ʻOki kino microfracture

ʻO ke kīʻaha microfracture kuli kahi hana maʻamau i hoʻohana ʻia e hoʻoponopono i ka cartilage kuli i hōʻino ʻia. Kōkua ka cartilage i ka pale a uhi i ka wahi e hui ai nā iwi i nā hono.

ʻAʻole ʻoe e ʻike i kahi ʻeha i ka wā o ke ʻoki. ʻEkolu mau ʻano anesthesia e hiki ke hoʻohana ʻia no ke kīkoki arthroscopy o ke kuli.

• Anesthesia kūloko - E hāʻawi ʻia ʻoe i nā pana o nā painkillers e hoʻopōpō i ke kuli. Hāʻawi ʻia iā ʻoe i nā lāʻau e hoʻomaha ai iā ʻoe.
• Anesthesia Spinal (regional) - Hoʻokomo ʻia ka lāʻau ʻeha i kahi ākea i kou kuamoʻo. E ala ʻoe, akā ʻaʻole hiki iā ʻoe ke ʻike i kekahi mea ma lalo o kou pūhaka.
• General anesthesia - E hiamoe ʻoe a ʻaʻohe ʻeha.

E hana ke kauka lāʻau i kēia mau hana:

• E hana i kahi ʻekahi hapaha (6 mm) ʻoki ʻoki ma kou kuli.
• E kau i kahi ʻōmole lahilahi a lahilahi me ka pahu paʻi kiʻi ma ka hopena ma o kēia ʻoki. Kāhea ʻia kēia he arthroscope. Hoʻopili ka pahu paʻi kiʻi i kahi mea nānā wikiō i ka lumi hana. Hiki i kēia mea hana ke nānā aku ke kauka i loko o kou kuli a hana ma ka ami.
• E hana i kahi ʻoki ʻē aʻe a hala i nā pono hana ma o kēia wehe. Hoʻohana ʻia kahi mea hana lima liʻiliʻi i kapa ʻia ka awl e hana i nā puka liʻiliʻi loa i ka iwi kokoke i ka iwi kino i hōʻino ʻia. Kapa ʻia kēia mau mea he microfractures.

Hoʻopili kēia mau lua i ka iwi o ka iwi e hoʻokuʻu i nā hunaola i hiki ke kūkulu i nā cartilage hou e pani i kaʻiʻo i hōʻino ʻia.

Pono ʻoe i kēia kaʻina hana inā loaʻa iā ʻoe ka hōʻino i ka cartilage:

• I ke ami kuli
• Ma lalo o ka kneecap

ʻO ka pahuhopu o kēia ʻoki ʻana e pale a lohi paha i ka hōʻino hou ʻana i ka cartilage. E kōkua kēia i ka pale ʻana i ka maʻi o ke kuli. Hiki iā ia ke kōkua iā ʻoe e hoʻolohi i ka pono no ka hapa a i ʻole ka huina o ke kuli.

Hoʻohana pū ʻia kēia hana e mālama ai i ka ʻeha o ke kuli ma muli o nā hōʻeha cartilage.

ʻO kahi ʻoki i kapa ʻia ʻo matrix autologous chondrocyte implantation (MACI) a i ʻole mosaicplasty hiki ke hana ʻia no nā pilikia like.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahena
• Huʻi koko
• Maʻi kīnā

Nā pilikia no ke kaha ʻana o microfracture:

• Haki ka cartilage i ka manawa - ʻAʻole ikaika ka cartilage hou i hana ʻia e ka ʻoki microfracture e like me ka cartilage kumu o ke kino. Hiki iā ia ke haki me ka maʻalahi.
• Hiki ke hoʻonui ka wahi me ka cartilage paʻa ʻole me ka manawa ke holo nei ka hoʻohaʻahaʻa. Hiki i kēia ke hāʻawi iā ʻoe i nā hōʻailona a me nā ʻeha hou aʻe.
• Hoʻonui i ka ʻoʻoleʻa o ke kuli.

