Ɔkwan Bɛn so na Mfiri a Wɔde Siesie Kotodwe Nhama no Sesa ACL Siesie?

Agumadi mu aduruyɛ · ACL sanba ho akwankyerɛ

ACL graft fixation mfiri ahorow no de reconstruction graft bi bɔ femur ne tibia no ho ban bere a abɔde a nkwa wom a wɔde ka bom no renya nkɔso no. Interference screws, cortical buttons, staples, posts, anchors, ne hybrid constructs ma fixation wɔ mmeae ahorow ne akwan horow so. Mfiri biako biara nni hɔ a eye ma ɔyarefo, graft, tunnel, anaa revision tebea biara.

Mfitiaseɛ a ɛgyina pintinn Fixation bɔ graft gyinabea ne nhyɛsoɔ ho ban wɔ berɛ a ɛdi kan ansa na graft-to-bone abɔ mu.

Ɔkwan pɔtee a wɔfa so paw Graft type, nnompe su, tunnel design, revision anatomy, ne oprehyɛn ho osuahu kyerɛ mfiri a wɔpaw.

Amansan mu nkonimdifo biara nni hɔ Akwan a wɔtaa fa so de si hɔ no betumi ama nneɛma pa afi mu aba bere a wɔde hyia yiye na wɔde di dwuma pɛpɛɛpɛ no.

Kotodwe nkwaa nipadua ne ACL graft fixation adwene — ACL a wɔsan yɛ no hwehwɛ sɛ wɔde graft si hɔ pɛpɛɛpɛ na wɔde si hɔ yiye wɔ asen ne asen no afã nyinaa.

ACL Repair ne ACL Reconstruction Ɛnyɛ Adeyɛ Koro

nsɛmfua ACL repair ne ACL reconstruction di dwuma de sesa wɔn ho wɔn ho. Ɛnsɛ sɛ wɔde

Ɔkwan a	wɔfa so yɛ Nea wɔsa	Sɛnea wɔde fixation di dwuma
ACL a wosiesie titiriw	Wɔsan bɛn nusu a wɔapaw no de bɔ mmɔden sɛ wɔbɛkora ɔyarefo no kurom ntini no so.	Ebia nhama, ankora, bɔton, anaa augmentation construct aboa ligament a wɔasiesie no, a egyina ɔkwan a wɔfa so yɛ no so.
ACL a wɔsan yɛ no foforo	Wɔde autograft anaa allograft si ACL a atetew no ananmu wɔ dwumadi mu.	Wɔde aperture, suspensory, anaa hybrid fixation na ɛkyekyere graft no wɔ femoral ne tibial tunnels anaa sockets mu.

Saa asɛm yi twe adwene si so titiriw graft fixation bere a wɔresan ayɛ ACL no . Nsiesiei titiriw wɔ hɔ ma opira ahorow a wɔapaw nkutoo na ɛwɔ nsɛnkyerɛnne ahorow, abɔde a nkwa wom, nnwinnade, ne ahosiesie ho nsusuwii ahorow.

Mfiri a wɔde si hɔ no mma ACL nhyehyɛe bi nyɛ nea ɛho nhia pii wɔ wɔn ankasa mu. Arthroscopic access, tunnel anaa socket ahosiesie, graft a wɔpaw, meniscal anaa cartilage ayaresa a ɛbata ho, ne oprehyɛn kwan a wɔfa so yɛ no nyinaa na ɛkyerɛ ntini a ɛbɛsɛe ne ne ho a ɛbɛtɔ.

Dɛn Nti na Graft Fixation Ho Hia wɔ ACL Reconstruction Mu?

Ɛsɛ sɛ reconstruction graft san yɛ stabilizing adwuma a native ACL no yɛ. Ansa na wɔde biological incorporation besi hɔ no, fixation construct no soa adesoa na ɛto graft displacement ano hye. Botae no ne sɛ wɔbɛkɔ so akura gyinabea ne nhyɛso a wɔpɛ sɛ wɔde hyɛ nipadua no mu no mu a wɔrensɛe ntini a wɔde ahyɛ mu no anaasɛ wɔrensɛe nnompe no mu.

