Mɔfiame Mamlɛtɔ si Ku Ðe Lãmetsiŋusẽ ƒe Dɔwɔɖoɖowo Ŋu: Tɔtrɔ Kpata le Ƒumeŋuɖui ƒe Amekoko Ŋu

Kpɔe ɖa le susu me be yevuvu lãkusi aɖe le bɔlƒoƒo aɖe me, eye nèsusu be yeƒe kamedefefewɔŋkekewo wu enu. Fifia, yi ŋgɔ kabakaba yi xexe si me lãmekawo ƒe ʋuʋu ƒe ɖoɖo deŋgɔwo nana nègatrɔna yia bɔlƒoƒea kabakaba wu tsã. Eɖi abe dzɔdzɔmeŋutinunya me nyakpakpa ene, alo? Ao, egbegbe ƒumeŋutinunyae! Ligament fixation systems, abe adjustable loop titanium plates, fixed loop titanium plates, standard titanium plates, revision titanium plates, kple interference screws ene, nye fefe-trɔlawo. Le mɔfiame sia me la, mamã nusianu si wòle be nànya tso ɖoɖo siawo ŋu, nusita wole dziŋɔ, kple nusi kplɔe ɖo na tech sia. Mina míaƒu tsi ɖe eme!

Nukae Nye Ligament Fixation Systems?

Ligament fixation systems le abe ƒumeŋuɖui ƒe kalẽtɔ siwo womedzi ha na o ene. Woawoe nye dɔwɔnu siwo amekolawo zãna tsɔ léa lãkusiwo (alo lãkusiwo) ɖe ƒuwo ŋu, si wɔnɛ be wò ŋutilã li ke esime wò ŋutilã le hayahayam. Bu wo be wonye xɔtunu si léa xɔ ɖe te le etutuɣi—xɔ sia koe nye wò klo, afɔkpodzi, alo abɔta.

Gɔmeɖosewo Gɔmeɖeɖe

Le woƒe gɔmedzedze la, ɖoɖo siawo nye nusiwo wotsɔ dea ame me siwo ŋu wotrɔ asi le be woatsɔ abla lãkusiwo alo lãkusi siwo wodo ɖe lãme na ame le amekoko siwo wowɔna tsɔ gbugbɔa ʋukawo ɖonae me. Wole nɔnɔme vovovowo me, abe titanium-gbadzɛwo kple gaviwo ene, eye wo dometɔ ɖesiaɖe trɔ asi le nuhiahiã tɔxɛwo nu. Le kpɔɖeŋu me, titanium-gbadzɛ siwo woate ŋu atrɔ asi le le loop ŋu nana amekolawo te ŋu trɔa asi le teteɖeanyi ŋu le amekoko me, evɔ interference screws léa gavi siwo wodo ɖe ƒu ƒe mɔ̃wo me sesĩe. Esiawo manɔmee la, lãkusiwo manɔ anyi o, eye dɔyɔyɔ anye tɔtɔ.

Nusita Wole Vevie le Ƒumeŋutinunya me

Nukatae wòle be nàtsɔ ɖe le eme? Elabena lãkusiwoe nye aŋe si léa wò ƒunukpeƒewo ɖe te. Ne wovuvu—míagblɔ be le ACL ƒe abixɔxɔ me—la, wò ƒunukpeƒea nɔa ʋuʋum, abe kplɔ̃ si ƒe afɔ gbã ene. Fixation systems naa li ke, si wɔnɛ be nègaʋuna ake. Wole vevie ŋutɔ na kamedefefewɔlawo, kwasiɖanuwuwu aʋawɔlawo, alo amesiame si di be yeazɔ vevesese manɔmee. Gakpe ɖe eŋu la, egbegbe ɖoɖowo fia be ɣeyiɣi kpui aɖe si woatsɔ ahaya eye emetsonuwo nyo wu. Amekae medi nenema o?

Ɣletivimefakalaawo: Lãmetsiŋusẽ ƒe Dɔwɔɖoɖo Ƒomeviwo

Menye fixation systems katãe wowɔ be woasɔ o. Mina míado go ɣletiviwo katã: titanium-gbadzɛ siwo woate ŋu atrɔ asi le le loop ŋu, titanium-gbadzɛ siwo ƒe loop si woɖo ɖi, titanium-gbadzɛ siwo wozãna ɖaa, titanium-gbadzɛ siwo wogbugbɔ trɔ asi le, kple gavi siwo doa kplamatse nu. Ŋusẽ gãwo le wo dometɔ ɖesiaɖe si, eyata mina míagbã wo.

