Kutshanje, uMlawuli u-Chengjie Liao weSibhedlele saMazwe ngaMazwe saseMntla-mpuma wenze utyando lokutshintshwa kwe-unicondylar “lokubini” kwisigulane esine-osteoarthritis yamadolo amabini kunye ne-LDK XU UKA prosthesis, kwaye utyando lwahamba kakuhle.
Isigulane sasinentlungu emadolweni amabini iminyaka eyi-10 kwaye sinentlungu xa sihamba.Emva kokugqiba iimviwo ezifanelekileyo, uMlawuli u-Chengjie Liao wafumanisa ukuba amadolo omabini afanelekile ukuba athathe indawo ye-unicondylar, ngoko ke wagqiba ekubeni enze i-unicondylar knee unicondylar replacement ukuze kugcinwe umsebenzi wokuqala wedolo ukuya kumlinganiselo omkhulu.
Ukutshintshwa kwe-bilateral kunye nokugcinwa kwedolo ngokuchanekileyo kwasombulula ngempumelelo ingxaki yentlungu yedolo yesigulane, kwaye isigulane sanelisekile kakhulu ngesiphumo sotyando.
Inkcazo:
Isigulane, indoda, iminyaka engama-60 ubudala
Isikhalazo:
Iintlungu zamadolo ahlangeneyo kwiminyaka eyi-10, zibuhlungu kwiinyanga ezi-2 zakutshanje.
Imbali yangoku yonyango:
Isigulane sasinentlungu emadolweni amabini kwiminyaka eyi-10 eyadlulayo, intlungu xa uhamba, idolo lasekhohlo lalinzima kancinci, kunye necala eliphakathi libe libi kakhulu, akukho mqathango obalulekileyo kwi-flexion kunye nemisebenzi yokwandisa, intlungu yayibonakala xa ihamba kunye necala eliphakathi. amadolo, intlungu iye yanda kwiinyanga ezi-2 zokugqibela, umphumo we-painkillers ngomlomo wawungekho kakuhle, ukwenzela ukuba unyango olongezelelweyo lungeniswe esibhedlele.
Imbali yangaphambili:
Uxinzelelo lwegazi kwiminyaka emi-3.
Ukujonga umzimba:
I-Curvature ye-physiological curvature yomqolo, akukho xinzelelo kwiinkqubo ze-spinous ze-lumbar spine, akukho kuvuvukala kwamadolo omabini, akukho kuguqulwa okucacileyo kwe-inversion, ukuguqulwa okuqhelekileyo kunye nokwandiswa kwamadolo omabini, intlungu yoxinzelelo malunga nedolo lasekhohlo (+), kunye neentlungu zangaphakathi. njengoko kucacile, uvavanyo oluhle lokugaya i-patellar, uvavanyo olubi lwepatella edadayo, uvavanyo olubi lwedrowa, ukuhamba kwamadolo: ukuguqa kwedolo lasekhohlo 120 °, ulwandiso lwe-0 °, ukuguqa kwedolo lasekunene 120 °, ukwandiswa kwe-0 °
Iimviwo ezincedisayo:
I-x-reyi yangaphambili kunye nesecaleni yedolo lasekhohlo wabonisai-osteophytes emaphethelweni amathambo edolo elisekhohlo, i-intercondylar ridge yaba bukhali, ezinye iindawo ze-articular zaziyi-sclerotic kunye ne-osteophytes, kwaye indawo edibeneyo yayincinci.
I-X-reyi yangaphambili kunye necala ledolo lasekunene wabonisai-osteophytes ebukhali emaphethelweni amathambo edolo lasekunene, i-intercondylar ridge yaba bukhali, indawo edibeneyo yayiyi-sclerotic kunye ne-osteophytes, kwaye indawo edibeneyo yaba yincinci.