Graft prepared Wɔahyɛ no su, ne kɛse, ne tenten, ne ne fixation awiei so dua.

Tunnels anaa sockets a wɔayɛ Wɔhwɛ gyinabea, ne kɛse, ne tenten, ne cortex.

Graft passed na tensioned Wɔhwɛ Orientation ne seating.

Fixation verified Wɔsɔ mfiri no gyinabea, graft tension, motion, ne stability hwɛ.

Fixation yɛ ɔdansi no fã biako pɛ. Tunnel a wɔde si hɔ, graft a wɔpaw ne ne siesie, pretensioning, kotodwe a wɔde si hɔ bere a wɔde fixation, apirakuru a ɛbata ho a wɔsa, ahosiesie, ne ayarefo nneɛma nso nya nea efi mu ba no so nkɛntɛnso.

Aperture, Suspensory, ne Nneɛma a Wɔde Siesie Nneɛma a Wɔde Ka Ho

Aperture a wɔde si hɔ

Aperture fixation ma graft no bɛn dompe kwan no nkwaa-hama a wobue no. Interference screw ne nhwɛso a wonim no yiye sen biara. Skru no mia ntini a ɛyɛ mmerɛw a wɔde ahyɛ mu anaa nnompe a wɔde asie no mu wɔ ɔkwan no fasu no so. Eyi betumi asiw graft-tunnel no kankyee ano, nanso ɛsɛ sɛ wɔde si hɔ no kwati graft no mu mpaapaemu, mpaapaemu, nkwaa a ɛbɛkɔ mu, ne fixation a ɛyera.

Suspensory a wɔde hyɛ nipadua no mu

Suspensory fixation de graft adesoa kɔ akyi cortex no mu. Wɔtaa de cortical button a ɛwɔ loop a ɛyɛ pintinn anaasɛ wotumi sesa di dwuma wɔ asen no fã na wobetumi de akwan a wɔfa so yɛ emu nyinaa nso adi dwuma. Tunnel tenten a ɛyɛ pɛpɛɛpɛ, button a wɔfa, cortical deployment, loop management, ne graft seating ho hia.

Fixation a wɔde ka ho anaasɛ afrafra

Hybrid construct ka akwan a wɔfa so fixation bom, anaasɛ ɛde staple, post-and-washer, anchor, anaa backup device foforo ka ho bere a oduruyɛfo a ɔyɛ oprehyɛn no wɔ dadwen wɔ fixation titiriw ho no. Supplemental fixation de interfaces ne hardware ka ho, enti ɛsɛ sɛ wosusuw ne mfaso ne sɛnkyerɛnne ahorow a ebetumi aba ho ma ankorankoro asɛm no.

Mfiri Ahorow a Wɔde Sisi Knee Ligament Fixation

Nkuruwankuruwa a wɔde siw ano

Aperture fixation Femoral anaa tibial

Wɔde si ɔkwan no mu de mia graft anaa bone block no. Nneɛma a wobetumi apaw no bi ne nneɛma a wɔde dade, PEEK, ne bioabsorbable anaa biocomposite nneɛma. Diameter, ne tenten, asaawa no nhyehyɛe, ɔkwan a wɔfa so de hyɛ mu, ne graft ahobammɔ asɛm.

Cortical buttons

Suspensory fixation Loop a wɔde si hɔ anaasɛ wotumi sesa

Bɔton bi tra akyi cortex no so bere a loop bi boa graft no. Ɔkwan no betumi agye ntini a ɛyɛ mmerɛw a wɔde hyɛ mu ne socket-based reconstruction, nanso ɛhwehwɛ sɛ wɔasi so dua sɛ wɔde bedi dwuma na wɔtra so.

