I kēia mau lā, ua hana ʻo Luna Hoʻokele ʻo Chengjie Liao o Northeast International Hospital i kahi "bilateral" unicondylar pani pani no ka mea maʻi me ka bilateral knee osteoarthritis me ka LDK XU UKA prosthesis, a ua holo maikaʻi ke ʻoki.
Ua pilikia ka mea maʻi i ka ʻeha ma nā kuli ʻelua no 10 mau makahiki a ua ʻeha i ka wā e hele ai.Ma hope o ka hoʻopau ʻana i nā hoʻokolohua kūpono, ua ʻike ʻo Luna Hoʻokele ʻo Chengjie Liao ua kūpono nā kuli ʻelua no ka hoʻololi unicondylar, no laila ua hoʻoholo ʻo ia e hana i ka hoʻololi unicondylar knee bilateral no ka mālama ʻana i ka hana kumu o ke kuli i ka nui.
Ua hoʻoholo maikaʻi ka hoʻololi ʻana i nā kuli bilateral a me ka mālama ʻana i nā kuli i ka pilikia ʻeha o ke kuli bilateral o ka mea maʻi, a ua ʻoluʻolu loa ka mea maʻi i ka hopena o ka ʻoki.
wehewehe:
Ma'i, kane, 60 makahiki
Hoʻopiʻi:
ʻO ka ʻeha ma nā hui kuli bilateral no 10 mau makahiki, ua hoʻonui ʻia no nā mahina 2 i hala iho nei.
Moʻolelo olakino o kēia manawa:
Ua loaʻa i ka mea maʻi ka ʻeha ma nā kuli ʻelua 10 mau makahiki i hala, ʻeha i ka wā e hele ai, ʻoi aku ka ʻeha o ke kuli hema, ʻoi aku ka ʻino o ka ʻaoʻao medial, ʻaʻohe palena nui i nā hana flexion a me ka hoʻonui ʻana, ʻike ʻia ka ʻeha i ka hele ʻana me ka ʻaoʻao waena o ʻelua. nā kuli, ua piʻi ka ʻeha i nā mahina 2 i hala iho nei, ʻaʻole maikaʻi ka hopena o nā lāʻau ʻeha waha, no ka mālama hou ʻana i ka haukapila
Moʻolelo kahiko:
ʻO ka hypertension no 3 mau makahiki.
Nānā kino:
ʻO ka curvature physiological maʻamau o ka iwi kuamoʻo, ʻaʻohe kaomi i nā kaʻina spinous o ka lumbar spine, ʻaʻohe pehu o nā kuli ʻelua, ʻaʻohe deformity inversion maopopo, flexion maʻamau a hoʻonui ʻia o nā kuli ʻelua, ʻeha ʻeha a puni ka kuli hema (+), me ka ʻeha medial e like me ka maopopo, ka ho'āʻo wili patellar maikaʻi, ka hoʻāʻo ʻana i ka patella lana maikaʻi ʻole, ka hoʻāʻo ʻana i ka huki huki maikaʻi ʻole, ka neʻe ʻana o ke kuli: ʻoluʻolu o ke kuli hema 120°, hoʻonui 0°, hoʻololi i ke kuli ʻākau 120°, hoʻonui 0°
Nā hōʻike kōkua:
X-ray ma mua a ma hope o ka kuli hema hōʻikenā osteophytes ma ka ʻaoʻao o nā iwi o ka hui kuli hema, ua ʻoi aku ka ʻoi o ke kuamoʻo intercondylar, ua sclerotic kekahi o nā ʻili me nā osteophytes, a ua liʻiliʻi ke ākea o ka hui.
ʻO ke alo a me ka ʻaoʻao X-ray o ke kuli ʻākau hōʻikeʻo nā osteophytes ʻoi ma nā ʻaoʻao o nā iwi o ka hui kuli ʻākau, ʻoi aku ka ʻoi o ke kuamoʻo intercondylar, sclerotic ka ʻili o ka hui me nā osteophytes, a ua ololi ka ʻāpana ami.