Titanium-gbadzɛ siwo woate ŋu atrɔ asi le le Loop me

Esiawoe nye rock-haƒoƒo ƒe ɣletivi siwo le ligament fixation me. Titanium-gbadzɛ siwo woate ŋu atrɔ asi le le loop me, abe Canwell CanLoopTM Plate ene, nana amekolawo trɔa asi le nusi wotsɔ doe ƒe tete ŋu nyuie le amekoko me. Ele abe asitɔtrɔ le ka siwo le gita dzi ŋu be woƒe gbeɖiɖi nasɔ pɛpɛpɛ ene.

Ale Si Wowɔa Dɔe

Mɔ̃ aɖe si woate ŋu atrɔ asi le le loop la ŋu si nana amekolawo te ŋu léa nusi wotsɔ doe la sesĩe alo ɖea asi le eŋu evɔ womagaku mɔ̃awo ake o. Knot si wotsɔ blaa nu la léa loop la ɖe te ne tension la nya sɔ pɛpɛpɛ ko. Alesi woate ŋu atrɔ ɖe nɔnɔmewo ŋu alea na wosɔ nyuie na amekoko sesẽwo abe ACL gbugbɔgatu ene, afisi nuwɔwɔ pɛpɛpɛ nye nusianu le.

Viɖe Siwo Le Amekolawo Kple Dɔnɔwo Ŋu

Amekolawo lɔ̃a esiawo elabena wonana dɔa wɔwɔ nɔa bɔbɔe—mehiã be woawɔ akɔntabubu si nuwuwu meli na o be mɔ̃a ƒe goglome nade blibo o. Le dɔnɔwo gome la, loops siwo woate ŋu atrɔ asi le fia be graft la megadzea anyi boo o, woate ŋu alé wo ɖe te sesĩe wu, eye woahaya bɔbɔe wu. Ele abe awu si wowɔ ɖe ɖoɖo nu xɔxɔ ɖe esi womeƒlena o teƒe ene.

Fixed Loop Titanium-gbadzɛwo

Ne loop siwo woate ŋu atrɔ asi le nye rock-haƒoƒo ƒe ɣletiviwo la, ke fixed loop titanium plates ye nye hadzila siwo ŋu kakaɖedzi le siwo woatsɔ akpe ɖe wo ŋu. Wosẽ ŋu, woƒe nyawo le tẽ, eye wowɔa dɔa zitɔtɔ aɖeke manɔmee.

Nu Vevi Siwo Le Eme

Fixed loop plates ƒe loop ƒe didime si woɖo ɖi do ŋgɔ, si fia be wokpɔa graft la ƒe tete hafi dea eme. Wozãa wo zi geɖe le nɔnɔme bɔbɔe siwo me amekolaa nya nusi tututu hiã la me. Woƒe mɔ ɖeka ƒe nɔnɔme nana be nusi wotsɔ doe la nɔa teƒe si wotu.

Zãzã ƒe Nɔnɔme Nyuiwo

Esiawo klẽna le ACL gbugbɔgatu siwo wowɔna ɖaa me alo ne amekolawo di be yeawɔ tiatia si me naneke mele o, si dzi woate ŋu aka ɖo. Wole abe ʋu si dzi woate ŋu aka ɖo si me wotsɔa nusiwo wotsɔna dzraa nu ɖoe ene—ɖewohĩ menye nusi me kɔ o, gake woakplɔ wò ayi afisi wòle be nàyi.

Titanium-gbadzɛ siwo wozãna ɖaa

Titanium-gbadzɛ siwo wozãna ɖaa ye nye ƒuƒoƒoa ƒe dɔsɔwo. Wozãa wo le ƒunukpeƒetetedɔ vovovowo me, ke menye lãkusiwo tutuɖo ɖeɖeko o, le esi woate ŋu azã wo le mɔ vovovowo nu ta.

Plɛti siawo le gbadzaa alo woƒe nɔnɔme le abe ƒuwo ene abe afɔkpodzi alo afɔkpodzi ene. Wotsɔa gaviwo blaa wo nyuie eye wonaa nuƒolanɔƒe si li ke hena dɔyɔyɔ. Bu wo be wonye aƒe ƒe gɔmeɖoanyi—wole bɔbɔe gake wole vevie.

