Condyle Femoral Condyle oo ka mid ah wadajirka jilibka prosthetic

Waxaanu ku siinaynaa nidaam jilibka dabacsanaan sare leh, nidaamyo xaddidan oo jilibka ah iyo qalabyada buro ee caadiga ah. Isku geynta sanaaci bedelka jilibka oogada guud ahaan waxay ka kooban tahay canqowga femoral, saxaarad tibial ah, iyo suuf tibial ah. Qaybaheeda ayaa lagu heli karaa siyaalo kala duwan si loo daboolo baahiyaha caafimaad.
Nidaamka wadajirka ah ee jilibka dabacsanaanta sare: sanduuqa furan ee naqshadaynta gadaal u wareejinta, ilaalinta mugga lafaha, ilaalisa sii wadida lafaha hore ee hore, radius yar yar oo qaabaysan ee malleolus dambe ee femur, naqshadaynta kamarad la hagaajiyay, oo ku habboon dabacsanaan sare, 3-degree cirifka tibial tray medullary, waxay kordhisaa daboolka laf dhabarta. dusha sare ee tibial osteotomy, waxay wanaajisaa booska bannaanka tibial, waxayna kordhisaa duubka femoral ee dabacsanaan sare. Meesha tibial-ka ayaa hore loo sii dayn si loo yareeyo saameynta patella inta lagu jiro dabacsanaan qoto dheer. Qulqulka trochlear ee canqowga femoral waa mid dheer, qoto dheer iyo lateral si loo hagaajiyo jihada femur, taas oo xaddidi karta guud ahaan taam ahaanshaha jilibka wadajirka ah.
Nidaamka wadajirka ah ee jilibka ee xaddidan: ku habboon beddelka jilibka aasaasiga ah ee adag iyo beddelka jilibka beddelka, la qabsiga xasilloonida lateral iyo farqiga dabacsanaanta, J-curve, naqshadeynta multi-radius ee la socota anatomy aadanaha, oo loo isticmaalo iyada oo lala kaashanayo cirbadda medulla si loo soo celiyo xasilloonida wadajirka jilibka, ballaarinta iyo kordhinta naqshadeynta, waxay ogaataa xaddidaadda gudaha iyo dibedda ee ciidda gudaha iyo dibadda, 2 ± 12 digrii rometrical trametric trametric 2 ± 12. naqshadeynta, xagasha dib u noqoshada 0, soo kabashada wanaagsan ee fidinta iyo farqiga dabacsanaanta, qeexitaanno kala duwan iyo moodooyinka suufka, waxay daboolaan baahida bukaan-socodka. Wadarta habka wadajirka ah ee jilibka: xuubka canqowga femoral anterior malleolus xagasha sare u kaca ee 5 darajo si looga fogaado heer sare; Fossa inter-canqaw waa hore si loo yareeyo osteotomy, femoral canqowga patella chute dibadda u dhaqaaqo oo qoto dheer, patella ma fududa in la kala saaro, suufka tibial qaadan cajalad iyo furku waa laba-xiran, oogada xidhiidhka ee saxaarad tibial waa mid aad u dhalaalaya, iyo saxaarad saxaarada tibial xasiloonida gacanta si ay u hubiso in ay curyaamiso.

Habaynta wadajirka jilibka waxay kaaga baahan tahay inaad bixiso cabbirro faahfaahsan, sida filimada CT-ga, sawirrada MRI iyo macluumaadka kale, si aan kuugu habaynno alaabta ugu saxsan uguna macquulsan.