Ka san hakan? Abubuwan hadarin da lura da rashin daidaituwa na Patellofemorory a cikin yara

Ilimin PELLOPFIMIMIMIMIMIMICER (PFI) ya haɗa da jerin cututtuka, jere daga MILIESE MILISE zuwa bayyananne watsawa na Patella (LPD). LPD ya zama ruwan dare gama gari, tare da lokuta 50 a cikin kowane yara 100,000. Doka ta farko tana faruwa sau da shekaru 15 da 19. LPD ne mai cuta da cuta, kuma raguwar dislocation bayan maganin ra'ayin mazan jiya ko maganin jiki yana da girma kamar 70%. Sake gina murkushe pellofemoral LIGOMILOMILOMILOMILOMILOLILILE NE SUKE SAMUN SAMU SAN AIKI. Koyaya, kamar yadda 16% na marasa lafiya suna da rikicewa, ciki har da sake juyawa. Bugu da kari, kwata masu lafiya suna buƙatar bin tiyata a cikin wani haɗin gwiwa wanda ba a kula da shi ba. Rauni na dogon lokaci na cigaban Carelage rauni da OA bayan LPD ya ninka sau 6 fiye da rasuwar farko, wanda ya sa mutane da yawa marasa lafiya suna fuskantar hadari a cikin 30s da 40s. Rashin fahimtar PFI na ɗaya daga cikin manyan matsalolin don mayar da daidaiton haɗin gwiwa na yau da kullun.

Hadarin haɗari

Za'a iya raba abubuwan haɗari na PFI zuwa rukuni biyu: yanayin mahaukaci da jintina mahaukaci. Hukumar da ke tattare da ita ce babbar muhimmiyar cuta ita ce mafi mahimmancin yanayin damuwa, da kuma daidaitaccen mahaukaci ya hada da haɓaka PTLLARLARLA, Patelllar Rattawa da ƙaddamarwa. An haifar da nakasar patellofemoral ta hanyar canje-canje na kwayoyin cuta wanda rauni ya haifar, karuwa da femur da kuma saukar da femur da kuma sauke patellar jijiyoyi. Abubuwan da ke tattare da cutar PFi an taƙaita su a cikin Hoto 1.

• Ferolal Trochlea dysplasplasia

• kusurwa na karkatar da taurari

• Facet Asymmetry na Culley

• Pulley zurfin

• Jagorar mahaukaci

• babban patella

• Distance daga Tibia zuwa Groove Groove (tt-tg) ya karu

• kara qarfi q kusurwa

• Feral antevene

  
  

Halayen gwajin gwaji

Batun na Mri ya bambanta da tsananin ƙarfi da yanayin cutar. Abubuwan Patellar PFI na iya zama sanannun ta patelllar dyskinesia, wanda ya nuna Edema mai na sama da kuma sananne ga tasirin patellku mai shi). Babban tasirin patellofemoral yana da alaƙa da wasu abubuwan abubuwan haɗari na PFI, gami da fatan Fimmer, tsayi na TT-TG-TG-TG-TG da sublumxation. Dysklar-tsaye Patelllar Dyskinesia yana haifar da rauni na Carelage da farkon yankewar haɗin gwiwa na paterfemormarewa.

Downge na watsar da Synella (ALLD) shine mafi girman nau'in PFI. X-ray mai bayyana fim yana nuna gano raunin da m, wanda kuma liplay na Fatella (Figure na 8a), da kuma raunin tseren Sulcus (Hoto na 8a), kuma raunin Sulcus na Medlaylar Carlorage. Musamman mahimman bayyanar m LPD sun haɗa da mummunan rauni mai tsafta (an gani a cikin 96%), rauni na patelllar, rauni na osteopondral da kuma haɗin gwiwa na 2B, c). A mafi yawan lokuta, patella ne ba da daɗewa ba bayan rasudin farko.

Har zuwa 70% na marasa lafiya zasu dandana discurration, da kuma discurration na kullum na iya faruwa. A wannan yanayin, MRI na iya nuna hawaye na Medial, medial na sama, rauni na patellar-ya taso da hadin gwiwa na patellofemoral hadin gwiwa (Hoto na 3).

