Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwe-Osteotomy e-Hyderabad

Ukuhlinzwa Kwe-Osteotomy Okuthuthukisiwe

Odokotela basebenzisa ukuhlinzwa kwe-osteotomy ukuze balungise ukukhubazeka futhi baqondise amalunga ngokusika nokuhlela kabusha amathambo. Ingasusa isidingo sokushintsha idolo isikhathi eside esingangeminyaka eyi-10. Lokhu kuzuzisa abantu abasebasha osteoarthritis. Ukululama ngemva kokuhlinzwa kungathatha izinyanga, ngezinye izikhathi kuze kube unyaka, futhi ukuvuselela kabusha kubalulekile ukuze kwakhiwe kabusha amandla nokunyakaza. Lesi sihloko sihlanganisa lokho iziguli okufanele zazi mayelana ne-osteotomy, okuhlanganisa indlela yokulungiselela nokuthi yini okufanele ilindele ngesikhathi sokululama.

Kungani Izibhedlela Zeqembu Le-CARE Zigqama Ngokuhlinzwa Kwe-Osteotomy e-Hyderabad

The ithimba lokuhlinza amathambo e-CARE Hospitals iletha imiphumela emihle kakhulu. Impumelelo yabo ibenze baqashelwa njengochwepheshe kwezokunakekelwa kwamathambo.

Baphatha ukuhlinzwa kwe-osteotomy ngendlela ebanzi ehlanganisa:

• Imishini yesimanjemanje enobuchwepheshe besimanje
• Ukuhlolwa okuphelele kwangaphambi kokuhlinzwa
• Izinhlelo zokwelashwa ezenzelwe wena ngokusekelwe ezidingweni zomuntu ngamunye
• Ukuvuselelwa okuqhubekayo ukusiza ukululama
• Umlando oqinile wokwenza ukuhlinzwa okuyimpumelelo

Odokotela Abahlinzayo Be-Osteotomy Abangcono Kakhulu eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. (Lt Col) P. Prabhakar

  Umqondisi Womtholampilo kanye Nomnyango Oyinhloko Wezokwelapha Zamathambo kanye Nokushintshwa Okuhlanganyelwe

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Anand Babu Mavoori

  Umqondisi Womtholampilo Wokululeka kanye ne-HOD, I-Orthopedics, Ukubuyisela Ngokuhlanganyela kanye Nokuhlinzwa Kwe-Arthroscopic

  I-Orthopedics

  Bhala iNqunto
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  UDkt. BN Prasad

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. KSPraveen Kumar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sandeep Singh

  Inhloko yoMnyango - I-Orthopedics,
  Umeluleki Omkhulu - Ukuhlinzwa Kwerobhothi Nokulimala Kwezemidlalo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Behera Sanjib Kumar

  Umqondisi Womtholampilo kanye neNhloko Yomnyango - I-CARE Bone and Joint Institute

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sharath Babu N

  Umxhumanisi - Ukubuyiselwa Kwamajoyinisi, Udokotela Ohlinzayo Wamathambo kanye NeRobhothi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. P. Raju Naidu

  umxhumanisi

  ISITHOMBE SAMAJOPHO

  Bhala iNqunto
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  Dr. AK Jinsiwale

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Jagan Mohana Reddy

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ankur Singhal

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Lalit Jain

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pankaj Dhabaliya

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Manish Shroff

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Prasad Patgaonkar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Repakula Kartheek

  Umxhumanisi - Odokotela Bamathambo kanye Nokuhlinzwa Kokubuyisela Ngokuhlanganyela

  I-Orthopedics kanye Nokushintshwa Kwamalunga

  Bhala iNqunto
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  UDkt. Chandra Sekhar Dannana

  Sr. Consultant

  I-Trauma kanye ne-Orthopedics

  Bhala iNqunto
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  UDkt. Hari Chaudhari

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Kotra Siva Kumar

  Umxhumanisi - I-Orthopedics & Sports Medicine

  Imithi Yamathambo Nezemidlalo

  Bhala iNqunto
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  UDkt. Romil Rathi

