Cortical Button Fixation: Zãzãwo, Ƒomeviwo Kple Afɔkuwo

Kamedefefewo ƒe atikewɔwɔ ƒe mɔfiame | Cortical suspensory ƒe ʋuʋu

Cortical button fixation nye suspensory fixation mɔnu si wozãna le ligament kple tendon gbugbɔgatu ƒe ɖoɖo tiatia aɖewo me. Abɔta aɖe nɔa ƒu si woyɔna be cortical bone dzi eye wòwɔa dɔ kple suture loop si wotu ɖe teƒe ɖeka alo si woate ŋu atrɔ asi le be wòalé graft alo soft-tissue construct si ŋu wowɔ ɖoɖo ɖo la me ɖe asi. Mɔ̃a naa mɔ̃a léa nu ɖe te esime nugbagbeviwo ƒe dɔyɔyɔ le ŋgɔ yim, gake meka ɖe edzi le eɖokui si be dɔyɔyɔ kabakaba, kuxi ʋɛ aɖewo alo tɔtrɔ yi kamedefefe me kaba o.

A suspensory construct Cortical button, loop, graft alo suture kple ƒu ƒe mɔ̃ si wodzra ɖo la wɔa dɔ ɖekae abe fixation construct ene.

Kpeɖodzi si ku ɖe dɔdamɔnu tɔxɛ aɖe ŋu Womate ŋu awɔ nusiwo do tso ACL gbugbɔgatu me ŋudɔ le wo ɖokui si ɖe distal biceps, ankle syndesmosis alo abɔta ƒe dɔwɔwɔ ŋu o.

No universal best device Loop type, button dimensions, graft, tunnel, ƒu ƒe nyonyome, fixation strategy kple labeling si ŋu woɖe mɔ ɖo katã kpɔa ŋusẽ ɖe tiatia dzi.

Cortical button fixation device si wozãna hena ligament gbugbɔgatu — Cortical button systems toa vovo le button geometry, loop design, suture construct, dɔwɔnuwo kple amekoko ƒe dɔwɔwɔ si woŋlɔ ŋkɔ na nu.

Nukae Nye Cortical Button Fixation?

Cortical button fixation, si woyɔna hã be cortical suspensory fixation, zãa abɔta sue aɖe si wotsɔ ɖo ƒu ƒe gotagome lãkusi sesẽa ŋu. Loop alo suture construct doa ka kple button la kple tendon graft, ligament graft alo lãkusi falɛfalɛ si wodzra ɖo. Ne wonya tsɔe de teƒe si woɖoe ko la, abɔta la naa cortical support point na xɔtunu si wotsɔ ƒo xlãe.

Le kpɔɖeŋu me, le ACL gbugbɔgatu me la, afɔkpodzi ƒe abɔta ate ŋu alé nusi wodo ɖe afɔkpodzi ƒe socket alo mɔ̃ si wodzra ɖo me ɖe te. Wotrɔ asi le abɔta ƒe ɖoɖo bubuwo ŋu na ŋutilã ƒe akpa vovovowo kple dɔdamɔnu vovovowo. Menye le esi woƒe nɔnɔme sɔ ta koe woate ŋu atrɔ nu siawo o.

Nu Vevi Siwo Le Cortical Button Construct me

Cortical button Nu sue aɖe si wotsɔ dea ame me si woɖo be wòatsi tre ɖe cortical bone ŋu eye wòama ŋusẽ le alesi wowɔe nu.

Loop alo suture construct Kadodo si ƒe didime le ɖoɖo nu alo si woate ŋu atrɔ asi le le abɔta kple lãkusi alo lãkusi si wodzra ɖo dome.

Graft alo soft tissue Nu gbagbewo ƒe lãkusi si wole gbugbɔ tum alo le dzadzram ɖo, si wodzra ɖo ɖe ɖoɖo si wotia nu.

Ƒu ƒe mɔ̃ alo socket Ƒu ƒe mɔ alo socket si ŋu wowɔ ɖoɖo ɖo si dzi woato ade graft kple deployment components me.

Passing sutures Sutures siwo wozãna tsɔ tsɔa ʋua, ɖoa mɔ, dea dɔwɔwɔ alo tea xɔtunua le ɖoɖoa ƒe mɔnu nu.

