Kamedefefewo ƒe atikewɔwɔ · ACL gbugbɔgatu ƒe mɔfiame
ACL graft fixation devices léa gbugbɔgatu graft ɖe afɔkpodzi kple afɔkpodzi esime nugbagbewo ƒe ƒoƒo ɖekae le ŋgɔ yim. Interference screws, cortical buttons, staples, posts, anchors, kple hybrid constructs wɔa fixation le teƒe vovovowo kple to mɔnu vovovowo dzi. Mɔ̃ ɖeka aɖeke mesɔ na dɔnɔ, graft, tunnel, alo revision ƒe nɔnɔme ɖesiaɖe o.
ACL Dzadzraɖo Kple ACL Gbugbɔgatu Menye Dɔwɔna Ðeka O
nya siwo nye ACL dzadzraɖo kple ACL gbugbɔgatu ɖe wo nɔewo teƒe o. Mele be woazã
| Alesi | wowɔa dɔe Nusi wowɔna | Alesi wozãa fixation |
|---|---|---|
| ACL dzadzraɖo gbãtɔ | Wogbugbɔa aɖatsi tiatia aɖewo tena ɖe wo nɔewo ŋu tsɔ dzea agbagba be yewoakpɔ dɔnɔa ƒe lãkusi si wodzi la ta. | Sutures, anchors, buttons, alo augmentation construct ate ŋu alé lãkusi si wodzra ɖo la ɖe te, le aɖaŋu si wotsɔ wɔe nu. |
| ACL gbugbɔgatu | Wotsɔa autograft alo allograft ɖɔlia ACL si vuvu la le dɔwɔwɔ me. | Wozãa aperture, suspensory, alo hybrid fixation tsɔ léa graft la ɖe afɔkpodzi kple tibial tunnels alo sockets me. |
Nyati sia ku ɖe graft fixation le ACL gbugbɔgatu me koŋ ŋu . Abixɔxɔ ƒe nɔnɔme tiatia aɖewo koe woate ŋu adzrae ɖo gbãtɔ eye woƒe dzesiwo, nugbagbeŋutinunya, dɔwɔnuwo, kple ɖɔɖɔɖo ŋuti nukpɔsusu vovovowo le eŋu.
Fixation devices mewɔa ACL dɔdamɔnu si me wowɔa nu boo aɖeke le o le wo ɖokui si o. Arthroscopic access, tunnel alo socket dzadzraɖo, graft tiatia, meniscal alo cartilage ƒe atikewɔwɔ si do ƒome kplii, kple amekokomɔnu bliboae dea dzesi lãmenugbagbeviwo ƒe tɔtɔ kple woƒe hayahaya.
Nukatae Graft Fixation Le Vevie le ACL Gbugbɔgatu Me?
Ele be gbugbɔgatu si wodona na ame nagbugbɔ ACL si nye dzɔdzɔmetɔ ƒe dɔwɔwɔ si naa li ke la awɔ. Hafi woaɖo nugbagbewo ƒe tsɔtsɔ de eme la, fixation construct la tsɔa agba eye wòɖoa seɖoƒe na graft ƒe ʋuʋu. Taɖodzinuae nye be woalé teƒe si woɖo be woatsɔ adoe ɖo kple eƒe tete ɖe te evɔ womagblẽ nu le ƒua ŋu alo agblẽ nu le ƒu ƒe mɔ̃a ŋu o.
Fixation nye nuwo gbugbɔgatu ƒe akpa ɖeka ko. Mɔdodo ƒe ɖoɖo, graft tiatia kple dzadzraɖo, pretensioning, klo ƒe nɔnɔme le fixation me, abi siwo do ƒome kplii dada, gbugbɔgaɖɔɖo, kple dɔnɔ ƒe nusiwo hã kpɔa ŋusẽ ɖe emetsonu dzi.