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Shiva Shankar Challa

  I-Consultant Joint Replacement & Robotic Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Mir Zia Ur Rahaman Ali

  Sr. Consultant Orthopedic & Joint Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Arun Kumar Teegalapally

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashwin Kumar Talla

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pratik Dhabalia

  umxhumanisi

  I-Orthopedics (Ukubuyisela Ngokuhlanganyela)

  Bhala iNqunto
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  UDkt. Subodh M. Solanke

  I-Arthroplasty engu-Consultant (Ukubuyisela Ngokuhlanganyela) kanye Nodokotela Wamathambo

  Umnyango Wokuhlinza Amathambo

  Bhala iNqunto
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  UDkt. Raghu Yelavarthi

  Umxhumanisi - Udokotela Wamathambo, Ukubuyisela Ngokuhlanganyela kanye Nodokotela Ohlinza Izandla

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ravi Chandra Vattipalli

  I-Robotic Knee Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Madhu Geddam

  Umxhumanisi - Udokotela Wamathambo, Ukushintshwa Kwamalunga, Ukuhlukumezeka kanye Nodokotela Ohlinza Amathambo

  Uchwepheshe wezifo zamathambo kanye nemithi yezemidlalo

  Bhala iNqunto
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  UDkt. Vasudeva Juvvadi

  Umxhumanisi - Udokotela Wokuhlinza Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashok Raju Gottemukkala

  Umqondisi Womtholampilo kanye Nomeluleki Sr. - Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Yadoji Hari Krishna

  Umxhumanisi - Udokotela Wamathambo & Udokotela Ohlinza I-Arthroscopy

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ajay Kumar Paruchuri

  Sr. Consultant - I-Orthopedics

  I-Orthopedics

  Bhala iNqunto
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  UDkt. ES Radhe Shyam

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pushpvardhan Mandlecha

  Sr. Consultant Pediatric Orthopedist

  I-Pediatric Orthopedics

  Bhala iNqunto
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  UDkt. Zafer Satvilkar

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto

I-Advanced Surgical Technology ezibhedlela ze-CARE

Izibhedlela ze-CARE zithuthukise izindlela zayo zokuhlinza ngokusebenzisa amathuluzi esimanje njengeHugo kanye ne-Da Vinci X Robotic systems. Lawa mathuluzi avumela odokotela abahlinzayo ukuthi benze ama-osteotomies ngokunemba okuphezulu nokulawula okungcono kunangaphambili.

I-Da Vinci X Surgical System ime njengegxathu elikhulu eliya phambili emhlabeni wezobuchwepheshe bokuhlinza. Odokotela abahlinzayo basebenza njengesandiso sezandla namehlo abo, okubavumela ukuthi benze izinqubo ngokunemba okuphezulu.

Esibhedlela i-CARE, ithimba labahlinzayo lisebenzisa izithombe ze-3D ezithuthukisiwe ukuze lilawule izingalo ezimbalwa zerobhothi kusuka kukhonsoli eyodwa nje. Uhlelo lwe-Hugo luthwebula zonke izinqubo zokusekela ukufunda nokufundisa okuqhubekayo kwezokwelapha.

Lapho Ukuhlinzwa Kwe-Osteotomy Kwelulekwa

Odokotela basikisela ukuhlinzwa kwe-osteotomy ukuze kubhekwane nezinkinga ezithile zamathambo namalunga. Lolu hlobo lokuhlinzwa lusebenza kangcono kubantu abanempilo esebenzayo noma labo abasezigabeni zokuqala ze-osteoarthritis uma bengaphansi kweminyaka engama-60.

