha.
Kukho iindlela eziliqela zokukhusela i-graft. Enye indlela eqhelekileyo yokwenza njalo kukusebenzisa isiqwenga sokubamba ukuphela kwesigxina ngaphakathi kwelayile. Isikratshi sinokwenziwa ngesinyithi, impahla ye-plastic-dissolvable, okanye i-calcium-based substance ejika ibe yithambo. Ugqirha wakho unokuncoma uhlobo oluthile lwezinto eziphathekayo, nangona akekho oye waboniswa ukuba "uphezulu" ekukhuseleni ulwahlulo.
I-Tibe Side Secure ye-Graft
Emva kokuba i-graft iqinile ngokusemgangathweni kwicala labesifazane, ukuxhatshazwa kufakwe ekupheleni komnquba ukuze i-ACL entsha ibe nzima. Icala le-tibial ye-ligament elitsha liye lugqityiwe, ngokufanayo kwinqanaba le-wesifazane. Kwakhona, izixhobo ezahlukeneyo zingasetyenziselwa ukulungisa ulwahlulo kwisikhundla.
Ngokuhamba kwexesha, i-graft iya kuphulukisa kwithambo ejikelezileyo, okwenza izixhobo zokulungisa zingadingekile. Ngamanye amaxesha, isiqwenga esivelele okanye isisitye esasetyenziselwa ukubamba i-graft kwisithuba singasuswa emva konyaka. Ukuba kungabangela iingxaki, ezi zinto zihlala zihlala kwindawo.
> Imithombo:
> Prodromos CC, et al. "Iingxabano kwi-Soft-tissue Anterior Cruciate Ligament Ukwakhiwa kwakhona: iingubo, izixhobo, ii-tunnels, ukulungiswa, kunye nokuvuna" J. Am. Acad. IOrn. Ugqirha, ngoJulayi 2008; 16: 376 - 384.