Dɔwɔhati si wodi wu na ƒumeŋutinunyalawo le xexeame godoo .

Be woakpɔ egbɔ be wole dedie eye wowɔ ɖe wo dzi la, ele be woatsɔ dukɔwo dome dzidzenuwo abe FDA (USA), CE Mark (Europe), kple ISO 13485 (Quality Management Systems) aɖo kpe kamedefefewo ƒe atike siwo wodona ɖe ame me dzi. Ðaseɖigbalẽ siawo ɖea sedziwɔwɔ ƒe mɔɖeɖe kple adzɔnuwo ƒe kakaɖedzi fiana.

Amekolawo bua nusiwo nye nuveviwɔame ƒomevi, dɔnɔa ƒe dɔwɔwɔ ƒe agbɔsɔsɔ, ƒu ƒe nyonyome, nusi wotsɔ dea lãme na ame, kple amekokomɔnu ŋu. Zi geɖe la, woɖoa ŋu ɖe dɔdaƒe ƒe nuteƒekpɔkpɔ kple numekuku siwo wowɔ fifia ŋu be woatia mɔ̃ nyuitɔ kekeake siwo woatsɔ aɖo wo ɖe ACL, meniscus, alo abɔta dzadzraɖo me.

Arthroscopy si me womezãa nu boo aɖeke le o ɖea amekoko ƒe nuveviwɔame dzi kpɔtɔna, eɖea ɣeyiɣi si woatsɔ ahayae dzi kpɔtɔna, eɖea dɔlékuiwo ƒe afɔku dzi kpɔtɔna, eye wònaa ƒunukpeƒewo ƒe nukpɔkpɔ nyuie ŋutɔ. Eva zu mɔnu si wozãna ɖaa tsɔ dea dzesi abi siwo woxɔna le ƒunukpeƒewo le kamedefefewo me hedaa wo.

3D tata wɔnɛ be woate ŋu awɔ nusiwo wotsɔ dea lãme na ame kple amekokomɔfianuawo ƒe kpɔɖeŋu kabakaba eye woatrɔ asi le wo ŋu pɛpɛpɛ. Eɖea mɔ na ƒumeŋuɖui dɔwɔƒewo be woawɔ dɔwɔnu siwo ku ɖe dɔnɔwo ŋu, woasɔ kple ŋutilã ƒe wɔwɔme ƒe tɔtrɔwo, eye woado biomechanical ƒe dɔwɔwɔ kpɔ hafi woawɔe.

Nu yeyewo dometɔ aɖewoe nye seke siwo wotsɔ ƒo nusianue, seke siwo wotsɔna ƒoa wo ɖokui, mɔ̃ siwo wotsɔna ɖea mɔ̃ siwo wotsɔa mɔ̃ wɔe, ƒunukpeƒeŋutinunya ƒe kpekpeɖeŋu, kple dɔwɔnu siwo wowɔ ɖe ɖoɖo nu siwo wota ɖe 3D dzi. Dɔwɔnu siawo nana be wowɔa dɔ nyuie wu, woɖea lãmenugbagbeviwo ƒe gbegblẽ dzi kpɔtɔna, eye wonaa fixation me tsonu nyuiwo dona tso eme.

Dɔwɔnu siwo wowɔ ɖe ɖoɖo nu nana amekoko ƒe nyateƒetoto dzina ɖe edzi, woɖea ɣeyiɣi si wozãna le amekokoa me dzi kpɔtɔna, eye wònaa dɔnɔwo ƒe dɔwɔwɔ nyona ɖe edzi. Le ŋutilã ƒe wɔwɔme sesẽwo alo amekola ƒe didi tɔxɛwo gome la, mɔfiala alo dɔwɔnu siwo wowɔ na ame ŋutɔ kpɔa egbɔ be woda wo ɖe teƒe nyuitɔ eye woƒe lãme nasɔ nyuie.

