Adanse Nhwehwɛmu · Rotator Cuff Repair
Suture tape betumi ama mfiri a edi kan a ɛwɔ ade a wɔde siesie nneɛma mu no atu mpɔn, nanso mprempren ayaresabea adanse nkyerɛ bere nyinaa sɛ ɛsa ntɛmntɛm, ɛyɛ adwuma yiye, anaasɛ ɛsan tetew no sua sen nhama a ahoɔden wom a wɔtaa de di dwuma no.
Mmuae tiawa: Suture tape betumi ama bere-zero contact pressure, stiffness, ne adesoa kɛse a ɛbɛma adi nkogu wɔ laboratory models mu. Nanso, mfaso horow a ɛwɔ biomechanical so yi nkyerɛɛ ase bere nyinaa sɛ ntini no sa yare a ɛkorɔn anaasɛ ɛsan tetew kakraa bi wɔ ayarefo mu. Nusu su, ntini ne nnompe su, nhyɛso a wɔde siesie, ɔkwan a wɔfa so de si hɔ, nneɛma a ɛfa ayarefo ho, ne nea wɔde siesie no da so ara yɛ nea efi mu ba no afã horow a ɛho hia.
Key Takeaways
Teyp a ɛyɛ tratraa kyekyɛ ahoɔden wɔ ntini no fã a ɛtrɛw sen nhama kurukuruwa a wɔde di dwuma saa ara a wɔpɛ sɛ wɔde di dwuma no.
Biomechanical nhwehwɛmu taa bɔ amanneɛ sɛ nhyɛso a ɛkɔ soro wɔ contact, stiffness, anaasɛ huammɔdi adesoa.
Mpɛn pii no, ayaresabea nhwehwɛmu ahorow a wɔde toto ho no ahu sɛ nea ɛte saa ara ne nea efi mu ba a ayarefo bɔ ho amanneɛ.
Nneɛma a wɔpaw yɛ ade biako a ɛsakra wɔ repair construct a edi mũ ne oprehyɛn akyi hwɛ kwan no mu.
Dɛn Ne Suture Tape?
Suture tape yɛ ade a ɛyɛ tratraa a wɔabɔ no nhama a entumi ntwe a wɔde di dwuma wɔ ntini a ɛyɛ mmerɛw a wɔde si hɔ mu. Sɛ wɔde toto nhama kurukuruwa a ahoɔden kɛse wom a wɔtaa de di dwuma ho a, ne fã a ɛte sɛ ribbon no ma ɔfasu a ɛne ntini no di nkitaho no yɛ kɛse. Mfiridwuma mu ntease a wɔahyɛ da ayɛ ne sɛ wɔbɛkyekyɛ adesoa wɔ ɔmantam a ɛtrɛw mu na wɔatew nhyɛso a ɛyɛ den wɔ suture–tendon ntam no so.
Asɛmfua suture tape kyerɛkyerɛ nneɛma a wɔde yɛ adwuma mu, na ɛnyɛ ade biako pɛ a wɔahyɛ da ayɛ. Teyp no trɛw, nhama a ɛwɔ mu, nhama a wɔde kyekyere, nea wɔde kata so, sɛnea wɔde di dwuma, ɔkwan a wɔfa so sterilization, ne sɛnea ɛne ankora hyia no betumi ayɛ soronko wɔ nea ɔyɛe no mu. Enti ɛnsɛ sɛ wɔde adanse a wonya fi teyp biako a wɔakyerɛw so anaasɛ nea wɔde siesie nneɛma no di dwuma ara kwa wɔ teyp ne ankora biara a wɔaka abom so.
XC Medico deɛ no UHMWPE agumadi aduruyɛ nhama ma nsɛm a ɛfa nneɛma a wɔyɛ ho ma adwumayɛfo nhwehwɛmu. Ɛsɛ sɛ wɔsan hwɛ nnuru no ho nsɛm mu wɔ ɔkwan soronko so fi ayaresabea adanse a wɔabobɔ so wɔ asɛm yi mu no ho.
Ɔkwan Bɛn so na Wɔde Suture Tape Di Dwuma Wɔ Rotator Cuff Repair Mu?
