Kyrie Irving 的膝蓋手術是為哪樁? (by 羅一強物理治療師)
NBA 塞爾蒂克隊當家戰神 Kyrie Irving 前陣子宣布進場維修一下,開個左邊膝蓋微創手術。許多球迷感到惋惜,詢問 Kyrie Irving 何時可以回到賽場上?也有球迷認為微創手術應該不用休太久吧?
今天由資深球迷羅一強物理治療師來跟大家聊聊 Kryie Irving 為何要接受手術?以及大概什麼時候可以回到賽場上?
故事要回到 2015 年的總冠軍賽,當時 Kyrie Irving 還在克里夫蘭騎士隊。比賽中因為和 Klay Thompson 碰撞倒地,之後檢查出左腳膝蓋骨折,必須手術。
膝蓋的骨頭叫做髕骨,它的作用是當作一個槓桿的平台來讓肌肉夠有效率拉動你的腿。膝蓋骨頭(髕骨)骨折時常見的手術方法是在髕骨裡頭打鋼釘,利用鋼釘把裂開、分離的骨頭固定起來,再纏上鋼絲來加壓,加壓有助於骨頭癒合。
做起來大概像下面這個影片,只是鋼釘和鐵絲的數量、纏法不太一樣,視不同的骨折而異。
一般來說膝蓋(髕骨)骨折 2~3 個月會痊癒(不含之後的復健與回到場上前的訓練),鋼絲加壓的任務也就結束了。鋼絲退休後就變成一個多餘的存在,有一些比例的人會被鋼絲困擾,例如異物感(因為髕骨和皮膚間的脂肪墊很薄)、覺得手術那側的膝蓋溫度較低、以及其他的問題。
「所以膝蓋手術後還會再次手術把鋼絲取出來嗎?」或許你會這麼問?
其實大部分不會這麼做,因為多數人並不會被鋼絲困擾,加上任何手術都有風險,所以只要不影響身體日常活動,大多數不建議把鋼絲取出來。
可惜的是 Kyrie Irving 屬於被鋼絲困擾的那部分患者。其實也不意外,身為頂尖的運動選手,對於膝蓋使用的要求比平常人高上許多,而且對於膝蓋的各種感覺通常也很敏感。
因此,在長時間酸痛問題下,塞爾蒂克隊認為 Kyrie Irving 或許把鋼絲取出來會比較好。希望能藉此解決長期膝蓋酸痛的問題。
但是!!!三月底醫療小組用內視鏡去看 Kyrie Irving 的膝蓋後,發現鋼釘周圍有感染的現象,登登!!!
鋼釘感染的問題可大可小。因為鋼釘是穿透骨頭的,嚴重的話細菌可能沿著鋼釘進到骨髓裡,引發骨髓炎。如果骨髓炎就要長期服用抗生素來殺菌,並且反覆手術清創,把膝蓋裡的細菌清乾淨。這是一種很難治療、需要長期對抗的病症。
想都不用想要是骨髓炎 Kyrie Irving 就 GG惹。
於是四月初塞爾蒂克隊球團安排第二次手術把鋼釘取出,希望能控制感染,依據新聞消息目前一切都順利。
不過由於鋼釘取出後,還是要等骨頭把鋼釘留下來的洞洞空間長回去,因此要等四到五個月的時間去復原、復健、訓練,才可能回到球場上。
Kyrie Irving 咱們下個賽季見!!!
合作撰寫:好痛痛 (粉絲頁連結) 、 羅一強物理治療師 (粉絲頁連結) (專欄連結)
參考資料:
http://www.sportingnews.com/nba/news/kyrie-irving-injury-update-knee-boston-celtics-news-nba-playoffs-finals-2015-cavs/n07pxqmg0dv31h63v6gq3clmb
https://www.cbssports.com/nba/news/kyrie-irvings-knee-injury-and-second-surgery-explained-by-an-orthopedic-surgeon/
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