Ingcaciso yeMveliso
Uluhlu lweepleyiti ezilungiselelwe ukujongana nokulula, i-wedge kunye neefracture eziyinkimbinkimbi zepatellae ezinkulu kunye ezincinci.
Uyilo lwepleyiti luququzelela ukugoba kunye ne-contouring ukuhlangabezana neemfuno ezikhethekileyo zesigulana. Iifestile zingasetyenziselwa ukuncamathisela izicubu ezithambileyo ngomthungo.
Amacwecwe anokunqunyulwa ukuhlangabezana neemfuno zepateni ethile yokuphuka kunye ne-anatomy yesigulane.
Imingxuma yokutshixa i-engile (VA) ivumela ukuya kuthi ga kwi-15˚ ye-screw angulation ukujolisa amaqhekeza amancinane amathambo, ukuphepha imigca yokwaphuka kunye nezinye iihardware.
Imingxunya ye-Screw yamkela i-2.7 mm VA yokutshixa, kunye nezikrufu zecortex.
Imilenze yepleyiti ivumela i-bicortical polar (i-apex ukuya kwisiseko) izikrufu zibekwe ukulungiselela ukulungiswa kwe-interfragmentary.
Ifumaneka ngeTitanium kunye neNtsimbi eNgatyiwayo.

| Iimveliso | I-REF | Inkcazo | Ukutyeba | Ububanzi | Ubude |
| I-Patella Mesh yokutshixa ipleyiti (Sebenzisa i-2.7 yokutshixa i-Screw) | 5100-3401 | Imingxuma eyi-16 Encinci | 1 | 30 | 38 |
| 5100-3402 | 16 imingxuma Phakathi | 1 | 33 | 42 | |
| 5100-3403 | 16 imingxuma Emikhulu | 1 | 36 | 46 |
Owona Mfanekiso

Ibhlog
Xa kuziwa kukulimala kwamadolo, i-patella yindawo eqhelekileyo enokufumana umonakalo. I-patella, eyaziwa ngokuba yi-kneecap, ithambo elincinci eliphambi kwedolo. Ngenxa yendawo kunye nomsebenzi wayo, iyakwazi ukwenzakala ngeendlela ezahlukeneyo, njengokuphuka kunye nokuchithwa. Kwezinye iimeko, i-patella fracture inokufuna ukungenelela kokuhlinzwa, okungabandakanya ukusetyenziswa kweplate yokuvala i-patella mesh. Kweli nqaku, siza kuxoxa ngayo yonke into ekufuneka uyazi malunga ne-patella mesh yokutshixa ipleyiti, kubandakanya izibonelelo zayo, imingcipheko, kunye nenkqubo yokubuyisela.
I-patella mesh yokuvala ipleyiti luhlobo lwezixhobo zotyando ezisetyenziselwa ukulungisa i-patella fracture. Ngokuqhelekileyo yenziwe nge-titanium kwaye yenzelwe ukubonelela uzinzo kwipatella ngelixa iphilisa. Ipleyiti ikhuselwe ethanjeni kusetyenziswa izikrufu, ezitshixa ipleyiti endaweni kwaye zivumele ithambo ukuba liphole kakuhle.
Ipleyiti yokutshixa i-patella mesh idla ngokusetyenziswa xa i-patella fracture inzima kwaye ifuduswa. Oku kuthetha ukuba ithambo liqhekezwe libe ziziqwenga ezininzi kwaye alisekho kwindawo yalo yesiqhelo. Kwezi meko, i-patella mesh yokuvala ipleyiti ingafuneka ukuze kuqinisekiswe ukuphiliswa okufanelekileyo kunye nokuthintela iingxaki zexesha elide.
Kukho iingenelo ezininzi zokusebenzisa ipleyiti yokutshixa i-patella mesh kunyango lwe-patella fractures. Ezi ziquka:
Ukuphucula ukuzinza: I-plate inceda ukubamba ithambo endaweni, evumela ukuphulukiswa okufanelekileyo kunye nokuphucula ukuzinza.