E haʻi mau i kāu mea mālama ola i nā lāʻau āu e lawe nei, e like me nā lāʻau, nā mea kanu, a i ʻole nā ​​mea hoʻopihapiha āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o 2 mau pule ma mua o kou ʻoki kino:

• E hoʻomākaukau i kou home.
• Pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mea e paʻakikī ai i kou koko ke kāpulu. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), a me nā mea ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​ʻano olakino ʻē aʻe, e noi ana kāu kauka iā ʻoe e ʻike i ka mea nāna e mālama iā ʻoe no kēia mau ʻano.
• E haʻi i kāu mea hāʻawi inā inu nui ʻoe i ka waiʻona, ʻoi aku ma mua o 1 a 2 mau inu i ka lā.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua. Hiki i ka puhihihi ke hoʻolohi i ka ʻeha a me ka hoʻōla iwi.
• E hoʻomaopopo mau i kāu mea hoʻolako e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe āu e loaʻa ai ma mua o kāu ʻoki.

I ka lā o kou ʻoki kino:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 a 12 mau hola ma mua o ke kaʻina hana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi aku kāu kauka a kahu wahine paha iā ʻoe i ka wā e hōʻea ai i ka haukapila.

E hoʻomaka paha ke olakino kino i ka lumi hoʻōla ma hope koke o kou ʻoki ʻana. Pono ʻoe e hoʻohana i kahi mīkini, i kapa ʻia ka mīkini CPM. E hoʻomaʻamaʻa mālie kēia mīkini i kou wāwae no 6 a 8 mau hola i ka lā no kekahi mau pule. Hoʻohana pinepine ʻia kēia mīkini no 6 mau pule ma hope o ke kahakaha ʻana. E noi i kāu mea hāʻawi i ka lōʻihi o kāu e hoʻohana ai.

E hoʻonui kāu kauka i nā hana āu i hana ai ma mua o ka manawa a hiki i kou hiki ke neʻe piha i kou kuli. Hiki i nā hoʻoikaika ke hoʻōla maikaʻi i ka cartilage hou.

Pono ʻoe e mālama i kou kaupaona mai kou kuli no 6 a 8 mau pule ke ʻole i haʻi ʻia i kahi ʻē. Pono ʻoe i nā koʻokoʻo e hele a puni. ʻO ka mālama ʻana i ke kaumaha ma ke kuli e kōkua ai i ka cartilage hou e ulu. E nānā pono me kāu kauka e ʻike i ka nui o ke kaupaona i hiki iā ʻoe ke kau i kou wāwae a no ka lōʻihi.

Pono ʻoe e hele i ka hoʻōla kino a hana i nā hoʻoikaika kino ma ka home no 3 a 6 mau mahina ma hope o ke kahakaha ʻana.

Hana maikaʻi nā poʻe he nui ma hope o kēia ʻoki. Hiki ke lohi ka manawa hoʻōla. Hiki i nā poʻe he nui ke hoʻi i nā haʻuki a i ʻole nā ​​hana ikaika ʻē aʻe ma kahi o 9 a 12 mau mahina. ʻAʻole hiki i nā poʻe haʻuki i nā haʻuki ikaika ke hoʻi i ko lākou kūlana ma mua.

ʻO nā kānaka ma lalo o 40 mau makahiki me kahi ʻeha i loaʻa pinepine i nā hopena maikaʻi loa. ʻO ka poʻe i kaumaha nui ʻole ka hopena maikaʻi.

Ke hoʻoulu hou ʻana i ka cartilage - kuli

• Ke hoʻomākaukau nei i kou home - ke kuli a me ke kaʻe o kou uha
• Hoʻopili ke kuli - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• ʻO ke ʻano o kahi ami

ʻO Frank RM, Lehrman B, Yanke AB, Cole BJ. ʻO Chondroplasty a me microfracture. I: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, eds. Nā Hana Hana: Ke Kino Kuli. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 10.

ʻO Frank RM, Vidal AF, ʻo McCarty EC. Nā palena i ka mālama ʻana i ka cartilage articular. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 97.

Harris JD, Cole BJ. ʻO nā kaʻina hana hoʻōla cartilage kuli. I: Noyes FR, Barber-Westin SD, hua. Nā maʻi kuli o Noyes: ʻoki kino, hoʻoponopono hou ʻana, nā hopena maʻi. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 31.

ʻO Miller RH, ʻo Azar FM. Nā hōʻeha kuli. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 45.