Tibial Tuberosity Advancement (TTA) System: Bi opereli fɛɛrɛ dɔ bɛ kɛ ka ɲɛsin kanini kuruw ma .
Daminɛ kuma
Kurucɛ kurulen (ACL) ye kɔkili kɔkanna jolisiraw dɔ ye min bɛ jogin kosɛbɛ, o bɛ na ni kolotugudaw basigibaliya ye, dimi, ani laban na kolotugudaw bana (DJD). A ka ca a la, opereli ka kan ka kɛ walasa ka sabatili segin a ma ani ka joli tiɲɛni wɛrɛw bali. Opereli fɛɛrɛ labanw dɔ ye kansɛri ACL dilancogo la, o ye Tibial Tuberosity Advancement (TTA) fɛɛrɛ ye, o min ye mɔgɔw ka dɔnniya sɔrɔ ka da a nafa kan kolotugudaw ka baara ɲɛnabɔli la, ka dimi dɔgɔya, ani ka opereli kɔfɛ gɛlɛyaw dɔgɔya. Nin barokun in kɔnɔ, an bɛna TTA sigida lajɛ ka taa a fɛ, a sariyakolow, a kɛcogo, a nafaw, ani a dantigɛliw.
Anatomy and physiology of the canine stifle joint .
Sani an ka TTA sigida lajɛ, a nafa ka bon kosɛbɛ ka kɔnɔboli kolotugudaw ni u farikololabɔli faamuya. Stifle joli bɛ bɛn hadamaden gɛnɛgɛnɛ kolotuguda ma wa a bɛ kɛ ni senkɔniw, senkɔniw ani senkɔniw ye. ACL ka baara ye ka kolotuguda sabati ni a bɛ senkɔni bali ka sɛgɛn ka taa ɲɛfɛ ka kɛɲɛ ni senkɔni ye. Donsow la, ACL bɛ sɔrɔ joli-sira-funu kɔnɔ, a bɛ kɛ kolajɛ-fibres ye minnu bɛ nɔrɔ senkɔni ni senkɔni kolo la.
ACL ka banaw ka tiɲɛni wuluw la .
ACL kari wuluw la, o bɛ se ka kɛ sababu suguya caman ye, i n’a fɔ jamu, san hakɛ, fasa, farikoloɲɛnajɛ ani joginda. Ni ACL karilen don, senkɔni kolo bɛ wuli ka taa ɲɛfɛ, o bɛ kɛ sababu ye ka joli bɔ a la, ka sɔrɔ ka dimi, ka funu, ka laban ka DJD sɔrɔ. Furakɛcogo kɔrɔlenw, i n’a fɔ lafiɲɛbɔ, furaw, ani farikoloɲɛnajɛw, olu bɛ se ka dɛmɛ don ka dimi nɔgɔya, nka a tɛ joli basigibaliya gɛlɛya jugumanba ɲɛnabɔ. A ka ca a la, opereli ka kan ka kɛ walasa ka sabatili segin a ma ani ka joli tiɲɛni wɛrɛw bali.
TTA sigida sariyakolow .
TTA sitɛmu ye bi opereli fɛɛrɛ ye min bɛ kɛ ka kansɛri ACL dilan min laɲini ye ka kolotugudaw sabatili segin a cogo kɔrɔ la ni tibial plateau kɛrɛ caman cili ye. Tibial plateau ye tibia kolo sanfɛla ye min bɛ articulate ni femur kolo ye ka kɛ stifle joint ye. ACL tiɲɛni bɛ wulu minnu na, tibial plateau bɛ jigin, o bɛ kɛ sababu ye ka tibia kolo sɛgɛn ka taa ɲɛfɛ ka kɛɲɛ ni senkɔni kolo ye. TTA sitɛmu bɛ tali kɛ tibial tuberosity tigɛ la, kolotuguda min bɛ sɔrɔ gɛnɛgɛnɛ joli jukɔrɔ, ani ka taa ɲɛ ka taa ɲɛfɛ walasa ka dɔ fara tibial plateau kan. Ɲɛtaa bɛ sabati ni titanium cage ani vises ye, minnu bɛ kolo kɛnɛya ni fusion sabati.
