te āhua o te meniscus
Te meniscus o roto me waho.
He nui te tawhiti i waenganui i ngā pito e rua o te meniscus waenga, e whakaatu ana i te āhua "C", ā, e hono ana te taha ki tehononga te kāpū me te paparanga hōhonu o te hononga āpiti waenga.
He āhua "O" te meniscus taha. Mā te uaua popliteus e wehe te meniscus mai i te capsule hononga i waenganui me muri i te 1/3, ka hanga he āputa. Kua wehea te meniscus taha mai i te ligament collateral taha.
Ko te tohu pokanga matarohia mō tete tuitui meniskusko te haehae roa i te rohe whero. Nā te whakapainga o ngā taputapu me ngā hangarau, ka taea te tuia te nuinga o ngā whara o te meniscus, engari me whai whakaaro anō hoki ki te tau o te tūroro, te haere o te mate, me te raina kaha o te pito o raro. , ngā whara whakakotahi me te maha atu o ngā āhuatanga, ko te kaupapa matua o te tuia ko te tumanako ka ora te whara o te meniscus, ehara i te tuia mō te tuia!
E toru ngā wāhanga matua o te tuitui i ngā meniscus: te tuitui i waho-ki-roto, te tuitui i roto-ki-waho, me te tuitui katoa-ki-roto. I runga i te tikanga tuitui, ka whakamahia ngā taputapu tuitui e rite ana. Ko ngā mea tino māmā ko ngā ngira wero hope, ngā ngira noa rānei, ā, kei reira anō ngā taputapu tuitui meniscal motuhake me ngā taputapu tuitui meniscal.
Ka taea te wero i te tikanga o waho-ki roto mā te whakamahi i te ngira wero hope 18-ine, i te ngira wero noa kua whakapikohia ki te 12-ine rānei. He māmā noa iho, he watea hoki. Kei ia hōhipera tēnei. He pono, he ngira wero motuhake anō hoki. - Ⅱ me te 0/2 o te āhua aroha. He roa te wā e pau ana i te tikanga o waho-ki roto, ā, kāore e taea te whakahaere i te putanga o te ngira o te meniscus i roto i te hononga. He pai mō te haona o mua me te tinana o te meniscus, engari kāore mō te haona o muri.
Ahakoa te āhua o te miro i ngā taura, ko te hua whakamutunga o te huarahi o waho-ki-roto ko te huri i te tuitui i uru mai i waho, mā roto i te haehae meniscus ki waho o te tinana, ā, ka herea ki te wāhi tika hei whakaoti i te tuitui whakatika.
He pai ake te tikanga o roto-ki-waho, ā, he rerekē i te tikanga o waho-ki-roto. Ka tukuna te ngira me te mata mai i roto o te hononga ki waho o te hononga, ā, ka mau hoki ki te pona i waho o te hononga. Ka taea e ia te whakahaere i te wāhi whakauru ngira o te meniscus i roto i te hononga, ā, he pai ake te tuitui me te pono. Heoi, ko te tikanga o roto-ki-waho me whai taputapu pokanga motuhake, ā, me tapahi atu anō hei tiaki i ngā oko toto me ngā io mā te whakamahi i ngā ārai pewa i te wā e tuitui ana i te haona o muri.
Ko ngā tikanga katoa-roto ko te hangarau tāpiripiri, te hangarau matau tuitui, te hangarau unu tuitui, te hangarau punga me te hangarau kauhanga whakawhiti-osseous. He pai hoki mō ngā whara o te haona o mua, nō reira e whakanuia ana e ngā tākuta, engari ko te tuitui katoa i roto i ngā hononga-rua me whakamahi taputapu pokanga motuhake.
1. Ko te tikanga tāpiripiri te tikanga honohono-katoa e whakamahia whānuitia ana. He maha ngā kamupene pēnei i a Smith nephew, Mitek, Linvatec, Arthrex, Zimmer, me ētahi atu e hanga ana i ā rātou ake tāpiripiri, he painga me he ngoikoretanga o ia tākuta. Ko te tikanga ka whakamahia e ngā tākuta i runga i ō rātou ake hiahia me te mōhiotanga ki te whiriwhiri, ā, i ngā rā kei te heke mai, ka puta ake he maha ngā tāpiripiri meniscus hou ake, he tangata ake.
2. I ahu mai te hangarau whiri tuitui i te hangarau arthroscopy pakihiwi. He maha ngā tākuta e whakaaro ana he watea, he tere hoki te whakamahi i ngā whiri tuitui o te rotator cuff, ā, ka whakawhitia ki te tuitui mō ngā whara meniscus. Ināianei he pai ake, he motuhake ake.ngā tuitui meniskuskei te mākete. He kūmau kei te hoko. Nā te mea ka māmā ake te mahi a te hangarau kūmau tuitui, ā, ka poto ake te wā mahi, he tino pai mō te whara o te pūtake o muri o te meniscus, he uaua ki te tuitui.
3. Me kōrero te hangarau punga tūturu ki te whakatupuranga tuatahite whakatikatika i te kiri meniscal, he mea hanga motuhake mō te tuitui meniscus. Kāore tēnei hua e wātea ana i ēnei rā.
I ēnei rā, ko te hangarau punga e pā ana ki te whakamahinga o ngā punga tūturu. I te tau 2007 i tuatahitia ai e Engelohn me ētahi atu te pūrongo mō te whakamahinga o te tikanga whakatika punga tuitui hei rongoā i te whara o te pakiaka o muri o te meniscus medial. Ka whakaurua ngā punga ki roto i te wāhi kua tāia, ā, ka tuituia. Me pai te tikanga whakatika punga tuitui, engari ahakoa he whara o te pakiaka o muri o te medial, o te lateral semilunar root rānei, me maha ngā raruraru o te punga tuitui pērā i te korenga o te huarahi tika, te uaua ki te whakatakotoranga, me te kore e taea te whakawiri i te punga kia poutū ki te mata o te wheua. , ki te kore he huringa hou i roto i te hanga punga, i ngā kōwhiringa urunga pokanga pai ake rānei, he uaua ki te noho hei tikanga māmā, watea, pono, me te whakamahia whānuitia.
4. Ko te tikanga tuitui ā-roto-honohono katoa te tikanga tuitui ā-roto-honohono katoa. I te tau 2006, i whakamahia tuatahitia tēnei tikanga e Raustol hei tuitui i te whara o te pakiaka o muri o te meniscus medial, ā, i muri mai ka whakamahia motuhaketia mō te whara o te pakiaka o muri o te meniscus lateral me te haehae me te haehae o te tinana meniscus radial i te rohe o te uaua meniscus-popliteus, me ētahi atu. Ko te tikanga tuitui ā-roto-honohono ko te waru tuatahi i te kiriuhi i te pūwāhi whakauru i muri i te whakaū i te whara i raro i te arthroscopy, ā, mā te whakamahi i te tirohanga tibial ACL, i te tirohanga motuhake rānei hei whai me te keri i te kauhanga. Ka taea te whakamahi i te awa kotahi-wheua, i te awa takirua-wheua rānei, ā, ka taea te whakamahi i te awa kotahi-wheua. Tikanga He nui ake te kauhanga wheua, ā, he māmā te mahi, engari me whakau te taha mua ki ngā pātene. Me keri anō te tikanga kauhanga wheua-rua i tētahi atu kauhanga wheua, ehara i te mea ngāwari mō te hunga tīmata. Ka taea te here tika i te taha mua ki te mata o te wheua, ā, he iti te utu.
Wā tuku: Hepetema-23-2022