Titanium-gbadzɛwo ƒe gbugbɔgaɖɔɖo

Ɣeaɖewoɣi la, amekokowo meyia edzi abe alesi woɖoe ene o, eye afimae titanium-gbadzɛ siwo wogbugbɔ trɔ asi le la va le.

Ɣekaɣie Wohiã?

Wozãa revision plates ne fixation gbãtɔ aɖe do kpo nu—ɖewohĩ graft la ge, alo hardware la gbã. Wotrɔ asi le wo ŋu be woawɔ dɔ le ƒu si gblẽ me, eye zi geɖe la, do alo dzogoe bubuwo nɔa wo ŋu be gaviwo nalé nusianu si susɔ. Enye mɔnukpɔkpɔ evelia be woali ke.

Nusiwo Doa Kpena Ðe Nu Ŋu ƒe Kpluwo

Interference screws nye aglãdzelawo le ƒuƒoƒoa me. Womehiã na agbalẽvi o—wogena ɖe ƒu ƒe mɔ̃a me tẽ be woatsɔ abla nusi wotsɔ doe la ɖe teƒea.

Woƒe Akpa Si Wowɔna Le Lãmetsiŋusẽ ƒe Ðoɖowɔwɔ Me

Kplu siawo tsɔa nusi wotsɔ blaa ƒua ƒe mɔ̃a ƒe gli la ƒoa ƒui, si wɔnɛ be wòdzena sesĩe. Wozãa wo zi geɖe le ACL alo PCL gbugbɔgatu me, vevietɔ na lãmeka falɛfalɛ siwo wodona. Kpɔ wo ɖa le susu me abe koklozi si le wein-tu me ene, eye nèle nusianu nu lém sesĩe.

Nukatae Titanium? Nusiwo Trɔ Fefea

Ðewohĩ ànɔ ɖokuiwò biam be: nukatae wotsɔ titanium wɔ nusianu? Ðe gakpo si mexɔ dzo o mexɔ asi wu oa? Mina míaɖe nusita titanium nye MVP le ligament fixation me.

Biocompatibility kple Ŋusẽdodo

Titanium le abe xɔlɔ̃ ma si nɔa anyi kple amesiame ene. Enye biocompatible, si fia be wò ŋutilã megbenɛ o. Gakpe ɖe eŋu la, eƒe ŋusẽ sesẽ abe tagbɔsesẽ ene gake eƒe kpekpeme le bɔbɔe, eyata ate ŋu akpɔ ƒunukpeƒe ƒe nuteɖeamedzi gbɔ evɔ matsɔ agba na wò o. Eye wòte ŋu nɔa te ɖe xɔxlɔ̃ nu hã, eyata magaxɔ dzo le wò ŋutilã me o. Fafɛ, alo?

Titanium tsɔtsɔ sɔ kple Stainless Steel

Ga si mexɔ dzo o le abe titanium ƒe tɔɖiayɔvi tsitsitɔ si kpekpe wu ene. Esesẽ eye mexɔ asi o, gake esesẽ wu ƒu, si ate ŋu ana wòahaya blewu. Numekukuwo ɖee fia be titanium ƒe asitɔtrɔ le nɔnɔmewo ŋu (si te ɖe ƒu ƒe elasticity ŋu) doa callus ƒe wɔwɔ nyuie ɖe ŋgɔ, si ɖea afɔku siwo me nonunion o dzi kpɔtɔna. Gake gakpo si mexɔ dzo o ƒe nusiwo wotsɔ dea eme ƒe kpododonu mesɔ gbɔ le go aɖewo me o, eyata medo le fefea me kura o. Ke hã, titanium ye nye nusi amekola akpa gãtɔ yina egbea.

Alesi Wozãa Ligament Fixation Systems le Amekoko me

Eyata aleke ɖoɖo siawo wɔa dɔ ŋutɔŋutɔ le amekokoxɔa me? Mina míalé ŋku ɖe amekoko ƒe xɔmetsovɔa megbe.

