
microfracture sasthrakriya

articular tarunaasthi nannaakkal shasthrakriyayude saankethikavidyayaanu microfracture sarjari, ithu asthiyil cheria odivukal srishtikkunnu. ithu suuppar clott ennu vilikkappedunnathil ninnu puthiya tarunaasthi vikasippikkaan kaaranamaakunnu.
sasthrakriya vegameriyathum (saadhaaranayaayi 30 muthal 90 minitt vare neendunilkkunna), ettavum kuranja aakramanathmakavum, arthroplasty (kalmut maattisthaapikkal) ennathinekkaal valare kuranja veendedukkal samayavum undakam.
vittumaaraatha articular tarunaasthi vaikalyangal swamedhayaa sukhappedunnilla. ennirunnaalum, theevramaaya aaghaathakaramaaya austiyokondral kshathangalo shasthrakriyayiloode srishticha kshathangalo subcondral asthiyilekku vyaapikkunnu, udha.jii. pridy drilling, sponchiyalaiseshan abrassen allengil microfracture enniva vazhi asthi majjayil ninnu malttipottant messenkymal stem cellukal purathuvidunnu, fiber tissue, fibrocartilage allengil hyline polulla tarunaasthi enniva adangiya repire tissue upayogichu sukhappeduthaam. eee "asthi majja uttejaka saankethikavidyakal" kku sheshamulla attakuttappanikalkkull tissuevinte gunanilavaaram vyakthiyude speeshees praayavum, articular tarunaasthi thakaraarinte valupavum praadeshikavalkkaranavum, sasthrakriya saankethikavidya, udha.jii.subcondral boonn plate engane chikilsikkunnu, shasthrakriyaykk sheshamulla punaradhivasa protocol.
charithram.
1980kalude avasaanathilum 1990kalude thudakkathilum doow. colladoyile violile staldamaan-hockins klinikkile richard staldamaan. staaldman gaveshanathiloode (kuthirakalile parisodhanakal ulppede) prakriya pathukke parishkarichu. deerghakaala prathyaaghaathangalekkurichallu padanangalude abhavavum parajayappetta sasthrakriya oru athlattinte currier avasaanippikkumenna vasthuthayum kaaranam niravadhi kaayika ezhuthukaar eee shasthrakriya "vivaadaparamaaya" sasthrakriya ennu vilichirunnu. keeriya asthibandhangal veendum bandhippikkaan sahaayikkunnathin (addeham "rogashanti prathikaranam" ennu vilikkunna oru saankethikatha) staalmaan shasthrakriya oru chikilsayaayi sweekarichu.
nadapadikramam.
calcified tarunaasthi vrithiyaakkiya sesham arthroscopy vazhiyaan sasthrakriya nadathunnathu. oru eiii. ell. ell. upayogikkunnathiloode, sarjan subcondral asthi plettil cheria odivukal srishtikkunnu. rakthavum asthimajja (stem cellukal adangiyirikkunnu) odivukalil ninnu purathuvarunnu, ithu tarunaasthi nirmmaana koshangal purathuvidunna raktham kattapidikkunnu. microfractureukal shareerathinte parikkayi kanakkaakkappedunnu, athinaalaan sasthrakriya puthiya, pakaramulla tharunaasthikk kaaranamaakunnath. prayamaaya rogikal, amithabharamulla rogikal, allengil 2.5 centimeteril kooduthalulla tarunaasthi murivu enniva chikilsikkunnathil eee nadapadikramam falapradamalla. koodaathe, sasthrakriya kazhinju onno rando varshathinu sesham fibrocartilage shayikkunnathinaal rogalakshanangal thirichuvaraan thudangaanulla saadhyatha kooduthalaanu, ithu rogiye articular tarunaasthi nannakkunnathil veendum earppedaan nirbandhithanaakkunnu.
microfracture shasthrakriyaykk sheshamulla tarunaasthi valarchayude falaprapti rogiyude asthi majja stem sell janasamkhyaye aashrayichirikkunnuvennu karuthappedunnu, koodaathe stem cellukalude ennam vardhippikkunnathu vijayathinulla saadhyatha vardhippikkunnuvennu chilar karuthunnu. subcondral asthiyilekku thulachukayaraathe autologas messenkymal stem cellukal nerittu tarunaasthi thakaraarilekku sthaapikkunna oru badal chikitsa rund doctormar prothsaahippikkunnu.