Staples ne posts

Nneɛma foforo a wɔde besiesie Backup option

Ligament staples anaa screw-and-washer constructs betumi ama nhama a wɔde kyekyere no ayɛ den anaasɛ ahyɛ tibial fixation mu den wɔ nsɛm a wɔapaw mu. Hardware a agye din ne mpɔtam hɔ abufuw yɛ nneɛma a ɛfata a ɛsɛ sɛ wosusuw ho.

Suture anchors ne augmentation

Repair anaa reinforcement Ɔkwan a egyina so

Ankora betumi abɔ ntini a ɛyɛ mmerɛw anaa nhama a wɔde kyekyere nneɛma ho ban wɔ akwan a wɔapaw a wɔfa so siesie ne nea wɔde ka ho mu. Suture-tape augmentation nyɛ ade a wɔde besi sɛnkyerɛnne a ɛteɛ, nipadua a wɔde si hɔ, nhyɛso a ɛfata, anaasɛ abɔde mu ayaresa ananmu.

Nhwɛso ahorow a ɛfa ACL ligament fixation mfiri a wɔde yɛ graft reconstruction ho — ACL fixation nhyehyɛe ahorow no betumi ayɛ interference screws, buttons, staples, anchors, ne nnwinnade a wɔde hyɛ mu a ɛfa ɔkwan pɔtee bi ho.

Nneɛma a Wɔde Sisi Dade, PEEK, ne Bioabsorbable Fixation Nneɛma

Nneɛma kuw	Mfaso a ebetumi aba	Nneɛma a ɛho hia a ɛsɛ sɛ wosusuw ho
Titanium anaa nneɛma afoforo a wɔde dade ayɛ	Ahoɔden a ɛkorɔn, wɔde di dwuma a wɔde asi hɔ, wotumi hu wɔ radiographs so, na ɛnyɛ nea ɛsɛe ade.	Imaging artifact, hardware sɛnkyerɛnne ahorow a ebetumi aba, ne nea ebetumi atwitware revision tunnel adwuma mu.
PEEK	Radiolucent polymer, bioabsorption biara nni mu, na ɛnyɛ den sɛ wobehu ɔkwan a atwa ho ahyia no ho mfonini wɔ mfonini ahorow bi so.	Mfiri no kɔ so tra nipadua no mu; gyinabea no betumi ahwehwɛ sɛ wɔde radiopaque agyiraehyɛde anaa biribi foforo a ɛkyerɛ sɛ ɛyɛ nokware.
Polymers a wotumi twetwe nneɛma a nkwa wom anaasɛ ɛyɛ biocomposite	Wɔayɛ no sɛnea ɛbɛyɛ a bere kɔ so no sɛe na ebetumi atew nneɛma a wɔde hyɛ nipadua mu a ɛtra hɔ daa no so.	Ɔsɛe no fa nneɛma pɔtee bi ho; wɔabɔ amanneɛ sɛ cyst, ɔfe ho mmuae, abubu, atutra, anaa nsakrae a ɛba ɔkwan a ɛkɔ ɔkwan no mu so.

Meta-nhwehwɛmu a wɔyɛe wɔ sɔhwɛ ahorow 14 a wɔanhyɛ da ayɛ mu no anhu nsonsonoe titiriw biara wɔ kotodwe dwumadi a wɔde wɔn adwene bu anaasɛ ɛyɛ mmerɛw wɔ bioabsorbable ne metallic interference screws ntam, bere a na bioabsorbable kuw no wɔ asiane kɛse a wɔaboaboa ano sɛ wobenya nsɛnnennen. Eyi nkyerɛ sɛ dade skru biara na eye; nneɛma, adwini, graft, ɔkwan a wɔfa so yɛ, ne ayarefo nsɛm a ɛfa ho da so ara ho hia.