Ukuhlinzwa kwe-osteotomy kusiza ekwelapheni uchungechunge lwezinkinga zamathambo:

• Ukugoba okuphawulekayo kwamathambo noma ukusonteka
• Amalunga angahambi kahle ngenxa yokulimala okwedlule
• Ubude bemilenze engalingani
• Ubuhlungu obuvela sokuqaqamba kwamalunga ezinqulwini noma emadolweni
• Izinkinga zesakhiwo ezihlobene nokuzalwa

Abantu abafanelekile ukuthi bahlinzwe i-osteotomy babonisa lezi zimpawu:

• Ubuhlungu bendawo ohlangothini olulodwa lwedolo
• Ikhono lokugoba idolo okungenani libe i-angle engama-degree angu-90
• Ubuhlungu obuncane lapho uphumule
• Ukulungela ukunamathela ezinhlelweni zokuhlenga emuva kokuhlinzwa
• BMI ngaphansi kuka-30

Izinhlobo zezinqubo ze-Osteotomy

Izinqubo zokuhlinzwa zigxila ezithweni ezingezansi eziqondise izinkinga zamadolo zisebenzisa izindlela ze-tibial noma ze-femoral.

• I-Tibial Osteotomy: I-osteotomy ephezulu ye-tibial ivame ukusetshenziselwa ukulungisa izinkinga zamadolo. Kungenziwa ngenye yezindlela ezimbili. Indlela ye-wedge yokuvala ikhipha ithambo ohlangothini olungaphandle (olusemaceleni). Indlela ye-wedge yokuvula yengeza ukuxhunyelelwa kwethambo ohlangothini lwangaphakathi (oluphakathi).
• I-Spine Osteotomy: Odokotela benza izinhlobo ezintathu eziyinhloko ze-spine osteotomy kuye ngenkinga:
  • I-Smith-Petersen Osteotomy: Lolu hlobo luhilela ukusika ingemuva (ngemuva) lomgogodla ukuze kukhishwe amalunga e-facet. Isiza ukulungisa izinkinga ezincane zejika lomgogodla ngokuthuthukisa isandiso.
  • I-Pedicle Subtraction Osteotomy: Ngale ndlela, odokotela abahlinzayo bakhipha ucezu lwethambo olumise okwe-wedge ngokusebenzisa i-pedicle ukuze bavumele ukulungiswa okuqinile komgogodla.
  • I-Vertebral Column Resection: Ukulungisa izinkinga ezidlulele zomgogodla, le ndlela isusa i-vertebrae eyodwa noma ngaphezulu.
• I-Dentofacial Osteotomy: Ilungisa izinkinga ezifana nokulunywa okuvulekile noma inkinga ngokuhlafuna ukudla.
• Ukuhlinzwa kwesilevu kubandakanya ukwenza ukusikeka ngaphakathi emlonyeni. Iziguli zivame ukuba ndikindiki ezindebeni ezingahlala amasonto ambalwa.
• I-Hip Osteotomy: Kunezinhlobo ezimbili eziyinhloko ze-hip osteotomies. I-Innominate osteotomies igxila ethanjeni le-iliac futhi isebenzisa izindlela ezifana ne-Salter's ne-Chiari's. I-Femoral osteotomies ilungisa ukuqondanisa kwethanga.
• I-Foot and Ankle Osteotomy isebenzisa amasu athile:
  • Izinqubo ze-Chevron ne-Akin zikhuluma namabhuni
  • Indlela kaDwyer ithuthukisa ukuzinza kumakhothamo aphezulu
  • I-Weil osteotomy ilungisa izinzwane zozipho
  • Inqubo kakotini isiza ukwakha ukusekelwa kwe-arch efanele ezinyaweni
• I-Elbow Osteotomy: Lokhu kuhlinzwa kusiza ukulungisa ukukhubazeka kwe-engeli yokuthwala ingalo okubangelwa ukuhlukumezeka.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Ukuhlolwa okuphelele kwezokwelapha kubeka isisekelo sokuphumelela ngokuhlinzwa kwe-osteotomy:

• Ukuhlolwa kwegazi kuhlola ukuthi izitho zomzimba zisebenza kahle kangakanani, futhi ukuhlolwa komchamo kuveza izinkinga ezingaba khona ezifana nezifo noma sikashukela.
• Odokotela bathembele kuma-X-ray esifuba kanye nama-electrocardiograms ukuze baqinisekise ukuthi amaphaphu nenhliziyo kusesimweni esihle.
• Iziguli zidinga ukumisa okokwehlisa igazi ezinsukwini ezintathu ngaphambi kokuhlinzwa.
• Ukubhema nokuphuza kufanele kugwenywe okungenani isonto ngaphambi kwenqubo.