Bere a wɔresiesie rotator cuff no wɔ arthroscopic rotator cuff mu no, wɔboaboa ntini a atetew no ano na wɔsan de si ne nan ase wɔ ne nan ase. Oduruyɛfo a ɔyɛ oprehyɛn no de nhama anaa teyp fa ntini no mu na ɔde ankora biako anaa nea ɛboro saa bɔ ho ban. Wobetumi de teyp ahyɛ nneɛma a wɔayɛ no toatoa so biako, nea ɛwɔ ntoatoaso abien, nea ɛne nnompe mu nnompe yɛ pɛ, anaasɛ suture-bridge constructs mu.
Wontumi nsusuw nneɛma no ho a ɛnyɛ nea wɔayɛ no. Ankora dodow ne beae a ɛwɔ, sɛnea teyp fa so, mfinimfini-row tension, afã a wɔde si hɔ, ntini a ɛka, ntini a ɛkɔ, ne ankora a wɔtɔ wɔ dompe mu nyinaa betumi aka mfiri a wɔde siesie no. Ade a ɛyɛ den ntumi ntua ntini a ɛnyɛ papa, nsiesie a ɛyɛ den dodo, anaasɛ ankora a wɔmfa nsi hɔ yiye no so ka.
- Single-row repair: mpɛn pii no wɔde anchors si row biako mu wɔ nan ase kwan no ho.
- Nsiesiei a ɛtoatoa so abien: wɔde mfinimfini ne akyi fixation points di dwuma de san de ntini a ɛtrɛw fi ntini kosi dompe nan ase no ba.
- Suture-bridge repair: suture anaa tape trɛw ntini no mu na ɛkyekyere no wɔ nkyɛnkyɛn, mpɛn pii no enni lateral-row knots.
- Rip-stop nhyehyɛe: teyp betumi ayɛ adesoa-kyɛ ade a wɔayɛ sɛ wɔde bɛko atia ntini a wɔatwa no fã.
Dɛn na Biomechanical Adanse no Kyerɛ?
Mpɛn pii no, nhwehwɛmu a wɔyɛ wɔ aduruyɛdan mu no foa mfiridwuma mu ntease a wɔde yɛ teyp so no so. Wɔ ovine nhwɛso bi a Liu ne ne mfɛfo bɔɔ ho amanneɛ mu no, teyp a wosiesiee no maa nan ase nkitahodi nhyɛso kɛse ne adesoa a etwa to a ɛyɛ huammɔdi kɛse bae sen No. 2 suture a wosiesiee a wɔde ankora nhyehyɛe koro no ara a enni nhama dii dwuma no. Nanso, saa nhwehwɛmu no fã a ɛfa nnipa ho no ankyerɛ sɛ asram asia a wɔsan tetew wɔn ho no sua.
| Adesua | Nhwɛso | Nhwehwɛmu titiriw | Nea enni ho adanse |
|---|---|---|---|
| Liu ne afoforo, 2017 Laboratory + kuw |
16 ovine mmati a wɔde yɛ mfiri sɔhwɛ | Nhyɛso a wɔde di nkitaho: 0.33 ± 0.03 MPa a wɔde teyp di dwuma sen 0.11 ± 0.03 MPa a wɔde suture di dwuma. Adesoa a etwa to a ɛyɛ huammɔdi: 217 ± 28 N kyerɛ 144 ± 14 N. | Ɛmma abɔde a nkwa wom ayaresa ntɛmntɛm anaasɛ ɔyarefo a ɔsan tetew no nkɔ fam nsi hɔ. |
| Huntington ne afoforo, 2018 Nhwehwɛmubea |
Ovine suture-bridge a wɔde yɛ nneɛma | Teyp nhyehyɛe ahorow bi maa nhyɛso a ɛkɔ soro wɔ nkitahodi, beae a ɛne ne ho di nkitaho, anaa ahoɔden a ɛtwetwe no bae. | Nea efii mu bae no gu ahorow wɔ anchor nhyehyɛe mu na efi aboa nhwɛsode bi mu. |
| Borbas ne afoforo, 2021 Cadaveric |
Nneɛma a wɔde sɔ hwɛ ne nnipa afunu cuff ntini | Sɛ́ kuw no, teyp ahorow daa sɛnea ɛyɛ den kɛse na ɛyɛ adwuma a ɛfa adesoa ho adi sen nhama a wɔde ntama kurukuruwa. | Bere a wɔde yɛ amu mu nhwehwɛmu ntumi nsusuw ayaresa a efi ntini mu kɔ nnompe mu wɔ ayarefo a wɔte ase mu. |
Biomechanical superiority yɛ su a ɛwɔ construct a wɔasɔ ahwɛ no mu wɔ bere zero mu; ɛnyɛ, ɛno nkutoo, adanse a ɛkyerɛ sɛ ayaresa a ɛkorɔn wɔ ayaresabea.
