Tibial Tuberosity Advancement (TTA) System: Egbegbe Amekokomɔnu aɖe na Canine Cruciate Ligament Dzadzraɖo
Kpɔkplɔyiɖeme
Anterior cruciate ligament (ACL) nye lãkusi siwo xɔa abi wu le aƒemelã ƒe megbeƒu me la dometɔ ɖeka, si hea ƒunukpeƒewo ƒe malikenyenye, vevesese, eye mlɔeba ƒunukpeƒedɔléle si gblẽna (DJD) vɛ. Zi geɖe la, amekoko hiãna be wòana ƒunukpeƒea nali ke eye wòaxe mɔ ɖe nu bubu siwo agblẽ le ƒunukpeƒea ŋu nu. Amekokomɔnu yeye siwo wozãna tsɔ dzraa aƒemelãwo ƒe ACL ɖo dometɔ ɖekae nye Tibial Tuberosity Advancement (TTA) system, si xɔ ŋkɔ le esi wòwɔa dɔ nyuie le ƒunukpeƒewo ƒe dɔwɔwɔ nyuie wu, vevesese dzi ɖeɖe kpɔtɔ, kple dɔwɔwɔ vɔ megbe kuxiwo dzi ɖeɖe kpɔtɔ me ta. Le nyati sia me la, míaku nu me tsitotsito le TTA ɖoɖoa, eƒe gɔmeɖosewo, eŋudɔwɔwɔ, viɖe siwo le eŋu, kple seɖoƒewo ŋu.
Canine Stifle Joint ƒe Lãmetsiŋusẽ Kple Lãmesẽŋutinunya
Hafi míaku nu me le TTA ƒe ɖoɖoa ŋu la, ele vevie ŋutɔ be míase aƒemelãwo ƒe ƒunukpeƒe si tsia lãme na ame ƒe ŋutilã ƒe wɔwɔme kple eƒe dɔwɔwɔ gɔme. Stifle ƒunukpeƒe sɔ kple amegbetɔ ƒe klo ƒe ƒunukpeƒe eye afɔkpodzi, afɔkpodzi, kple afɔkpodzi ƒe ƒuwoe le eme. ACL ƒe dɔe nye be wòana ƒunukpeƒea nali ke to mɔxexe ɖe afɔkpodzia ƒe ʋuʋu yi ŋgɔ ne wotsɔe sɔ kple afɔkpodzia nu me. Le avuwo gome la, ACL le ƒunukpeƒe ƒe lãkusi me eye collagen ka siwo léna ɖe afɔkpodzi kple afɔkpodzi ƒe ƒuwo ŋue le eme.
Dɔléle si tso ACL ƒe gbagbã me le Avuwo me
ACL ƒe gbagbã le avuwo me ate ŋu atso susu vovovowo ta, siwo dometɔ aɖewoe nye domenyiŋusẽfianu, ƒexɔxɔ, lolo akpa, kamedede, kple nuveviwɔame. Ne ACL la gbã la, afɔkpodziƒua ƒua du yia ŋgɔ, si wɔnɛ be ƒunukpeƒea meganɔa te o, eye wòhea vevesese, abi, eye mlɔeba DJD vɛ. Dɔwɔwɔ nyuie, abe ɖiɖiɖeme, atikewo, kple kamedede ene ate ŋu akpe ɖe ame ŋu wòaɖe vevesese dzi akpɔtɔ, gake mekpɔa kuxi si le ƒunukpeƒewo ƒe malikenyenye gbɔ o. Zi geɖe la, amekoko hiãna be wòana ƒunukpeƒea nali ke eye wòaxe mɔ ɖe nu bubu siwo agblẽ le ƒunukpeƒea ŋu nu.
Gɔmeɖose siwo le TTA ƒe Ðoɖoa me
TTA ɖoɖoa nye egbegbe amekokomɔnu si wozãna tsɔ dzraa aƒemelãwo ƒe ACL ɖo si ƒe taɖodzinue nye be yeana ƒunukpeƒewo nali ke to tɔtrɔ le tibial plateau ƒe dzogoe ŋu me. Tibial plateau nye tibia ƒu ƒe tame si wɔa ɖeka kple femur ƒu tsɔ wɔa stifle joint. Le avu siwo ƒe ACL ƒe gbagbã gome la, afɔkpodzi ƒe gbadzaƒea ɖiɖina ɖe anyi, si wɔnɛ be afɔkpodzi ƒe ƒu ƒua du yia ŋgɔ ne wotsɔe sɔ kple afɔkpodzi ƒe ƒu. TTA-ɖoɖoa bia be woatso tibial tuberosity, si nye ƒu ƒe dzedzeme si le klo ƒe ƒunukpeƒea te, eye woadoe ɖe ŋgɔ be wòana tibial plateau ƒe dzogoe nadzi ɖe edzi. Wozãa titanium-ka kple gavi siwo doa ƒuwo ƒe dɔyɔyɔ kple woƒe ƒoƒo ɖe ŋgɔ tsɔ naa ŋgɔyiyia li ke.