Sɛnea Oprehyɛn Ho Nnuruyɛfo Paw ACL Fixation Construct

Wɔpaw nea wɔde ahyɛ nipadua no mu no afã abien no nyinaa. Ɛho nhia sɛ mfiri a ɛwɔ asen ne asen mu no de adwinnade koro no ara di dwuma. Nneɛma a ɛho hia no bi ne:

Graft: dompe-patellar tendon-bone, hamstring, quadriceps tendon, autograft anaa allograft, ntini a ɛyɛ mmerɛw nkutoo anaasɛ nnompe-siw awiei.
Tunnel nhyehyɛe: tunnel anaa socket a edi mũ, ne kɛse, ne tenten, cortical integrity, tunnel kwankyerɛ, ne nnompe stock a ɛwɔ hɔ.
Nneɛma a ɛma ɔyarefo: nnompe no yiyedi, mfe a wɔadi, dwumadi botae ahorow, nnompe a ɛho akokwaw, oprehyɛn a wɔadi kan ayɛ, ne opira a ɛbata ho.
Oprehyɛn titiriw anaa nea wɔsan yɛ: ɔkwan a wɔfa so trɛw mu dedaw, nneɛma a wɔde yɛ adwuma a wɔakora so, nnompe a asɛe, ne hia a ehia sɛ wɔsan si no wɔ akwan horow so.
Construct ahwehwɛde ahorow: nhyehyɛe a wɔayɛ sɛ tensioning nnidiso nnidiso, fixation beae, backup fixation, mfoniniyɛ ahiade, ne nhwehwɛmu a wɔhwɛ kwan.
System compatibility: graft kɛse, drill ne akwankyerɛ nsusuwii, implant inserters, loop tenten, screw nsusuwii, ne adwinnade-mfiri ntam nkitahodi a wɔagye atom.
Oprehyɛn ho ɔbenfo osuahu: nimdeɛ a ɛfa sɛnea wɔde di dwuma, akwan horow a wɔfa so di nkogu, akwan horow a wɔfa so gye nkwa, ne oprehyɛn no mu nokwaredi.

XC Medico deɛ no ACL/PCL ligament fixation system kyerɛ nhwɛso ahorow a ɛfa implant ne adwinnade nhyehyɛe ho. Ɛsɛ sɛ wɔsan hwɛ nneɛma a wɔde yɛ adwuma no ho nsɛm mu bere nyinaa de kyerɛ sɛnea wɔama ho kwan sɛ wɔde mfiri no bedi dwuma ne ɔkwan a oduruyɛfo no ayɛ ho nhyehyɛe no.

So Buttons anaa Interference Screws Ma Nea Ɛyɛ Pa?

Mprempren adanse ntumi nhyɛ amansan nyinaa mu dibea a ɛyɛ mmerɛw so. Network meta-analysis a ɛde interference screw, cortical button, ne cross-pin femoral fixation totoo hamstring autografts ho no anhu nsonsonoe biara a ɛho hia wɔ akontaabu mu wɔ ayaresabea mu aba titiriw a wɔyɛɛ ho nhwehwɛmu no nyinaa mu. Nhwehwɛmu foforo a wɔyɛe wɔ nhyehyɛe kwan so no hui sɛ nea efi dwumadi, laxity, ne rerupture mu ba a wɔde toto ho wɔ all-inside suspensory fixation ne full-tunnel reconstruction ntam, bere a radiographic tunnel no bi a wohui no yɛ soronko.