Dɔwɔnu tɔxɛwo Drills, guides, depth gauges, passing devices kple tensioning tools siwo sɔ kple ɖoɖo si wotia.

Cortical ƒe Abɔta vs Cortical ƒe Kplu

Cortical button mesɔ kple cortical bone screw si wozãna ɖaa o. Cortical screw si wozãna ɖaa zãa ka tsɔ ƒoa ƒu ɖe ƒu ŋu eye zi geɖe la, edoa ƒome kple ƒu gbagbã alo plate constructs. Zi geɖe la, cortical button naa suspensory fixation to button-and-loop alo button-and-suture construct dzi.

Mègatɔtɔ atikeawo o: mele be woaɖɔ 2.7, 3.5 alo 4.5 mm cortical bone screw be enye akpa si hiã le ACL cortical button fixation edziedzi me o negbe ɖe ɖoɖo si ŋu woɖe mɔ ɖo tututu kple amekokomɔnu la de eme koŋ hafi.

Fixed-Loop vs Asitɔtrɔ-Loop Cortical Abɔtawo

Woƒoa nu tso afɔti ƒe lãkusi ƒe mɔ̃ siwo wozãna le lãkusi gbugbɔgatu me ŋu zi geɖe be wonye fixed-loop alo adjustable-loop systems. Vovototoa kpɔa ŋusẽ ɖe graft dzadzraɖo, tunnel alo socket ɖoɖowɔwɔ, deployment kple tensioning dɔwɔwɔ dzi.

Fixed-loop mɔ̃

Woɖo loop la ƒe didime ɖi do ŋgɔ. Ele be woawɔ ɖoɖo ɖe mɔ̃a ƒe goglome, graft ƒe didime kple abɔta ƒe mɔzɔzɔ ŋu ƒo xlã didime ma si woɖo ɖi.

Mɔ̃ si woate ŋu atrɔ asi le si ƒe ʋuƒo le

Woate ŋu atrɔ asi le loop ƒe didime ŋu le dɔwɔwɔa me le ɖoɖo tɔxɛa ƒe seɖoƒe kple aɖaŋu me, si ana woate ŋu ado graft la ɖe ŋgɔ alo ate ɖe eŋu le button ƒe dɔwɔwɔ vɔ megbe.

Nusiwo Nudokpɔƒe Dodokpɔwo Dzidzena

Biomechanical evaluation ateŋu agblɔ cyclic displacement, loop elongation, stiffness, yield load kple agba si do kpo nu. Dodokpɔ siawo kpena ɖe ame ŋu wòdea dzesi mɔ̃a ƒe nuwɔna le nudokpɔƒe ƒe ɖoɖo si woɖe fia te, gake emetsonuwo nɔ te ɖe dodokpɔa ƒe nutrenu, kpɔɖeŋu, agbatsɔtsɔ ƒe mɔfiame, agbatsɔtsɔ do ŋgɔ, gasɔdodo ƒe ɖoɖo kple nuwuƒe dzi.

Agba si le kpododonu me ƒe asixɔxɔ si lolo wu le nudokpɔƒe ƒe numekuku aɖe me meɖo kpe edzi be lãmekawo ƒe dɔyɔyɔ kabakaba wu tso lãkusi me yi ƒu me alo dɔdaƒe ƒe kpododonu ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi o. Ele be woabu nudokpɔƒe me tsonu ŋu kpe ɖe dɔdamɔnu ƒe kpeɖodziwo kple amekoko ƒe wɔwɔme bliboa ŋu.

Nusi Dɔnɔdzikpɔƒe ƒe Kpeɖodziwo Ðe Fia

Toto ɖe ɖoɖo nu le adjustable-loop femoral cortical suspension devices ŋu kpɔ vovototo le nusiwo ŋu woke ɖo le nudokpɔƒe kple dɔdaƒe dome: nudokpɔƒe ƒe numekuku geɖe ka nya ta be loop didi le cyclic loading te, evɔ dɔdaƒe ƒe numekuku siwo me woto meɖe vovototo si me kɔ le adjustable- kple fixed-loop ƒuƒoƒowo dome le liƒo, klo ƒe dzesiwo alo graft ƒe kpododonu me fia o. Agbalẽa ŋlɔlawo bia be woawɔ dɔdamɔnu dodokpɔ siwo me ŋusẽ le wu siwo wowɔ le vome.

