Jagoran likitancin wasanni | Gyaran dakatarwar cortical
Gyaran maɓallin maɓalli hanya ce ta dakatarwa da aka yi amfani da ita a cikin zaɓaɓɓun hanyoyin ligament da hanyoyin gyaran jijiyoyi. Maɓalli yana tsayawa da ƙashin cortical kuma yana aiki tare da kafaffen madauki ko daidaitacce suture madauki don kula da ginin da aka tsara ko ginin nama mai laushi. Na'urar tana ba da gyare-gyaren injina yayin da warkar da ilimin halitta ke haɓaka, amma ba ya ba da garantin warkarwa cikin sauri, ƙarancin rikitarwa ko dawowar wasanni a baya.
Menene Gyara Maɓallin Cortical?
Gyaran maɓalli na cortical, wanda kuma ake kira cortical suspensory fixation, yana amfani da ƙaramin maɓalli da aka sanya shi a kan madaidaicin bawo na ƙashi. Ginin madauki ko suture yana haɗa maɓalli zuwa ƙwanƙolin jijiyoyi, dasa jigi ko gyara laushi mai laushi. Da zarar an tura shi a matsayin da aka yi niyya, maɓallin yana ba da wurin goyan bayan cortical don ginin da aka dakatar.
A cikin sake ginawa na ACL, alal misali, maɓalli na cortical na mata na iya goyan bayan dasawa a cikin kwandon femoral da aka shirya ko rami. Sauran tsarin maɓalli an tsara su don yankuna da matakai daban-daban. Waɗannan samfuran ba sa canzawa kawai saboda suna da siffa iri ɗaya.
Manyan Abubuwan Gina Maɓallin Cortical
Maɓallin Cortical vs Cortical Screw
Maɓallin cortical ba iri ɗaya bane da dunƙule ƙashi na cortical na al'ada. Daidaitaccen dunƙule cortical yana amfani da zaren don haɗa kashi kuma galibi ana haɗa shi da gyaran karaya ko gina faranti. Maɓallin cortical gabaɗaya yana ba da gyare-gyaren dakatarwa ta hanyar maɓalli-da-madauki ko ginin maɓalli da suture.
Kada ku dame samfuran: 2.7, 3.5 ko 4.5 mm cortical kashi dunƙule bai kamata a bayyana shi azaman abin da ake buƙata na gyaran maɓalli na ACL na yau da kullun ba sai dai in ainihin tsarin izini da fasaha na tiyata musamman sun haɗa da shi.
Kafaffen-Madauki vs Maɓallan Cortical Cortical Madaidaiciya
Ana tattauna na'urorin dakatarwar cortical na mata da aka yi amfani da su wajen gyaran ligament a matsayin tsayayyen madauki ko tsarin madauki-daidaitacce. Bambance-bambancen yana rinjayar shirye-shiryen dasa, rami ko shirin soket, turawa da tashin hankali.
Madauki yana da ƙayyadaddun tsayi. Dole ne a tsara zurfin rami, tsayin datti da maɓallin maɓalli a kusa da tsayayyen girman.
Za'a iya daidaita tsayin madauki yayin hanya a cikin iyaka da fasaha na ƙayyadaddun tsarin, yana ba da damar haɓakawa don ci gaba ko tashin hankali bayan ƙaddamar da maɓallin.
Me Ma'auni Gwajin Laboratory
Ƙimar halittu na iya ba da rahoton ƙaura ta keke-da-keke, tsayin madauki, taurin kai, yawan amfanin ƙasa da kaya zuwa gazawa. Waɗannan gwaje-gwajen suna taimakawa nuna halayen na'urar ƙarƙashin ƙayyadadden ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun gwaje-gwaje, amma sakamakon ya dogara da ƙayyadaddun gwajin, samfuri, jagorar lodawa, preload, ƙa'idar keken keke da ƙarshen ƙarshen.
Ƙimar nauyi-zuwa- gazawa mafi girma a cikin binciken dakin gwaje-gwaje guda ɗaya baya tabbatar da saurin waraka-da-kashi ko ƙarancin gazawar asibiti. Ya kamata a yi la'akari da sakamakon dakin gwaje-gwaje tare da shaidar asibiti da cikakken aikin tiyata.