Ntotoho asɛmmisa	Nkyerɛase a ɛkari pɛ
So aperture fixation yɛ nipadua mu de kɛse?	Ɛma graft no hyɛ baabi a ɛbɛn joint-line tunnel opening no, nanso nipadua mu nkonimdi nso gyina tunnel no gyinabea a ɛfata, graft no kɛse, nhyɛso, ne baabi a wɔde besi so.
So suspensory fixation no mu yɛ den?	Cortical suspension betumi ama ahoɔden a ɛfata a edi kan, nanso construct adwumayɛ gyina button seating, loop suban, cortex, tunnel, ne graft so.
So bioabsorbable screw ma nea efi mu ba no tu mpɔn?	Ɛtew dade a ɛtra hɔ daa so, nanso wonnya nhuu nea ɛkorɔn wɔ ayaresabea na ɛsɛ sɛ wosusuw nneɛma pɔtee bi ho nsɛnnennen ho.
So backup fixation boa bere nyinaa?	Ebia ɛbɛyɛ nea mfaso wɔ so bere a fixation titiriw yɛ ade a ɛhaw adwene, nanso ɛde hardware ka ho na ebia ɛremma nea efi mu ba a ntease wom no ntu mpɔn wɔ ɔdansi biara a wɔsan yɛ daa mu.

Awiei a mfaso wɔ so ne sɛ fixation a ahobammɔ wom, a wɔde di dwuma pɛpɛɛpɛ a ɛne graft ne tunnel no hyia no ho hia sen sɛ wobɛpaw mfiri bi denam aguadi kuw no nkutoo so.

Sɛnea Instrument Sets Boa Reproducible ACL Reconstruction

Nneɛma a wɔde hyɛ nipadua mu no yɛ adwuma sɛ nhyehyɛe a edi mũ no fã. Tunnel akwankyerɛfo, sizing blocks, passing sutures, reamers, depth gauges, button inserters, screwdrivers, taps, graft ahosiesie nnwinnade, ne tray nhyehyɛe nyinaa nya adwumayɛ so nkɛntɛnso. Akwankyerɛfo a ɛne ne ho nhyia, ofirikafo a asɛe, drill kɛse a ɛnteɛ, anaasɛ adwinnade a ɛtwam a ɛyera betumi asɛe nhyehyɛe a anka ɛfata a wɔde besiesie no.

All-in cruciate ligament reconstruction adwinnade a wɔde asi hɔ ama ACL ne PCL oprehyɛn — A nhyehyɛe-matched adwinnade nhyehyɛe betumi ayɛ nhyehyɛe tunnel ahosiesie, graft kwan, ne fixation anammɔn ma ACL anaa PCL reconstruction.

Hwehwɛ mu an nyinaa-wɔ cruciate ligament reconstruction adwinnade set anaasɛ nea ɛtrɛw arthroscopy adwinnade-set range . Ansa na wode bedi dwuma no, hwɛ sɛ tray no mu nneɛma, ɛne ne ho hyia, akwankyerɛ a ɛfa ahotew ne sterilization ho, nhwehwɛmu gyinapɛn ahorow, ne sɛnea wobetumi de foforo asi ananmu no mu.

Nsɛnnennen a Ebetumi Aba a Ɛfa Fixation Ho

Nsɛnnennen betumi afi afiri no, graft, tunnel, ɔkwan a wɔfa so yɛ, abɔde a nkwa wom, ɔyare mmoawa, ahosiesie, anaasɛ opira a wɔsan de ba no mu aba. Ɔhaw ahorow a ɛfa fixation ho betumi ayɛ:

fixation a ɛyera, graft slippage, elongation, anaasɛ construct loosening;
button migration, cortical deployment a enni mũ, soft-tissue interposition, anaa ɔhaw ahorow a ɛfa loop ho;
screw divergence, bubu, migration, nkwaa a ɛkɔ mu, anaasɛ graft a ɛsɛe bere a wɔde hyɛ mu;
staple, post, washer, anaa button a ɛda nsow a ɛde mpɔtam hɔ abufuw ba;
tuntum a ɛtrɛw, cyst a ɛba, anaasɛ ɔhyew ho mmuae a ɛfa nneɛma ho;
ɔhaw a ɛwɔ mfoninitwa nkyerɛase anaa daakye nsakraeɛ tunnel ahosiesie mu;
ɔyare mmoawa, ntini a ɛyɛ den, ntini mu ntini a ɛyɛ den, entumi nnyina pintinn bere nyinaa, ntini a wɔde hyɛ nipadua no mu a entumi nyɛ adwuma yiye, anaasɛ ɛsan pira.