Jiyya

1. Jiyya mara Haka:

• Yawancin diski na patelllar disclal suna da taushi kuma za su zama maimaitawa lokaci-lokaci. Wasu lokuta, marasa lafiya, dangi, abokai, masu horarwa ko masu horarwa da da hannu za su sake saitawa a kan tabo. Idan mai haƙuri ya tafi Sashen gaggawa saboda rarrabuwa na Patelllar, za a ba shi kwarara hankali. An samu rage rage rage patella ta hanyar kwance kafafu. Da zarar sake saiti, asibiti duba gwiwa ga haɗin gwiwa ga wasu raunin da ya faru.

• Standardaurin kula da na farko da keɓaɓɓe na Patella shine magani mara takaici, kuma ɗan gajeren lokaci (makonni 2-4) a cikin gyaran hadin gwiwa da gwiwoyi bayan harin da ya gabata. A wannan lokacin, an ba da izinin ɗaukar nauyi don ɗaukar nauyi. Bayan haka, ana amfani da baka na Patella don ayyukan, kuma ana yin maganin motsa jiki ga maido da motsi, ƙarfi da ikon reshe.

• Marasa lafiya yawanci ci gaba da motsa jiki kusan watanni 3 bayan harin farko. Bayan haka, saka mai satar ba na tilas bane.

2. Tiyata

• A cikin sama da 30% na marasa lafiya, na farko patelllar hadin gwiwa yana da alaƙa da babban adadin haɗin gwiwa. A wannan yanayin, ya zama dole don yin Mri don gano ko akwai karar osteochonnryral. Wurin da aka fi sani da wannan karaya shine minglla na lamba, da kuma likitan fata yawanci ana bada shawarar a gaban karar ciki-articular.

• A yayin aikin, an cire guda karaya na osteocondral ko gyara gwargwadon girman guda karaya da ingancin carilage. Lokacin girman karfin osteochondror shine ≥ 15 mm, karfin karaya maimakon lokacin farin ciki. Wannan tsiron ana yin shi ta hanyar bude ta amfani da ƙwallon karfe, fil na Bioabsorbable ko sutura.

• A cikin lura da karaya, yanayin yanayin karawar sati ɗaya ya samu ta hanyar gyara na Patella ko sake gina MPFL. Idan ana amfani da sukurori na ƙarfe don gyara rauni, ana iya cire su ta hanyar sauran hanyoyin tiyata a nan gaba.

• Akwai makarantu biyu na tunani game da mafi kyawun hanyar patellar. Hanya ta farko ita ce yin sake fasalin MPFL MPFL. MPFl shine babban dalilin da ya fi karkatar da sakin tsarin Patella, saboda haka sake gina ta zai samar da kwanciyar hankali da ake buƙata ga yanayin Patella. Yawancin lokaci ana yin gyara MPFL yawanci ta hanyar Quadriceps Hausa AhinkOrt, hatsarin hanji da ke tattare. Rashin nasarar da aka samu na MPFL MPLE MPFL don mayar da kwanciyar hankali na Patelllar ya wuce 95%, wanda ba shi da alaƙa da zaɓi na graft. Mafi yawan rikitarwa na MPFL sake gina gwiwa na gwiwar gwiwa, Pateelllar karaya da kuma matsalar Patelllar.

• Hanya ta biyu tana magance abubuwanda ke tattare da rashin jadawalin Patelllar, kuma MPFL sake fasalin. Ta wannan hanyar, abubuwan da ke tattare da mahalarta batun Patelllar an tantance ne akan fim din X-ray / MRI, wanda ya hada da TT-TG Distance. Da zarar an ƙaddara, wasu ko duk abubuwan hadarin za a gyara ta hanyar tiyata.

• An magance dyspplasia ta hanyar Trochleoplasty, wanda ya karɓi tsintsiya tsagi ana zurfafa (Hoto na 12a). Plasty na Trochlear bai shahara sosai a Amurka saboda ya ƙunshi mamayewar gatan larabci ba, kuma a kansa akwai haɗarin necrosis necrosis na yau da kullun.

