有了无所畏惧的勇气，Pan AM Games竞争对手已经成为赢家
Alexandra Wainwright,19, has competed in karate at the world level since 13.
Now, she’s set to compete on another international stage at the Junior Pan American Games in Cali, Colombia, November 25-Dec. 4.
This is a daunting challenge for any athlete, but Alexandra already sees herself as a winner: she had to learn to walk again after two bi-lateral hip preservation surgeries in 2020.
她说，经过18个月的身体康复和康复，“我的第一场Pan AM游戏的竞争和资格已经是一项巨大的成就。”
Alexandra was born with hip dysplasia that initially did not cause symptoms. “At 16, I started feeling a small pinch in both my left and right hip when I was at karate practice. I ignored it for about a year, but the pain increased until it interfered with my ability to practice. I went to a chiropractor who said there was nothing wrong. I knew I needed help, so I went to an orthopedic doctor who referred me to Dr. Mansour. That’s when I got a proper diagnosis and treatment plan.”
亚历山德拉被提及Alfred A. Mansour, III, M.D.，德克萨斯大学健康科学中心（Uthealth）的麦戈文医学院骨科手术系副教授（Uthealth）。Beplay体育中心
曼苏尔博士解释说：“随着她的成长，臀部的结构异常使臀部更容易受到损害，尤其是在高水平的活动中，例如武术。”
Not only did the damaged portions of the joint (the labrum) need to be repaired, but the underlying structure and position of the hip joint needed to be restored to a more normal position so that Alexandra would not keep damaging and reinjuring her hip.
小儿骨科和综合髋关节保存计划的主任曼苏尔博士解释说：“她需要髋关节镜检查固定唇骨和塑造股骨骨，同时进行了周期剖本截骨术手术（PAO）。在PAO期间，在骨盆中进行了四次切割，并连接到骨盆中释放插座。这使我们能够将关节重新放置为更好的位置，并用螺钉将其固定到位。”
该手术使骨头能够在这个新位置愈合，因此当亚历山德拉增加了活动并恢复竞争性武术时，臀部可以承受极端的活动。“两个臀部都参与其中，因此她需要两侧的PAO，相隔六个月。”曼苏尔博士是全国范围内的少数外科医生之一，他们同时采用了包括PAO在内的关节镜和开放性手术技术，用于复杂的髋关节问题。
Strength of spirit during surgeries and recovery
In January 2020, Alexandra had PAO surgery on her left hip and in May 2020 she had PAO surgery on her right hip.
Ten months after her second PAO surgery and considerable physical therapy, she returned to karate training. Those first practices back in karate school were tough and she was not able to kick yet. “Kicking is an essential component for karate athletes,” she says, but after a month of practice, she was asked to compete at the U21 Junior Pan American Games Qualifier.
她解释说：“我仍然没有准备好参加比赛，但我决定为这个千载难逢的机会竭尽所能。”
参加泛美比赛是一个终生的梦想。青少年泛美运动会是一项国际多运动赛事，适合在美洲17-22岁的运动员。她说：“这是今年初级运动员的最大比赛，我很幸运能成为其中的一部分。”
亚历山德拉对曼苏尔博士的治疗计划非常有信心。她说：“他在PAO手术方面的丰富经验帮助减轻了我的压力。”“他带着微笑进入每种情况，他的团队随时准备回答问题，他们将我与出色的物理治疗师联系起来，以帮助修复我的臀部。我不想和其他任何团队一起进行此手术。”
她承认自己的康复很长，但是很顺利。她承认：“学习如何再次走路是困难的。”“如果我匆匆忙忙，我会开始li行。我不仅增强了臀部肌肉，而且腿部的所有肌肉都会增强，每天都变得更强壮。大约18个月后，我回到了100％。”
髋关节保存策略
“亚历山德拉,我花了很多时间讨论the risks and benefits of treating her hip dysplasia, not just related to her sports participation, but also later in life and the ultimate longevity of keeping her native hip joint,” says Dr. Mansour.
Alexandra is an example of applying a comprehensive hip preservation strategy to a very challenging hip problem. “Her story proves how children and young adults can have an impressive recovery and do really well when treated before the hip joint suffers the irreversible damage that occurs when this condition is ignored or only partially treated,” he explains.
儿童和年轻的运动成年人可能会有微妙的臀部异常，即使经过深思熟虑的评估也很容易被忽视。髋关节保护专家的进一步评估可以确定这种微妙的异常并解决了潜在的问题。
Karate whiz kid
亚历山德拉（Alexandra）笑着记得她如何对空手道感兴趣。当她八岁的时候，她的家人搬到了亚利桑那州的斯科茨代尔（Scottsdale），她的妈妈带她去了芭蕾舞工作室上课，但工作室关闭了。隔壁的一所空手道学校正在进行演示，亚历山德拉被迷上了。她说：“剩下的就是历史。”
亚历山德拉（Alexandra）解释说：“我做的是一种传统的空手道风格，我在世界空手道联合会下竞争，这是奥运会中同一联盟。”
她的空手道才华丰富了她的生活。亚历山德拉解释说：“我已经前往30多个国家，经历了不同的文化，在世界各地建立了终身友谊，并学到了宝贵的特征，例如尊重，正直和纪律。”
A sophomore at Texas Christian University with a marketing and management double major, she admits, “Without karate, I would not be who I am today.”
Advice for patients facing a similar challenge
她解释说：“对于从事受伤甚至康复的患者，我的建议是要耐心等待。”“匆忙的过程只会延迟您的恢复。有希望，不要放弃，因为您会回头并为自己走多远而感到自豪。”
需要什么
“Alexandra’s grit and resilience are amazing and played a huge part in her recovery,” adds Dr. Mansour, who is team physician for the Houston Rockets NBA organization. “The surgery didn’t get her to the international competitive level in her sport – it simply put her hip in a position to withstand what is required to push herself to the most elite level.”
Dr. Mansour knows this level of mental toughness is what it takes to achieve at the elite level. “Overcoming injury is a common theme of many elite athletes of all sports, and their ability to recover mentally, as well as physically, determines their outcome.”
He points to Alexandra as a great example of how to deal with adversity by staying encouraged, having a plan, and working endlessly to overcome obstacles along her path to success.
###