Aperture, Suspensory, kple Nusiwo Wotsɔ Kpe Ðe Eŋu
Aperture ƒe ʋuʋu
Aperture fixation nana be graft la nɔa ƒunukpeƒea te ɖe ƒunukpeƒea ƒe ʋuʋu ŋu. Interference screw ye nye kpɔɖeŋu si amewo nya nyuie wu. Kplu la tea lãmenugbagbevi falɛfalɛ aɖe si wotsɔ do alo ƒu ƒe akpa aɖe ɖe mɔ̃a ƒe gli ŋu. Esia ate ŋu axe mɔ ɖe graft-tunnel ƒe ʋuʋu nu, gake ele be eɖoɖo ɖe teƒea naƒo asa na graft laceration, divergence, ƒunukpeƒewo ƒe gege ɖe eme, kple fixation ƒe bu.
Suspensory ƒe ʋuʋu
Suspensory fixation tsɔa graft ƒe agba yia gotagome lãkusia me. Wozãa cortical button si ƒe loop si wotu alo woate ŋu atrɔ asi le eŋu zi geɖe le afɔkpodzi ƒe akpa dzi eye woate ŋu azãe kple mɔnu siwo wozãna le ememe katã hã. Mɔ̃a ƒe didime si sɔ, abɔta ƒe mɔzɔzɔ, cortical deployment, loop management, kple graft seating le vevie ŋutɔ.
Fixation kpeɖeŋutɔ alo hybrid fixation
Hybrid construct ƒoa fixation mɔnuwo nu ƒu, alo tsɔa staple, post-and-washer, anchor, alo backup device kpena ɖe eŋu ne amekolaa tsi dzi ɖe fixation gbãtɔ ŋu. Supplemental fixation tsɔa interfaces kple hardware kpena ɖe eŋu, eyata ele be woabu eƒe viɖe kple dzesi siwo ate ŋu ado tso eme ŋu na ame ɖekaɖekawo.
Klo ƒe Lãmetsiŋusẽ ƒe Mɔ̃ ƒomeviwo
Kplu siwo doa kplamatse nu
Aperture fixation Femoral alo tibialWotsɔe de mɔ̃a me be woatsɔ aƒo ƒu si wodo alo ƒu si wotsɔ blae la nu ƒu. Tiatia siwo woate ŋu awɔ dometɔ aɖewoe nye ga, PEEK, kple nusiwo woate ŋu axɔ alo nusiwo me agbe le. Diameter, didime, ka ƒe nɔnɔme, mɔ si dzi woato ade eme, kple graft takpɔnu nya.
Cortical buttons
Suspensory fixation Loop si woɖo ɖi alo si woate ŋu atrɔ asi leAbɔta aɖe nɔa gotagome lãkusia dzi esime ka aɖe léa lãkusia ɖe te. Mɔnua ate ŋu axɔ lãmeka falɛfalɛ siwo wodo ɖe lãme na ame kple socket-based reconstruction, gake ebia be woaɖo kpe edzi be woatsɔe ade dɔwɔwɔ me ahanɔ anyinɔƒe.
Staples kple posts
Kpekpeɖeŋu ɖɔɖɔɖo Backup tiatiaLigament staples alo screw-and-washer constructs ate ŋu ana sutures nanɔ dedie alo ado ŋusẽ tibial fixation le nɔnɔme tiatia aɖewo me. Hardware ƒe ŋkɔxɔxɔ kple nutoa me ƒe dzikudodo nye nusiwo ŋu woabu si sɔ.
Suture anchors kple augmentation
Dzadzraɖo alo ŋusẽdodo Mɔnu si nɔa te ɖe edziSekewo ate ŋu alé lãkusi falɛfalɛwo alo aŋenuwo ɖe te le nuwo ɖɔɖɔɖo kple kpeɖeŋutɔmɔnu tiatia aɖewo me. Suture-tape augmentation menye nusi woatsɔ aɖɔli dzesi si sɔ, ŋutilã ƒe wɔwɔme, tete si sɔ, alo nugbagbewo ƒe dɔyɔyɔ o.