Wontumi mfi afiri a wɔde si hɔ no nkutoo so nkyerɛ sɛnea yare no ho sɛnkyerɛnne ne ne ho bɛtɔ no. Nneɛma foforo a entumi nnyina, atiridiinini, kuru mu nsu a ɛtwetwe, ɔfe a ɛkɔ soro, nantwi ba mu yaw, kankyee a ɛyera, anaa ɛyaw a emu yɛ den a wɔnhwɛ kwan no hwehwɛ sɛ ayaresabea kuw a wɔsa yare no yɛ nhwehwɛmu.

So Fixation a Ɛyɛ Den Kyerɛ sɛ Wɔbɛsan Asiesie Nneɛma Ntɛmntɛm?

Mfiase a wɔde si hɔ a ahobammɔ wom boa ma wɔboa nhyehyɛe a wɔayɛ ho nhyehyɛe a wɔde bɛsan asiesie no, nanso ɛnyɛ nea ɛma obi ho tɔ no yɛ tiaa ara kwa. Mu duru a wɔsoa, nea wɔde hyɛ mu, baabi a wɔde kankyee, ahoɔden, mmirikatu, pivoting, ne nkɔso a wɔsan kɔ agumadi mu no gyina graft no, meniscal anaa cartilage akwan a ɛbata ho, fixation, swelling, ahoɔden, neuromuscular control, ayaresabea nhwehwɛmu, ne oprehyɛn ne apɔw-mu-teɛteɛ ho ɔyaresafo no nhyehyɛe so.

AAOS akwankyerɛ si dwumadi mu nhwehwɛmu so dua ansa na wɔasan akɔ agumadi mu na ɛkamfo kyerɛ sɛ wɔmfa ankorankoro nsiesie wɔn ho. Ɛnsɛ sɛ wɔde afiri a wɔde si hɔ di dwuma sɛ ade biako pɛ a enti ɛsɛ sɛ wɔde nneɛma gu ntɛmntɛm anaasɛ woyi brace bi fi hɔ. Wɔyɛ ACL a wɔsan yɛ no pii sɛ ayaresa a wɔde ma wɔ ayaresabea, nanso bere a wɔde bɛma obi afi ayaresabea no gyina ayaresabea tebea a edi mũ so sen sɛ wɔde bɛhyɛ nipadua no mu kuw no mu.

Dɛn na Ɛsɛ sɛ Ayaresabea ne Wɔn a Wɔkyekyɛ Nneɛma Hwɛ?

Ɛsɛ sɛ nhwehwɛmu a wɔyɛ wɔ adetɔ ho no de biribiara a wɔde hyɛ nipadua mu no bata ne nnwinnade, nkyerɛwde, mmara ho nkrataa, ne sɛnea wotumi hwehwɛ akyi. Katalog a wɔayɛ no fɛfɛɛfɛ anaasɛ nsɛm a ɛtrɛw a wɔka sɛ amanaman ntam mmara no di so no nnɔɔso.