Nea Enti a Teyp a ɛtrɛw betumi atew Ntini a Ɛwɔ Mpɔtam Hɔ no so
Teyp a ɛtrɛw betumi atrɛw ahoɔden mu wɔ ntini pii ani. Eyi betumi ama ahoɔden a wɔde ko tia ntwitwiridii no ayɛ kɛse wɔ sɔhwɛ tebea horow bi mu. Ne nyinaa mu no, ntini mmuae gyina teyp no trɛw, ɔkwan a wɔfa so fa mu, nhyɛso a wɔde di dwuma, ntini a ɛsɛe, adesoa a ɛkyinkyini, ne fixation construct a edi mũ so. Ɛyɛ nokware kɛse sɛ yɛbɛka sɛ teyp betumi ama adesoa a wɔkyekyɛ no atu mpɔn sen sɛ yɛbɛka sɛ bere nyinaa ɛnsɛe ntini pii.
So Biomechanics a Ɛyɛ Pa Ma Ayaresa a Ɛyɛ Pa?
Ɛnyɛ nea ɛkɔ so daa. Ayaresa ho nhoma ahorow no yɛ ahwɛyiye kɛse sen mprempren aguadi kasa a wɔtaa de di dwuma wɔ teyp ho no. Mpɛn pii no, nhwehwɛmu ahorow a wɔde toto ho kyerɛ sɛ wobetumi de teyp adi dwuma yiye, nanso wonnya nhuu sɛnea wotumi de ho to so sɛ wɔbɛtew nusu a wɔsan akyi anaasɛ nkɔso a ɛkɔ so daa wɔ nea efi mu ba a ayarefo bɔ ho amanneɛ no mu.
| Ayaresa mu adanse | Akuw ne akyi a wodi | Nea efi mu ba | Nkyerɛase |
|---|---|---|---|
| Liu ne afoforo, 2017 | Teyp n=50 na ɛwɔ hɔ; aduru a wɔde kyekyere n=100; ultrasound wɔ asram 6 mu | San tetew: 16% a wɔde teyp di dwuma sen 17% a wɔde suture di dwuma. | Retear rates a ɛte saa ara ɛmfa ho sɛ laboratory mfiridwuma ye sen biara no; akyi, oduruyɛfo biako a ɔyɛ oprehyɛn kuw. |
| Nhyehyɛeɛ mu nhwehwɛmu ne meta-nhwehwɛmu, 2021 | 681 ayaresabea asiesie wɔ ayaresabea nhwehwɛmu asia mu | San tetew: 16% a wɔde teyp di dwuma sen 20% a wɔde suture a wɔtaa de di dwuma; P=.26 na ɛwɔ hɔ. Nsonsonoe biara nni su mu wɔ nea efi mu ba a ayarefo bɔɔ ho amanneɛ no mu. | Ayaresa mu mfaso biara nni hɔ a ɛho hia wɔ akontaabu mu; na adesua ahorow a ɛkorɔn da so ara ho hia. |
| Nie ne afoforo, 2025 | Teyp-ankora kuw n=36; atetesɛm-ankora kuw n=50; anyɛ yiye koraa no, asram 12 a wɔde di akyi | San tetew: 11.1% bere a wɔde toto 12.0% ho; nsonsonoe titiriw biara nni hɔ. Tape-anchor kuw no daa mfaso bi adi wɔ ntini a ɛyɛ den ne ntini ahoɔden mu. | Nneɛma a ɛto so abien a wɔahu a ɛhyɛ bɔ, nanso nhyehyɛe a wɔde hwɛ akyi ne nhwɛsode ketewaa no to nsɛm a wɔde ba awiei wɔ nea ɛde ba no ano hye. |
Adanse anohyeto: Nhwehwɛmu ahorow de teyp nneɛma ahorow, ankora ahorow, akwan a wɔfa so, nneɛma a wɔde siesie, sɛnea ɛtetew, akwan a wɔfa so twa mfonini, ne bere a wɔde di akyi toto ho. Ayaresa mu nhwehwɛmu pii yɛ nea wɔde hwɛ nneɛma a atwam. Enti ɛmfata sɛ wɔde ɔha biara mu nkyem biako bɛma sɛ nea wɔhwɛ kwan sɛ ebefi mu aba wɔ ɔyarefo biara anaa mfiri nhyehyɛe biara ho.