Abin da Shaidar Clinical ta Nuna
Binciken na yau da kullun na na'urorin dakatarwa na madauki-madauki na femoral cortical cortical sun sami bambanci tsakanin binciken dakin gwaje-gwaje da na asibiti: binciken dakin gwaje-gwaje da yawa sun ba da rahoton haɓakar madauki a ƙarƙashin nauyin hawan keke, yayin da binciken binciken asibiti da aka yi bita bai nuna bambance-bambancen bambance-bambance tsakanin daidaitawa- da tsayayyen madauki a cikin kwanciyar hankali, ƙimar gwiwa ko gazawar sa. Marubutan sun yi kira da a samar da ƙarin ƙwaƙƙwaran gwaji na asibiti.
Saboda haka, ba a siffanta nau'in madauki a matsayin mafi girma a duniya. Zaɓin ya kamata a yi la'akari da tsarin dasa, dabarun rami, umarnin na'urar, masaniyar likitan fiɗa da kuma shaidar asibiti masu dacewa.
Aikace-aikacen Fida gama-gari na Gyaran Maɓallin Cortical
Ana amfani da ƙirar maɓalli na cortical a cikin hanyoyin ƙasusuwa da yawa, amma nunin ya dogara da ainihin alamar na'urar. Maɓallin da aka share ko rajista don hanya ɗaya bai kamata a ɗauka cewa an ba shi izini ga kowane tendon, jijiya ko haɗin gwiwa ba.
ACL da PCL sake ginawa
Ana amfani da gyare-gyaren dakatarwa na cortical a gefen mata na zaɓaɓɓun dabarun sake ginawa na ACL kuma ana iya haɗa su cikin zaɓaɓɓun PCL ko abubuwan ginawa duka. Maɓallin yana goyan bayan dasa ta hanyar madauki yayin da dasa ya mamaye ramin da aka shirya ko soket.
Sakamakon asibiti ya dogara da fiye da maɓallin. Matsayin rami, nau'in nau'i da shirye-shirye, gyare-gyare a bangarorin biyu, tashin hankali, raunin da ya faru, gyare-gyare da abubuwan haƙuri duk suna taimakawa. Masu karatu za su iya duba faffadan rawar Tsarukan gyarawa na ACL da kuma jagorar da ke da alaƙa da ke bayani yadda gyare-gyaren madadin ke goyan bayan sake gina ACL.
Gyaran Tendon Biceps na Nisa
Ana iya amfani da ƙayyadaddun tsarin maɓalli na cortical don amintaccen jijiyar biceps mai nisa zuwa radius. Shaida daga wannan aikin ba za a iya canjawa wuri kai tsaye zuwa sake gina ACL ba saboda yanayin jiki, lodi, bayyanar fiɗa da bayanin martaba sun bambanta.
Binciken da aka buga yana ba da rahoton gabaɗaya ingantattun sakamako na aiki amma kuma suna bayyana raunin jijiya, maɓalli mara kyau ko rabuwa, ɓarkewar ɓacin rai, koma baya da rikicewar rauni. Ya kamata waɗannan haɗarin su kasance a bayyane a duk lokacin da aka tattauna shaidar biceps mai nisa.
Ciwon ƙafar ƙafar ƙafa da sauran Gyaran Nama mai laushi
Za a iya yiwa tsarin maɓalli da aka zaɓa don daidaitawar syndesmosis ko wasu hanyoyin gyara nama mai laushi. Wadannan gine-ginen sukan yi amfani da maɓallai biyu da aka haɗa ta hanyar suture mai ƙarfi, amma manufar aikin su da injiniyoyi sun bambanta da dakatarwar ACL na mata.
Wasu ƙayyadaddun aikace-aikace na ƙayyadaddun tsari na iya haɗawa da zaɓaɓɓen ligament ko sake gina jijiya a cikin kafada, gwiwar hannu, ƙafa ko idon sawu. Abubuwan da suka dace, contraindications da kayan aikin dole ne a bincika ainihin samfuri da kasuwar makoma.
Latarjet da sauran Dabaru na Musamman
An kuma bincika gyaran gyare-gyaren maɓalli don gyaran gyare-gyaren coracoid a cikin hanyar Latarjet. Shaidar kwatankwacin tana nuna ɓangarorin ciniki maimakon fifiko na duniya: gyare-gyaren dunƙule na iya nuna ƙarancin rashin zaman lafiya a wasu ƙididdiga masu tarin yawa, yayin da gyare-gyaren maɓalli na iya nuna ƙarancin sake aiki masu alaƙa da kayan aiki. Jimlar rikice-rikice da sauran sakamakon bazai bambanta a fili ba.
