Inhloso eyinhloko yemilenze ukudala ukwesekwa komzimba wonke uma umile futhi uhamba. Ngenxa yokulimala okuhlukahlukene, okuyinto evame kakhulu ukulimala kwe-ankle, izitho ezincane zingase ziyeke ukwenza imisebenzi yazo. Ezimweni ezinjalo, kwenziwa ukungenelela kokuhlinzwa, okuvumela ukuba babuyiselwe, isibonelo, i-arthrodesis yokujoyina ama-ankle. Lokhu kukhwabanisa kunika ukusimama komlenze, kodwa akubuyisi ukuhamba kuwo.
Iyini isisekelo sokusebenza okunjalo njenge-ankle arthrodesis?
Ukungenelela okuhlinzekwayo okuhlinzekwayo kuyindlela yokuqedwa okuphelele ekutshaneni kwamathambo omlenze nomlenze ophansi. Ngesikhathi sokuhlinzwa, udokotela ususa zonke izicubu zomzimba ezihlangene. Ngemuva kwalokho, i-talus ne-tibia iyaqhathaniswa futhi isetshenziswe ngamadivayisi ahlukahlukene wezokwelapha:
- izikrini;
- izikrini;
- amapuleti ensimbi;
- ukugwema;
- amathiphu amathambo;
- izinsimbi zensimbi.
Ukuhlukunyezwa akuthathi amahora angu-2, kuye ngokuthi kunzima kangakanani. Isikhathi sokuhlala esibhedlela emtholampilo izinsuku ezingu-4-5, bese isiguli singabuyela ekhaya.
Ngokufanayo, ukungenelela okuhlinzekwayo kwenziwa kwezinye izingxenye zomlenze - ukuhlinzwa kwi-arthrodesis yehlangothini lamadolo noma le-hip. Kuphela kulezi zimo kuzothatha isikhathi esengeziwe sokuthungatha amathambo nokuvuselela.
Izinkomba zokuhlinzwa kwe-ankle arthrodesis
Lokhu kusetshenziselwa ukuvame ukuqhutshwa ukubuyisela umsebenzi wokusekela onyawo, owalahleka ngenxa yokungasebenzi okungafanelekanga, ukuphazamiseka okukhulu kanye nokuhlukunyezwa , izifo ezithathelwanayo, isifo samathambo noma izinkinga zokuthuthukiswa ezihlangene ze-congenital. Izinkomba eziqondile ze-arthrodesis:
- isifo esibucayi se-syndrome esikhwameni kanye nokungasebenzi kahle ngesikhathi esisodwa;
- ukuvinjelwa kwemisebenzi yonyawo;
- ukungenakusiza ukusekelwa ngokugcwele emlenzeni owonakele.
Imiphumela ye-arthrodesis ye-ankle
Ukusebenza ngendlela efanele akuhambisani nanoma yiziphi izinkinga nemiphumela emibi. Umzuzu owodwa ongajabulisayo ukwehla okuphawulekayo emisebenzini yemoto ye-ankle kanye nesidingo sokuvuselelwa isikhathi eside. Ngemuva kokuhlanganiswa kwamathambo we-tibial ne-talus, kubalulekile ukuthuthukisa umlenze, futhi lokhu kuhambisane nokungahambi kahle kanye nesifo sobuhlungu obukhulu.