Na Ɛyaw, Opioid a Wɔde Di Dwuma, ne Agumadi a Wɔsan Kɔ So nso Ɛ?
Mprempren adanse ntumi ka sɛ suture tape nkutoo ma oprehyɛn akyi ɛyaw, opioid a wɔde di dwuma, anaa bere a wɔde san kɔ agumadi mu no so tew wɔ ɔkwan a wotumi de ho to so. Nea efi mu ba yi nya nkɛntɛnso kɛse wɔ nnuru a wɔde kum nipadua no mu, nnuru a wɔde kum ɛyaw, ayaresa a wɔde di dwuma bere koro mu, nusu su, ahosiesie, nea ayarefo hwɛ kwan, ne dwumadi ahorow a wɔhwehwɛ. Gye sɛ nhwehwɛmu bi de teyp ne nhama a wɔtaa de di dwuma toto ho tẽẽ bere a ɛredi saa nneɛma a ɛsakra yi so no, ɛnsɛ sɛ wɔkyerɛ sɛ ɛyaw anaa ne ho a ɛsan nya no ho nsɛm fi ade a wɔde pam no.
Suture Tape ne Anchors a Ɛnyɛ Knotless
Ankora a enni nhama betumi akyekye nhama anaa teyp a enni amanne kwan so nhama a wɔakyekyere wɔ saa beae a wɔde si hɔ no. Ɛdenam nhyehyɛe ne ɔkwan a wɔfa so yɛ no so no, eyi betumi ama nhyɛso ayɛ mmerɛw, atew dodow a ɛfa nhama ho no so, anaasɛ akwati nhama a ɛwɔ mfinimfini-row no nhyɛso. Sɛ wopɛ nkyerɛkyerɛmu a ɛfa fixation devices ho a, hwɛ sɛnea suture anchors yɛ adwuma.
Knotless nkyerɛ ara kwa sɛ ne ho yɛ den, ahobammɔ wɔ, anaasɛ ɛkorɔn wɔ ayaresabea. Nhwehwɛmu a wɔyɛe wɔ nhyehyɛe kwan so wɔ mmati 1,411 mu no anhu nsonsonoe titiriw biara wɔ sɛnea wɔsan tetew no nyinaa mu wɔ nhama a wɔde kyekyere ne nea enni nhama abien a wosiesie no ntam, ɛwom sɛ ɛsono sɛnea wɔkyekyɛ akyitetew nhyehyɛe ahorow no mu de. Meta-nhwehwɛmu foforo nso anhu mfaso titiriw biara wɔ retear-rate nyinaa mu wɔ ɔkwan abien no nyinaa so.
Anchor material nso yɛ gyinaesi a ɛyɛ soronko wɔ suture format ho. Asɛm a ɛfa PEEK ne dade suture anchors ka mfoninitwa, nsakrae, ne nneɛma a wosusuw ho ho asɛm a wɔmfa ade biako nni dwuma sɛ nea amansan nyinaa pɛ.
Ahwɛyiye a ɛfa mfiri pɔtee bi ho: Eyelet nhyehyɛe, afiri a wɔde to mu, ɔkwan a wɔfa so de hyɛ mu, drill anaa punch ahosiesie, teyp a ɛne ne ho hyia, ne tensioning a wɔkamfo kyerɛ no yɛ nea ɛfa ade pɔtee bi ho. Hwɛ akwankyerɛ a ɛfata a ɛfa sɛnea wɔde bedi dwuma ne mpɔtam hɔ mmara ahwehwɛde ahorow ho bere nyinaa.