Ga, PEEK, kple Bioabsorbable Fixation Nuwo
| Nuwo ƒe ƒuƒoƒo | Viɖe siwo ate ŋu anɔ | eme Nu vevi siwo ŋu woabu |
|---|---|---|
| Titanium alo gaŋutinu bubuwo | Ŋusẽ gã, zazã si woɖo anyi, wokpɔna le radiographs dzi, eye womewɔa nu ɖe nusiwo gblẽna ŋu o. | Imaging artifact, hardware ƒe dzesi siwo ate ŋu anɔ anyi, kple nusiwo ate ŋu ado kplamatse revision tunnel dɔwɔwɔ. |
| PEEK ƑE NUÐEÐEŊUTI | Radiolucent polymer, bioabsorption aɖeke mele eme o, eye mɔ̃ si ƒo xlãe la kpɔkpɔ le susu me bɔbɔe wu le nɔnɔmetata aɖewo me. | Mɔ̃a gakpɔtɔ le ŋutilãa me; teƒe si wòle ate ŋu abia be woatsɔ dzesi siwo me keklẽŋusẽ mele o alo kpeɖodzi bubuwo. |
| Bioabsorbable alo biocomposite polymers siwo woate ŋu atsɔ awɔ dɔe | Wotrɔ asi le eŋu be wòagblẽ le ɣeyiɣi aɖe megbe eye ate ŋu aɖe nusiwo wotsɔ dea lãme na ame si nɔa anyi ɖaa dzi akpɔtɔ. | Nuwo ƒe gbegblẽ nye nusiwo wowɔna koŋ; woka nya ta be cyst, dɔdzẽ ƒe ŋuɖoɖo, gbagbã, ʋuʋu, alo mɔ̃memi ƒe tɔtrɔ. |
Meta-kuxiwo me dzodzro le dodokpɔ 14 siwo wowɔ le vome me mekpɔ vovototo gã aɖeke le klo ƒe dɔwɔwɔ le susu me alo eƒe gbɔdzɔgbɔdzɔ le bioabsorbable kple metallic interference screws dome o, evɔ bioabsorbable ƒuƒoƒoa ya ƒe kuxiwo ƒe afɔku si woƒo ƒu la lolo wu. Esia mefia be ga ƒe gavi ɖesiaɖe nyo wu o; nusiwo wotsɔ wɔe, alesi wowɔe, alesi wodoe, aɖaŋu, kple nya siwo ƒo xlã dɔnɔa gakpɔtɔ le vevie.
Alesi Amekolawo Tia ACL Fixation Construct
Wotiaa atike si wodo ɖe lãme na ame ƒe akpa eveawo. Mehiã be afɔkpodzi kple afɔkpodzi ƒe mɔ̃wo nazã mɔnu ɖeka o. Nu vevi aɖewoe nye:
- Graft: ƒu-patellar tendon-ƒu, hamstring, quadriceps tendon, autograft alo allograft, lãkusi falɛfalɛwo ɖeɖeko alo ƒu-xexe ƒe nuwuwu.
- Mɔ̃a ƒe nɔnɔme: mɔ̃a ƒe mɔ̃ alo socket bliboa, eƒe didime, eƒe didime, cortical integrity, mɔ̃a ƒe mɔfiame, kple ƒu ƒe ƒuƒoƒo si li.
- Nusiwo gbɔ dɔnɔwo tsona: ƒu ƒe nyonyome, ƒe si woxɔ, dɔwɔna ƒe taɖodzinuwo, ƒunukpeƒe ƒe tsitsi, amekoko si wowɔ va yi, kple abi siwo do ƒome kplii.
- Amekoko gbãtɔ alo esi wogbugbɔ trɔ asi le: mɔ̃a kekeɖenudɔ si li xoxo, xɔtunu siwo wolé ɖe te, ƒu ƒe gbagbã, kple alesi wòhiã be woagbugbɔe atu ɖe ɖoɖo nu.
