Incazelo Yomkhiqizo
Uhla lwamapuleti aklanyelwe ukubhekana nokuqhekeka okulula, okuwucezu nokuyinkimbinkimbi kwama-patellae amakhulu namancane.
Idizayini yepuleti isiza ukugoba nokujika ukuze kuhlangatshezwane nezidingo ezithile zesiguli. Amafasitela angasetshenziswa ukunamathisela izicubu ezithambile nge-suture.
Amapuleti angasikwa ukuze ahlangabezane nezidingo zephethini ethile yokuphuka kanye nokwakheka kwesiguli.
Izimbobo zokukhiya ze-engeli eguquguqukayo (VA) zinika amandla kufika ku-15˚ we-angulation yesikulufu ukuze iqondise izingcezu zamathambo amancane, igweme imigqa yokuphuka nezinye izingxenyekazi zekhompyutha.
Izikulufa zamukela ukukhiya okungu-2.7 mm VA, nezikulufu ze-cortex.
Imilenze yepuleti ivumela izikulufu ze-bicortical polar (i-apex to base) ukuthi zibekwe ukuze kulungiswe i-interfragmentary.
Itholakala nge-Titanium ne-Stainless Steel.

| Imikhiqizo | REF | Ukucaciswa | Ubukhulu | Ububanzi | Ubude |
| I-Patella Mesh Locking Plate (Sebenzisa i-2.7 Locking Screw) | 5100-3401 | Izimbobo eziyi-16 Ezincane | 1 | 30 | 38 |
| 5100-3402 | 16 izimbobo Medium | 1 | 33 | 42 | |
| 5100-3403 | 16 izimbobo Emikhulu | 1 | 36 | 46 |
Isithombe Sangempela

Ibhulogi
Uma kuziwa ekulimaleni kwamadolo, i-patella iyindawo evamile engathola umonakalo. I-patella, eyaziwa ngokuthi i-kneecap, iyithambo elincane elingaphambi kwedolo. Ngenxa yendawo nokusebenza kwayo, isengozini yokulimala okuhlukahlukene, njengokuphuka nokugudluka. Kwezinye izimo, ukuphuka kwe-patella kungadinga ukungenelela kokuhlinzwa, okungase kuhlanganise ukusetshenziswa kwepuleti lokukhiya i-patella mesh. Kulesi sihloko, sizoxoxa ngakho konke okudingeka ukwazi mayelana nepuleti lokukhiya i-patella mesh, okuhlanganisa izinzuzo zalo, ubungozi, kanye nenqubo yokutakula.
Ipuleti lokukhiya i-patella mesh wuhlobo lwehardware yokuhlinza esetshenziselwa ukulungisa ukuphuka kwe-patella. Ngokuvamile yenziwe nge-titanium futhi yakhelwe ukunikeza ukuzinza ku-patella ngenkathi iphulukisa. Ipuleti livikelwa ethanjeni kusetshenziswa izikulufu, ezikhiya ipuleti endaweni futhi zivumele ithambo ukuthi liphole kahle.
Ipuleti lokukhiya i-patella mesh livame ukusetshenziswa lapho ukuphuka kwe-patella kubi kakhulu futhi kususiwe. Lokhu kusho ukuthi ithambo liphukile libe yizicucu eziningi futhi alisekho esimweni salo esivamile. Kulezi zimo, kungase kudingeke ipuleti lokukhiya i-patella mesh ukuze kuqinisekiswe ukuphulukiswa okufanele nokuvimbela izinkinga zesikhathi eside.
Kunezinzuzo ezimbalwa zokusebenzisa ipuleti lokukhiya i-patella mesh ekwelapheni ukuphuka kwe-patella. Lokhu kubandakanya:
Ukuzinza okuthuthukisiwe: Ipuleti lisiza ukubamba ithambo endaweni, okuvumela ukuphulukiswa okufanele futhi kuthuthukise ukuzinza.
