Injongo ephambili yemilenze kukudala inkxaso yomzimba wonke xa umile kwaye uhamba. Ngenxa yokulimala okwehlukeneyo, ezixhaphakileyo phakathi kwazo apho ukulimala kwesikhumba, izitho ezingaphantsi zingavuma ukwenza imisebenzi yazo. Kwiimeko ezinjalo, kungenelelo lokungenelela, ukuvumela ukuba babuyiselwe, umzekelo, i-arthrodesis yesigxina seenyawo. Oku kulungiswa kukubonelela ukugcina umlenze, kodwa akubuyiselwa kuyo.
Yiyiphi intsingiselo yaloo msebenzi njengoko i-ankle arthrodesis?
Ukungenelela kokungenelela kwindlela yokuphelisa ukungafihli kwamathambo omlenze onyawo osezantsi. Ngethuba lokuhlinzwa, ugqirha uyasusa zonke izicubu zomzimba ezihlangeneyo. Emva koko, i-talus ne-tibia zifaniswa kwaye zichongwa ngeendlela ezahlukeneyo zonyango:
- i screws;
- i screws;
- izitya zetsimbi;
- uvala;
- izifuba zethambo;
- iintonga zensimbi.
Ukuphathwa kakubi kuthatha iiyure ezingama-2, kuxhomekeke kwinkimbinkimbi yayo. Ixesha lokuhlala esibhedlele kwikliniki liintsuku ezi-4-5, ke isiguli singabuyela ekhaya.
Ngokufanayo, ukungenelela kwenziwa ngenye iindawo zomlenze - ukusetyenziswa kwe-arthrodesis yamadolo okanye ukudibana. Kule meko kuphela kuya kuthatha ixesha elongezelelweyo lokuthungatha amathambo kunye nokuvuselelwa.
Iinkcazo ze-ankle arthrodesis
Oku kuqhutyelwa ngokuphindaphindiweyo ukubuyisela umsebenzi wokuxhasa unyawo, owaye walahleka ngenxa yokungcoliswa okungafanelekanga, ukuphazamiseka okukhulu kunye nokuxhomekeka, izifo ezithathelwanayo, isifo se-arthritis okanye iimpembelelo zokubambisana ngokuhlanganyela. Izibonakaliso ezicacileyo ze-arthrodesis:
- isifo sezinhlungu ezizinzileyo kwi-ankle kunye nokungafani kakuhle kwama- analgesics ;
- ukuthintela komsebenzi wemoto enyawo;
- Ukungenakwenzeka kwenkxaso epheleleyo kwilungu elonakalisiweyo.
Iimpembelelo ze-arthrodesis zesangqa
Ukusebenza ngokuchanekileyo akuhambelani nayiphi na ingxaki kunye nemiphumo emibi. Umzuzu owodwa ongathandekiyo umlinganiselo owehlayo kwimisebenzi yemoto yesikhumba kunye nesidingo sokuvuselela ixesha elide. Emva kokuxubana kwamathambo e-tibial kunye neetalus, kubalulekile ukuhlakulela umlenze, kwaye oku kuhamba kunye neentlungu kunye nesifo sosizi.