Amekolawo zãa suture anchors siwo wotsɔ nusiwo nye titanium, peek, alo bioabsorbabs wɔ. Wotsɔa seke siawo dea ƒu me eye wozãnɛ tsɔ gbugbɔa lãkusi si vuvu la ƒoa wo nu ƒu to ka sesẽwo zazã me. Seke siwo wotsɔa fli eve alo esiwo wotsɔ ƒo ƒu ɖekae la bɔ ɖe wo dzadzraɖo ƒe aɖaŋua nu.

Peek implants nye radiolucent eye mɔ̃ɖaŋununya ƒe nɔnɔmewo le wo si abe ƒu ene, si wɔe be wosɔ nyuie na dɔwɔwɔwo abe nusiwo doa kplamatse nu, suture senchers, kple fixation buttons. Wozãa wo zi geɖe le ACL/PCL gbugbɔgatu kple abɔta dzadzraɖo me.

Nusiwo wotsɔ dea lãme na ame ƒe lãmenugbagbeviwo me gblẽna le ɣeyiɣi aɖe megbe eye mlɔeba la, dzɔdzɔmeŋusẽ ƒe lãkusiwo va xɔna ɖe wo teƒe, si wɔnɛ be womegahiãa dɔwɔwɔ na ame o. Gake titanium ƒe nusiwo wotsɔ dea lãme na ame ya nɔa anyi ɖaa, wosẽna, eye woate ŋu awɔ wo ŋudɔ le nugbagbewo me, gake ate ŋu abia be woaɖe wo ɖa ne wodo dziku alo kuxiwo do mo ɖa.

Wozãa ACL ƒe nutete ƒe gaviwo le lãkusiwo gbugbɔgatu me be woatsɔ abla lãkusia (eɖanye autograft alo allograft) le afɔkpodzi alo tibial mɔ̃a me o. Wokpɔa egbɔ be wotsia dzi enumake eye wokpena ɖe ame ŋu be nugbagbeviwo ƒe dɔyɔyɔ nanɔ bɔbɔe le lãkusia kple ƒu si wodo la dome.

Nusiwo wozãna zi geɖe dometɔ aɖewoe nye titanium alloys, PEEK (Polyether Ether ketone), gakpo si mexɔ dzo o, kple bioabsorbable polymers abe PLLA alo PGA ene. Tiatiawɔwɔa nɔ te ɖe nusiwo le abe ŋusẽ, nugbagbewo ƒe sɔsɔ kple wo nɔewo, kple nenye be wowɔ nusi wotsɔ de eme la be wòanɔ ŋutilã me alo aʋuʋu le ɣeyiɣi aɖe megbe dzi.

Ɣeyiɣi si woatsɔ ahayae la toa vovo le dɔnɔa kple abixɔxɔ ƒe sesẽme nu, gake dɔnɔ akpa gãtɔ trɔna yia dɔwɔwɔ bɔbɔe me le ɣleti 3–6 me. Kamedefefe siwo me hoʋiʋli le ƒe hayahaya blibo ate ŋu axɔ ɣleti 6–9 alo esi wu nenema, le alesi woaɖɔe ɖo ƒe ŋgɔyiyi nu.

Nuveviwɔame siwo bɔ wu dometɔ aɖewoe nye anterior cruciate ligament (ACL) ƒe aɖatsiwo, meniscal ƒe aɖatsiwo, rotator cuff ƒe abixɔxɔ, labral tears, kple cartilage lesions. Arthroscopy na amekolawo te ŋu dzraa lãkusi siwo gblẽ ɖo alo gbugbɔa wo ɖona eye womegblẽa nu boo aɖeke o eye wohayana kabakaba wu.