Umfanekiso wemagnetic resonance wedolo lasekhohlo ubonise:i-sagittal T2WI-FS, i-coronal T1WI T2WI-FS, kunye nemifanekiso ye-T2WI eguquguqukayo: i-osteophytes kunye ne-osteophytes kwidolo lasekhohlo, ukucutha kwendawo edibeneyo ye-medial, ukuncipha kwe-articular cartilage, ukungahambi kakuhle kunye nokungabikho kwenxalenye, uphawu oluphezulu oluphezulu phantsi kwendawo edibeneyo. i-distal femur kunye ne-proximal tibia, kunye ne-round-like cystic signal kwi-proximal tibia.Imifanekiso ye-FS ye-meniscus ephakathi kunye ne-lateral ibonise umgca ophezulu wesiginali.Uphondo lwangasemva lwe-meniscus ye-medial lwalubunjwa ngokungaqhelekanga kwaye lufuduka, kwaye uphawu oluphezulu lwandiswe kumda.I-anterior cruciate ligament igxininiswe ngokunyuka kwesibonakaliso somfanekiso we-FS, kwaye umfanekiso we-FS we-lateral collateral ligament ubonise umgca ophezulu womgca;i-posterior cruciate ligament kunye ne-medial collateral ligament ayizange ibonise naluphi na uphawu olubalulekileyo olungaqhelekanga.I-capsule edibeneyo ibonwe ukuba izaliswe ngamanzi, kwaye i-caruncle yabonwa njenge-cystic.Imifanekiso ye-FS yezicubu ezithambileyo ze-peripatellar kunye ne-infrapatellar fat pad ibonise i-heterogeneous patchy high signal.
I-magnetic resonance yedolo lasekunene ibonakalisiwe: i-sagittal T2WI-FS, i-coronal T1WI T2WI-FS, kunye nemifanekiso ye-T2WI eguquguqukayo: i-osteophytes yawo onke amathambo edolo lasekunene, ukucutha kwendawo edibeneyo, ukuncipha kwe-articular cartilage, i-irregularity, ukungabikho kwenxalenye, kunye ne-patchy high signal phantsi kwe-joint. umphezulu we-distal femur kunye ne-proximal tibia kwimifanekiso ye-FS.Imifanekiso ye-FS ye-meniscus ye-medial kunye ne-lateral ibonise umgca ophezulu we-linear, kwaye i-meniscus ye-medial yayingalungiswanga ngokungaqhelekanga kwaye ikhutshwe ngaphandle.I-anterior and posterior cruciate ligaments yayine-morphology engaqhelekanga kwaye ibonise uphawu oluphezulu oluphezulu kumfanekiso we-FS, ngelixa i-medial and lateral collateral ligaments ayizange ibonise naluphi na uphawu olungaqhelekanga.Isignali yokuqokelela ulwelo olungaqhelekanga yabonwa kwi-capsule edibeneyo.Umfanekiso we-FS wezicubu ezithambileyo ze-peripatellar kunye ne-subpatellar fat pad ubonise i-heterogeneous patchy high signal.
I-X-ray yangaphambili yamalungu e-hip omabini abonisiwe:Ubuninzi bethambo kunye ne-morphology yamathambo omabini amalunga e-hip ayengekho ngokungaqhelekanga, kwaye indawo edibeneyo yabonisa ngokucacileyo, akukho kwandisa okanye ukucutha, akukho ukuphuka okuchanekileyo okanye iimpawu zokutshatyalaliswa kwamathambo.Kwakungekho nto ingaqhelekanga kwizihlunu ezithambileyo ezingqongileyo.
Uxilongo lweklinikhi:
1. I-Osteoarthritis yamadolo omabini
2. Uxinzelelo lwegazi
Emva koqhaqho:
XU UKA
LIAO Chengjie
UGqirha oyiNtloko, iSebe loTyando lwe-Orthopedic, iSibhedlele samazwe ngamazwe aseNortheast
Ilungu eliselula leKomiti yeBone kunye neJoyina kunye neRheumatism
yeChina Society of Rehabilitation Medicine,
Ilungu lekomiti yokuqala yeLiaoning Medical Association Traumatology Branch,
Ilungu leLiaoning Provincial Osteoporosis Committee.
Ixesha lokuposa: Apr-19-2023