Nneɛma Bɛn na Ɛnya Rotator Cuff Ayaresa So Nkɛntɛnso?
Nneɛma a wɔde pam no yɛ rotator cuff ayaresa no fã biako pɛ. Ɛsɛ sɛ ayaresabea gyinaesi ne nea efi mu ba no nkyerɛase nso susuw ho:
Nusu kɛse, nea ɛtra hɔ kyɛ, nea ɛtwetwe, ntini dodow a ɛka ho, ne nhyɛso a ɛba bere a wosiesie no nya nkɔmhyɛ so nkɛntɛnso.
Ntini a ɛyɛ duru, nea ɛporɔw, srade a ɛkɔ mu, ntini a ɛyɛ mmerɛw, ne sɛnea ɛtumi nantew no nya sɛnea ɛhyɛ no so nkɛntɛnso.
Nnompe pa, ankora a wɔde si hɔ, ɔkwan a wɔfa so de hyɛ mu, ne construct configuration nya anchor a wɔtɔ so nkɛntɛnso.
Mfe a obi adi, sigaretnom anaa nicotine a wɔde di dwuma, nipadua mu nneɛma a ɛsakra, dwumadi a wɔhwehwɛ, ne sɛnea wɔbata ahosiesie ho no ho hia.
Ɛsɛ sɛ nsiesie a wɔayɛ no yiye no kari pɛ wɔ nhyɛso ne nea egyina pintinn ne ntini no ne ne mogya a wɔde ma no ahobammɔ ho. Nhyɛso a ɛboro so anaasɛ adesoa a ɛmfata a wɔde siesie nneɛma betumi asɛe nsiesie ɛmfa ho sɛ ebia wɔde teyp anaa nhama kurukuruwa bedi dwuma.
Ɔkwan Bɛn so na Ɛsɛ sɛ Adwumayɛfo Hwɛ Teyp-and-Anchor Nhyehyɛe bi mu?
Wɔ nnuruyɛfo a wɔyɛ oprehyɛn, ayaresabea ahorow, ne wɔn a wɔkyekyɛ nneɛma fam no, nhwehwɛmu a mfaso wɔ so no kɔ akyiri sen adesoa biako a ɛbɛba akosi huammɔdi so. Ɛsɛ sɛ adanse ne adetɔ ho nhwehwɛmu no di nhyehyɛe a edi mũ no ho dwuma.
| Nhwehwɛmu beae | Nsɛmmisa a ɛsɛ sɛ wodi ho adanse |
|---|---|
| Atadeɛ | Dɛn ne nhama a ɛwɔ mu, teyp no trɛw, nhama a wɔde kyekyere, nea wɔde kata so, ɔkwan a wɔfa so de sterilization, ne nsɛnkyerɛnne a wɔakyerɛw so? |
| Anchor a ɛne ne ho hyia | Ankora akɛse ne eyelet anaa mfiri a wɔde to mu bɛn na wɔagye atom ama teapɔn no? |
| Yɛ sɔhwɛ ahorow | So wɔsɔɔ cyclic displacement, pullout, cut-through, ne failure mode hwɛe sɛ ade a edi mũ? |
| Nnwinnade a wɔde di dwuma | So wɔn a wɔretwam, akuturuku, drills, inserters, ne tensioning steps ne nhyehyɛe no hyia pefee? |
| Nwoma a wɔde kyerɛw | So akwankyerɛ a ɛfa sɛnea wɔde bedi dwuma, sɛnea wotumi hwehwɛ nneɛma mu, nneɛma a wɔde kyekyere nneɛma ho nsɛm, bere a wɔde sie, ne mmara ho nkrataa a ɛfata wɔ hɔ? |
| Adanse a wonya fi ayaresabea | So adanse a wɔatwe adwene asi so no fa nneɛma, ankora, ɔkwan a wɔfa so yɛ, ne sɛnea wɔpɛ sɛ wɔde bedi dwuma koro no ara ho? |
Sɛ wɔresusuw nhyehyɛe afɔrebɔ a edi mũ ho a, nea ɛwɔ hɔ arthroscopic shoulder suture passer set nso mu aka adwuma a wɔayɛ ho nhyehyɛe a wɔde besiesie no ho. wobetumi ahwɛ Ɛsɛ sɛ wofi nneɛma a wɔyɛ no ho nkrataa mu si sɛnea ɛne ne ho hyia ne sɛnea wɔpɛ sɛ wɔde bedi dwuma no so dua sen sɛ wobefi nkyerɛkyerɛ asɛm bi mu asusuw ho.
