A ka fisa ka kɛ mɔgɔ ye min ka fisa ni kolotugudaw ye diɲɛ kɔnɔ .

Walasa ka lakana ni sariya labatoli sabati, farikoloɲɛnajɛ furakɛli fɛnw ka kan ka seereya ni diɲɛ sariyaw ye i n’a fɔ FDA (USA), CE Mark (Erɔpu), ani ISO 13485 (jogoɲumanya ɲɛnabɔli siraw). O seereyaw b’a jira ko sariyaw sɔnna ani ko u bɛ se ka da u kan.

Operelikɛlaw bɛ fɛnw jateminɛ i n’a fɔ joginni suguya, banabagatɔ ka baara hakɛ, a kolo cogoya, a doncogo, ani opereli kɛcogo. U ka teli ka u jigi da kɛnɛyaso ka ko kɛlenw kan ani ɲininiw kan minnu bɛ kɛ sisan walasa ka fiɲɛ bila minɛn ɲumanw na ACL, meniscus, walima u kamankunw dilancogo la.

Jolidɛsɛ min bɛ mɔgɔ dɔgɔya, o bɛ opereli joginda dɔgɔya, ka kɛnɛya waati surunya, ka banakisɛw sɔrɔli farati dɔgɔya, ani ka kolotugudaw yecogo ɲuman di. A kɛra fɛɛrɛ jɔnjɔn ye walasa ka farikolo joginw sɛgɛsɛgɛ ani ka u furakɛ minnu bɛ sɔrɔ farikoloɲɛnajɛw fɛ.

3D sɛbɛnni bɛ se ka kɛ sababu ye ka prototyping teliya ani ka fɛnw don minnu bɛ se ka kɛ ka fɛnw don u kɔnɔ ani ka opereli ɲɛminɛ. A bɛ kɛ sababu ye ka kolotugudaw dilan minnu bɛ banabagatɔ kɛrɛnkɛrɛnnenw ka baarakɛminɛnw dilan, ka u farikolo cogoya caman ɲɔgɔnna kɛ, ani ka biomekanikini kɛcogo sɛgɛsɛgɛ sani u ka bɔ.

Kokuraw ye ankɔriw bɛɛ lajɛlen ye, ankɔri minnu bɛ u yɛrɛ sɔgɔ, reamɛriw minnu bɛ se ka kɛ ni kanɛli ye, joli-sira-funu-kɔnɔ-fɛnw dɛmɛni, ani 3D-printed custom instruments. O baarakɛminɛnw bɛ baara kɛcogo ɲɛ, ka farikolo yɔrɔw tiɲɛni dɔgɔya, ani ka fixation kɔlɔlɔ ɲumanw di.

Laadalata minɛnw bɛ opereli tiɲɛni sabati, ka opereli kɔnɔ waati dɔgɔya, ani ka banabagatɔw ka sɔrɔw ɲɛ. Walasa ka farikolo-ɲɛnajɛ gɛlɛnw walima opereli kɛrɛnkɛrɛnnenw fɛ, mɔgɔ yɛrɛ ka ɲɛjiralanw walima baarakɛminɛnw bɛ a to u ka se ka don ani ka fɛnw don u kɔnɔ cogo ɲuman na.

Operelikɛlaw bɛ baara kɛ ni sutura ankɔriw ye minnu dilannen don ni fɛnw ye i n’a fɔ titanium, peek walima bioabsorbables. O sirilanw bɛ don kolo la ka kɛ ka senkɔni tigɛlenw siri kokura ni sutura barikamaw ye. Double-row walima all-suture anchors bɛ sɔrɔ ka kɛɲɛ ni dilancogo fɛɛrɛ ye.

Peek implants ye radiolucent ye ani u ka masina cogoyaw bɛ i n’a fɔ kolo, o b’a to u ka ɲi baarakɛcogo la i n’a fɔ interference vises, suture anchors, ani fixation buttons. U bɛ kɛ ka caya ACL/PCL jɔli la ani a kamankunw dilancogo la.

Bioabsorbable implants bɛ tiɲɛ waati kɔnɔ ani a laban na, u bɛ bila u nɔ na ni farikolo yɔrɔw ye, o bɛ a to u ka kan ka bɔ opereli la. Faan wɛrɛ fɛ, titaniyɔmu dontaw bɛ kɛ tuma bɛɛ, u barika ka bon, wa u bɛ se ka bɔ u la, nka u bɛ se ka bɔ u la ni u dimina walima ni u gɛlɛyaw bɛ u la.

ACL interference screws bɛ kɛ ligament reconstruction waati la walasa ka graft (otografu walima allograft) siri senkɔni walima senkɔni tunɛri kɔnɔ. U bɛ a to a ka jɔ joona ani ka dɛmɛ don ka ɲɛnamaya kɛcogo nɔgɔya biologiki la jiribulu ni kolo cɛ.