Izinyathelo Zokuhlinzwa Kwe-Osteotomy

Ukuhlinzwa kuqala lapho odokotela benikeza isiguli i-anesthesia. Bayakhetha isifunda, umgogodla, noma i-anesthesia jikelele kuye ngokuthi isiguli sidingani. Odokotela abahlinzayo babe sebehlanza indawo okuhlinzelwa kuyo futhi babeke izintambo zokuqondisa ukuze baveze ingxenye yethambo okudingeka ilungiswe.

Odokotela abahlinzayo basebenzisa amasaha athile okuhlinza ukuze basike futhi bakhiphe ucezu lwethambo oluveziwe. Inqubo ihlanganisa izinyathelo ezimbalwa:

• Ukudonsa imiphetho yamathambo ndawonye ukuvala noma yiziphi izikhala
• Ukwengeza ama-graft amathambo ukuze ugcwalise lapho kudingeka khona
• Ukugcina amathambo esendaweni ngezikulufo, amapuleti, noma izikhonkwane
• Ukuhlanganisa amanxeba ukuvala izilonda

Ukuhlinzwa ngokwako kuthatha cishe ihora kuya ehoreni nesigamu, kodwa iziguli zingalindela ukuchitha amahora amane kuya kwayisithupha egunjini lokuhlinza lilonke.

Ukululama Ngemva Kokuhlinzwa

Abantu bahlala esibhedlela usuku olulodwa noma ezimbili. Ubuhlungu nokuvuvukala kuyaqhubeka emasontweni ayisithupha okuqala ekululama.

Ukwelashwa ngokomzimba kuhamba isikhathi eside ngemva kokuhlinzwa, ngisho noma kukhona ukhonkolo noma i-splint endaweni. Abantu abaningi bathembela ezindukuni amasonto athile ngaphambi kokubuyela kancane kancane emisebenzini evamile yokuthwala isisindo.

Ukubuyisela kuhlanganisa:

• Isigaba sokuqala (amaviki angu-6 okuqala): Ukulawula ubuhlungu nokwenza ukunyakaza okuyisisekelo
• Isigaba esimaphakathi (amaviki angu-6-12): Ukwandisa umsebenzi njengokungakhululeki nokuvuvukala kudambisa
• Isigaba sokugcina (emva kwamaviki angu-12): Ukuqapha ukuqhubeka kuze kube yilapho ululama

Izingozi Nezinkinga Ezingenzeka

• Ama-clots egazi kuyinkinga evamile ebonisa inani elincane leziguli ngemva kokuhlinzwa emilenzeni.
• Ukutheleleka kungenye inkinga enkulu. Kungaba kuncane njengesifo sesikhumba noma kube nzima njengokuthinta ithambo.
• Amathambo angase angapholi ngemva kokuhlinzwa. I-Nonunion, lapho amathambo ehluleka khona ukuhlangana, kungenzeka ngenxa yalokhu:
  • Ukugeleza kwegazi okuphansi
  • Imikhuba yokubhema
  • Ukudla okubi
  • Izinkinga zokuhlinzwa
• Izinkinga nge-hardware yokuhlinzwa zingavela. Amapuleti, izikulufu noma izintambo ezihloselwe ukubamba amathambo zingase zixege noma zinqamuke. Lokhu kuvame ukuphumela kokuthi:
  • Ukuma okungalungile kwehadiwe
  • Gqoka futhi uklebhule phezu kwensimbi
  • Ubuthakathaka ethanjeni uqobo
• Ukulimala kwemizwa noma imithambo yegazi akuvamile, kodwa kudinga ukunakekelwa okuseduze.
• Iziguli nazo zingabhekana nezinkinga ezifana nalezi:
  • Ukuvuvukala kwamalunga noma ukuqina
  • Ubuhlungu obuqhubekayo
  • Ukukhula kwezicubu ezibomvu
  • Ubude bomlenze obungalingani ngemva kokuhlinzwa