Arthroscopic surgery nye dɔwɔwɔ si me womezãa nu boo aɖeke le o si me wotsɔa fotoɖemɔ̃ sue aɖe (arthroscope) kple dɔwɔnuwo dea eme to nu suesuesuewo me be woatsɔ anya ƒunukpeƒenyawo ahada wo. Wokafunɛ zi geɖe ɖe lãkusi ƒe aɖatsiwo, meniscus ƒe abixɔxɔ, ƒunukpeƒetetedɔ ƒe gbegblẽ, kple ƒunukpeƒe ƒe malikenyenye ta, vevietɔ le klo, abɔta, kple afɔkpodzi.

Kamedefefewo ƒe atikewɔwɔ nye ƒumeŋuɖui ƒe alɔdze tɔxɛ aɖe si ƒe taɖodzinue nye be woaxe mɔ ɖe lãmekawo ƒe abixɔxɔ nu, ade dzesi wo, ahada wo le kamedede me. Ewɔa akpa vevi aɖe le kpekpe ɖe kamedefefewɔlawo kple ame ɖekaɖeka siwo le dɔ wɔm ŋu be woahaya to amekoko kple amekoko siwo womewɔa dɔ na o me, siwo dometɔ aɖewoe nye ŋutilãmedɔdada, ƒunukpeƒetetedɔ ƒe dɔwɔwɔ, kple gbugbɔgatu si wotu ɖe nusi wotsɔ dea lãme na ame abe ACL alo rotator cuff ɖɔɖɔɖo ene me.

Míeɖoa nyabiasewo katã ŋu le gaƒoƒo 12 me.
Míewɔa dɔ kaba kple dɔnyala ƒe subɔsubɔdɔ ɣesiaɣi.
Abe nudzrala si tsɔa agbanɔamedzi ene la, míetsɔ mía ɖokui na bliboe ɖe nudɔdɔ ɖesiaɖe si tso míaƒe asisiwo gbɔ ŋu.
Ne nya aɖewo do mo ɖa le mía ŋutɔwo ƒe vodada ta (abe nyonyome ƒe kuxiwo alo wo tsɔtsɔ yi teƒe bubuwo ƒe megbetsitsi ene) la, míakpɔ wo gbɔ heheɖemegbe manɔmee!

Míewɔa tɔtrɔ ɖe nɔnɔmeawo ŋu ƒe dɔwɔna siwo gbɔna:

• Wò dzesi ƒe dzesi le míaƒe nusiwo li fifia dzi .

• Adzɔnuwo wɔwɔ le wò nutatawo nu .

• Aɖaŋuwɔwɔ si wotu ɖe wò kpɔɖeŋu dzi kple mɔ̃ɖaŋununya ƒe nɔnɔmetatawo wɔwɔ .

Nudzraɖoƒe gã aɖe le mía si eye zi geɖe la, míate ŋu aɖoe ɖe mí le kwasiɖa ɖeka me.

Ẽ, míate ŋu ana kpɔɖeŋuwo femaxee hena nyonyome dodokpɔ. Taflatse na míanya wò nudidi tɔxɛwo.

Míenye ƒumeŋuɖui ƒe lãkusiwo kple amekoko ƒe dɔwɔnuwo wɔla. Míaƒe nu vevi siwo míewɔna dometɔ aɖewoe nye:

• Akɔta ƒe akpa siwo wotsɔ dea lãkusi me .

• Intramedullary ƒe ɖawo .

• Nuveviwɔame ƒe agbalẽviwo (gaƒoƒo kple esiwo womexena o) .

• Craniomaxillofacial plates .

• Amekoko ƒe elektrikŋusẽdɔwɔnuwo .

• External fixators .

• Akɔta kple klo ƒe ƒunukpeƒe ƒe akpa aɖewo .

• Kamedefefewo ƒe Atikewɔnuwo .

• Dɔwɔnu siwo wotsɔna wɔa dɔ le mɔ̃ me .

• General ƒumeŋutinunya ƒe haƒonuwo .

• Lãwo ƒe Ƒumelãwo Ŋuti Nuwo .