Ixesha lokuphulukisa ngokukhawuleza: Ipleyiti inceda ukukhuthaza ukuphulukiswa ngokukhawuleza ngokubonelela ngokuzinza kwithambo.
Ukunciphisa umngcipheko weengxaki: Ukusebenzisa i-patella mesh yokuvala ipleyiti kunciphisa umngcipheko weengxaki, ezifana nokungahambelani (ukungaphumeleli kwethambo ukuphilisa) okanye i-malunion (ukuphilisa kwindawo engaqhelekanga).
Njengayo nayiphi na inkqubo yotyando, kukho imingcipheko kunye neengxaki ezinokubakho ezinxulumene nokusetyenziswa kwepleyiti yokutshixa i-patella mesh. Oku kunokubandakanya:
Usulelo: Kukho umngcipheko wosulelo nangaliphi na ixesha kukho inkqubo yotyando.
Ukopha: Ukopha kunokwenzeka ngexesha okanye emva kokuhlinzwa kwaye kunokufuna ungenelelo olongezelelweyo.
Ukulimala kwemithambo-luvo okanye imithambo yegazi: Kukho umngcipheko wokonakala kwemithambo-luvo okanye imithambo yegazi ngexesha lotyando.
Ukungaphumeleli kwe-Hardware: Ipleyiti okanye izikrufu ezisetyenziselwa ukuyikhusela zinokungaphumeleli, ezinokufuna utyando olongezelelweyo.
Ubuhlungu kunye nokungahambi kakuhle: Ubuhlungu kunye nokungahambi kakuhle kuqhelekileyo emva kokuhlinzwa kwaye kunokuqhubeka iiveki ezininzi.
Ukuba ugqirha wakho uye wacebisa i-patella mesh yokuvala ipleyiti yonyango lwe-patella fracture yakho, kukho amanyathelo amaninzi onokuwathatha ukulungiselela utyando. Oku kunokubandakanya:
Ukuxoxa ngawo nawaphi na amayeza owathathayo nogqirha wakho.
Ukulungiselela isithuthi ukuya nokubuya esibhedlele.
Ukulungisa ikhaya lakho ukuze uchache.
Ukucwangcisa ixesha lokungabikho emsebenzini okanye eminye imisebenzi.
Inkqubo ye-patella mesh yokutshixa ipleyiti ibandakanya la manyathelo alandelayo:
I-Anesthesia: Uya kunikwa i-anesthesia jikelele (ekwenza ulale) okanye i-anesthesia yengingqi (ephazamisa umzimba ophantsi).
Ukusika: Ugqirha wakho wotyando uya kwenza isiko kwindawo yokuphuka.
Ukunciphisa: Amaqhekeza amathambo aya kulungelelaniswa kwindawo yawo efanelekileyo.
Ukubekwa kwepleyiti: Ipleyiti iya kugcinwa ethanjeni kusetyenziswa izikrufu.
Ukuvala: Ukusika kuya kuvalwa kusetyenziswa izititshi okanye izitali.
Ukunxitywa: Isinxibo okanye ibhandeji liya kufakwa kwindawo yokusika.
Inkqubo idla ngokuthatha iiyure ezi-1 ukuya kwezi-2 ukugqiba kwaye inokufuna ukuhlala esibhedlele iintsuku ezininzi.
Emva kotyando, kuya kufuneka ulandele imiyalelo kagqirha wakho ngononophelo ukuqinisekisa ukuphiliswa okufanelekileyo. Oku kunokubandakanya:
Ukugcina ubunzima kumlenze ochaphazelekayo kwiiveki ezininzi.
Ukusebenzisa iintonga okanye intonga yokuhamba ukuhamba.
Ukuthatha amayeza eentlungu njengoko kuchaziwe.
Ukwenza imithambo ukuphucula uluhlu lwentshukumo kunye namandla.
Ukuya kwiiseshoni zonyango lomzimba.