Nsɛm a Wɔtaa Bisa
So suture tape mu yɛ den sen suture a wɔtaa de di dwuma?
Nhwehwɛmu pii a wɔyɛ wɔ aduruyɛdan mu bɔ amanneɛ sɛ ɛyɛ den, nhyɛso a ɛkɔ soro, anaasɛ ɛyɛ huammɔdi adesoa ma teyp. Nea efi mu ba no gyina nneɛma pɔtee a wɔde yɛ, ntini no mfonini, nhama anaa ankora, ne sɛnea wɔde siesie no so. Mfiri ahoɔden nkutoo nkyerɛ sɛ ɛsa ayarefo yare yiye.
So suture tape brɛ rotator cuff retear rates ase?
Mprempren adanse a wɔde toto ho no nkyerɛe bere nyinaa sɛ ɛso atew kɛse wɔ akontaabu mu. Mpɛn pii no, akuw a wɔde teyp ne nhama a ahoɔden kɛse wom a wɔtaa de di dwuma no ada no adi sɛ wɔsan tetew wɔn ho a ɛte saa ara, ɛwom sɛ nhwehwɛmu kɔ so hwehwɛ nneɛma pɔtee bi a wɔayɛ ne ayarefo akuw nketewa mu de.
So suture tape ma obi ho tɔ no ntɛmntɛm?
Adanse a ɛdɔɔso nni hɔ a ɛkyerɛ sɛ teyp no ankasa na ɛma ɛsan nya ahoɔden ntɛmntɛm. Sɛ obi ho bɛtɔ no a, egyina sɛnea nusu no mu yɛ den, sɛnea ntini no te, ayaresa a wɔyɛ no bere koro mu, ahobammɔ a wɔbɔ wɔ oprehyɛn akyi, sɛnea wɔbɛsan asiesie wɔn, ne nneɛma a ɛfa ayarefo ankorankoro ho so.
So ankora a enni nhama ye ma rotator cuff a wosiesie?
Knotless anchors de construct ne workflow options pɔtee ma, nanso nhyehyɛe mu nhwehwɛmu nnya nsii hɔ daa retear-rate anaa adwumayɛ mu mfaso a ɛkɔ so daa sen knotted double-row repairs. Ɔkwan a wɔfa so paw no da so ara gyina nsɛm ne nhyehyɛe so.
So wobetumi de suture tape biara adi dwuma wɔ anchor biara ho?
Dabi, teyp no trɛw, ɔkwan a wɔfa so to mu, sɛnea wɔyɛ aniwa no, ɔkwan a wɔfa so de hyɛ mu, ne sɛnea wɔakyerɛw so no betumi ayɛ soronko. Fa nneɛma a wɔaka abom a nneɛma ho nkrataa a ɛfa ho ne akwankyerɛ a ɛfa sɛnea wɔde bedi dwuma ho foa so nkutoo di dwuma.
Awie
Suture tape yɛ ɔkwan a wotumi gye di ma rotator cuff repair na ada bere-zero mfiridwuma pa adi wɔ sɔhwɛ tebea horow pii mu. Nanso, aduruyɛ mu nsɛm a wobetumi abɔ ho ban sen biara ne sɛ ɛnyɛ sɛ teyp no ankasa sa rotator cuff no yiye. Mpɛn pii no, nhwehwɛmu ahorow a ɛwɔ hɔ a wɔde toto ho no bɔ amanneɛ sɛ retear rates ne dwumadi mu aba a ɛte saa ara wɔ nhama a ahoɔden kɛse wom a wɔtaa de di dwuma no ho, na nhwehwɛmu foforo bi kyerɛ nea ɛto so abien a wɔahu wɔ nhyehyɛe anaa ahoɔden mu a ɛhwehwɛ sɛ wosi so dua bio.
