Isimbukuidolo lokufakelwaIqulethe izinto ezintathu: icandelo le-femoral, icandelo le-tibial kunye necandelo le-patellar. Yenzelwe ukulinganisa umsebenzi welungu ledolo lomntu kwaye ithathe indawo yezakhiwo ze-articular ezigulayo okanye ezonakeleyo.Ki-prosthesis yamalungu angafunekiyozihlulwe ngokobubanzi bokutshintshwa zibe zii-cruciate-retaining (CR) designs kunye ne-posterior-stabilized (PS).I-Total knee arthroplasty inokuphelisa iintlungu, iphucule uzinzo lwamalungu, iphucule umgama wokunyakaza kwamadolo, ibuyisele i-kinematics yendalo yamadolo, kwaye ibuyisele ukuhambahamba kwezigulane.

Ukutshintshwa kweKlinikhi yokwabelana ngeKlinikhi-iKnee Joint

Isigulana: Nkosikazi Huang, Ibhinqa, oneminyaka engama-62 ubudala
Imeko Yesigulana: Intlungu yedolo ehlangeneyo iminyaka engaphezu kwe-10, intlungu ebuhlungu kakhulu enokushukuma okulinganiselweyo kwamalungu kangangeenyanga ezi-3.
Imbali Yesifo Sangoku: Isigulana sixele ukuba sikhe safumana iintlungu ezinzulu emadolweni kunye nobuhlungu obuqala kwiminyaka engaphezu kwe-10 eyadlulayo. Iintlungu zanda kakhulu xa sinyuka izitebhisi kwaye sinqumle, kwaye zancitshiswa kancinci kukuphumla. Sifumene unyango oluphindaphindwayo kwizibhedlele zasekuhlaleni, kubandakanya unyango lomzimba kunye nokufakwa inaliti ye-sodium hyaluronate ngaphakathi kwe-articular. Iimpawu zancipha okwethutyana kodwa zaphinda zabuya, kunye nophuhliso oluncinci lwe-genu varum deformity. Malunga neenyanga ezi-3 ngaphambi kokungeniswa, iintlungu emadolweni zanda kakhulu ngaphandle kokubangela okucacileyo, kunye nokugoba kwamadolo, okuqatha ngakumbi kwicala lasekunene. Sifike esibhedlele sethu kwaye sangeniswa phantsi kokuxilongwa kwe-osteoarthritis yamadolo emadolweni emadolweni.
Uvavanyo oluKhethekileyo loMzimba: Isigulana sangena kwigumbi ngeentonga. Ukugoba komqolo ngokwasemzimbeni kwagcinwa; uvavanyo lwe-pelvic lwalungaphawuleki. Ukukhubazeka kwe-genu varum yamacala omabini kwaphawulwa, kwabonakala ngakumbi edolweni lasekunene. Ulusu oluphezulu lwaluphelele ngaphandle kwe-erythema, ukudumba, ukufudumala okanye ukuthamba. Ukuthamba kwakukuhle phezu kwegumbi eliphakathi lamadolo omabini, kunye ne-osteophytes ezivakalayo ezijikeleze amalungu edolo. Ukunqongophala okukhulu kokunyakaza kwedolo kwabonwa: umgama wedolo lasekhohlo ukusuka kwi-10° ukuya kwi-80°, umgama wedolo lasekunene ukusuka kwi-20° ukuya kwi-25°. Imilenze esezantsi yamacala omabini yayilingana ngobude. Uvavanyo loxinzelelo olusecaleni, uvavanyo lwedrowa kunye novavanyo lwe-patellar float lwalungalunganga kumacala omabini. Uvavanyo lukaMcMurray lwalulungile kumacala omabini. Amandla emisipha yamalungu asezantsi amacala omabini ayeqhelekile, kungekho mvakalelo yokuncipha kwesikhumba. Ukusabela kwamadolo asemacaleni kunye namaqatha kwakufana kwaye kuyabonakala; akukho zimpawu zesifo ezifunyenweyo.
Uxilongo: I-osteoarthritis yamadolo asemacaleni amabini ane-flexion kunye ne-varus deformity
Inkqubo yotyando: I-Right total knee arthroplasty (TKA)

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