- Tuɖoɖo ƒe nudidiwo: tensioning ɖoɖo si ŋu wowɔ ɖoɖo ɖo, fixation teƒe, backup fixation, nɔnɔmetatawo ƒe hiahiãwo, kple mɔkpɔkpɔ be woagbugbɔ ŋku alé ɖe eŋu.
- Nuɖoɖoa ƒe sɔsɔ: graft ƒe lolome, drill kple guide ƒe didime, implant inserters, loop ƒe didime, screw ƒe didime, kple dɔwɔnu-mɔ̃ ƒe ƒomedodo siwo ŋu woda asi ɖo.
- Amekola ƒe nuteƒekpɔkpɔ: amekola ƒe dɔwɔwɔ nyuie, kpododonu ƒe mɔnuwo, xɔname ƒe tiatiawɔblɔɖe, kple dɔwɔwɔ le amekoko me ƒe kpeɖodzinana.
XC Medico ƒe ACL/PCL ligament fixation system ɖea nusiwo wotsɔ dea lãme na ame kple dɔwɔnu ƒe ɖoɖowo ƒe kpɔɖeŋuwo fiana. Ele be woalé ŋku ɖe atikeawo ŋuti nyatakakawo ŋu ɣesiaɣi ne wotsɔe sɔ kple mɔ̃a ƒe zazã si ŋu woɖe mɔ ɖo kple aɖaŋu si amekolaa ɖo be wòazã.
Ðe Abɔtawo alo Nuxexlẽ ƒe Kpluwo Naa Nu Nyuiwo Doa?
Kpeɖodzi siwo li fifia meɖo kpe xexeame katã ƒe ɖoƒe si woɖo bɔbɔe dzi o. Network meta-kuxiwo me dzodzro si tsɔ interference screw, cortical button, kple cross-pin femoral fixation sɔ kple hamstring autografts mekpɔ vovototo aɖeke le akɔntabubu nu le dɔdamɔnu gbãtɔ siwo ŋu wosrɔ̃ nu tsoe me o. Totoɖeme bubu si wowɔ ɖe ɖoɖo nu ɖe dɔwɔwɔ, gbɔdzɔgbɔdzɔ, kple gbugbɔgaƒoƒo me tsonu siwo sɔ le suspensory fixation si le eme katã kple mɔ̃ bliboa gbugbɔgatu dome, evɔ nusiwo ŋu woke ɖo le radiographic tunnel dometɔ aɖewo to vovo.
| Nyabiase si wotsɔ sɔ kple | wo nɔewo Gɔmeɖeɖe si da sɔ |
|---|---|
| Ðe aperture fixation nye ŋutilã ƒe dɔwɔwɔ wua? | Enaa nusi wotsɔ doe la nɔa mɔ si te ɖe ƒunukpeƒe-ka ƒe mɔ̃a ƒe ʋuʋu ŋu, gake ŋutilã ƒe wɔwɔme ƒe dzidzedzekpɔkpɔ hã nɔ te ɖe mɔ̃a ƒe teƒe si sɔ, nusi wotsɔ doe ƒe lolome, eƒe tete, kple eɖoɖo dzi. |
| Ðe suspensory fixation sesẽ wua? | Cortical suspension ate ŋu ana ŋusẽ si sɔ le gɔmedzedzea me, gake xɔtutu ƒe dɔwɔwɔ nɔ te ɖe button ƒe zikpui, loop ƒe nuwɔna, cortex, tunnel, kple graft dzi. |
| Ðe bioabsorbable screw nana emetsonuwo nyona ɖe edzia? | Eɖea ga si nɔa anyi ɖaa dzi kpɔtɔna, gake womekpɔe be atikewɔnyawo nyo wu o eye ehiã be woabu kuxi siwo dona tso nusiwo koŋ ŋu. |
| Ðe backup fixation kpena ɖe ame ŋu ɣesiaɣia? | Ate ŋu aɖe vi ne gbãtɔ ƒe nuwo ɖɔɖɔɖo nye nusi ŋu wotsi dzi ɖo, gake etsɔa xɔtunuwo kpena ɖe eŋu eye ate ŋu ana emetsonu siwo ŋu gɔmesese le nanyo ɖe edzi le gbugbɔgatu ɖesiaɖe si wowɔna edziedzi me o. |
Nyataƒoƒo ŋutɔŋutɔe nye be nusi wotsɔ blaa nu dedie, si wozã pɛpɛpɛ si sɔ kple nusi wotsɔ doe kple mɔ̃a le vevie wu mɔ̃ aɖe tiatia le asitsatsa ƒe hatsotso ɖeɖeko nu.
