Tsis ntev los no, Tus Thawj Coj Chengjie Liao ntawm Northeast International Tsev Kho Mob tau ua qhov kev phais "ob tog" unicondylar hloov pauv rau tus neeg mob uas muaj ob sab hauv lub hauv caug osteoarthritis nrog LDK XU UKA prosthesis, thiab kev phais tau zoo.
Tus neeg mob tau mob ob lub hauv caug rau 10 xyoo thiab mob thaum taug kev.Tom qab ua tiav cov kev ntsuam xyuas cuam tshuam, Tus Thawj Coj Chengjie Liao pom tias ob lub hauv caug tau tsim nyog rau kev hloov unicondylar, yog li nws tau txiav txim siab ua ob sab hauv lub hauv caug hloov unicondylar los khaws cov haujlwm qub ntawm lub hauv caug kom ntau dua.
Kev hloov ntawm ob sab thiab lub hauv caug preservation ua tiav daws cov teeb meem ntawm ob sab hauv lub hauv caug, thiab tus neeg mob tau txaus siab rau qhov tshwm sim ntawm kev phais.
Nqe lus piav qhia:
Tus neeg mob, txiv neej, 60 xyoo
Kev tsis txaus siab:
Mob hauv ob sab hauv lub hauv caug pob qij txha rau 10 xyoo, hnyav rau 2 lub hlis tsis ntev los no.
Cov keeb kwm kho mob tam sim no:
Tus neeg mob tau mob ob lub hauv caug 10 xyoo dhau los, mob thaum taug kev, lub hauv caug sab laug yog me ntsis hnyav, nrog rau sab nruab nrab ntawm qhov hnyav, tsis muaj kev txwv tseem ceeb hauv flexion thiab ncua kev ua ub no, qhov mob tau pom tseeb thaum taug kev nrog sab nruab nrab ntawm ob qho tib si. hauv caug, qhov mob tau nce ntxiv hauv 2 lub hlis dhau los, cov nyhuv ntawm cov tshuaj pleev qhov ncauj tsis zoo, rau kev kho mob ntxiv mus rau hauv tsev kho mob
Keeb kwm yav dhau los:
Ntshav siab rau 3 xyoos.
Kev kuaj lub cev:
Ib txwm physiological curvature ntawm tus txha nqaj qaum, tsis muaj siab rau cov txheej txheem spinous ntawm lub lumbar qaum, tsis muaj o ntawm ob lub hauv caug, tsis pom kev inversion deformity, ib txwm flexion thiab ncua ntawm ob lub hauv caug, mob siab nyob ib ncig ntawm lub hauv caug sab laug (+), nrog mob medial Raws li pom tseeb, zoo patellar sib tsoo xeem, tsis zoo ntab patella xeem, tsis zoo tub rau khoom kuaj, lub hauv caug mob: sab laug hauv caug flexion 120 °, extension 0 °, txoj cai hauv caug flexion 120 °, extension 0 °
Cov kev xeem pab:
Frontal thiab lateral x-ray ntawm sab laug lub hauv caug qhiaosteophytes ntawm cov pob txha ntawm cov pob txha ntawm sab laug hauv caug sib koom ua ke, lub pob txha intercondylar tau ua ntse, qee qhov ntawm cov pob txha pob txha tau sclerotic nrog osteophytes, thiab qhov chaw sib koom ua ke yog me ntsis nqaim.
Frontal thiab lateral X-rays ntawm lub hauv caug sab xis qhiantse osteophytes ntawm cov npoo ntawm cov pob txha ntawm txoj cai hauv caug pob qij txha, lub intercondylar ridge ua ntse, qhov sib koom ua ke yog sclerotic nrog osteophytes, thiab qhov sib koom ua ke tau nqaim.
Magnetic resonance imaging ntawm sab laug hauv caug pom:sagittal T2WI-FS, coronal T1WI T2WI-FS, thiab transverse T2WI dluab: osteophytes thiab osteophytes nyob rau hauv lub hauv caug sab laug, nqaim ntawm qhov chaw nruab nrab, thinning ntawm articular pob txha mos, irregularity thiab ib nrab tsis tuaj, thaj ua rau siab teeb liab nyob rau hauv lub sib koom nto ntawm lub hauv caug. lub distal femur thiab proximal tibia, thiab round-zoo li cystic teeb liab nyob rau hauv proximal tibia.FS cov duab ntawm qhov nruab nrab thiab sab meniscus pom cov teeb liab siab.Lub horn tom qab ntawm qhov nruab nrab meniscus yog qhov tsis zoo li qub thiab hloov chaw, thiab lub teeb liab siab txuas mus rau ntawm ntug.Lub anterior cruciate ligament yog thickened nrog nce FS duab teeb liab, thiab FS duab ntawm lub lateral collateral ligament pom linear siab teeb liab;posterior cruciate ligament thiab medial collateral ligament tsis qhia ib qho teeb meem txawv txav.Cov tshuaj ntsiav tau pom tias muaj cov kua dej puv nkaus, thiab cov caruncle tau pom tias yog cystic.FS cov duab ntawm cov ntaub so ntswg peripatellar thiab cov ntaub so ntswg infrapatellar pom tias heterogeneous patchy siab teeb liab.
Sib nqus resonance ntawm txoj cai hauv caug pom: sagittal T2WI-FS, coronal T1WI T2WI-FS, thiab transverse T2WI dluab: osteophytes ntawm tag nrho cov pob txha ntawm sab xis lub hauv caug, nqaim ntawm qhov chaw sib koom tes, thinning ntawm pob txha pob txha, irregularity, ib feem tsis muaj, thiab patchy siab teeb liab nyob rau hauv lub pob qij txha. nto ntawm lub distal femur thiab proximal tibia ntawm FS cov duab.FS cov duab ntawm lub nruab nrab thiab sab meniscus pom cov teeb liab tawm siab, thiab cov meniscus medial tsis zoo li qub thiab tawm sab nraud.Lub anterior thiab posterior cruciate ligaments muaj qhov tsis xwm yeem morphology thiab pom cov teeb liab siab heterogeneous ntawm FS duab, thaum lub ligaments medial thiab lateral collateral ligaments tsis pom muaj teeb meem txawv txav.Cov kua dej tsis tu ncua tau pom nyob rau hauv cov tshuaj ntsiav.Daim duab FS ntawm cov ntaub so ntswg peripatellar thiab subpatellar rog ncoo pom heterogeneous patchy siab teeb liab.
X-ray sab hauv ntawm ob lub duav pob qij txha pom:Cov pob txha ceev thiab morphology ntawm cov pob txha pob ntseg tsis txawv txav, thiab qhov chaw sib koom tes pom meej, tsis muaj ib qho xwm txheej sib luagTsis muaj qhov txawv txav ntawm cov nqaij mos uas nyob ib puag ncig.
Kev kuaj mob:
1. Osteoarthritis ntawm ob lub hauv caug
2. Mob ntshav siab
Postoperative:
XUA UA
LIAO Chengjie
Tus kws kho mob, Department of Orthopedic Surgery, Northeast International Tsev Kho Mob
Cov tub ntxhais hluas ntawm Pawg Pob Txha thiab Koom Tes thiab Rheumatism
ntawm Tuam Tshoj Society of Rehabilitation Medicine,
Tus tswv cuab ntawm thawj pawg thawj coj ntawm Liaoning Medical Association Traumatology ceg,
Tus tswv cuab ntawm Liaoning Provincial Osteoporosis Professional Committee.
Post lub sij hawm: Apr-19-2023