Le esia nu la, mele be woagblɔ be loop ƒe hatsotso eveawo dometɔ aɖeke de ŋgɔ wu le xexeame katã o. Ele be tiatia nabu akɔnta le graft ƒe ɖoɖoa, mɔ̃a ƒe mɔnu, mɔ̃a ƒe mɔfiamewo, amekola ƒe nyanya kple dɔdaƒe ƒe kpeɖodzi siwo sɔ ŋu.

Fixed-loop kple adjustable-loop cortical suspension fixation mɔ̃wo — Fixed-loop kple adjustable-loop devices zãa dzadzraɖo kple tensioning dɔwɔwɔ ƒe ɖoɖo vovovowo; atikewɔƒe ƒe dzedzeme nɔ te ɖe ɖoɖo bliboa si wowɔ be woagbugbɔ atue dzi.

Amekoko ƒe Dɔwɔwɔ Siwo Bɔ Le Cortical Button Fixation Ŋu

Wozãa cortical button designs le ƒumeŋuɖui ƒe dɔwɔwɔ geɖe me, gake nusi woaɖe afia la nɔ te ɖe mɔ̃a ƒe dzeside tututu dzi. Mele be woabui be woɖe mɔ ɖe abɔta si woɖe alo woŋlɔ ŋkɔ na dɔdamɔnu ɖeka ŋu na lãkusi, lãkusi alo ƒunukpeƒe ɖesiaɖe o.

ACL kple PCL Gbugbɔgatu

Wozãa cortical suspensory fixation zi geɖe le afɔkpodzi ƒe akpa si le ACL gbugbɔgatumɔnu tiatia aɖewo me eye woate ŋu atsɔe ade PCL alo nusiwo katã le eme ƒe xɔtuɖoɖo tiatia aɖewo hã me. Abɔta la léa ʋuƒoa ɖe te to ka aɖe me esime ʋuƒoa xɔa mɔ̃ alo mɔ̃ si wodzra ɖo la.

Dɔdamɔnu me tsonu nɔ te ɖe nu geɖe dzi wu abɔta. Tunnel ƒe nɔnɔme, graft ƒomevi kple dzadzraɖo, fixation le akpa eveawo, tensioning, abi siwo do ƒome kplii, gbugbɔgaɖɔɖo kple dɔnɔ ƒe nusiwo katã kpena ɖe eŋu. Nuxlẽlawo ate ŋu ato akpa si keke ta wu si ACL backup fixation systems kple mɔfiame si do ƒome kplii si ɖe eme alesi backup fixation doa alɔ ACL gbugbɔgatu.

Distal Biceps Tendon Dzadzraɖo

Woate ŋu azã cortical button systems siwo ku ɖe dɔwɔwɔ koŋ ŋu atsɔ alé biceps tendon si le didiƒe la ɖe radius la ŋu. Womate ŋu atsɔ kpeɖodzi siwo tso dɔwɔwɔ sia me ayi ACL gbugbɔgatu me tẽ o elabena ŋutilã ƒe wɔwɔme, agbatsɔtsɔ, amekoko ƒe nukpɔkpɔ kple kuxiwo ƒe nɔnɔme to vovo.

Totoɖeme siwo wota ka nya ta le dɔwɔwɔ me tsonu nyuiwo ŋu zi geɖe gake woƒoa nu tso lãmekawo ƒe abixɔxɔ, abɔta ƒe nɔnɔme gbegblẽ alo eƒe ʋuʋu, heterotopic ossification, rerupture kple abi ƒe kuxiwo hã ŋu. Ele be afɔku siawo nanɔ dzedzem ɣesiaɣi si woƒo nu tso distal biceps kpeɖodziwo ŋu.

Afɔkpodzi ƒe Dɔléle Kple Lãmetsi Falɛfalɛ Bubuwo ƒe Nuléle

Woate ŋu ade dzesi suture-button ɖoɖo tiatia aɖewo be woatsɔ awɔ syndesmosis stabilization alo soft-tissue fixation mɔnu bubuwo. Zi geɖe la, wozãa abɔta eve siwo wotsɔ ka si ŋu ŋusẽ le ŋutɔ do ƒome kple xɔtunu siawo, gake woƒe amekoko ƒe taɖodzinu kple mɔ̃ɖaŋununya to vovo na afɔkpodzi ƒe ACL ƒe ʋuʋu.