Alesi Dɔwɔnuwo ƒe Ðoɖowo Doa Alɔ ACL Gbugbɔgatu si Woate Ŋu Agbugbɔ Awɔ
Nusi wotsɔ dea ame me wɔa dɔ abe ɖoɖo blibo aɖe ƒe akpa aɖe ene. Mɔfianu siwo wotsɔna kplɔa mɔ̃memimɔ̃wo, mɔ̃ siwo wotsɔna ƒoa ʋu ƒe lolome, nusiwo wotsɔ blaa mɔe, nusiwo wotsɔna ƒoa nui, nusiwo wotsɔ dzidzea goglome, nusiwo wotsɔ dea abɔta, gavi, pɔmpiwo, dɔwɔnu siwo wotsɔ dzraa mɔ̃a ɖo, kple tray ƒe ɖoɖowɔwɔ katã kpɔa ŋusẽ ɖe dɔwɔwɔ dzi. Mɔfianu si mesɔ o, ʋukula si gblẽ, drill ƒe lolome si mesɔ o, alo mɔ̃ si wotsɔ toa eme si bu ate ŋu agblẽ nu le ɖoɖo si sɔ be woatsɔ aɖɔe ɖo ŋu.
Dzro nu me kple katã-le atitsoga ligament gbugbɔgatu dɔwɔnu ɖoɖo alo esi keke wu ƒunukpeƒetetedɔ ƒe dɔwɔnu-ɖoɖo ƒe didime . Hafi nàzãe la, kpɔe ɖa be nusiwo le agbaa me, wosɔ ɖe wo nɔewo nu, mɔfiame siwo ku ɖe dzadzɛnyenye kple dɔlékuiwutikewo zazã ŋu, dzidzenu siwo woatsɔ alé ŋku ɖe eŋu, kple alesi woate ŋu aɖɔli woe hã ɖa.
Kuxi Siwo Ate Ŋu Ado Ƒome Kple Fixation
Kuxiwo ate ŋu ado mo ɖa tso mɔ̃a, nusi wodo ɖe lãme na ame, mɔ̃a, mɔnu, nugbagbeŋutinunya, dɔlékuiwo xɔxɔ, wo gbugbɔgaɖɔɖo, alo abixɔxɔ ake gbɔ. Kuxi siwo do ƒome kple nuwo ɖɔɖɔɖo ate ŋu anye:
- fixation ƒe bu, graft slippage, elongation, alo construct loosening;
- button migration, cortical deployment si mede blibo o, soft-tissue interposition, alo kuxi siwo do ƒome kple loop;
- screw ƒe vovototo, gbagbã, ʋuʋu, ƒunukpeƒe ƒe gege ɖe eme, alo graft ƒe gbegblẽ le edede me;
- staple, post, washer, alo button si dzena nyuie si nana nutoa me doa dziku;
- mɔ̃a ƒe keke, cyst ƒe wɔwɔ, alo dɔdzẽ ƒe ŋuɖoɖo si do ƒome kple nusiwo wotsɔ wɔa dɔe;
- kuxi si le nɔnɔmetatawo gɔmeɖeɖe alo etsɔme gbugbɔgaɖɔɖo ƒe mɔ̃memi dzadzraɖo ŋu;
- dɔlékuiwo xɔxɔ, ƒunukpeƒetetedɔ, ƒunukpeƒetetedɔ, lãmekawo ƒe malikenyenye atraɖii, lãkusi ƒe kpododonu, alo abixɔxɔ ake.