microfracture reportukal.
microfracture teknikkukal contrell takaraar poornnamaayum niraykkunnillenn padanangal theliyichittundu, ithu hyline tharunaasthikk pakaram fibrocartilage undaakkunnu. fibrocartilage hyline tarunaasthi pole yaanthrikamaayi mikachathalla; ithu valare saandravum dainamdina pravarthanangaludeyum yadhaartha tharunaasthiyudeyum aavashyangale thangaan kazhiyaathathumaan, athinaal ithu thakarunnathinulla saadhyatha kooduthalaanu. shasthrakriyaykk sesham raktham kattapidikkunnath valare sookshumamaayathinaal athu samrakshikkendathundu. samayathinte kaaryatthil, kattapidikkunnath naarukalulla tissuevilekku parivartthanam cheyyaan ekadesham 8 muthal 15 aazhcha vare edukkum, saadhaaranayaayi shasthrakriyaykk sesham ekadesham naalu maasathinullil fibrocartilage aakunnu, ithu punaradhivaasathinu prathyaaghaathangal undaakkunnu.
articular tarunaasthi attakuttappanikalkkayi poornnamaaya hyline repire tissukal nalkaan lakshyamidunna sell adhishtitha articular tarunaasthi attakuttappanikal nadathunna kondrosaitt implaanteshan nadapadikramangal (cci) microfracture shasthrakriyaykk pakaramaayi chilar avatharippichittundu. 2008 februvariyil saarikalum mattullavarum."microfracture shasthrakriyayekkaal kaalmuttinte rogalakshanamulla tarunaasthi vaikalyangalkk mikacha gadanaaparamaaya attakuttappanikalkk cci kaaranamaakumenn avakaashappedunna oru valia thothilulla patanam prasidheekarichu. patanam anusarichu, chikitsa kazhinju oru varshathinusesham, sii. sii. aii. yumayi bandhapetta punarulppaadippicha tissue microfracture shasthrakriyayekkaal mikacha nilavaaramullathaan.
professional sportsil upayogikkuka.
niravadhi pramukha professional athlattukal eee nadapadikramatthinu vidheyamaayittundu. eee athlattukal kaalmuttukalil uyarnna sammarddam cheluthunnathinaal, sasthrakriya oru prathividhi allah, phalangal sammisramaanu. sasthrakriya nadannittum pala kalikkaarudeyum currier phalapradamaayi avasaanikkunnu. ennirunnaalum, jayson kid, steevu yezerman, joonn stoktan, keniyan martin, saachu randolf thudangiya chila kalikkaarkku avarude shasthrakriyaykk munbulla foomiloo sameepatho madangaan kazhinju, athesamayam kalikkaar roonn harper, bryan graant, kriss webber, alaan hoosttan, penni hardway, parethanaaya derek smith ennivarkku avarude pazhaya roopam veendedukkaan kazhinjilla. jamal maashben, terrol brandon thudangiya mattullavar orikkalum sukham praapikkukayum viramikkukayum cheythilla. 
portland trial blasers rookie gregg oodan 2007 septambar aadyam valathu kaalmuttil shasthrakriyaykk vidheyanaakukayum 2007-2008 nba season muzhuvan nashtamavukayum cheythu. shasthrakriyayude samayat 19-aamm vayassil, 2008-2009 seasonode addeham thante poornna shakthiyodo adutho thirichethumennu doctormark aathmavishwaasamundaayirunnu; 2010 novemberil idathu kaalmuttil randaamathe microfracture sasthrakriya nadatthi. thudarnnu, naalu varshathilereyaayi oodan enbayil kalichilla, 2011-2012,2012-2013 enba seasonukal muzhuvan nashtappettu. muun saan antonio spurse, hoosttan rokkatt kalikkaranaaya tracey mcgrady microfracture shasthrakriyaykk vidheyanaayi; rund thavana scoring chaambyanaaya tharam poornna shakthiyilekku madangumennu doctormark aathmavishwaasamundaayirunnu. 2012 leeii kanakkanusarichu, munbu cheytha athe vegathayum chaadaanulla kazhivum addehathinu undaayirunnilla. shasthrakriyaykk sesham orikkalum thante muun phoom veendedukkaathathinaal 2013 ll mcgrady viramichu.