• An magance tsayi Patella ko karuwar tsayi na Patella ta hanyar kusanci Tibal Tobal. Don ƙara nisa, medial ko na hargitsi tibal na tibial ana yin (Hoto na 12b). Cikakkun rikicewar tibial mai rikitarwa Osteotomy sun haɗa da naka, ciwo mai wahala, asarar ra'ayi na terarity da karaya.

• Ga tashin hankali na lateral retina, ana yin sakin da aka dawo da sakin baya, wanda ya nuna karuwar Patella na karkatar. Cikakkiyar sakin sakin da aka sanya ta daɗaɗɗen kumburi da Iatogenic Ilimin Patella.

• A cikin marasa lafiya da kasusuwa kasusuwa, wasu ayyukan suna contraindicated ko gyara saboda epiphysis.

• Matsayin da aka makala na MFPL is located kawai a ƙasa epiphysis na Distal Femur. Sabili da haka, MPFL Sake gina masu haƙuri tare da ƙasusuwa masu tsararren jagora don tabbatar da haɓakar haɓakar aikin Femoral.

• Raunin Femur na iya haifar da nakasar, wanda zai iya buƙatar gyara na tiyata. Hakanan raunin titrusial tibial zai iya haifar da nakasa, musamman a gwiwa a gwiwa. Saboda haka, osteotomy ɗungunan tibial an haramta ga marasa lafiya tare da bude wajan titrusion tibial.

• A akasin wannan, da tenon patellar na iya zama gaba ɗaya ko a hankali. Lokacin da aka tura rabin karagar Patellar zuwa gefen da Indial, ana kiran wannan aikin roo rox-zinare (Hoto na 12c).

• Duk marasa lafiya da aka yi amfani da su don tiyata ya kamata a kimanta muguwar Patellar a cikin tsarin gabar jiki na jiki da gabashin gabar jiki. Yawan kwayar halitta Valgus, da wuce gona da iri na tilastawa kuma ya karu da trival trivic na waje sune abubuwan hadarin Patellar.

• Ga marasa lafiya da kasusuwa masu haƙuri, ya kamata a yi la'akari da haɓaka ƙuri a lokacin da muke mu'amala da baiwa. Prophyseal sukurori ko farantin tawa na iya haifar da midar da ke kusa da ƙarshen ƙarshen EPIPHSHSSIS don a hankali. Ana buƙatar osteotomy don gyara marasa lafiya tare da ƙasusuwa balagaggen don nakasar nakasar jijiyoyin jiki ko juyawa. Alamar gyara game da baiwa orgus ce> Digiri 10, da kuma tantance mai gyara na disication ya wuce digiri 20.

• Yara (<10 da haihuwa) zai sami gamuwa da rikice-rikice na Patelllar, wanda ya haɗa da disigra ko rarrabuwar kawuna. Abubuwa da yawa kamar syndrome, cututtukan da ke da na zamani, Kabuki Syndrome da Rubinkyrome da Rubinstein Taydrome sun ƙunshi rashin matsala Patelllar.

• Yana da mahimmanci sanin cewa haɓakar MPFL bai isa ya magance waɗannan mahaɗan ba, wanda kuma yana buƙatar saki na ƙarshe, wanda ke buƙatar faɗuwar saki da quadrices femoris filawa don magance waɗannan matsalolin.

• A Quadriceps Femoris filoben, quadrices femoris femoris ana sake komawa da / ko tsawa. Game da batun sakaci ko marigayi magani, ana iya ci karo da waɗannan alamu masu rikitarwa daga baya a rayuwa.

Yadda za a sayi vorthopedic da kayan aikin orthopedic?

Don domin Czmedgech , muna da cikakkiyar layin kayan aikin Orthopeic da abubuwan da suka dace da kayan aiki mai dacewa, abubuwan da suka hada da kashin baya implants, Anna Nails, farantin rauni, farantin kulle, cranial-maxililofacial, prosthesis, kayan aikin wutar lantarki, masu gyara na waje, arthroscycy, veretary kula da tallafawa kayan aikinsu.

Bugu da kari, mun kuduri mu ci gaba da bunkasa sabbin kayayyaki da fadada layin samfuri, don haduwa da mukamanmu da marasa lafiya da marasa lafiya da kuma masana'antar kayan masana'antu.

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