Si nea wopɛ sɛ wode bedi dwuma ne gua so tumi krataa so dua Fa mfiri, mfonini, nneɛma, mmara kwan so yɛfo, nkyekyɛmu, ne gua a wɔde rekɔ no hyia.
Hwɛ sɛnea implant-instrument hyia Hwɛ draiver interfaces, drill ne tunnel akɛse, inserters, depth gauges, buttons, loops, screws, staples, ne backup options.
Hwɛ sɛ nneɛma ne mfiridwuma ho adanse yɛ nokware Bisa nsɛm a wɔakyerɛw, adansedi nkrataa a ɛfa lot ho, sɔhwɛ ahorow a ɛfa ho, akwan a wɔfa so hwehwɛ nneɛma mu, ne gyinapɛn ahorow a wɔde gye tom.
Hwɛ sɛnea nneɛma a wɔde kyekyere nneɛma ne nea wɔde sterilization te Ma no mu da hɔ a sterile anaa nea ɛnyɛ sterile a wɔde ma, shelf life wɔ baabi a ɛfata, labeling, traceability, ne reprocessing akwankyerɛ a wɔagye atom.
Hwɛ tray a edi mũ no Fa akontaabu krataa a wɔahyɛ so di dwuma, si agyiraehyɛde ne tebea no so dua, na sɔ adwinnade no dwumadi hwɛ ansa na woapene so.
Hwɛ nsakraeɛ sohwɛ ne anwiinwii mmoa mu Kyerɛkyerɛ amanneɛbɔ a ɛfa nsakraeɛ a ɛba wɔ nneɛma, nhyehyɛɛ, nea ɔde ma, ɔkwan a wɔfa so yɛ, nkyerɛwdeɛ, nneɛma a wɔde kyekyere, anaa sterilization ho.

Adetɔfo betumi ahwɛ XC Medico de no mu quality control ne inspection nhyehyɛe na bisa mfiri pɔtee bi adanse bere a wɔrefata.

XC Medico Agumadi Aduruyɛ Ho Nneɛma a ɛfa ho

Ligament Fixation System ACL/PCL reconstruction implants, fixation options, ne nnwinnade a ɛne no hyia. Ligament Fixation Staple Staple nkyerɛkyerɛmu ma soft-tissue ne supplemental fixation dwumadie a wɔapaw. Cruciate Ligament Instrument Set Akwankyerɛ ne nnwinnade a wɔde yɛ ACL/PCL tunnel ne socket ahosiesie. Arthroscopy Instrument Sets Hwehwɛ akwan pɔtee bi a wɔfa so yɛ ntini mu nhwehwɛmu ne ligament reconstruction instruments. Suture Anchors Anchor nhyehyɛe ahorow ma soft-tissue fixation akwan a wɔapaw. Agumadi Aduruyɛ Nhyehyɛe Hwehwɛ ligament, meniscal, arthroscopy, suture, ne agumadi-aduruyɛ nneɛma a ɛfa ho mu. Quality Control Hwɛ nneɛma a wɔyɛ mu nhwehwɛmu, aduruyɛdan, ne nsɛm a ɛfa sɛnea wotumi hwehwɛ nneɛma akyi ho. Technical Product Inquiry Bisa nsɛm a ɛfa ho, nsɛm a ɛfa sɛnea ɛne ne ho hyia, adansedi nkrataa, anaa nneɛma ho nkrataa.

Nsɛm a Wɔtaa Bisa

Dɛn na ɛma ACL graft no gyina hɔ?

Wɔtaa de nkɔnsɔnkɔnsɔn a wɔde siw ano, cortical buttons, cross-pins, posts, staples, anaa nea wɔaka abom na ɛkyekyere graft no wɔ femoral ne tibial afã horow no. Sɛnea wɔyɛ no gyina graft no su, ɔkwan a wɔfa so yɛ ɔkwan a wɔfa so yɛ no, nnompe no su, ne ɔkwan a wɔfa so yɛ no so.

Nsonsonoe bɛn na ɛwɔ interference screw ne cortical button ntam?

Interference screw ma aperture fixation denam graft anaa bone block a ɛtwetwe wɔ tunnel no mu no so. Cortical button ma suspensory fixation denam tra a ɛtra akyi cortex no so na ɛboa graft no denam loop so.

So bioabsorbable ACL nkɔnsɔnkɔnsɔn ye sen dade nkɔnsɔnkɔnsɔn?