Isikhathi sokuphulukisa ngokushesha: Ipuleti lisiza ukukhuthaza ukuphulukiswa okusheshayo ngokunikeza ukuzinza ethanjeni.
Ukuncipha kwengozi yezinkinga: Ukusebenzisa ipuleti lokukhiya i-patella mesh kunciphisa ubungozi bezinkinga, njengokungeyona inyunyana (ukwehluleka kwethambo ukuphola) noma i-malunion (ukuphulukiswa endaweni engavamile).
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezingaba khona ezihlobene nokusetshenziswa kwepuleti lokukhiya i-patella mesh. Lokhu kungase kuhlanganise:
Ukutheleleka: Kunengozi yokutheleleka nganoma yisiphi isikhathi lapho kwenziwa inqubo yokuhlinzwa.
Ukopha: Ukopha kungenzeka ngesikhathi noma ngemva kokuhlinzwa futhi kungase kudinge ukungenelela okwengeziwe.
Ukulimala kwemizwa noma imithambo yegazi: Kunengozi yokulimala kwenzwa noma imithambo yegazi ngesikhathi sokuhlinzwa.
Ukuhluleka kwezingxenyekazi zekhompuyutha: Ipuleti noma izikulufu ezisetshenziselwa ukuyivikela zingase zehluleke, okungase kudinge ukuhlinzwa okwengeziwe.
Ubuhlungu nokungakhululeki: Ubuhlungu nokungakhululeki kuvamile ngemva kokuhlinzwa futhi kungase kuqhubeke amasonto ambalwa.
Uma udokotela wakho encome ipuleti lokukhiya i-patella mesh yokwelapha ukuphuka kwakho kwe-patella, kunezinyathelo ezimbalwa ongazithatha ukuze ulungiselele ukuhlinzwa. Lokhu kungase kuhlanganise:
Ukuxoxa nganoma yimiphi imithi oyiphuzayo nodokotela wakho.
Ukulungiselela izinto zokuhamba eziya noma zibuya esibhedlela.
Ukulungiselela ikhaya lakho ukuze ululame.
Ukuhlelela isikhathi sokuphumula emsebenzini noma eminye imisebenzi.
Inqubo ye-patella mesh locking plate ngokuvamile ihlanganisa lezi zinyathelo ezilandelayo:
I-Anesthesia: Uzonikezwa i-anesthesia ejwayelekile (ekulalisa) noma i-anesthesia yesifunda (evala umzimba ophansi).
I-Incision: Udokotela wakho ohlinzayo uzokwenza i-incision phezu kwendawo yokuphuka.
Ukunciphisa: Izingcezu zamathambo zizohlelwa kabusha endaweni yazo efanele.
Ukubekwa kwepuleti: Ipuleti lizovikelwa ethanjeni kusetshenziswa izikulufu.
Ukuvala: I-incision izovalwa kusetshenziswa izitishi noma ama-staples.
Ukugqoka: Indwangu noma ibhandishi izofakwa endaweni yokusika.
Inqubo ngokuvamile ithatha amahora angu-1-2 ukuqeda futhi ingase idinge ukuhlala esibhedlela izinsuku ezimbalwa.
Ngemva kokuhlinzwa, uzodinga ukulandela imiyalelo kadokotela wakho ngokucophelela ukuze uqinisekise ukuphulukiswa okufanele. Lokhu kungase kuhlanganise:
Ukugcina isisindo emlenzeni othintekile amasonto ambalwa.
Ukusebenzisa izinduku noma into yokuhamba ukuze uhambe.
Ukuthatha imithi yezinhlungu njengoba kuyalelwe.
Ukwenza izivivinyo ukuthuthukisa ububanzi bokunyakaza namandla.
Ukuhambela izikhathi zokwelapha ngokomzimba.
Abantu abaningi bayakwazi ukubuyela emisebenzini evamile phakathi nezinyanga ezingu-4-6 ngemva kokuhlinzwa. Nokho, kungase kuthathe isikhathi esingangonyaka ukuze ithambo liphole ngokugcwele.