Viɖe siwo le TTA Dɔwɔɖoɖoa ŋu
TTA ɖoɖoa naa viɖe geɖe wu ACL ɖɔɖɔɖomɔnu xoxowo, abe tibial plateau leveling osteotomy (TPLO) kple extracapsular repair ene. Gbã la, TTA-mɔ̃a wɔa dɔ nyuie wu le biomechanically gome, elabena etrɔa tibial plateau ƒe dzogoe be wòaxe mɔ na tibial thrust yi ŋgɔ, si nye nu vevitɔ si gbɔ ACL ƒe gbagbã tsona. Evelia. Etɔ̃lia, TTA-ɖoɖoa ɖea mɔ be woate ŋu atsɔ kpekpeme le dɔwɔwɔ vɔ megbe kaba ahagbugbɔ aɖɔe ɖo, si wɔnɛ be ƒunukpeƒewo ƒe dɔwɔwɔ nyona ɖe edzi eye wòɖea ɣeyiɣi si woatsɔ ahaya dzi kpɔtɔna. Enelia, TTA ɖoɖoa sɔ na avu siwo ƒe lolome kple ƒomevi ɖesiaɖe, elabena woate ŋu atrɔ asi le eŋu wòasɔ ɖe ame ɖekaɖekawo ƒe nuhiahiãwo nu.
Seɖoƒe siwo le TTA ƒe Ðoɖoa ŋu
Abe amekokomɔnu ɖesiaɖe ene la, seɖoƒe li na TTA-ɖoɖoa eye kuxi siwo ate ŋu ado mo ɖa. Kuxi si bɔ wue nye ƒu ƒe kpododonu, si ate ŋu atso mɔ̃wo ƒe nuteɖeamedzi, dɔlékuiwo, alo ƒu ƒe dɔyɔyɔ nyuie gbɔ. Ne ƒunukpeƒea do kpo nu ate ŋu ana ƒunukpeƒea nagali ke o, wòase veve, eye wòahiã be woagbugbɔ awɔ dɔ na ame.
Kuxi bubu siwo ate ŋu ado tso TTA ƒe ɖoɖoa me dometɔ aɖewoe nye tibial crest fracture, patellar tendonitis, kple ƒunukpeƒetetedɔ. Tsɔ kpe ɖe eŋu la, TTA-ɖoɖoa nye amekokomɔnu sesẽ aɖe si bia hehe tɔxɛ kple nunya, si ate ŋu ana wòaganɔ lãmesẽdɔwɔƒe aɖewo o. Gawu la, TTA ɖoɖoa xɔ asi wu ACL dzadzraɖomɔnu bubuwo, si ɖewohĩ manya wɔ na aƒemelã aɖewo tɔ o.
Ame siwo di be yewoaxɔ TTA System la
TTA ɖoɖoa sɔ na avu siwo ƒe ACL vuvu eye ƒunukpeƒewo meli ke o, kpakple amesiwo ƒe meniscal aɖatsi alo DJD le ɣeyiɣi ɖeka me. Avu si sɔ nyuie na TTA ɖoɖoae nye avu si ƒe kpekpeme wu kilogram 15, elabena ɖewohĩ avu suewo ƒe ƒu masɔ gbɔ be woatsɔ alé titanium-ka la ɖe te o. Gawu la, womekafu TTA ɖoɖoa na avu siwo ƒe afɔtiwo ƒe ʋuʋu sesẽ, taɖuame ƒe lãkusi (CCL) ƒe gbagbã sesẽ, alo titina ƒe akɔta ƒe ʋuʋu sesẽ o.