Nafa minnu bɛ TTA sigida la .
TTA sitɛmu bɛ nafa caman di ka tɛmɛ ACL dilancogo laadalama kan, i n’a fɔ tibial plateau leveling osteotomy (TPLO) ani extracapsular dilancogo. A fɔlɔ, TTA sitɛmu bɛ biomekanikini mankan ka ca, bawo a bɛ tibial plateau (tibial plateau) kɛrɛ caman Changer walasa ka tibial thrust (tibial thrust) bali ka taa ɲɛfɛ, o min ye ACL tiɲɛni sababuba ye. Filanan, TTA sigida bɛ ACL bangenen lakana, ka gɛlɛyaw dɔgɔya i n’a fɔ banakisɛ, fɛnɲɛnamafagalanw tiɲɛni, ani fɛnw doncogo dɛsɛ. Sabanan, TTA sigida bɛ sira di opereli kɔfɛ girinya ni a labɛnni ma joona, o bɛ joli baara ɲɛ ani ka kɛnɛya waati dɔgɔya. Naaninan, TTA sitɛmu bɛnnen don wuluw ma u bonya ni u suguya bɛɛ la, bawo a bɛ se ka kɛ ka kɛɲɛ ni mɔgɔ kelen-kelen bɛɛ magow ye.
dan ye TTA sigida la .
I n’a fɔ opereli fɛɛrɛ bɛɛ, TTA sitɛmu bɛ ni a dan ye ani a bɛ se ka gɛlɛya minnu sɔrɔ. Gɛlɛya min ka teli ka sɔrɔ, o ye fɛn dontaw dɛsɛ ye, o bɛ se ka kɛ ka a sababu kɛ degun ye, banakisɛ sɔrɔli, walima kolo kɛnɛyali jugu. Kɔnɔnatumuw dɛsɛli bɛ se ka kɛ sababu ye ka kolotugudaw basigibaliya, dimi, ani ka segin opereli kan.
TTA sigida gɛlɛya wɛrɛ minnu bɛ se ka sɔrɔ, olu ye tibial crest fracture, patellar tendonitis ani joli bɔli ye. Ka fara o kan, TTA sitɛmu ye opereli fɛɛrɛ gɛlɛn ye min bɛ kalan ni dɔnniya kɛrɛnkɛrɛnnenw de wajibiya, o bɛ se ka dan sigi a sɔrɔli la baganw ka dɔgɔtɔrɔso dɔw la. Ka fara o kan, TTA sitɛmu sɔngɔ ka bon ka tɛmɛ ACL dilancogo fɛɛrɛ tɔw kan, n’a sɔrɔla o tɛ se ka kɛ sokɔnɔbagan dɔw tigi ye.
Kandidati minnu bɛ TTA sigida la .
TTA sitɛmu bɛnnen don wuluw ma minnu ka ACL tiɲɛni ni u joli basigibaliya bɛ u la, ani minnu ɲɛji bɛ bɔ ɲɔgɔn fɛ walima minnu bɛ kɛ ni u ka DJD ye ɲɔgɔn fɛ. TTA sigida la, mɔgɔ ɲuman ye wulu ye min farikolo girinya ka bon ni kilogaramu 15 ye, barisa a bɛ se ka kɛ ko wulu fitiniw kolo girinya bɛ se ka kɛ ka titaniyɔmu kaburu dɛmɛ. Ka fara o kan, TTA sitɛmu man ɲi wuluw ma minnu ka patellar luxation jugumanba don, kunkolo kurulen jugumanba (CCL) tiɲɛni, walima patellar luxation medial.
Jateminɛ ni bolodacogo sani opereli ka kɛ .
