He tangata e 22 tau te pakeke o Jack e takaro whutupaoro ana me āna hoa i ia wiki, ā, kua noho te whutupaoro hei wāhanga nui o tōna oranga o ia rā. I te mutunga wiki kua taha ake nei, i a Zhang e takaro whutupaoro ana, ka paheke, ka hinga, ā, he tino mamae rawa atu, kāore i taea e ia te tū ake, kāore i taea te hikoi. I muri i ētahi rā o te whakaora i te kāinga, i te mamae rānei, kāore i taea te tū, ka tukuna ia ki te tari orthopedic o te hōhipera e tētahi hoa. I whiwhi te tākuta i te whakamātautau me te whakapai ake i te turi MRI, i kitea ko te whara o te taha femoral o mua o te whati, me te hiahia kia whakaurua ki te hōhipera mō te maimoatanga pokanga arthroscopic iti rawa te whakaeke.
I muri i te otinga o ngā whakamātautau i mua i te pokanga, ka whakatakotohia e ngā tākuta he mahere maimoatanga tika mō te āhua o Jack, ā, ka whakatau rātou ki te hanga anō i te ACL me te tikanga arthroscopic iti rawa te whakaekenga mā te whakamahi i te uaua popliteal autologous i muri i te kōrero katoa ki a Jack. I te rua o ngā rā i muri i te pokanga, ka taea e ia te heke ki raro, ā, kua tino memeha haere ngā tohu mamae o tōna turi. Whai muri i te whakangungu pūnaha, ka taea e Jack te hoki ki te mara.
Ko te pakaru katoa o te taha femur o te hononga cruciate o mua e kitea ana i roto i te mirokeroke
Te hononga o mua o te hononga i muri i te hanganga anō me te uaua hamstring autologous
Ka hoatu e te tākuta ki te tūroro he pokanga whakahou hononga arthroscopic iti rawa te whakaekenga
Ko te hononga o mua o te waewae (ACL) tētahi o ngā hononga e rua e whiti ana i waenganui o te turi, e hono ana i te wheua huha ki te wheua kuao kau, ā, e āwhina ana ki te whakau i te hononga o te turi. Ko ngā whara ACL ka puta pinepine i ngā hākinakina e hiahia ana kia mutu wawe, kia huri ohorere rānei te ahunga, te peke me te taunga, pērā i te whutupaoro, te poitūkohu, te whutupōro me te reti reti iho i te whenua. Ko ngā whakaaturanga noa ko te mamae ohorere, te mamae nui me te pakū. Ina puta he whara ACL, he maha ngā tāngata e rongo ana i te "pāwhiri" i te turi, e rongo ana rānei i te pakaru o te turi. Ka pupuhi pea te turi, ka ahua kore pumau, ā, ka uaua ki te tautoko i tō taumaha nā te mamae.
I ngā tau tata nei, kua noho hei whara hākinakina whānui ngā whara ACL, ā, kua nui ake te aro ki te whakakori tinana hauora. Ko ngā tikanga hei tātaritanga i tēnei whara ko: te tango hītori, te whakamātautau tinana, me te whakamātautau whakaahua. Ko te MRI te tikanga whakaahua tino nui mō ngā whara ACL i ēnei rā, ā, ko te tika o te whakamātautau MRI i te wāhanga whakapeka he neke atu i te 95%.
Ka pā te pakaru o te ACL ki te pumau o te hononga turi, ka hua ake he taurite me te wiri i te piko, te toro me te hurihuri o te hononga, ā, i muri i tētahi wā, ka puta he whara o te meniscus me te cartilage. I tēnei wā, ka mamae te turi, ka iti te whānuitanga o te nekehanga, ka "mau tonu" rānei, kāore e taea te neke, ko te tikanga kāore i te māmā te whara, ahakoa ka pokangahia hei whakatika, he uaua te whakatika wawe i te whara, he iti hoki te pānga. He maha ngā huringa i puta mai i te kore pumau o te turi, pērā i te kino o te meniscus, te osteophytes, te kakahu cartilage, me ētahi atu, kāore e taea te hoki anō, ka arahi ki te raupapa o ngā pānga kino, ā, ka piki ake te utu o te maimoatanga. Nō reira, he tino taunakihia te hanga anō i te ligament cruciate anterior arthroscopic i muri i te whara ACL, hei whakahoki mai i te pumau o te hononga turi.
He aha ngā tohu o te whara ACL?
Ko te mahi matua a te ACL he whakawhāiti i te nekehanga o mua o te tibia me te pupuri i tōna pumau hurihuri. Whai muri i te pakaru o te ACL, ka neke whakamua te tibia, ā, ka rongo pea te tūroro i te kore pumau me te wiri i te hikoi o ia rā, i ngā hākinakina, i ngā mahi hurihuri rānei, ā, i ētahi wā ka rongo ia kāore e taea e te turi te whakamahi i tōna kaha, ā, he ngoikore.
Ko ngā tohu e whai ake nei he mea noa mō ngā whara ACL:
①Mamae turi, kei roto i te hononga, ka mataku pea ngā tūroro ki te neke nā te mamae nui, ka taea e ētahi tūroro te hikoi, te haere tonu rānei i te whakakori tinana ngoikore nā te mamae ngawari.
② Ko te pupuhi o te turi, nā te toto i roto i ngā hononga i puta mai i te hononga turi, ka puta i roto i ngā meneti ki ngā haora i muri i te whara o te turi.
Te herenga o te toronga o te turi, te pakaru o te hononga, ka tahuri te pūtake o te hononga ki te fossa intercondylar o mua hei whakaputa i te mumura. Tērā pea ka iti te toronga, te piko rānei o ētahi tūroro nā te whara o te meniscus. I te taha o te whara o te hononga collateral medial, i ētahi wā ka kitea anō hoki he herenga o te toronga.
Te kore pumau o te turi, ka rongo ētahi tūroro i te nekehanga hē o te hononga turi i te wā e whara ana, ā, ka tīmata ki te rongo i te wiri o te hononga turi (arā, te ahua o te nekenekehanga i waenga i ngā wheua e ai ki tā ngā tūroro i whakaahua ai) i te wā e tīmata anō ai te hikoi i muri i te 1-2 wiki i te whara.
⑤ Te nekehanga iti o te hononga turi, nā te synovitis whara i hua ake ai te pupuhi me te mamae o te hononga turi.
I whakauru mai te tākuta ko te hanga anō i te hononga o mua o te whara e aro ana ki te whakatika i te hononga o mua o te whara i muri i te pakaru, ā, ko te maimoatanga matua o nāianei ko te whakawhitinga i te uaua ki roto i te hononga turi hei hanga anō i tētahi hononga hou, he tikanga iti rawa te whakaekenga. He pai ake te uaua kua whakatōkia i te uaua popliteal autologous, he painga nō te iti o te whara, te iti o te pānga ki te mahi, te kore e maka, me te ngāwari o te whakaora i te wheua uaua. Ko ngā tūroro me ngā tikanga whakaora maeneene i muri i te pokanga ka hikoi i runga i ngā tokotoko i te marama o Hānuere, ka wehe atu i ngā tokotoko i te marama o Pēpuere, ka hikoi me te tautoko kua tangohia i te marama o Poutū-te-rangi, ka hoki ki ngā hākinakina whānui i roto i ngā marama e ono, ā, ka hoki ki te taumata hākinakina i mua i te whara i roto i te tau kotahi.
Wā tuku: Mei-14-2024