Fɛn minnu bɛ kɛ ka caya, olu ye titanium alloys ye, peek (polyether ether ketone), nɛgɛ inox, ani polimɛri minnu bɛ se ka bɔ ɲɔgɔn na i n’a fɔ PLLA walima PGA. Sugandili bɛ bɔ fɛnw na i n’a fɔ fanga, biyocompatibilité, ani ni fɛn donta dabɔra ka to farikolo la walima ni a bɛ wuli waati kɔnɔ.

A kɛnɛya waati bɛ danfara banabagatɔ ni joginni juguya fɛ, nka banabagatɔ fanba bɛ segin kɛnɛya baara la kalo 3–6 kɔnɔ. Kɛnɛya dafalen farikoloɲɛnajɛw la minnu bɛ kɛ ni ɲɔgɔndan ye, o bɛ se ka kalo 6–9 walima ka tɛmɛ o kan, ka kɛɲɛ ni ɲɛtaa ye.

Jogin minnu ka teli ka sɔrɔ, olu ye ɲɛda kurukuruw (ACL) ɲɛjiw ye, ɲɛjibɔ meniscal, rotator mansin joginw, labral ɲɛji, ani kolotugudaw joginw. Joli-sira-funu bɛ a to operelikɛlaw bɛ se ka farikolo yɔrɔ tiɲɛnenw dilan walima ka u jɔ kokura ni tiɲɛni dɔɔni ye ani u kɛnɛyali waati teliyalen.

Opereli min bɛ kɛ ni jolilabanaw ye, o ye fɛɛrɛ ye min bɛ kɛ ni fɛn fitinin ye, kamera fitinin (arthroscope) ni minɛnw bɛ don tigɛcogo misɛnniw fɛ walasa ka kolotugudaw koɲɛw sɛgɛsɛgɛ ani ka u furakɛ. A ka ca a la, a ka ɲi ka ɲɛgɛnɛ kɛ ɲɛjibɔ la, ka joli siraw tiɲɛ, ka kolotugudaw tiɲɛ, ani ka kolotugudaw basigibaliya, kɛrɛnkɛrɛnnenya la gɛnɛgɛnɛ, kamankun ani senkɔni na.

Spor furakɛli ye kolotuguda kɛrɛnkɛrɛnnen ye min sinsinnen bɛ farikolo joginw kunbɛnni, u sɛgɛsɛgɛli ani u furakɛli kan minnu bɛ tali kɛ farikoloɲɛnajɛ la. A jɔyɔrɔ ka bon kosɛbɛ farikoloɲɛnajɛla ni mɔgɔ timinandiw dɛmɛni na opereli ni opereli tɛ furakɛli minnu na, i n’a fɔ farikoloɲɛnajɛ, jolilabanaw, ani fɛnw minnu bɛ kɛ ka fɛnw don u kɔnɔ i n’a fɔ ACL walima rotator cuff dilancogo.

An bɛ ɲininkali bɛɛ jaabi sanga 12 kɔnɔ.
An bɛ baara kɛ teliya la ani baarakɛlaw ye tuma bɛɛ.
Anw minnu ye fɛn dilanbaga ye min bɛ baara kɛ ni kunkanbaaraw ye, an b’an yɛrɛ di kosɛbɛ komandi bɛɛ ma ka bɔ an ka cikɛlaw la.
Ni ko dɔw kɛra ka da an yɛrɛ ka hakɛ kan (i n’a fɔ jogo gɛlɛyaw walima jiginni waati latɛmɛni), an bɛna u ɲɛnabɔ k’a sɔrɔ an ma sigasiga!

An bɛ nin baarakɛcogo ninnu di:

• I ka logo taamasiyɛn an ka fɛn dilannenw kan .

• fɛn dilanni ka kɛɲɛ ni i ka jaw ye .

• Dilancogo ka da i ka misali kan ani ka fɛɛrɛw ja dilan .

An bɛ ni fɛnmarayɔrɔba ye wa a ka c’a la, an bɛ se ka ci dɔgɔkun kelen kɔnɔ.

Ɔwɔ, an bɛ se ka sɛgɛsɛgɛli kɛ fu walasa ka jogoɲumanya sɛgɛsɛgɛli kɛ. Aw ye aw ka wajibi kɛrɛnkɛrɛnnenw fɔ an ye.

An ye kolotugudaw ni opereli minɛnw dilannikɛla ye. An ka fɛn dilannenw ye:

• kɔkolo doncogo .

• Nails intramedullaires .

• Trauma plates (locking ani non-locking) .

• craniomaxillofacial plates .

• Opereli fanga baarakɛminɛnw .

• kɛnɛma fixateurs .

• Prothèses hip et Général .

• Spor fura furaw .

• Instruments laparoscopiques .

• Fɛn minnu bɛ kɛ ni kolosinsinnanw ye minnu bɛ kɛ ni fɛn bɛɛ ye .

• Baganw ka kolotugudaw .