Don haka, bai kamata a yi amfani da bayanan Latarjet a matsayin hujja cewa maɓallan cortical koyaushe suna da aminci, sun fi kwanciyar hankali ko mafi kyau don warkarwa a cikin hanyoyin da ba su da alaƙa.
Yadda Maɓallan Cortical ke Tallafawa Warkar da Jijiya-zuwa Kashi
Maɓallin cortical yana ba da gyare-gyaren inji wanda aka yi niyya don kiyaye matsayin da aka tsara na dasa ko jijiya yayin da warkar da kwayoyin halitta ke tasowa. Ba ya haifar da waraka da kanta. Haɗin gwiwar tendon-da-kashi yana tasiri ta hanyar haɗin gwiwa, motsi a wurin dubawa, ingancin kashi da nama, shirye-shiryen rami, gina kwanciyar hankali, gyarawa da ilimin halittu na haƙuri.
Makanikai da ilmin halitta sun bambanta: ƙaƙƙarfan gyare-gyaren farko shine muhimmin maƙasudin aikin injiniya, amma baya bada garantin haɗawa da haɗin gwiwa, jin zafi, kwanciyar hankali na haɗin gwiwa, komawa wasanni ko 'yanci daga aikin tiyata.
Gabaɗaya Aikin Tiyata
Gudun aikin tiyata ya bambanta ta hanya da tsarin. Mai zuwa shine bayanin babban matakin gyaran gyare-gyaren gyare-gyare na cortical, ba dabarar tiyata ko umarnin haƙuri ba.
Matsayin maɓalli mara daidai ko tsaka-tsakin nama mai laushi tsakanin maɓalli da cortex na iya lalata gyarawa. Hange na ciki, hoto ko wasu hanyoyin tabbatarwa sun dogara da fasaha. Bai kamata a ɗauka cewa maɓallin an tura shi daidai ba bisa la'akari kawai.
Maɓallin Cortical vs Sauran Hanyoyin Gyarawa
Kwatancen gyare-gyare suna da ma'ana kawai lokacin da suka haɗa da hanya iri ɗaya, grafting, wurin atomical da sakamako. Yana da yaudara a kwatanta maɓalli na ACL cortical na mata tare da anka mai nisa biceps suture ko dunƙule Latarjet da gabatar da sakamakon a matsayin matsayi na duniya.
| Nau'in Kayyade | Gabaɗaya | tsarin ƙayyadaddun ƙayyadaddun tsari |
|---|---|---|
| Maɓallin cortical | Yana dakatar da saƙo ko taushin nama daga maɓalli mai goyan bayan kashin cortical | Wurin zama maɓalli, ɗabi'ar madauki, mutuncin cortical, joometry na rami da tsaka-tsakin nama mai laushi |
| tsoma baki | Yana ba da gyare-gyaren buɗaɗɗen buɗaɗɗiya ta hanyar damfara dasa a cikin rami | Abun dunƙule da girman, lalacewa, dacewar rami, ingancin kashi da cirewa ko la'akari da bita |
| Suture anga | Yana haɗa nama mai laushi zuwa kashi ta hanyar ginin anga-da-suture | Kayan anka, kusurwar shigarwa, ingancin kashi, ƙira mara ƙulli ko ƙulli da ƙirar nama |
| Matsakaicin gyara ko madadin | Yana ba da ƙarin ko gyara saman bisa ga ƙirar dasa | Tsarin jiki na gida, matsayi na dasa, shahara, jerin ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun abubuwa da ko na farko ne ko gyarawa |
Maɓallin Cortical vs Screw Screw a cikin Sake Gina ACL
Waɗannan hanyoyin suna gyara datti ta hanyoyi daban-daban kuma ana iya amfani da su ta bangarori daban-daban na sake ginawa iri ɗaya. Maɓallin cortical yana ba da gyare-gyaren dakatarwa, yayin da kullin tsoma baki yana ba da gyara kusa da buɗewar rami. Kwatancen asibiti ya dogara da gabaɗayan fasahar ACL maimakon keɓewar dasa.