Enti ɛsɛ sɛ wɔpaw nneɛma wɔ nsɛm a ɛfa nusu nhyehyɛe, ntini ne nnompe su, nhyehyɛe a wɔde siesie, ankora ne nnwinnade a ɛne ne ho hyia, oprehyɛn ho osuahu, ne oprehyɛn akyi nhyehyɛe a ɛfata no mu.
Nsɛm a wɔde gyinaa so
- Liu RW, Lam P. H., Oguanhwɛfo HM, Murrell GAC. Tape Versus Suture wɔ Arthroscopic Rotator Cuff Repair mu: Biomechanical Analysis ne Nhwehwɛmu a wɔyɛe wɔ huammɔdi dodow ho wɔ Asram 6 mu . Orthop J Sports Med . 2017;5(4):2325967117701212.
- Huntington L, ne afoforo. Suture-tape ne suture-wire a wɔde di dwuma wɔ arthroscopic rotator cuff a wosiesie mu: Biomechanics nhwehwɛmu a wɔde toto ho . Injury . 2018;49 (11):2047-2052.
- Boksh K, Haque A, Sharma A, Divall P, Singh H., ne wɔn a wɔka wɔn ho no. Suture Tapes a Wɔde Di Dwuma Ne Sutures a Wɔtaa De Di Dwuma Ma Arthroscopic Rotator Cuff Repairs: Nhwehwɛmu a Wɔayɛ no Nhyehyɛe ne Meta-nhwehwɛmu . Am J Sports Med . 2022;50 (1): 264-272.
- Borbas P, ne afoforo. Suture Tapes a Ɛwɔ Ahoɔden Kɛse no Yɛ Biomechanically Stronger Sen Sutures a Ahoɔden Kɛse a Wɔde Di Dwuma Wɔ Rotator Cuff Repair . Arthrosc Sports Med Rehabil . 2021 mu.
- Nie S, ne afoforo. Suture tape anchors a wɔde ma ayaresa a ɛwɔ rotator cuff tears mu no yɛ kɛse: kuw nhwehwɛmu bi a wɔde hwɛ nneɛma a atwam . BMC Musculoskelet Disord . 2025;26:470 na ɛwɔ hɔ.
- Nneɛma Ahorow a Ɛsan Tew Bere a Wɔakyekye Knot ne Knotless Suture Bridge Rotator Cuff Repair akyi: Nhwehwɛmu a Wɔayɛ no Nhyehyɛe ne Meta-nhwehwɛmu . 2022 mu.
- Figueiredo JAF, ne afoforo. Knotted anaa knotless double-row rotator cuff repair retear rates: nhyehyɛe mu nhwehwɛmu ne meta-nhwehwɛmu . JSES Rev Rep Tech . 2023 mu.
Aduruyɛ ne mmara ho amanneɛbɔ: Wɔayɛ asɛm yi ama adwumayɛfo nkyerɛkyerɛ ne nneɛma a wɔyɛ ho nhwehwɛmu wɔ ɔkwan a ɛkɔ akyiri so. Ɛmma wontumi nhu yare no, ɛmma wɔmfa ayaresa ho nyansahyɛ mma, ɛnkyerɛ oprehyɛn ho nkyerɛkyerɛ, anaasɛ ɛmma wontumi nhu nea ebefi ayaresabea mu aba. Aguade a ɛwɔ hɔ, nea ɛkyerɛ, mmara tebea, ne akwankyerɛ a wɔde bedi dwuma no gu ahorow wɔ gua so. Ɛsɛ sɛ akwahosan ho adwumayɛfo a wɔfata na wosi ayaresabea gyinaesi ahorow denam ɔyarefo pɔtee bi atemmu ne nnuru no ho nkrataa a ɛfa ho no so.
Woresusuw Agumadi Aduruyɛ Suture ne Anchor System ho?
Di XC Medico ho nkɔmmɔ na woanya nneɛma ho nsɛm a ɛwɔ hɔ, nhyehyɛe nhyehyɛe ho nsɛm, nneɛma a wɔde kyekyere nneɛma ho nsɛm, ne gua pɔtee ho nkrataa a ɛbɛma adwumayɛfo ahwɛ mu.
Wo ne XC Medico nkasa