Ukwelashwa ngokomzimba kuyingxenye ebalulekile yenqubo yokutakula ngemva kwenqubo yepuleti lokukhiya i-patella mesh. Umhlinzeki wakho womzimba uzoklama uhlelo lokuzivocavoca ukuze akusize uphinde uthole amandla kanye nobubanzi bokunyakaza emadolweni akho. Lokhu kungase kuhlanganise izivivinyo ezifana nalezi:
Umlenze oqondile uyaphakamisa
Ukwandiswa kwedolo
Amasethi e-Quadriceps
Ama-Hamstring curls
Amaslayidi odongeni
Umhlinzeki wakho womzimba angase futhi asebenzise izindlela ezifana neqhwa noma ukwelapha ukushisa ukusiza ukunciphisa ubuhlungu nokuvuvukala.
Ukubuyela emisebenzini yansuku zonke ngemva kwenqubo yepuleti lokukhiya i-patella mesh kungase kuthathe isikhathi. Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela ukuze ugweme ukulimaza kabusha idolo. Amanye amathiphu okubuyela emisebenzini evamile ahlanganisa:
Kancane kancane andisa amazinga omsebenzi ngokuhamba kwesikhathi.
Ukugwema imisebenzi enomthelela omkhulu, njengokugijima noma ukweqa, kuze kube yilapho udokotela wakho ekunikeza kulungile.
Ukugqoka i-brace yamadolo noma ukusekela njengoba kudingeka.
Ngemva kokuhlinzwa, kuzodingeka uhambele izikhathi ezimbalwa zokulandelela nodokotela wakho ukuze uqaphe ukuqhubeka kwakho. Phakathi nalokhu kuqokwa, udokotela wakho angase athathe ama-x-ray ukuze aqinisekise ukuphulukiswa okufanele futhi alungise uhlelo lwakho lokwelapha njengoba kudingeka.
Ukubikezelwa kokuphuka kwe-patella okulashwe ngepuleti lokukhiya elinezikhala ngokuvamile kuhle. Abantu abaningi bayakwazi ukubuyisela ukusebenza okugcwele kwedolo labo phakathi nonyaka ngemva kokuhlinzwa. Kodwa-ke, abanye abantu bangase babe nezinkinga zesikhathi eside, njenge-arthritis noma ubuhlungu.
Kwezinye izimo, i-patella fracture ingase ilashwe ngaphandle kokuhlinzwa kusetshenziswa ezinye izindlela ezifana nokungakwazi ukuhamba noma ukuphonsa. Kodwa-ke, lezi zindlela zingase zingafaneleki ukuphuka okukhulu noma okugudlukile.
Kuthatha isikhathi esingakanani ukululama kunqubo yepuleti lokukhiya i-patella mesh?
Kungase kuthathe izinyanga ezingu-4-6 ukubuyela emisebenzini evamile, kodwa kuze kube unyaka ukuze ithambo liphole ngokugcwele.
Yiziphi izingozi zenqubo yepuleti lokukhiya i-patella mesh?
Izingozi zingase zihlanganise ukutheleleka, ukopha, ukulimala kwenzwa noma imithambo yegazi, ukwehluleka kwehardware, nobuhlungu.
Ingabe i-patella fracture ingelashwa ngaphandle kokuhlinzwa?
Kwezinye izimo, i-patella fracture ingase ilashwe ngaphandle kokuhlinzwa kusetshenziswa ezinye izindlela ezifana nokungakwazi ukuhamba noma ukuphonsa.
Lithini izinga lempumelelo yenqubo yepuleti lokukhiya i-patella mesh?
Izinga lempumelelo yale nqubo ngokuvamile lihle, futhi abantu abaningi baphinde basebenze ngokugcwele kwamadolo kungakapheli unyaka ngemva kokuhlinzwa.