Maɓallin Cortical vs Suture Anchor a Gyaran Tendon
Nazarin halittu na iya kwatanta kaya da gazawa ko ƙaura, amma zaɓin asibiti kuma ya dogara ne akan bayyanar aikin tiyata, sawun jiki, ƙwayar kashi, haɗari ga jijiyoyi na kusa, gyarawa da kuma alamar na'urar da ke akwai. Kungiyoyin XC Medico sun rabu suture anga tsarin saboda anga ba kawai wani suna na maɓalli na cortical ba.
Primary vs Gyaran Ajiyayyen
Maɓallin cortical na iya zama farkon gyare-gyaren dakatarwa a cikin hanya ɗaya, yayin da madaidaici, dunƙule ko wani abin dasawa zai iya zama gyare-gyaren ajiya a wani. The Tsarin gyare-gyaren ligament don haka wani nau'in samfur ne na musamman maimakon ɓangaren maɓalli na cortical.
Hatsari da Iyakokin Fasaha
Babu tsarin maɓallin maɓalli da ya kuɓuta daga haɗari. Abubuwan da suka dace sun dogara da tsarin jiki da tsari, amma batutuwa masu zuwa na iya buƙatar la'akari:
- Maɓallin maɓalli: ƙila dasa shuki ba zai zauna a kan madaidaicin da aka yi niyya ba.
- Matsakaicin nama mai laushi: nama zai iya zama tarko tsakanin maɓalli da kashi.
- Hijira ko rabuwa: asarar wurin maɓalli da aka nufa na iya lalata ginin.
- Maɗaukakin madauki ko motsi: ƙaura a ƙarƙashin ɗorawa na cyclic na iya shafar yanayin gyarawa.
- Fadada rami: Canje-canjen rami suna da yawa kuma ana iya haɗa su da motsi, ilmin halitta da fasaha.
- Rashin daidaituwa: rashin isassun ficewar rami, busa cortical ko rashin ingancin ƙashi na iya shafar tallafi.
- Raunin jijiyoyin jini: haɗarin ya dogara da tsarin tiyata, jagorar hakowa, jiki da hanya.
- Kamuwa da cuta, taurin kai ko gazawar nama: gabaɗaya da ƙayyadaddun matsalolin tiyata sun kasance mai yiwuwa.
Shaida dole ne ta kasance takamaiman tsari: ƙimar rikitarwa daga gyare-gyaren biceps mai nisa bai kamata a gabatar da shi azaman ƙimar rikicewar ACL ba, kuma sake dawowar Latarjet ko bayanan sake aiki bai kamata a yi amfani da shi ba don tsinkayar warkar da tendon-to-kashi a gwiwa ko gwiwar hannu.
Ta yaya Likitocin Likitan Suke Zaɓan Maɓallin Cortical?
Zaɓin ya dogara ne akan cikakken shirin sake ginawa maimakon da'awar tallace-tallace game da ƙarfi. Muhimman abubuwan la'akari sun haɗa da:
- madaidaicin alamar anatomical da rajista-kasuwa mai zuwa;
- kafaffen madauki ko daidaitacce-madauki na aiki;
- girman maɓalli da sawun cortical;
- kayan madauki, tsayin tsayi da hanyar daidaitawa;
- nau'in dasa, diamita da tsayin da aka shirya;
- rami ko diamita soket, zurfin da amincin cortical;
- ingancin kashi da matsayin bita;
- darussan da suka dace, jagorori, suturar wucewa da kayan tashin hankali;
- gyaran gyare-gyaren da aka tsara a gefe na sake ginawa;
- horar da likitan fiɗa da fasaha na musamman.
Takaddun na'urar FDA don tsarin gyare-gyare na cortical ya lissafa ƙarancin ingancin ƙashi na cortical ko adadi azaman yuwuwar hanawa. Don haka dole ne a sake nazarin ƙayyadaddun ƙayyadaddun ƙayyadaddun samfur maimakon ɗauka cewa gyaran cortical ya dace da kowane majiyyaci.
Tsarin Gyaran Cortical don Asibitoci da Masu Rarraba
Asibitoci, masu rarrabawa da abokan haɗin gwiwar OEM/ODM yakamata su kimanta cikakken fayil ɗin gyaran ligament, ba kawai maɓallin titanium mai gani ba. XC Medico orthopedic da tsarin likitancin wasanni sun haɗa da nau'ikan gyarawa da yawa don amfani da ƙwararru.