Dɔdamɔnu bubu siwo wozãna koŋ ate ŋu anye lãkusi alo lãkusi tiatia aɖewo gbugbɔgawɔ le abɔta, abɔta, afɔ alo afɔkpodzi. Ele be woalé ŋku ɖe dzesi siwo sɔ, nusiwo tsi tre ɖe eŋu kple dɔwɔnuwo ŋu hena adzɔnu kple asi si tututu woayi.

Latarjet Kple Mɔnu Tɔxɛ Bubuwo

Woku nu me le suture-button fixation hã ŋu hena coracoid graft fixation le Latarjet ƒe dɔwɔwɔ me. Kpeɖodzi siwo wotsɔ sɔ kple wo nɔewo ɖee fia be asitsatsa le wo nɔewo ŋu tsɔ wu be wòade ŋgɔ wu le xexeame katã: screw fixation ate ŋu aɖe malikenyenye si bɔbɔ ɖe anyi gbugbɔgagblɔ afia le pooled analyses aɖewo me, gake button fixation ate ŋu aɖee afia be gbugbɔgawɔ ʋɛ aɖewo koe do ƒome kple hardware. Ðewohĩ kuxi siwo katã dona tso eme kple emetsonu bubuwo mato vovo kura o.

Le susu ma ta la, mele be woazã Latarjet ƒe nyatakakawo abe kpeɖodzi ene be cortical buttons nɔa dedie wu, li ke wu alo nyo wu ɣesiaɣi na dɔyɔyɔ le dɔwɔwɔ siwo meku ɖe wo nɔewo ŋu o me o.

Alesi Cortical Buttons Doa Alɔ Tendon-to-Bone Dɔyɔyɔ

Cortical button naa mɔ̃ si wotsɔ léa lãkusi alo lãkusi ƒe nɔnɔme si ŋu wowɔ ɖoɖo ɖo la me ɖe asi esime nugbagbewo ƒe dɔyɔyɔ le ŋgɔ yim. Mewɔa dɔyɔyɔ le eɖokui si o. Tendon-to-bone integration kpɔa ŋusẽ ɖe graft contact, motion le interface, ƒu kple tissue ƒe nyonyome, tunnel dzadzraɖo, construct stability, rehabilitation kple patient biology dzi.

Eléa graft ƒe nɔnɔme me ɖe asi Woɖoe be xɔtunua nalé graft alo tendon la ɖe mɔ̃, socket alo attachment teƒe si ŋu wowɔ ɖoɖo ɖo la me.

Transfers load Button kple loop tsɔa ŋusẽ toa cortical bone me le geometry si le xɔtunu bliboa me nu.

Doa alɔ dɔyɔyɔ ƒe dometsotso Mɔ̃ɖaŋununya ƒe nuléle kpɔa nuwo gbugbɔgatu ta esime nugbagbewo ƒe ƒoƒo ɖekae le ŋgɔ yim le gbugbɔgaɖɔɖo ƒe ɖoɖo si woɖo ɖi la te.

Mɔ̃ɖaŋununya kple nugbagbeŋutinunya to vovo: gbãtɔ ƒe nuléle sesẽ nye mɔ̃ɖaŋununya ƒe taɖodzinu vevi aɖe, gake meka ɖe edzi be woatsɔ lãmeka si wodo ɖe lãme na ame, vevesese dzi ɖeɖe kpɔtɔ, ƒunukpeƒewo ƒe liƒo, tɔtrɔ yi kamedefefe me alo ablɔɖe tso amekoko si woagbugbɔ awɔ me o.

Amekoko ƒe Dɔwɔɖoɖo Gbãtɔ

Amekoko ƒe dɔwɔwɔ toa vovo le alesi wowɔa dɔe kple ɖoɖo nu. Nusiwo gbɔna nye numeɖeɖe deŋgɔ aɖe le cortical suspensory graft fixation ŋu, ke menye amekokomɔnu alo dɔnɔ ƒe mɔfiame o.