Womate ŋu agblɔ dzesiawo kple hayahaya ɖi tso mɔ̃ si wotsɔ léa nu ɖe te ɖeɖeko dzi o. Malike yeye, dzoxɔxɔ, abi ƒe tsi si le dodom, vuvu si le dzidzim ɖe edzi, nyivi ƒe vevesese, ʋuʋu ƒe ʋuʋu, alo vevesese si le sesẽm ɖe edzi le vome bia be atikewɔlawo ƒe ƒuƒoƒo si le atike wɔm na wo nada wo kpɔ.
Ðe Fixation Sesẽtɔ Fia Be Woagbugbɔ Aɖo Eŋu Kabakaba?
Gbãtɔ ƒe nuwo ɖɔɖɔɖo dedie kpena ɖe ame ŋu wodoa alɔ gbugbɔgaɖɔɖo ƒe ɖoɖo si ŋu wowɔ ɖoɖo ɖo, gake meɖea hayahaya dzi kpɔtɔna le eɖokui si o. Kpekpeme tsɔtsɔ, ŋusẽdodo, ʋuʋu ƒe didime, ŋusẽdodo, duƒuƒu, ʋuʋu, kple tɔtrɔ yi kamedefefe me ƒe ŋgɔyiyi nɔ te ɖe nusi wodo ɖe lãme na ame, ƒunukpeƒe alo ƒunukpeƒe ƒe dɔwɔwɔ siwo do ƒome kplii, eƒe léle ɖe te, eƒe vuvu, ŋusẽ, ahɔhɔ̃mekawo dzi ɖuɖu, dɔdamɔnu dodokpɔ, kple amekola kple kamededeŋutinunyala ƒe ɖoɖowɔɖi dzi.
AAOS ƒe mɔfiame tea gbe ɖe dɔwɔwɔ me dzodzro dzi hafi atrɔ ayi kamedefefe me eye wòkafui be woagbugbɔ ame ɖekaɖekawo aɖɔ ɖo. Mele be woazã mɔ̃ si wotsɔ léa nu ɖe te abe susu ɖeka kolia si ta woatsɔ agbaa kabakaba alo aɖe akɔtaɖonu aɖe ɖa o. Wowɔa ACL gbugbɔgatu geɖe abe dɔnɔdzikpɔƒe ƒe dɔdamɔnu ene, gake ɣeyiɣi si me woaɖe wo le kɔdzi la nɔa te ɖe dɔdaƒe ƒe nɔnɔme bliboa dzi tsɔ wu be woanɔ te ɖe atike si wodo ɖe lãme na ame ƒe hatsotso dzi.
Nukae Wòle Be Kɔdziwo Kple Wo Mamãlawo Nakpɔ?
Ele be nuƒle me toto natsɔ atike ɖesiaɖe si wotsɔ dea ame me la aƒo ƒu kple eƒe dɔwɔnuwo, dzesideŋkɔwo, sedziwɔwɔ ŋuti nuŋlɔɖiwo, kple alesi woate ŋu ake ɖe wo ŋu. Agbalẽdzraɖoƒe si wowɔ nyuie alo nya si wogblɔna le mɔ gbadza nu be dukɔwo dome sewo dzi wɔwɔ mesɔ gbɔ o.
- Ðo kpe alesi nèdi be yeazãe kple asi ƒe mɔɖeɖe dzi Tsɔ mɔ̃a, eƒe nɔnɔme, nusi wotsɔ wɔe, amesi wɔe le se nu, eƒe hatsotso, kple asi si dzi nèyi la sɔ pɛpɛpɛ.
