Osteoarthritis
Qhov no tshwm sim tom qab hnub nyoog 50 xyoo hauv cov neeg uas muaj keeb kwm ntawm kev mob caj dab. Cov ntaub so ntswg uas cushions cov pob txha ntawm lub hauv caug softens thiab hnav tam sim ntawd. Cov pob txha ces rub tawm ib leeg, ua rau mob hauv caug thiab txhav.
rheumatoid Arthritis
Qhov no yog ib tug kab mob nyob rau hauv uas lub puab membrane ntawm cov pob qij txha yog thickened thiab inflamed. Qhov no ua rau cov kua dej ntau dhau uas lubricates cov pob qij txha. Qhov mob ntev no tuaj yeem ua rau cov ntaub so ntswg npog qhov kawg ntawm cov pob txha thiab nws thiaj li ua rau poob ntawm cov ntaub so ntswg, mob thiab txhav.
Kev mob caj dab
Nws tuaj yeem tshwm sim los ntawm kev raug mob hauv caug mob hnyav. Lub hauv caug pob txha los yog kua muag hnyav ntawm lub hauv caug cov ntaub so ntswg tuaj yeem ua rau cov ntaub so ntswg npog qhov kawg ntawm cov pob txha thaum lub sij hawm, ua rau mob hauv caug thiab txwv lub hauv caug ua haujlwm.
Cov tsos mob ntawm Arthritis
- Kev mob hnyav hauv qhov sib koom ua ke uas txwv tsis pub ua haujlwm txhua hnub xws li taug kev, nce ntaiv thiab nce ntawm cov rooj zaum.
- Mob hnyav thaum so.
- Kev mob thiab o ntawm qhov sib koom ua ke uas tsis txhim kho nrog kev siv tshuaj thiab so.
- Deformity nyob rau hauv sib koom tes.
- Kev sib koom ua ke los yog tsis muaj peev xwm txav tau qhov sib koom ua ke hauv ib txwm muaj.
Lub hauv caug
ACL Kev phais yog txhawm rau txhim kho lub Torn ACL hauv caug. Feem ntau 3 Grafts yog siv:
- Hamstring tendons.
- Pob txha tendon pob txha graft.
- Central Quadriceps tendon.
Cov grafts yog tsau nyob rau hauv anatomical txoj hauj lwm siv ntau yam kev xaiv cog.
Anatomical ACL Reconstruction
Tus qauv ACL rov tsim kho tau muab kev ruaj ntseg zoo rau lub hauv caug tab sis tam sim no tau ua pov thawj kom tsis txhob muaj kev mob osteoarthritis. Yog li, txhawm rau muab kev ruaj ntseg rau lub hauv caug thiab tseem tiv thaiv lossis txo qis kev txhim kho ntawm osteoarthritis, lub tswv yim tshiab nrog ACL hloov zuj zus nyob rau nruab nrab xyoo 2005 hauv Asmeskas. Lub tswvyim tshiab no hu ua Anatomical Reconstruction of ACL. Nrog rau kev nthuav dav ntawm cov cuab yeej siv siab dua hauv arthroscopy, nws tau dhau los ua kev nyab xeeb heev mus rau qhov chaw nyuaj heev hauv lub hauv caug.
Peb niaj hnub tsis yog ua Anatomical ACL reconstruction nrog pob txha leeg pob txha pob txha tab sis kuj Hamstring tendons siv. Hauv cov neeg mob uas nws graft zoo thiab tseem tsis tau muaj osteoarthritis, lub hauv caug raug txiav txim siab rau Anatomical ob pawg ACL reconstruction.
Combined Ligamentous Injuries
Thaum lub ACL, PCL & PLC (posterolateral complex) yog torn, peb reconstruct tag nrho ligaments siv arthroscopic thiab qhib cov tswv yim los kho lub hauv caug stability. Isolated PCL kuj raug kho phais yog tias ER III laxity pom nrog Anatomical PCL rov tsim kho.
Cov kab mob Patellofemoral
Nyob rau hauv cov ntaub ntawv ntawm maltracking ntawm lub hauv caug thiab nyob rau hauv cov neeg mob qhov twg lub kneecaps tsis tu ncua tawm thiab poob rov qab, peb muab kev pab tshwj xeeb hauv caug patellofemoral tshwj xeeb rehabilitation
Nyob rau hauv rooj plaub, qhov nruab nrab patellofemoral ligament yog tig, qhov MPFL no tuaj yeem kho tau tsawg kawg nkaus Yog tias xav tau kev hloov pauv tibial tuberosity tau ua kom tso cai rau kev taug qab ib txwm patellofemoral.
Mob pob txha mos
Pob txha mos yog qhov poob siab absorber ntawm txhua qhov sib koom ua ke, uas tseem tso cai rau kev sib txhuam tsis muaj zog hauv cov pob qij txha. Txog thaum xyoo 2008, rau pob txha pob txha raug mob qhov kev kho mob tau txwv heev. Tam sim no peb muaj ntau txoj kev xaiv los ua kom zoo rau pob txha mos.
Micro Fracturing Technique
Kev hloov ntawm pob txha mos los ntawm qhov tsis tseem ceeb ntawm kev sib koom ua ke mus rau qhov hnyav ntawm qhov raug mob hu ua OATS.