Wɔ ɖoɖo ɖe xɔtutua ŋu Amekola tiaa graft, button, loop, tunnel alo socket ƒe didimewo kple complementary fixation strategy.

Dzra ƒu si wodo kple ƒu ɖo Wozãa dɔwɔnuwo kple dzidzenu siwo wogblɔ na ɖoɖo si wotia la tsɔ dzraa ƒu si wodo kple ƒu ƒe mɔ̃ ɖo.

Pass and deploy Wotoa abɔta la to mɔ si ŋu wowɔ ɖoɖo ɖo la me eye wonɔa anyi ɖe cortical surface si woɖo be woawɔ la ŋu.

Kpeɖodzi kple tete Woléa ŋku ɖe Deployment, tissue interposition, graft position kple tension ŋu le ɖoɖo kple mɔ̃a ƒe aɖaŋu nu.

Abɔta ƒe teƒe si mesɔ o alo lãmeka falɛfalɛwo ƒe tsɔtsɔ de abɔta kple lãkusi dome ate ŋu agblẽ nu le eƒe léle ɖe te ŋu. Nukpɔkpɔ le dɔwɔwɔ me, nɔnɔmetatawo ɖeɖe alo kpeɖodzimɔnu bubuwo nɔ te ɖe aɖaŋua dzi. Mele be woabui be abɔta la wɔ dɔ nyuie le asikaka nyaŋuɖoɖo ko dzi o.

Cortical button ɖoɖo le ligament graft fixation me — Button deployment, cortical seating, graft position kple loop tension bia be woaɖo kpe edzi to mɔnu si ku ɖe dɔdamɔnu tɔxɛa ŋu zazã me.

Cortical Button vs Fixation Mɔnu Bubuwo

Gɔmesese le fixation tsɔtsɔ sɔ kple wo nɔewo ŋu ne wolɔ dɔwɔwɔ ɖeka, graft, anatomical site kple emetsonu ɖeka ɖe eme ko. Enye nusi flua ame be woatsɔ afɔkpodzi ƒe ACL ƒe lãkusi ƒe abɔta asɔ kple distal biceps suture anchor alo Latarjet screw eye woatsɔ emetsonua afia abe xexeame katã ƒe ɖoƒe ene.

Fixation category	General mechanism	Dɔwɔwɔ ƒe ɖoɖo tɔxɛwo ŋu bubu
Cortical ƒe abɔta	Etsɔa lãkusi alo lãkusi falɛfalɛa tsia abɔta si wotsɔ ƒu si woyɔna be cortical bone lé ɖe te	Button ƒe zikpui, loop ƒe nuwɔna, cortical ƒe blibonyenye, tunnel geometry kple soft-tissue interposition
Nusiwo doa kplamatse nu ƒe ʋuƒo	Enaa aperture fixation to graft aɖe mimi ɖe mɔ̃ aɖe me	Screw nu kple lolome, graft ƒe gbegblẽ, tunnel fit, ƒu ƒe nyonyome kple eɖeɖe alo gbugbɔgaɖɔɖo ŋu bubu
Suture ƒe seke	Etsɔa seke-kple-nutunu si wotsɔ blaa lãmeka falɛfalɛwo doa ka kple ƒu	Seke ƒe nu, dzogoe si wotsɔ de eme, ƒu ƒe nyonyome, knotless alo knotted design kple tissue pattern
Staple alo backup fixation	Enaa kpeɖeŋutɔ alo anyigbadzinuléle le nusi wotsɔ de eme ƒe nɔnɔme nu	Nutoa me ƒe ŋutilã ƒe wɔwɔme, graft ƒe nɔƒe, eƒe dzedzeme, fixation sequence kple nenye be primary alo backup fixation ye

Cortical Button vs Interference Screw le ACL Gbugbɔgatu me

Mɔnu siawo ɖɔa nusi wodo ɖe lãme na ame ɖo le mɔ vovovowo nu eye woate ŋu azãe le gbugbɔgatu ɖeka ma ke ƒe akpa vovovowo. Cortical button naa suspensory fixation, gake interference screw naa fixation le mɔa ƒe ʋɔtru gbɔ. Dɔdaƒewo ƒe tsɔtsɔ sɔ kple wo nɔewo nɔ te ɖe ACL mɔnu bliboa dzi tsɔ wu be woanɔ te ɖe nusi wotsɔ de ame me si woɖe ɖe aga dzi.