ACL Gbugbɔgatu: Dɔwɔwɔ Si Bɔbɔe

ACL gbugbɔgatu nye poster vi na ligament fixation ɖoɖowo. Ne wò ŋgɔgbe ƒe atitsoga ƒe lãkusi vuvu la, amekolawo tsɔa nusi wodo (zi geɖe la, etsoa wò akɔta alo afɔkpodzi ƒe lãkusi) ɖɔlia. Wokua mɔ̃wo le wò afɔkpodzi kple afɔkpodzi me, tsɔa ka si wotsɔ blaa nu la toa eme, eye wotsɔa, ne míagblɔe la, loop titanium-gba si woate ŋu atrɔ asi le le afɔkpodzia dzi kple interference screw si le afɔkpodzia ŋu la lénɛ ɖe te. Ele abe tɔdzisasrã si wotsɔ ka sesẽwo gbugbɔ tu ene.

Ƒumeŋutinunya ƒe Dɔdamɔnu Bubuwo

Menye klowo koe ɖoɖo siawo nye o. Wozãa wo le abɔtadɔwɔwɔ me (abe rotator cuff dzadzraɖo ene), afɔkpodzi gbugbɔgatu, kple aklã ƒe fusion gɔ̃ hã me. Titanium-gbadzɛwo kple gaviwo nana ƒunukpeƒe gbagbãwo alo ƒumeŋuɖuiwo nɔa te, gake gavi siwo doa kplamatse ƒunukpeƒewo ya tsɔa seke blaa lãkusi falɛfalɛ siwo wodo ɖe ƒunukpeƒe vovovowo me. Nusiwo woate ŋu azã le mɔ vovovowo nue nye woƒe titinaŋkɔ.

Viɖe Siwo Le Egbegbe Ligament Fixation Systems Ŋu

Nukatae amekolawo kple dɔnɔwo le nu ƒom tso ɖoɖo siawo ŋu? Mina míaxlẽ mɔawo.

Liƒo si Wodo Ðe Ŋgɔ

Egbegbe fixation systems xea grafts ɖe wo nɔƒe abe vault ene. Loop siwo woate ŋu atrɔ asi le kple interference screws ɖea glidzaglidza dzi kpɔtɔna, si wɔnɛ be wò lãkusi yeyea nɔa teƒe ɖeka esime wòle hayahayam. Liƒo sia nana nèdzea rehab gɔme kaba, si nye dziɖuɖu na amesiame.

Ɣeyiɣi Siwo Me Wohaya Kabakaba

Le nusiwo wotsɔ blaa woe pɛpɛpɛ kple nusiwo sɔ kple nugbagbewo ta la, dɔnɔwo hayana kabakaba. Le kpɔɖeŋu me, loop plate siwo woate ŋu atrɔ asi le la dzia graft-tunnel ƒe kadodo ɖe edzi, si wɔnɛ be dɔyɔyɔ dzina ɖe edzi. Numekuku aɖewo ɖee fia be dɔnɔwo trɔna yia kamedefefewo me le ɣleti ade pɛ ko me le ACL dɔwɔwɔ vɔ megbe kple ɖoɖo siawo. Ema trɔa kamedefefewɔlawo ƒe agbenɔnɔ

Kuxiwo Kple Nusiwo Ŋu Woabu

Naneke mede blibo o, eyata mina míaƒo nu tso mɔxenu siwo nuɖoanyi siawo doa goe ŋu.

Kuxi siwo ate ŋu ado mo ɖa

Abe amekoko ɖesiaɖe ene la, afɔku le eme be kuxiwo ate ŋu ado mo ɖa. Screw ƒe gbagbã, graft ƒe glidzaglidza, alo cold-welding (afisi screwwo ƒoa ƒu ɖe platewo ŋu le) ate ŋu adzɔ, togbɔ be egbegbe titanium-kpewo ɖea nya siawo dzi kpɔtɔna hã. Titanium-gbadzɛ ɖeɖeɖa ƒe 7.6% lɔƒo hiã dɔwɔnu deŋgɔwo le gavi siwo woɖe ɖa alo vuvɔ-welding ta, gake ema gakpɔtɔ le sue. Dɔlékuiwo xɔxɔ alo nonunion nye nu bubu siwo ŋu wotsi dzi ɖo, gake ƒã hafi wozãa aɖaŋu nyuitɔ.