2005 octoberil, enn. bii. eyude phoenix sansile yuva nakshatramaaya amar 'iii stoudemeyar innuvareyulla ettavum uyarnna microfracture shasthrakriyakalilonnin vidheyamaayi. 2006 maarchil addeham kodathiyil thirichethukayum thudakkathil poornnamaayi sukham praapichathaayi thonnukayum cheythuvenkilum pinneedu rund kaalmuttukalilum kaadinyam anubhavappedaan thudangi (idathu kaalmuttin parikkettathinu addehathinte valath kalmut amithamaayi nashtapariharam nalkiyirunnu). punaradhivaasathinu kooduthal samayam venamennu adhehavum team doctor theerumaanikkukayum 2006-2007 NBA season vare addeham madangivaraathirikkukayum cheythu. 2006-2007 seasonil, 82 regular-season geyimukalilum 2007 enba ool-staar geyimilum kalikkumbol oro gaeminum sharashari 20.4 pooyintum 9.6 reboundukalum nedi stoudamayar fomilake madangi. shasthrakriyaykk vidheyanaaya melpparanja kalikkaaril ettavum praayam kuranja oraalaayirunnenkilum, kaayika lokath "currier vadhasiksha" enna muun prashasthiyil ninnu athine kooduthal akattinirtthi addehathinte vijayam nadapadikramatthinu nalla pracharam nalki.
2010 juunil, cleveland indiakkaarude grady sijimore seasoninte thudakkathil aadya bays vare madangunnathinide idathu kaalmuttin parikkettathine thudarnnu microfracture shasthrakriyaykk vidheyanaayi. 2011 eprilil indian sentar feeldaraayi sijemore veendum pravarthanakshamamakki, parikkukal kaaranam 11 maasathe vaikalyam avasaanichu. 2011 epril 17 nuu nadanna thante aadya malsarathil, eratta, hoome rann ulppede naalu eiii. bii. yill rund hittukal nediyathinaal sisemore mandagathiyilaakunnathinte lakshanangalonnum kaanichilla. nilavil, emm. ell. bii charithratthile kalmut microfracture shasthrakriyayil ninnum play sentar feeldil ninnum madangiyethiya eaka kalikkaranaanu sijemore.
sinsinnatti bangaalukalude oru linebacker vontas burfict, sasthrakriya nadatthiya churukkam chila sradheyamaaya enfl kalikkaaril oraalaan.
veendedukkal.
45 vayaso athil thaazheyo praayamulla rogikalil 75 muthal 80 sathamaanam vare vijaya nirakk oru patanam kaanikkunnu.
ithu oru autpeshyant prakriyayaan, ithu cheria aswasthatha maathrame undaakkoo. shasthrakriyaykk sheshamulla veendedukkal kaalayalavil rogikk earppeduthunna niyanthranangalaan ettavum budhimuttulla bhagam. ithu pala rogikalkkum oru valia velluviliyaakam. sandhikalude uparithalathinte mikacha punarvikasanatthinu, rogikal valare kshamayodeyum angeyattam sahakaranathodeyum irikkendathundu. avar saadhaaranayaayi naalu muthal aarr aazhcha vare (chilappol kooduthal) krachukalil undaayirikkanam. chilappol oru braze aavasyamaanu. ithellaam attakuttappanikal nadathukayo punarujjeevippikkukayo cheiyunna joyint uparithala vaikalyathinte valuppatheyum koodaathe/allengil sthaanatheyum aasrayichirikkunnu. joyint uparithalathinte opttimal ree-grothinu sahayikkunna oru sii. pii. emm (condinues passive moshan) mesheenil oru divasam ekadesham 6 muthal 8 manikkoor vare chelavazhikkaan rogikale prothsaahippikkunnu. sandhi poornnamaayum sukhappedunnathinu munbu rogikal eee gurutharamaaya pradhana gattangal ozhivaakkukayum kalmut shaareerika pravarthanangalkku vidheyamaakkukayum cheiyunna tharatthil chila rogikalkku eee nadapadikramam vedanayillaathathaayirikkum. ennirunnaalum, mattu rogikalil eee prakriya aazhchakal vare, maasangal vare valare vedanaajanakamaayirikkum. aaa rogikalil vedanayude alavu niyantrikkaan vedana marunnu aavashyamaayi vannekkaam.
nadapadikramatthil ninnu sukham praapikkunnathinulla achadakkaparamaaya punaradhivaasathinu purame oru rogiyude swaabhaavika joyint alainmentinte praadhaanyavum staalmaan udharikkunnu.