Cortical Button vs Suture Anchor le Tendon Dzadzraɖo me

Biomechanical numekuku ateŋu atsɔ agba asɔ kple kpododonu alo ʋuʋu, gake atikewɔƒe ƒe tiatia hã nɔ te ɖe amekoko ƒe afɔɖeɖe, ŋutilã ƒe afɔɖoƒe, ƒu ƒe agbɔsɔsɔ, afɔku si le lãmeka siwo te ɖe eŋu me, gbugbɔgaɖɔɖo kple mɔ̃ ƒe dzesi si li dzi. XC Medico ƒe ƒuƒoƒowo ma suture anchor systems elabena seke menye ŋkɔ bubu na cortical button ko o.

Gbãtɔ vs Backup Fixation

Cortical button ate ŋu anye suspensory fixation vevitɔ le dɔwɔwɔ ɖeka me, gake staple, screw alo implant bubu ate ŋu anye backup fixation le dɔwɔwɔ bubu me. The eyata ligament fixation staple system nye nusiwo wowɔ ƒe hatsotso si to vovo tsɔ wu be wòanye cortical button component.

Afɔkuwo Kple Mɔ̃ɖaŋununya ƒe Seɖoƒewo

Cortical button system aɖeke meli si me afɔku mele o. Kuxi siwo sɔ la nɔ te ɖe ŋutilã ƒe wɔwɔme kple alesi wowɔa dɔe dzi, gake ate ŋu ahiã be woabu nya siwo gbɔna ŋu:

Button malposition: ɖewohĩ nusi wotsɔ de eme la manɔ anyi ɖe cortical ƒe akpa si woɖo be wòanɔ o.
Lãmetsi falɛfalɛwo ƒe tsɔtsɔ de wo nɔewo me: lãkusi ate ŋu atɔ ɖe abɔta kple ƒu dome.
Ʋuʋu alo asiɖeɖe le eŋu: abɔta ƒe nɔƒe si woɖo be wòabu ate ŋu agblẽ xɔtuɖoɖoa me.
Loop elongation alo graft motion: ʋuʋu le cyclic agba te ate ŋu akpɔ ŋusẽ ɖe fixation nɔnɔme dzi.
Mɔdodo ƒe kekeme: mɔ̃a ƒe tɔtrɔ nye nu geɖe eye ateŋu ado ƒome kple graft ƒe ʋuʋu, nugbagbeŋutinunya kple aɖaŋu.
Cortical compromise: mɔ̃a ƒe dodo si mesɔ o, cortical blowout alo ƒu ƒe nyonyome madeamedzi ate ŋu akpɔ ŋusẽ ɖe kpekpeɖeŋunana dzi.
Ahɔhɔ̃mekawo ƒe abixɔxɔ: afɔkua nɔ te ɖe amekoko ƒe mɔnu, tomekuku ƒe mɔfiame, ŋutilã ƒe wɔwɔme kple dɔwɔwɔ dzi.
Dɔlékuiwo, lãmekawo ƒe sesẽ alo lãmekawo ƒe dɔmawɔmawɔ nyuie: amekoko ƒe kuxi siwo dona tso amekoko me le goawo katã me kple esiwo ku ɖe dɔdamɔnu tɔxɛwo ŋu gakpɔtɔ ate ŋu adzɔ.

Ele be kpeɖodziwo nanɔ ɖoɖo tɔxɛ nu: mele be woatsɔ kuxi siwo dona tso distal biceps repair me afia abe ACL ƒe kuxiwo ƒe agbɔsɔsɔme ene o, eye mele be woazã Latarjet ƒe gbugbɔgadzɔ alo dɔwɔwɔ ake ŋuti nyatakakawo atsɔ agblɔ lãkusiwo ƒe dɔyɔyɔ tso klo alo abɔta gbɔ o.

Aleke Amekolawo Tiaa Cortical Button?