- To implant-instrument ƒe ɖekawɔwɔ me Kpɔ ʋukulawo ƒe ƒomedodowo, drill kple tunnel ƒe lolome, inserters, depth gauges, buttons, loops, screws, staples, kple backup tiatiawo ɖa.
- Kpɔ nuwo kple mɔ̃wo ƒe kpeɖodziwo ɖa Bia nyatakaka siwo wogblɔ, ɖaseɖigbalẽ siwo do ƒome kple lot, dodokpɔ siwo sɔ, ŋkuléleɖenuŋu ƒe mɔnuwo, kple lɔlɔ̃ ɖe edzi ƒe dzidzenuwo.
- Da nubablɛwo kple dɔlékuiwutike ƒe nɔnɔme kpɔ Na dɔlékuiwutike alo dɔlékuiwutike mele eme o, eƒe agbenɔƒe le afisi wòasɔ le, dzesidede nu, alesi woate ŋu akpɔ wo yome, kple mɔfiame siwo ŋu woda asi ɖo le alesi woagbugbɔ awɔ dɔe ŋu me nakɔ.
- Lé ŋku ɖe agba bliboa ŋu Zã xexlẽdzesifiagbalẽvi si dzi wokpɔna, ɖo kpe dzesiwo kple nɔnɔmea dzi, eye nàdo dɔwɔnua ƒe dɔwɔwɔ kpɔ hafi nàda asi ɖe edzi.
- To tɔtrɔwo dzi kpɔkpɔ kple nyatoƒoetoto ƒe kpekpeɖeŋu me Ðe gbeƒãɖeɖe gɔme na tɔtrɔ siwo wowɔ le nusiwo wotsɔ wɔe, aɖaŋu, nudzrala, dɔwɔwɔ, dzesidede, nubablɛ, alo dɔlékuiwutikewo zazã ŋu.
Nuƒlelawo ate ŋu ato XC Medico tɔ me nyonyomedzikpɔkpɔ kple ŋkuléle ɖe eŋu ƒe ɖoɖo eye woabia kpeɖodzi siwo ku ɖe mɔ̃ aɖe koŋ ŋu le dzedzeɣi.
XC Medico Kamedefefewo ƒe Atikewɔwɔ Dɔwɔnu siwo do ƒome kplii
Nya Siwo Wobia Enuenu
Nukae léa ACL-tike ɖe teƒea?
Zi geɖe la, wotsɔa gavi siwo doa kplamatse nu, cortical buttons, cross-pins, posts, staples, alo nusiwo wotsɔ ƒo ƒui blaa nusi wodo la ɖe afɔkpodzi kple afɔkpodzi ƒe axawo dzi. Alesi woawɔe nɔ te ɖe nusi wodo ɖe lãme na ame ƒe ƒomevi, mɔ̃a ƒe wɔwɔme, ƒu ƒe nyonyome, kple aɖaŋu dzi.
Vovototo kae le interference screw kple cortical button dome?
Kplu si doa kplamatse nu naa aperture fixation to graft alo bone block la tete ɖe mɔ̃a me. Cortical button naa suspensory fixation to anyinɔƒe ɖe gota cortex dzi eye wòléa graft la ɖe te to loop me.
Ðe ACL-gavi siwo te ŋu xɔa bioabsorbable nyo wu ga-gavi siwo wotsɔna ƒoa gaea?
Menye le xexeame katã o. Dodokpɔ siwo wowɔ le vome ƒe kpeɖodziwo kpɔe be ame ŋutɔ ƒe dɔwɔwɔ kple gbɔdzɔgbɔdzɔ ma tɔgbe ke, evɔ numekuku aɖewo siwo woƒo ƒu gblɔ be kuxi geɖe wu doa mo ɖa le bioabsorbable screws ŋu. Nusiwo woatsɔ awɔe, alesi wowɔe, aɖaŋu, nɔnɔmetatawo ɖeɖe, kple asitɔtrɔ le wo ŋu ŋu bubu katã le vevie.