Sani a ka kɛ TTA sigida la, wulu ka kan ka jateminɛ kɛ ka kɔn opereli ɲɛ, o la, farikolo sɛgɛsɛgɛli dafalen, ja lajɛ min bɛ kɛ ni radiyo ye, ani laboratuwari sɛgɛsɛgɛli. Radiographie ja lajɛ ka kan ka kɛ ni stifle joint views ni hip views fila bɛɛ ye walasa ka hip dysplasia walima jolidɛsɛ kunbɛn min bɛ kɛ ɲɔgɔn fɛ. Ka fara o kan, operelikɛla ka kan ka opereli boloda ka ɲɛ, o la, titaniyɔmu kafolan bonya n’a jɔyɔrɔ, tibial tuberosity ɲɛtaa hakɛ, ani anestezi ni dimi suguya.
Opereli fɛɛrɛ .
TTA sitɛmu ye opereli fɛɛrɛ ye min bɛ ɲini fɛɛrɛko siratigɛ la, min bɛ dege kɛrɛnkɛrɛnnenw ni dɔnniyaw de wajibiya. Opereli bɛ kɛ anestezi caman na, wa wulu bɛ bila kɔfɛ hakilisigi la. Operelikɛla bɛ tigɛ kɛ tibial tuberosity kan ani ka patellar tendon detache ka bɔ tuberosité la. O kɔfɛ, tuberosité bɛ tigɛ ni sɔgɔ kɛrɛnkɛrɛnnen ye, ka titanium cage bila tigɛ kan. Kaburu bɛ siri ni juruw ye, ka patellar tendon siri kokura tuberosité la. O kɔfɛ, joli bɛ lajɛ ni a bɛ sabati, ka tigɛda datugu ni suturaw walima fɛnɲɛnamafagalanw ye.
Opereli kɔfɛ ladonni ni a labɛnni .
Opereli kɔfɛ, wulu bɛ bila dimimadafura ni banakisɛfagalanw na, ka sɔrɔ ka a tigi kɔlɔsi a fununi, dimi walima banakisɛ sɔrɔli la. A bɛ to wulu ka girinya a farikolo yɔrɔ la opereli kɔfɛ dɔrɔn, nka a ka kan ka baara dantigɛlen kɛ dɔgɔkun fɔlɔw la. Usi ka kan ka to ka a siri ani ka a bali ka pan, ka boli, walima ka jiginni kɛ eskala la. Farikoloɲɛnajɛ, o la, lamaga-lamagaliw ni farikoloɲɛnajɛ minnu bɛ kɛ ka ɲɛ, olu ka kan ka daminɛ tile damadɔ kɔnɔ opereli kɔfɛ walasa ka kolotugudaw baara ɲɛ ani ka farikolo fanga bali. Ni aw bɛ to ka taa bɔ opereli la tuma bɛɛ, o ka kan ka kɛ walasa ka kɛnɛyacogo kɔlɔsi ani ka gɛlɛyaw dɔn minnu bɛ se ka sɔrɔ.
Kuncɛli
Tibial tuberosity advancement (TTA) sitɛmu ye bi opereli fɛɛrɛ ye min bɛ kɛ ka kanini ACL dilan min laɲini ye ka kolotugudaw sabatili segin a cogo kɔrɔ la ni tibial plateau kɛrɛ caman cili ye. TTA sitɛmu bɛ nafa caman di ka tɛmɛ ACL dilancogo laadalama kan, i n’a fɔ biomekanikini, ACL min bɛ sɔrɔ a yɛrɛ la, o lakanani, ani opereli kɔfɛ ɲɛnabɔli daminɛni. Nka, TTA sitɛmu bɛ ni a dan ye ani a bɛ se ka gɛlɛya minnu sɔrɔ, wa a bɛ kalan ni dɔnniya kɛrɛnkɛrɛnnenw de wajibiya. O la, a latigɛ ka TTA ka sigida ta, o ka kan ka kɛ, a kɛlen kɔ ka jateminɛ kɛ ka kɔn opereli ɲɛ ani ka lajɛ kɛ ni baganw ka operelikɛla ŋana ye.
