Tus Sau: Janice Evans
Hnub Kev Tsim: 2 Lub Xya Hli Ntuj 2021
Hloov Hnub: 15 Lub Kaum Ib Hli Ntuj 2024
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Osteotomy ntawm lub hauv caug - Tshuaj Kho Mob
Osteotomy ntawm lub hauv caug - Tshuaj Kho Mob

Osteotomy ntawm lub hauv caug yog kev phais mob uas koom nrog txiav ib qho ntawm ib qho pob txha hauv koj sab ceg qis. Qhov no tuaj yeem ua kom txo cov tsos mob ntawm kev mob caj dab los ntawm kev txheeb tus ceg ntawm koj txhais ceg.

Muaj ob txoj kev phais:

  • Tibial osteotomy yog hlais tawm ntawm pob txha mos hauv qab lub hauv caug.
  • Tus poj niam osteotomy yog phais mob ntawm tus ceg pob txha saum taub hau lub hauv caug.

Thaum phais:

  • Koj yuav tsis hnov ​​mob thaum phais mob. Koj tuaj yeem ua pob txha caj qaum lossis mob pob txau, nrog rau cov tshuaj los pab koj so. Koj kuj tseem yuav tau txais kev tso tshuaj kom tsaug zog, uas koj yuav tsaug zog.
  • Koj tus kws phais yuav ua 4 txog 5 nti (10 txog 13 centimeters) txiav rau thaj chaw uas kho cov pob txha phais.
  • Tus kws phais yuav tshem ib daim npoo ntawm koj lub sab ua txoj sab hauv koj lub hauv caug. Qhov no hu ua kaw wedge osteotomy.
  • Tus kws phais yuav tuaj yeem qhib ib qho kev ntsab ntawm qhov mob ntawm lub hauv caug. Qhov no yog hu ua kev qhib wedge osteotomy.
  • Staples, screws, lossis paib yuav siv, nyob ntawm hom ntawm osteotomy.
  • Koj yuav tsum tau muaj pob txha pob txha los sau rau hauv cov npoo.

Feem ntau, cov txheej txheem yuav siv 1 mus rau 1 1/2 teev.


Osteotomy ntawm lub hauv caug yog ua kom kho cov tsos mob ntawm mob caj dab. Nws yog ua tiav thaum lwm txoj kev kho mob tsis muaj kev tiv thaiv lawm.

Mob caj dab feem ntau cuam tshuam sab hauv ntawm hauv caug. Feem ntau, sab sab nraud ntawm lub hauv caug tsis cuam tshuam tshwj tsis yog tias koj tau mob lub hauv caug yav dhau los.

Osteotomy phais ua haujlwm los ntawm kev hloov qhov hnyav kom deb ntawm qhov puas ntawm koj lub hauv caug. Rau qhov kev phais kom ua tiav, sab ntawm lub hauv caug qhov hnyav dua txav mus rau qhov yuav tsum muaj mob me me lossis tsis muaj mob caj dab.

Cov kev pheej hmoo rau ib qho tshuaj loog lossis phais yog:

  • Kev fab tshuaj rau cov tshuaj
  • Cov teeb meem ua pa
  • Ntshav
  • Kab mob

Lwm yam kev pheej hmoo los ntawm qhov kev phais mob suav nrog:

  • Cov ntshav txhaws hauv ceg.
  • Kev raug mob rau cov roj ntsha lossis hlab ntsha.
  • Kab mob hauv lub hauv caug sib koom tes.
  • Lub hauv caug txhav los yog lub hauv caug txha uas ua tsis tau zoo.
  • Cov tawv hauv lub hauv caug txhav.
  • Ua tsis tiav cov kev kho uas yuav tsum tau phais ntau dua.
  • Ua tsis tiav qhov osteotomy yuav kho tau. Qhov no yuav tsum muaj kev phais mob lossis kho mob ntau ntxiv.

Yuav tsum qhia koj tus kws kho mob saib koj yuav siv cov tshuaj twg, txawm yog tshuaj noj, tshuaj ntxiv, lossis tshuaj ntsuab uas koj tau yuav yam tsis muaj daim ntawv xaj yuav tshuaj.


Thaum 2 lub lis piam ua ntej koj phais:

  • Koj yuav tau hais kom tsum tsis txhob noj tshuaj uas ua rau koj cov ntshav txhaws nyuaj. Cov no suav nrog cov tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), cov ntshav tsis thooj xws li warfarin (Coumadin), thiab lwm yam tshuaj.
  • Nug koj tus kws kho mob saib koj yuav siv cov tshuaj twg hnub koj phais.
  • Qhia koj tus kws kho mob yog tias koj tau haus cawv ntau - ntau dua 1 lossis 2 khob ib hnub.
  • Yog koj haus luam yeeb, sim nres. Nug koj cov muab kev pab kom tau txais kev pab. Kev haus luam yeeb tuaj yeem txo cov leeg mob thiab kho pob txha.

Hnub koj phais:

  • Feem ntau yuav kom koj tsis txhob haus cawv los yog noj dab tsi li 6 rau 12 teev ua ntej ntawm txoj kev.
  • Siv cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
  • Luag yuav qhia rau koj paub thaum mus txog hauv tsev kho mob.

Los ntawm kev mob osteotomy, koj tuaj yeem ncua sijhawm yuav tsum tau hloov lub hauv caug ntev txog 10 xyoo, tab sis tseem tseem nyob nrog koj tus kheej lub hauv caug sib koom.


Ib tibial osteotomy tuaj yeem ua rau koj saib "knock-kneed." Tus poj niam osteotomy yuav ua rau koj "saib caj dab."

Koj yuav tau txais txiaj ntsig nrog txhawm rau hauv kev txwv ntau npaum li cas koj tuaj yeem txav koj lub hauv caug thaum lub sijhawm rov qab los. Cov tawv qhwv caj dab kuj tseem tuaj yeem pab tuav koj lub hauv caug nyob hauv qhov chaw yog.

Koj yuav tsum tau siv cov pas nrig rau 6 lub lis piam lossis ntau dua. Thaum pib, koj yuav raug hais kom tsis txhob tso ib qho hnyav ntawm koj lub hauv caug. Nug koj tus kws kho mob thaum nws yuav zoo los taug kev hnyav nrog koj txhais ceg uas tau raug phais. Koj yuav ntsib tus kws kho lub cev kom pab koj tawm dag zog.

Kev ua tiav tag yuav siv ntau lub hlis txog ib xyoos.

Kwv yees tibial osteotomy; Lateral kaw cov npoo osteotomy; Siab tibial osteotomy; Distal poj niam osteotomy; Mob pob txaws - osteotomy

  • Tibial osteotomy - series

Tus Txheej Txheem AH. Cov txheej txheem nqaij mos thiab kho cov nqaij mos txhawm rau lub hauv caug. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 9.

Feldman A, Gonzalez-Lomas G, Swensen SJ, Kaplan DJ. Osteotomies txog hauv caug. Hauv: Scott WN, ed. Insall & Scott Kev Kho Mob ntawm Lub Hauv PausCov. 6 tus ed. Philadelphia, PA: Elsevier; 2018: chap 121.

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