The ligament fixation farantin titanium da nau'ikan maɓalli yakamata a tantance su ta lambar kasida, amfanin da aka yi niyya, abu, ƙayyadaddun madauki da kayan aiki masu jituwa. Ya kamata ƙungiyoyin sayayya su nemi takaddun na yanzu don ainihin tsari da kasuwa.
| Wurin binciken sayayya | Abin da za a tabbatar |
|---|---|
| Nuni | Daidaitaccen ligament, tendon, haɗin gwiwa da yin amfani da gyarawa wanda aka bayyana a cikin alamar samfur na yanzu |
| Tsarin na'ura | Girman maɓalli, nau'in madauki, kewayon madauki, kayan suture da bambance-bambancen da ke akwai |
| Kayan aiki | Ƙwayoyin da suka dace, jagororin rami, ma'auni mai zurfi, masu wucewa da kayan aikin tashin hankali |
| Shaidar injina | Ana amfani da lodin keken keke, ƙaura da gwajin gazawa don daidaitawar na'urar ƙarshe |
| Takaddun bayanai | Takaddun shaida, umarnin don amfani, ganowa, matsayi mara kyau da bayanin rayuwar shiryayye |
| Samun kasuwa | Rijista da da'awar da aka halatta don ƙasa ko yanki |
Don siyan ƙwararru: nemi kundin ƙayyadaddun ƙayyadaddun ligament na yanzu, ƙayyadaddun na'urori, jerin kayan aiki masu jituwa da takamaiman takaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun kasuwa kafin zaɓin tsarin gyare-gyare na cortical.
Tambayoyi akai-akai Game da Gyaran Maɓallin Cortical
Menene gyara maɓalli na cortical?
Hanya ce ta gyare-gyaren dakatarwa wanda maɓalli ya tsaya a kan kashin cortical kuma ya haɗa ta hanyar madauki ko suture da aka gina zuwa ƙwanƙwasa jijiya, daskarar jijiya ko gyara laushi mai laushi.
Shin maɓalli na cortical iri ɗaya ne da dunƙule cortical?
A'a. Maɓallin cortical yawanci yana aiki azaman ɓangaren ginin maɓalli da madauki. Murƙushe cortical yana amfani da zaren don haɗa kashi kuma yana cikin nau'in gyarawa daban.
Menene bambanci tsakanin madaidaicin madauki da maɓallan madaukai masu daidaitawa?
Na'urar kafaffen madauki tana da ƙayyadadden tsayin madauki. Na'urar madauki mai daidaitawa tana ba da damar canza tsayin madauki bisa ga ƙayyadaddun turawa da fasaha na tayar da hankali.
Shin gyaran maɓalli na cortical yana sa damin ACL ya warke da sauri?
Yana ba da gyare-gyaren inji yayin da warkar da ilimin halitta ke haɓaka, amma baya bada garantin haɗawa da sauri cikin sauri. Waraka ya dogara da cikakken sake ginawa, ilmin halitta na nama, shirye-shiryen rami, kwanciyar hankali, gyarawa da abubuwan haƙuri.
Shin maɓallin madauki mai daidaitawa ya fi madaidaicin madauki?
Ba na duniya ba. Nazarin dakin gwaje-gwaje sun gano bambance-bambancen halittu, yayin da binciken asibiti ba a koyaushe ya nuna fifiko mai kyau a cikin kwanciyar hankali, ƙimar gwiwa ko gazawar sa ba. Zaɓin ya zama na musamman da tsari.
Wadanne matsaloli zasu iya faruwa?
Matsaloli masu yiwuwa sun haɗa da rashin daidaituwa, tsaka-tsakin nama mai laushi, ƙaura, haɓakar madauki, faɗaɗa rami, gazawar gyarawa da takamaiman jijiya, jijiyoyin jini, kamuwa da cuta ko rikitarwa.
Maganganun Likita da Ka'idoji
- Daidaitacce Madaidaicin Na'urar Dakatarwar Mata na Mata don Sake Gina ACL: Bita Na Tsari.
- Duk-Cikin Sake Gina ACL tare da Maɓallin Maɓallin Maɓallin Maɓalli: Bita na Tsari da Nazarin Meta.
- Sakamako na asibiti da Matsalolin Maɓallin Maɓalli na Cortical Gyaran Biceps: Bita na Tsari.
- Gyaran Screw tare da Gyaran Suture-Button don Tsarin Latarjet: Nazari na Tsari da Nazarin Meta.
- US FDA 510 (k) Takaddun: Tsarin Gyaran Cortical An Ƙirar Amfani da Abubuwan Tattaunawa.
