Isingeniso
I-posterior wall plate iwuhlobo lokufakelwa kwamathambo okusetshenziselwa ukwelapha ukuphuka kodonga lwangemuva lwe-acetabulum, okuyisokhethi ku-pelvis lapho i-femur (ithambo lethanga) ihlangana ne-hip joint. Udonga olungemuva luyingxenye yangemuva yesokhethi futhi lungaphulwa ngenxa yokulimala okunamandla okunamandla njengezingozi zezimoto, ukuwa kusuka ezindaweni eziphakeme, noma ukulimala kwezemidlalo. Ukuphuka kodonga lwangemuva kungase kube yinkimbinkimbi futhi kudinga ukungenelela kokuhlinzwa ukuze kubuyiselwe ukuzinza ku-pelvis.
I-Anatomy ye-Acetabulum
I-acetabulum ukudangala okumise okwenkomishi ethanjeni lika-pelvic elakha isokhethi yekhanda le-femur. Yakhiwe izingxenye ezintathu: ikholomu yangaphambili, ikholomu engemuva, nophahla. Udonga olungemuva luyingxenye yangemuva yesokhethi futhi lwakhiwe yikholomu yangemuva kanye nophahla.
Izinkomba ze-Posterior Wall Plate
Ukuphuka kwezindonga zangemuva kungase kubangele ukuhlukumezeka kwamandla aphezulu njengezingozi zemoto, ukuwa kusuka ezindaweni eziphakeme, noma ukulimala kwezemidlalo. Lezi zinhlobo zokuphuka zingabangela umonakalo omkhulu ku-pelvis futhi zingahlotshaniswa nokunye ukulimala okufana nokukhishwa kwe-hip, ukulimala kwesinye noma urethral, noma ukulimala kwezinzwa. Izinkomba zokuhlinzwa kwepuleti le-posterior wall zihlanganisa:
Ukususwa kokuqhekeka kodonga lwangemuva okukhulu kuno-2mm
Isandiso se-Intra-articular sokuphuka kodonga lwangemuva
Ukuphuka okuhlobene kwekholomu yangaphambili noma yangemuva
Ukulahlekelwa ukuhambisana kwe-hip joint
Inqubo
Inqubo yokuhlinzwa kwepuleti lodonga lwangemuva ihilela ukusika isinqe ukuze ufinyelele isici esingemuva se-pelvis. Ukuphuka kuyancishiswa, noma kubuyiselwe endaweni, kusetshenziswa amathuluzi okuhlinza akhethekile. I-posterior wall plate ibe isibekwa eduze kodonga lwangemuva lwe-acetabulum futhi ivikelwe ngezikulufu. Izikulufu zibekwe ngendlela yokugwema ukulimala ezakhiweni ezibalulekile ze-neurovascular ezifana ne-sciatic nerve noma umthambo ophezulu we-gluteal.
Ukunakekelwa Kwangemva Kokuhlinzwa Nokuvuselelwa
Ngemuva kokuhlinzwa kwepuleti lodonga lwangemuva, iziguli zivame ukugcinwa zingenasisindo amasonto ambalwa ukuvumela ukuphuka ukuba kuphole. Ukwelashwa ngokomzimba nokuvuselela kubalulekile ukuze ubuyise amandla nokuhamba ekuhlanganyeleni kwe-hip. Kungase kuthathe izinyanga ezimbalwa ukuthi iziguli zibuyele ezingeni lazo lomsebenzi wangaphambi kokulimala.
Izingozi Nezinkinga
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezihlobene nokuhlinzwa kwepuleti lodonga lwangemuva. Lokhu kubandakanya:
Ukutheleleka
Ukulimala kwezinzwa
Ukopha
Ukuhluleka kwezingxenyekazi zekhompuyutha
Ukungabi yingxenye noma i-malunion yokuphuka
I-Deep vein thrombosis noma i-pulmonary embolism
Isiphetho
Ukuhlinza kwepuleti le-posterior wall kuyithuluzi elibalulekile lokwelapha ukuphuka okuyinkimbinkimbi kwe-acetabulum. Inikeza ukuzinza ku-pelvis, ikhuthaza ukuphulukiswa, futhi ingaholela esikhathini sokululama ngokushesha. Nakuba kunezingozi nezinkinga ezihlobene nokusetshenziswa kwayo, izinzuzo zidlula ubungozi ezimweni eziningi.
Imibuzo Evame Ukubuzwa
Ingabe ukuhlinzwa kwepuleti lodonga lwangemuva ukuphela kwendlela yokwelapha yokuphuka kwezindonga zangemuva ze-acetabulum? Cha, kukhona ezinye izindlela zokwelapha ezitholakalayo, njengokuphatha okungahlinzeki noma ukufakwa kwekholomu okungemuva. Kodwa-ke, ukuhlinzwa kwepuleti le-posterior wall ngokuvamile kuyindlela ekhethwayo yokuqhekeka okukhulu noma okuyinkimbinkimbi.
Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni ngepuleti lodonga elingemuva? Isikhathi sokululama singahluka ngokuya ngobunzima bokuphuka kanye nempilo yomuntu iyonke. Kodwa-ke, iziguli eziningi zingalindela ukubuyela emisebenzini evamile phakathi nezinyanga ezingu-3-6.