Uninzi lwabantu luyakwazi ukubuyela kwimisebenzi eqhelekileyo kwiinyanga ezi-4-6 emva kokuhlinzwa. Nangona kunjalo, kungathatha unyaka ukuba ithambo liphole ngokupheleleyo.
Unyango lomzimba luyinxalenye ebalulekileyo yenkqubo yokubuyisela emva kwenkqubo yokuvala ipleyiti yokutshixa i-patella mesh. Umgulana wakho womzimba uya kuyila inkqubo yokuzivocavoca ukukunceda ukuba uphinde ube namandla kunye noluhlu lwentshukumo emadolweni akho. Oku kunokubandakanya imithambo efana nale:
Umlenze othe ngqo uphakamisa
Ukwandiswa kwamadolo
Iiseti zeQuadriceps
I-Hamstring curls
Izilayidi zodonga
Umgqirha wakho womzimba unokusebenzisa iindlela ezifana nomkhenkce okanye unyango olushushu ukunceda ukunciphisa intlungu kunye nokudumba.
Ukubuyela kwimisebenzi yemihla ngemihla emva kwenkqubo yokutshixa ipleyiti ye-patella mesh kunokuthatha ixesha. Kubalulekile ukulandela imiyalelo kagqirha wakho ngokucophelela ukuze ugweme ukulimaza kwakhona idolo. Ezinye iingcebiso zokubuyela kwimisebenzi yesiqhelo ziquka:
Ukwandisa ngokuthe ngcembe amanqanaba omsebenzi ekuhambeni kwexesha.
Ukuphepha imisebenzi enempembelelo ephezulu, enje ngokubaleka okanye ukutsiba, de ugqirha wakho akunike okulungileyo.
Ukunxiba intsimbi yamadolo okanye inkxaso njengoko kufuneka.
Emva kotyando, kuya kufuneka uye kwiindibano ezininzi zokulandelela kunye nogqirha wakho ukujonga inkqubela yakho. Ngexesha lokuqeshwa, ugqirha wakho unokuthatha ii-x-reyi ukuqinisekisa ukuphiliswa okufanelekileyo kunye nokulungelelanisa isicwangciso sakho sonyango njengoko kufuneka.
I-prognosis ye-patella fracture enyangwa ngepleyiti yokutshixa i-mesh ilungile ngokubanzi. Uninzi lwabantu luyakwazi ukubuyisela umsebenzi opheleleyo wamadolo abo kunyaka emva kokuhlinzwa. Nangona kunjalo, abanye abantu banokufumana iingxaki zexesha elide, ezifana ne-arthritis okanye intlungu.
Kwezinye iimeko, i-patella fracture inganyangwa ngaphandle kokuhlinzwa usebenzisa ezinye iindlela ezifana nokungahambi okanye ukuphosa. Nangona kunjalo, ezi ndlela zisenokungabi zifanelekile kwiifracture ezinzima okanye ezifudukayo.
Kuthatha ixesha elingakanani ukuchacha kwinkqubo yokutshixa ipleyiti ye patella mesh?
Kungathatha iinyanga ezi-4-6 ukubuyela kwimisebenzi eqhelekileyo, kodwa ukuya kuthi ga kunyaka ukuba ithambo liphole ngokupheleleyo.
Yeyiphi imingcipheko yenkqubo yokutshixa ipleyiti ye-patella mesh?
Imingcipheko inokubandakanya usulelo, ukopha, umonakalo wemithambo-luvo okanye umthambo wegazi, ukusilela kwehardware, kunye neentlungu.
Ngaba i-patella fracture inokunyangwa ngaphandle kotyando?
Kwezinye iimeko, i-patella fracture inganyangwa ngaphandle kokuhlinzwa usebenzisa ezinye iindlela ezifana nokungahambi okanye ukuphosa.
Lithini izinga lempumelelo yenkqubo yepleyiti yokutshixa i-patella mesh?
Izinga lempumelelo yale nkqubo lilungile, kwaye uninzi lwabantu luphinda luphinde lusebenze ngokupheleleyo emadolweni kunyaka emva kotyando.