Ɛnyɛ amansan nyinaa mu. Randomized-trial adanse ahu sɛ subjective function ne laxity a ɛte saa ara, bere a pooled analyses binom bɔ amanneɛ sɛ nsɛnnennen pii wɔ bioabsorbable screws. Nneɛma, adwini, ɔkwan a wɔfa so yɛ, mfoninitwa, ne nsakrae a wosusuw ho nyinaa ho hia.

So wobetumi de afiri koro no ara a wɔde hyɛ nipadua no mu no adi dwuma wɔ graft biara mu?

Dabi, ɛsono sɛnea nnompe-block ne soft-tissue grafts wɔ ntam, na graft no kɛse, ne tenten, ɔkwan a wɔfa so yɛ no, ne cortical bone no nya sɛnea ɛne ne ho hyia no so nkɛntɛnso. Di mfiri no akwankyerɛ a wɔama ho kwan ne oprehyɛn kwan a wɔayɛ ho nhyehyɛe akyi.

So brace a ɛwɔ mu no si ACL graft ananmu?

Ɛnyɛ nea ɛba ara kwa. Suture-tape augmentation betumi ahyɛ ɔdan a wɔapaw a wɔde besiesie anaasɛ wɔbɛsan ayɛ no mu den, nanso ne dwumadi gyina ɔkwan a wɔfa so yɛ no ne nea wɔkyerɛ so. Ɛnsiesie ntini a ɛnyɛ papa, nea ɛnyɛ atom a wɔde si hɔ, anaasɛ nea wɔde si hɔ titiriw a ɛnyɛ nea ɛfata.

So ɛsɛ sɛ woyi ACL fixation mfiri ahorow no fi hɔ?

Ɛnyɛ bere nyinaa na ɛho hia sɛ woyi fi hɔ daa. Wobetumi asusuw ho sɛ wobeyi afi hɔ esiane hardware a ɛwɔ sɛnkyerɛnne anaa nea ɛda nsow, ɔyare mmoawa, atutra, oprehyɛn a wɔsan yɛ mu nsakrae, anaa ayaresabea ntease pɔtee foforo nti.

Awie

ACL fixation mfiri ahorow ma nnɛyi adansi tumi yɛ yiye denam graft no a ɛma ɛyɛ den bere a abɔde a nkwa wom a wɔde ka bom kɔ so no so. Wɔn bo a ɛsom no fi nsɛnkyerɛnne a ɛteɛ, nipadua mu kwan a wɔde si hɔ, nnwinnade a ɛne ne ho hyia, graft nhyɛso a ɛfata, mfiri a wɔagye atom a wɔde di dwuma, ne nhyehyɛe a wɔde siesie nneɛma a wɔaka abom no mu. Interference screws, cortical buttons, ne hybrid constructs mu biara wɔ dwumadi ahorow a mfaso wɔ so; ɛsɛ sɛ paw no yɛ ankorankoro de sen sɛ egyina amansan 'mfiri a eye sen biara' asɛm so.

Nsɛm a Wɔde Kyerɛw Nsɛm ne Nsɛmma Nhoma no Gyinabea

Aduruyɛ ne mmara mu nsɛm a wɔde tow: Saa asɛm yi yɛ nkyerɛkyerɛ a wɔde ma wɔ ɔkwan a ɛkɔ akyiri so ne adwumayɛfo nneɛma a wɔde gyina hɔ ma. Ɛnkyerɛ sɛ obi anya ACL opira, ɛnkamfo oprehyɛn nkyerɛ, ɛnpaw nea wɔde bɛhyɛ nipadua mu, anaasɛ ɛnsesa mfiri akwankyerɛ, mpɔtam hɔ mmara, anaasɛ akwahosan ne mmara ho adwumayɛfo a wɔfata nhwehwɛmu. Ɛsono sɛnea nneɛma wɔ hɔ ne nneɛma a wɔama ho kwan.