Ðe woate ŋu azã mɔ̃ ɖeka ma ke si wotsɔ léa nu ɖe lãme na ame ɖesiaɖea?
Ao, ƒu si xea mɔ na ƒu kple lã falɛfalɛ ƒe ƒu ƒe ƒomedodo le vovovo, eye lãkusi ƒe didime, didime, mɔ̃a ƒe wɔwɔme, kple ƒu si le lãkusi me kpɔa ŋusẽ ɖe woƒe ɖekawɔwɔ dzi. Wɔ ɖe mɔ̃a ƒe mɔfiame siwo ŋu woɖe mɔ ɖo kple amekokomɔnu si ŋu wowɔ ɖoɖo ɖo dzi.
Ðe ememe akɔtaɖonu xɔa ACL si wodo ɖe lãme na amea?
Menye le eɖokui si o. Suture-tape augmentation ate ŋu ado ŋusẽ xɔtuɖoɖo si wotia be woatsɔ adzrae ɖo alo agbugbɔe atu, gake akpa si wòwɔna nɔ te ɖe alesi woawɔe kple alesi woaɖee afia dzi. Meɖɔa lãmenugbagbeviwo ƒe nyonyome madeamedzi, alesi wometsɔa atɔm ɖona o, alo lãmenugbagbeviwo ƒe xɔxlɔ̃ gbãtɔ si mesɔ o ɖo o.
Ðe wòhiã be woaɖe ACL fixation devices ɖaa?
Menye ɣesiaɣie wòhiãna be woaɖee ɖa edziedzi o. Woate ŋu abu eŋu be woaɖee ɖa le xɔtunu siwo ƒe dzesiwo alo esiwo ɖe dzesi, dɔlékuiwo, ʋuʋu, amekoko si wogbugbɔ trɔ asi le, alo dɔdamɔnu bubu aɖe koŋ ta.
Nyanuwuwuw
ACL fixation devices na egbegbe gbugbɔgatu te ŋu dzɔna to graft la li ke esime nugbagbewo ƒe ƒoƒo ɖekae le edzi yim me. Woƒe asixɔxɔ tsoa dzesi si sɔ, ŋutilã ƒe wɔwɔme ƒe mɔ̃a ɖoɖo, dɔwɔnu siwo sɔ, graft ƒe tete si sɔ, mɔ̃a zazã si ŋu woɖo kpee, kple nuwo gbugbɔgaɖɔɖo si woɖo ɖe ɖoɖo nu ƒe ƒuƒoƒo gbɔ. Akpa siwo ŋu viɖe le le interference screws, cortical buttons, kple hybrid constructs ɖesiaɖe ŋu; ele be tiatia nanye ame ɖekaɖeka tɔ tsɔ wu be woatue ɖe xexeame katã ƒe 'mɔ̃ nyuitɔ' ƒe nyagbɔgblɔ dzi.
Nyatakakawo Kple Nyadzɔdzɔŋlɔlawo ƒe Gɔmeɖoanyi
- Amerikatɔwo ƒe Ƒumeŋutinunyalawo ƒe Suku. Anterior Cruciate Ligament Injuries Dzikpɔkpɔ Dɔnɔdzikpɔƒe ƒe Dɔwɔwɔ Ŋuti Mɔfiame.
- Anterior Cruciate Ligament Gbugbɔgatu: Mɔnu siwo wozãna tsɔ léa nu ɖe te.
- Bioabsorbable kple Metallic Interference Screws tsɔtsɔ sɔ kple wo nɔewo hena Graft Fixation le ACL Gbugbɔgatuɣi.
- Interference Screw, Cortical Button, kple Cross-Pin Femoral Fixation ƒe tsɔtsɔ sɔ kple wo nɔewo.
- Nusianu-Eme Suspensory Cortical Button Fixation Versus Blibo-Tunnel ACL Gbugbɔgatu.