Ua hōʻike ʻia ke kiʻi kiʻi magnetic resonance o ka kuli hema:sagittal T2WI-FS, coronal T1WI T2WI-FS, a me ka transverse T2WI kiʻi: osteophytes a me osteophytes ma ka hema kuli, narrowing o ka medial ami ākea, thinning o ka articular cartilage, irregularity a hapa hapa, patchy kiʻekiʻe hōʻailona ma lalo o ka hui ili o ka femur distal a me ka tibia proximal, a me ka hōʻailona cystic like me ka poepoe i ka tibia proximal.Ua hōʻike nā kiʻi FS o ka meniscus medial a me lateral i ka hōʻailona kiʻekiʻe.ʻO ka pepeiaohao hope o ka meniscus medial ua ʻano like ʻole a hoʻoneʻe ʻia, a ua hoʻonui ʻia ka hōʻailona kiʻekiʻe i ka lihi.Ua mānoanoa ka ligament cruciate mua me ka hoʻonui ʻana i ka hōʻailona kiʻi FS, a ʻo ke kiʻi FS o ka ligament collateral lateral i hōʻike i ka hōʻailona kiʻekiʻe laina;ʻaʻole i hōʻike ka ligament cruciate hope a me ka ligament collateral medial i kekahi hōʻailona ʻano ʻino.Ua ʻike ʻia ka hoʻopiha ʻia ʻana o ka capsule hui i ka wai, a ua ʻike ʻia he cystic ka caruncle.ʻO nā kiʻi FS o ka ʻiʻo palupalu peripatellar a me ka infrapatellar fat pad i hōʻike i ka hōʻailona kiʻekiʻe patchy heterogeneous.
Ua hōʻike ʻia ka resonance magnetic o ke kuli ʻākau: T2WI-FS sagittal, T1WI T2WI-FS coronal, a me nā kiʻi T2WI transverse: osteophytes o nā iwi āpau o ke kuli ʻākau, ʻokiʻoki o ke ākea o ka hui, ʻokiʻoki ʻia o ka cartilage articular, ʻaʻole kūpono, ʻaʻohe hapa, a me nā hōʻailona kiʻekiʻe ma lalo o ka hui. ka ʻili o ka femur distal a me ka tibia proximal ma nā kiʻi FS.ʻO nā kiʻi FS o ka medial a me ka lateral meniscus i hōʻike i ka hōʻailona kiʻekiʻe laina, a ʻo ka medial meniscus i hoʻohālikelike ʻia a hoʻoneʻe ʻia i waho.ʻO nā ligaments cruciate mua a me hope he morphology irregular a hōʻike i ka hōʻailona kiʻekiʻe heterogeneous ma ke kiʻi FS, ʻoiai ʻaʻole i hōʻike ʻia nā ligament collateral medial a me lateral i kekahi hōʻailona koʻikoʻi.ʻIke ʻia ka hōʻailona hōʻiliʻili wai ʻole i loko o ka capsule hui.ʻO ke kiʻi FS o ka ʻiʻo palupalu peripatellar a me ka papa momona subpatellar i hōʻike i ka hōʻailona kiʻekiʻe heterogeneous patchy.
Hōʻike ʻia ka X-ray mua o nā ami ʻūhā ʻelua:ʻAʻole ʻokoʻa ka nui o ka iwi a me ka morphology o nā iwi o nā ami ʻūhā ʻelua, a ua ʻike maopopo ʻia ke ākea o ka hui, ʻaʻohe ākea a haiki paha, ʻaʻole ʻike ʻia ka haʻihaʻi pololei a me nā hōʻailona o ka luku ʻana i ka iwi.ʻAʻohe mea ʻino i nā ʻiʻo palupalu a puni.
ʻO ka hōʻailona hōʻailona:
1. Osteoarthritis o nā kuli ʻelua
2. Ka maʻi kiʻekiʻe
Postoperative:
XU UKA
LIAO Chengjie
Kauka Nui, Keʻena o ka Orthopedic Surgery, Northeast International Hospital
He lala opio o ke Komite Iwi a Hui ame Rumatika
o China Society of Rehabilitation Medicine,
He lālā o ke komite mua o ka Liaoning Medical Association Traumatology Branch,
He lālā o ke Komite ʻOihana Osteoporosis Provincial Liaoning.
Ka manawa hoʻouna: Apr-19-2023