Izinzuzo Zokuhlinzwa Kwe-Osteotomy

Abantu abasebasha abakhuthele bangaphinde bathole izinqubo zabo ngokuhlinzwa kwe-osteotomy. Ngemva kokululama ngokugcwele, bangajabulela zonke izinhlobo zemisebenzi yomzimba ngisho naleyo ehilela umthelela onzima. Le nqubo isebenza kahle kakhulu ekwelapheni i-osteoarthritis.

Ukuhlinzwa kwe-osteotomy kunikeza izixazululo kwabaningi izingqinamba zemisipha. Le ndlela isiza:

• Ilungisa ukuqondanisa kwamathambo, izinkinga zokugoba nokuzungezisa
• Ilungisa amalunga alimele
• Ilungisa ubude bamathambo
• Isabalalisa kabusha isisindo ezindaweni ezinoqwanga olunempilo

Usizo Lomshwalense Wokuhlinzwa Kwe-Osteotomy

Umshwalense wezempilo ungadambisa umthwalo wezindleko zokuhlinzwa kwe-osteotomy. Izinqubomgomo eziningi zomshuwalense wezempilo eNdiya zihlanganisa ukuhlinzwa kwamathambo, okuhlanganisa yonke into kusukela ekunakekelweni kokuqala ngaphambi kokulaliswa esibhedlela kuya ekululameni ngemva kwenqubo.

Abeluleki bethu bezezimali babambisana neziguli ukuhlonza izixazululo ezingaba khona ezifana nalezi:

• Izinhlelo zokukhokha ezenzelwe inqubo ye-osteotomy
• Usizo ekuthumeleni izicelo zomshwalense
• Usizo ngokugcwalisa amaphepha adingekayo
• Ukubuyekeza noma yimiphi imigomo yokukhokha ngokubambisana
• Ukuhlola ukuthi ukunakekelwa kwangemva kokuhlinzwa kukhaviwe yini

Umbono Wesibili Wokuhlinzwa Kwe-Osteotomy

Ungase ufune ukucela omunye umbono kulezi zimo:

• Izinkinga zempilo ezinzima noma ezinzima ezidinga ukuhlinzwa okukhulu
• Ukungabaza mayelana nokwelashwa okuphakanyisiwe
• Ukuhlinzwa okuyingozi okungaholela ezinkingeni
• Izinkinga ezingavamile noma ezingavamile ezihlobene namathambo
• Izimpawu ezingathuthuki ngisho nokunakekelwa okuqhubekayo

Isiphetho

Ukuhlinzwa kwe-osteotomy kungasiza ukusindisa amalunga kubantu abangaphansi kweminyaka engama-60. Kunomlando oqinile wempumelelo futhi kusebenza kahle kulabo abaphila ngendlela esebenzayo. Ngaphandle kokunciphisa ubuhlungu, kuthuthukisa ukunyakaza futhi kungase kuhlehlise isidingo sokugcwele ukushintshwa okuhlangene.

Izibhedlela ze-CARE zithola imiphumela emihle ngokusebenzisa amathuluzi okuhlinza athuthukile kanye nabasebenzi bezokwelapha abangochwepheshe. Bagxila ekuhleleni ngokucophelela ngaphambi kokuhlinzwa, basebenzise izindlela zakamuva zokuhlinza, futhi banikeze ukunakekelwa okugxilile ngemva kokuhlinzwa. Isibhedlela siletha imiphumela emihle ezigulini ezidinga izinhlobo ezahlukene zezinqubo ze-osteotomy.