Wotu tiatiawɔwɔ ɖe nuwo gbugbɔgatu ƒe ɖoɖo bliboa dzi tsɔ wu be woanɔ te ɖe asitsatsa ƒe nya aɖe si wogblɔ tso ŋusẽ ŋu dzi. Nu vevi siwo ŋu nàbu dometɔ aɖewoe nye:

ŋutilã ƒe wɔwɔme ƒe dzesi si ŋu woɖe mɔ ɖo kple afisi woayi-asi ƒe ŋkɔ dede agbalẽ me;
fixed-loop alo adjustable-loop dɔwɔwɔ ƒe ɖoɖo;
button ƒe didime kple cortical footprint;
loop nu, didime didime kple asitɔtrɔ mɔnu;
graft ƒomevi, eƒe didime kple didime si wodzra ɖo;
tunnel alo socket ƒe didime, goglome kple cortical integrity;
ƒu ƒe nyonyome kple alesi wogbugbɔ trɔ asi le eŋu;
drills, guides, passing sutures kple tensioning instruments siwo sɔ;
fixation si ŋu wowɔ ɖoɖo ɖo le gbugbɔgatu ƒe akpa si tsi tre ɖe eŋu;
amekola ƒe hehexɔxɔ kple aɖaŋu si wozãna tsɔ wɔa dɔe koŋ.

FDA ƒe mɔ̃ ŋuti nuŋlɔɖiwo na cortical fixation system yɔ cortical bone ƒe nyonyome alo agbɔsɔsɔ si mesɔ gbɔ o be enye nusi ate ŋu atsi tre ɖe eŋu. Eyata ele be woato atike tɔxɛ siwo tsi tre ɖe eŋu me tsɔ wu be woasusui be cortical fixation sɔ na dɔnɔ ɖesiaɖe.

Cortical Fixation Systems na Kɔdziwo Kple Mamãlawo

Ele be kɔdziwo, mamalawo kple OEM/ODM dɔwɔhatiwo nada ligament fixation portfolio bliboa kpɔ, ke menye titanium ƒe abɔta si wokpɔna ɖeɖeko o. XC Medico ƒe ƒumeŋuɖui kple kamedefefewo ƒe atikewɔwɔ ƒe ɖoɖowo lɔ fixation ƒe hatsotso geɖe ɖe eme hena dɔnyala bibiwo ƒe zazã.

The ligament fixation titanium plate kple button categories ele be woada asɔ to catalogue xexlẽdzesi, nusi woɖo be woazã, nusi wotsɔ wɔe, loop specification kple dɔwɔnu siwo sɔ dzi. Ele be nuƒlelawo ƒe ƒuƒoƒowo nabia nuŋlɔɖi siwo li fifia hena ɖoɖowɔwɔ kple asi si tututu woawɔ.

Nuƒleƒe ƒe ɖaseɖiɖiƒe	Nusi ŋu woaɖo kpee
Nusi ɖee fia	Ligament, tendon, joint kple fixation zazã pɛpɛpɛ si wogblɔ le fifi atikewo ƒe dzeside me
Mɔ̃a ƒe ɖoɖowɔwɔ	Button ƒe didime, loop ƒomevi, loop ƒe didime, suture nu kple vovototo siwo li
Dɔwɔnuwo zazã	Drills siwo sɔ, tunnel guides, depth gauges, passers kple tensioning tools
Mɔ̃ɖaŋununya ƒe kpeɖodziwo	Agbatsɔtsɔ, ʋuʋu kple kpododonu dodokpɔ si sɔ na mɔ̃ mamlɛtɔ ƒe ɖoɖowɔwɔ
Nuŋlɔɖiwo wɔwɔ	Ðaseɖigbalẽwo, mɔfiame siwo ku ɖe wo zazã ŋu, alesi woate ŋu akpɔ wo yome, nɔnɔme si me dɔlékui mele o kple eƒe agbenɔƒe ŋuti nyatakakawo
Asitsatsa ƒe mɔnukpɔkpɔ	Dukɔ alo nuto si me woɖoe ɖo ƒe ŋkɔ ŋɔŋlɔ kple nusiwo ŋu woɖe mɔ ɖo

Le dɔnyala ƒe nuƒle gome la: bia fifi ligament fixation catalogue, mɔ̃a ƒe nɔnɔmewo, dɔwɔnu siwo sɔ ƒe xexlẽdzesi kple asi-koŋ ƒe sedede ŋuti nuŋlɔɖiwo hafi nàtia cortical fixation system.