Cov txheej txheem niaj hnub hu ua Chondrocyte hloov pauv lossis rov cog qoob loo tau ua tiav nrog qhov tshwm sim ntawm cov chaw kuaj mob uas cov pob txha mos tuaj yeem loj hlob hauv cov khoom siv dag zog thiab hloov mus rau qhov chaw raug mob kom cov pob txha mos zoo li qub.
Proxima Hip Hloov
Proxima Hip Replacement kuj zoo tagnrho rau cov neeg mob hluas. Nyob rau hauv cov txheej txheem minimally-invasive, ib feem ntawm cov pob txha ncej puab ntawm qhov chaw uas nws pib yog zoo li tus thiab hloov los ntawm ib tug hlau taub hau. Qhov no zaum hauv lub khob hlau uas haum rau hauv lub qhov (socket).
Ob tog thiab Kev Kho Hniav Hloov Kho Hniav kuj ua tau zoo tshaj plaws Orthopedic tsev kho mob hauv Bangalore ie Apollo Hospitals, India. Qee qhov kev phais lub duav tuaj yeem ua tau siv cov txheej txheem minimally-invasive.
Ib nrab Lub hauv caug Hloov
Cov txheej txheem minimally invasive yog ib qho kev xaiv rau cov neeg mob caj dab uas tsuas yog ib feem ntawm lub hauv caug tau cuam tshuam.
Nyob rau hauv ib tug Ib nrab Lub hauv caug Hloov cov kab mob raug tshem tawm thiab hloov nrog ib qho kev cog hniav hlau.
Kev Kho Hniav Kho Mob
Kev phais kho dua tshiab yog qhov sib txawv ntawm qhov tseem ceeb ntawm cov khoom qub raug tshem tawm thiab cov khoom siv tshiab yog cog. Cov txheej txheem ntawm kev phais yog qhov nyuaj tshaj qhov qub tag nrho lub duav hloov. Txawm li cas los xij, kev npaj rau kev phais thiab kev kho mob hauv tsev kho mob zoo li zoo ib yam li thawj tag nrho lub duav hloov. Cov kev xaiv rau cog kuj zoo ib yam; ob qho tib si cemented thiab cementless Cheebtsam yog siv nyob ntawm tus neeg mob qhov kev xav tau thiab qhov zoo ntawm cov pob txha tam sim no ntawm kev phais.
Cov Teeb Meem Rov Qab Los
Cov teeb meem feem ntau ntawm tag nrho lub duav phais tam sim no tuaj yeem zam tau. Ua ntej kev phais txhua tus neeg mob tau txais kev kuaj mob tiav los ntawm kws kho mob, nrog rau kev kuaj niaj hnub. Kev pub dawb ntawm ib tus kheej cov ntshav ua ntej kev phais tuaj yeem tshem tawm qhov teeb meem ntawm HIV thiab kab mob siab tag nrho.
Cov teeb meem hauv zos muaj xws li: xoob, hnav lossis tawg ntawm cov prosthesis, hip dislocation, kab mob, mob, txhav, ceg ntev tsis sib xws, ncua kev kho cov pob txha thiab cov nqaij mos, thiab heterotopic pob txha tsim. Lwm yam teeb meem tsis tshua muaj xws li pob txha ntawm femur lossis acetabulum, paj hlwb thiab vascular raug mob.
Cov teeb meem kho mob muaj xws li: thrombophlebitis, pulmonary embolism (cov ntshav txhaws), urological teeb meem thiab txawm tuag (0.1%) Lwm yam teeb meem tsis tshua muaj, uas tuaj yeem ntsib nrog kev phais, suav nrog mob plawv, digestive thiab ntsws.
Tag nrho lub hauv caug hloov
Rau cov neeg mob uas muaj kev mob caj dab hnyav uas tuaj yeem ua rau mob hnyav thiab ua rau cov kev ua ub ua no nyuaj, Total Knee Replacement yog qhov kev daws teeb meem zoo tshaj plaws. Cov txheej txheem cuam tshuam nrog tshem tawm tag nrho cov kab mob ntawm cov pob txha thiab cov ntaub so ntswg ntawm lawv qhov kawg, thiab hloov lawv nrog cov hlau thiab cov khoom yas siab ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom ntom tsim cov qauv tsim kom muaj kev txav mus los ntawm kev sib koom tes. Lwm lub hauv caug deformities kuj yuav raug kho thaum lub sij hawm phais.
High Tibial Osteotomy
Ib qho osteotomy yog Kev phais uas cuam tshuam nrog kev tsim thiab kho cov pob txha ntawm kev sib koom tes. Nws feem ntau yog siv los kho mob caj dab hauv cov neeg mob hluas, thiab tshwj xeeb tshaj yog pom zoo rau cov neeg uas muaj cov pob qij txha qis heev.
Nyob rau hauv High Tibial Osteotomy lub sab sauv ntawm tibia - ib qho ntawm cov ceg uas ua rau sab ceg - yog sawv rov los, feem ntau yog tshem tawm ib feem me me ntawm cov pob txha hauv cheeb tsam.