Dɔwɔwɔ Do Ŋgɔ Na Dɔwɔwɔ Na Dɔwɔwɔ Ŋuti Numekuku Kple Ðoɖowɔwɔ
Hafi woawɔ TTA-mɔ̃a la, ele be woado avu la kpɔ nyuie do ŋgɔ na dɔwɔwɔ nɛ, si me woado eƒe ŋutilã kpɔ bliboe, woaɖe fotoe le fotoɖeɖe me, eye woadoe kpɔ le nudokpɔƒe. Ele be radiographic nɔnɔmetatawo nalɔ ƒunukpeƒetetedɔ kple akɔta kpɔkpɔ siaa ɖe eme be woaɖe akɔta ƒe dɔmawɔmawɔ nyuie alo ƒunukpeƒetetedɔ le ɣeyiɣi ɖeka me ɖa. Gawu la, ele be amekolaa nawɔ ɖoɖo ɖe amekokoa ŋu nyuie, si me titanium-kaa ƒe lolome kple teƒe si wòle, alesi gbegbe tibial tuberosity ƒe ŋgɔyiyi le, kple atike si woatsɔ alɔ̃ alɔ̃e kple vevesese dzi ɖuɖu ƒe agbɔsɔsɔme anɔ eme.
Amekoko ƒe Mɔnu
TTA ɖoɖoa nye amekokomɔnu si bia mɔ̃ɖaŋununya si bia hehe tɔxɛ kple nunya. Wowɔa amekokoa le atike si naa alɔ̃dɔdɔ ame katã me, eye wotsɔa avu la dana ɖe akɔta ƒe akɔta. Amekolaa tsoa afɔkpodzi ƒe lãkusia dzi eye wòɖea afɔkpodzi ƒe lãkusia ɖa le lãkusia ŋu. Emegbe wozãa aŋe tɔxɛ aɖe tsɔ lãa tuberosity la, eye wotsɔa titanium-ka aɖe dana ɖe lãgbalẽa dzi. Wozãa gaviwo tsɔ léa atɔa ɖe te, eye wogatsɔa patellar tendon la blaa tuberosity la ŋu. Emegbe woléa ŋku ɖe ƒunukpeƒea ŋu be eli ke hã, eye wozãa aŋenu alo aŋenu siwo wotsɔ blaa ƒunukpeƒea.
Dɔwɔwɔ vɔ megbe Belélename Kple Gbugbɔgaɖɔɖo
Ne wowɔ dɔ na avu la vɔ la, wotsɔa vevesesenutsitikewo kple dɔlékuiwutikewo dea avu la me, eye woléa ŋku ɖe ƒunukpeƒea ŋu be evuvu, vevesese, alo dɔlékui aɖe le eŋu hã. Woɖea mɔ na avu la be wòatsɔ kpekpeme ɖe abɔ kple afɔ si ŋu dɔlélea le dzi le amekoko vɔ megbe teti, gake wokafui be wòaxe mɔ ɖe dɔwɔwɔ nu le kwasiɖa ʋɛ gbãtɔawo me. Ele be woatsɔ ka abla avu la eye woaxe mɔ nɛ be wòagati kpo, aƒu du, alo alia atrakpuiwo o. Ele be kamedede, si me kamedede si me womewɔa naneke le o kple kamedede si dzi wokpɔna hã le, nadze egɔme le ŋkeke ʋɛ aɖewo me le amekokoa megbe be wòana ƒunukpeƒewo nawɔ dɔ nyuie wu eye woaxe mɔ ɖe lãmekawo ƒe vuvu nu. Amekolaa gbɔ yiyi edziedzi hiã be woalé ŋku ɖe dɔyɔyɔ ƒe ɖoɖoa ŋu ahade dzesi kuxi siwo ate ŋu ado mo ɖa.
Nyanuwuwuw
Tibial Tuberosity Advancement (TTA) ɖoɖoa nye egbegbe amekokomɔnu si wozãna tsɔ dzraa aƒemelãwo ƒe ACL ɖo si ƒe taɖodzinue nye be yeana ƒunukpeƒewo nali ke to tibial plateau ƒe dzogoe tɔtrɔ me. TTA ɖoɖoa naa viɖe geɖe wu ACL ɖɔɖɔɖomɔnu xoxowo, siwo dometɔ aɖewoe nye biomechanical soundness, ACL si wodzi la takpɔkpɔ, kple dɔwɔwɔ vɔ megbe gbugbɔgaɖɔɖo kaba. Gake seɖoƒe li na TTA ɖoɖoa eye kuxi siwo ate ŋu ado mo ɖa, eye ebia hehe tɔxɛ kple nunya. Eyata ele be woatso nya me be woawɔ TTA ɖoɖoa le dodokpɔ tsitotsito do ŋgɔ na dɔwɔwɔ nɛ kple aɖaŋuɖoɖo kple lãmesẽdɔwɔla bibi aɖe megbe.