Dzro Ligament Fixation Implants me To titanium button, plate kple complementary fixation ƒe hatsotso siwo li me. Te ɖe XC Medico Team ŋu Ðo kpe nɔnɔmewo, nuŋlɔɖiwo, dɔwɔnuwo ƒe sɔsɔ kple teƒe si woayi-asi ƒe nudidiwo dzi.

Nya Siwo Wobiaa Enuenu Tso Cortical Button Fixation Ŋu

Nukae nye cortical button fixation?

Enye suspensory fixation mɔnu si me button tsia tre ɖe cortical bone ŋu eye wòtoa loop alo suture construct dzi doa ka kple tendon graft, ligament graft alo repared soft tissue.

Ðe cortical button sɔ kple cortical screw?

Ao, zi geɖe la, cortical button wɔa dɔ abe suspensory button-and-loop construct ƒe akpa aɖe ene. Cortical screw zãa ka tsɔ ƒoa ƒu ɖe ƒu ŋu eye wòle fixation ƒe hatsotso bubu me.

Vovototo kae le fixed-loop kple adjustable-loop ƒe abɔtawo dome?

Fixed-loop device ƒe loop ƒe didime si woɖo ɖi do ŋgɔ. Mɔ̃ si woate ŋu atrɔ asi le loop ŋu na woate ŋu atrɔ loop ƒe didime le eƒe dɔwɔwɔ kple eƒe tete ƒe mɔnu tɔxɛa nu.

Ðe cortical button fixation nana ACL graft hayana kabakabaa?

Enaa mɔ̃ si wotsɔ léa nu ɖe te esime nugbagbeviwo ƒe dɔyɔyɔ le ŋgɔ yim, gake meka ɖe edzi be woatsɔ atike si wodo ɖe lãme na ame kabakaba wu o. Dɔyɔyɔ nɔ te ɖe nuwo gbugbɔgatu bliboe, lãmenugbagbeviwo ƒe nugbagbeŋutinunya, mɔ̃memi dzadzraɖo, liƒo, gbugbɔgaɖɔɖo kple dɔnɔ ƒe nɔnɔmewo dzi.

Ðe abɔta si woate ŋu atrɔ asi le si wotsɔa ʋuƒo wɔe nyo wu abɔta si woate ŋu atrɔ asi le?

Menye le xexeame katã o. Nudokpɔƒe ƒe numekukuwo de dzesi vovototo siwo le biomechanical me, evɔ dɔdamɔnu ŋuti numekukuwo meɖee fia ɣesiaɣi be enyo wu le liƒo, klo ƒe dzesiwo alo graft ƒe kpododonu me o. Ele be tiatia nanye ɖoɖowɔɖi kple ɖoɖo tɔxɛ aɖe koŋ.

Kuxi kawoe ate ŋu ado mo ɖa?

Nya siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye nɔnɔme gbegblẽ, lãmeka falɛfalɛwo ƒe dometsotso, ʋuʋu, loop didi, mɔ̃a ƒe keke, fixation ƒe kpododonu kple dɔwɔwɔ tɔxɛ ƒe lãmeka, ʋuka, dɔlékui alo sesẽme ƒe kuxiwo.

Atikewɔwɔ Kple Sedede Ŋuti Nyatakakawo

Atikewɔwɔ ŋuti nyatakaka: Nyati sia nye dɔnyala kple sukudede ŋuti nyatakakawo katã. Menye atikewɔlawo ƒe aɖaŋuɖoɖo, amekokomɔnu, atike ƒe dzesi alo nusi woatsɔ aɖɔli mɔ̃a ƒe dzeside si li fifia kple dɔnɔ tɔxɛ ƒe ʋɔnudɔdrɔ̃ si lãmesẽdɔwɔla bibiwo awɔ o. Adzɔnuwo ƒe anyinɔnɔ, wo zazã si woɖo be woazã kple se ƒe nɔnɔme toa vovo le asi nu. XC Medico naa atikewo habɔbɔ siwo nye dɔnyala bibiwo eye medzraa wo na dɔnɔwo tẽ o.

Nukae Nye Cortical Button Fixation? Zãzãwo, Ƒomeviwo Kple Afɔku Siwo Le Wo Me