Amekola ƒe Nunya Ŋuti Nyawo

Ðeko ɖoɖo siawo nyo abe asi siwo zãa wo ene. Amekola si nye aɖaŋudɔwɔla si si loop plate siwo woate ŋu atrɔ asi le ate ŋu awɔ nukunuwo, gake ame yeye ate ŋu awɔ avu. Hehexɔxɔ kple nuteƒekpɔkpɔ nye nu vevitɔ, eyata lé ŋku ɖe wò amekola ƒe ɖaseɖigbalẽwo ŋu ɣesiaɣi. Ðeko wòle abe nuɖala aɖe haya ene—wòdi be ame aɖe nanya woƒe mɔ le nuɖaƒea.

Ligament Fixation Systems ƒe Etsɔme

Nukae kplɔe ɖo na ŋutsuvi vɔ̃ɖi siawo? Etsɔme le dzedzem nyuie, eye wole pɔmpim be magblɔe.

Nu yeye siwo le ŋgɔ yim

Numekulawo le nu fafɛ aɖewo ɖam. Gavi siwo te ŋu xɔa nu gbagbewoe siwo melɔ̃na le ɣeyiɣi aɖe megbe la le hehem ɖe megbe, si wɔe be megahiã be woawɔ dɔ na wo be woaɖe wo ɖa o. Titanium-gbadzɛ siwo wota ɖe 3D me siwo wowɔ ɖe wò ŋutilã ƒe nɔnɔme nu hã le dɔ wɔm, eye wodo ŋugbe be woasɔ nyuie wu eye woawɔ dɔ nyuie wu gɔ̃ hã. Ele abe ʋuʋu tso telefon si woate ŋu atrɔ dzi ayi asitelefon dzi ene.

Ame ŋutɔ ƒe Nuwo Dede Ame Ŋu

Kpɔe ɖa le susu me be nusiwo wotsɔ dea ame me siwo wowɔ na wò ko, abe awu si wowɔ ɖe ɖoɖo nu ene. Eteƒe madidi o ŋgɔyiyi siwo wowɔ le nɔnɔmetatawo ɖeɖe kple wo wɔwɔ me ate ŋu ana amekolawo nawɔ titanium-gbadzɛ alo gavi siwo wowɔ ɖe ɖoɖo nu le wò ƒu ƒe kpekpeme kple abi ƒomevi si nèxɔ nu. Esia ate ŋu aɖe kuxiwo dzi akpɔtɔ eye wòana ame nahaya kabakaba wu.

Ligament Fixation System Nyuitɔ Tiatia

Esi tiatia geɖe li ta la, aleke amekolawo awɔ tiaa esi sɔ? Menye nubabla si sɔ na amewo katãe wònye o.

Nu siwo ŋu wòle be woabu

Amekolawo daa abi si ƒomevi wòxɔ (ACL tear vs. fracture), dɔnɔa ƒe nusiwo gbɔ wòtso (ƒe si woxɔ, alesi wòwɔ dɔe), kple amekoko ƒe taɖodzinuwo. Loop plate siwo woate ŋu atrɔ asi le nyo ŋutɔ na sɔhɛ kamedefefewɔla siwo hiã be woawɔ nu pɛpɛpɛ, evɔ loop plate siwo wotu ɖe teƒe ɖeka ya sɔ na nya siwo le tẽ. Ƒu ƒe nyonyome hã le vevie—revision plates nyo wu na ƒu siwo gbɔdzɔ. Ele abe dɔwɔnu nyuitɔ tiatia na DIY dɔ ene.

Nyataƒoƒo: Nusita Ligament Fixation Systems Le Afi Sia Be Woanɔ

Ligament fixation systems nye egbegbe ƒumeŋutinunya ƒe akɔta, si trɔa abi siwo gblẽa nu le ame ŋu wòzua tɔtrɔgbɔ ŋutinyawo. Tso loop titanium-gbadzɛ siwo woate ŋu atrɔ asi le dzi va ɖo interference screws dzi la, dɔwɔnu siawo naa liƒo, woƒe hayahaya kabakaba, kple mɔkpɔkpɔ. Kakaɖedzitɔe la, kuxiwo li, gake esi nu yeyewo le edzi yim ta la, etsɔme me kɔ wu tsã. Eɖanye kamedefefewɔlae nènye alo ɖeko nèdi be yeati viwòwo yome atsa o, wò akɔta—alo ne míagblɔe tututu la, wò klo le ɖoɖo siawo ŋu. Eyata, ɣebubuɣi si nàse nu tso lãkusi si vuvu ŋu la, ɖo ŋku edzi be: titanium kalẽtɔ aɖe li si le klalo be yeaɖe ŋkekea.