Views: 0 Author: Site Editor Publish Time: 2026-01-14 Keeb Kwm: Qhov chaw
Cortical khawm fixation pab txuas cov nqaij mos rau pob txha. Nws yog siv nyob rau hauv orthopedic phais . Txoj kev no muaj zog thiab pab kho. Cov kws phais neeg ntseeg nws vim nws ua haujlwm zoo. Cov kws kho mob siv txoj kev no hauv 3.4% ntawm cov kev phais no. Yog tias koj xaiv cov kev phais mob los ntawm XCmedico, koj tau txais engineering zoo. Koj kuj tau txais txiaj ntsig koj tuaj yeem ntseeg tau. Cov lus hauv qab no qhia tau hais tias yuav ua li cas cortical khawm fixation piv rau lwm txoj hauv kev. Nws saib ntawm load-rau-failure thiab strain:
Fixation Method |
Load-rau-Failure |
Kev hloov pauv |
Qhov siab tshaj plaws |
|---|---|---|---|
Cortical Khawm Fixation |
Siab tshaj |
qis tshaj |
0.21% |
Kev cuam tshuam Screw |
Sib piv |
Zoo dua |
0.16% |
Keyhole Technique |
Sib piv |
Zoo dua |
0.13% |
Cortical khawm fixation muab kev txhawb zog rau cov nqaij mos rau pob txha. Qhov no yuav pab kho kom zoo.
Txoj kev no txo qis txoj hauv kev ntawm cov teeb meem tom qab kev phais. Nws txhais tau tias tsawg dua kev phais tom qab thiab kev nyab xeeb dua.
Cov neeg mob kho sai dua thiab muaj kev sib koom ua ke zoo dua nrog cortical khawm fixation. Qhov no zoo dua li cov txheej txheem qub.
Cov kws phais zoo li cortical khawm fixation vim nws yog qhov tseeb thiab ua haujlwm zoo. Nws ua rau me me caws pliav thiab txo qis kev pheej hmoo kis mob.
Xaiv cov cog cog zoo , zoo li cov los ntawm XCmedico, pab cov txheej txheem ua haujlwm zoo. Nws kuj pab kho tau qhov zoo tshaj plaws uas nws tuaj yeem ua tau.
Lub pob cortical yog ib qho khoom me me, muaj zog uas pab txuas cov ntaub so ntswg, zoo li cov leeg lossis ligament, rau pob txha. Koj yuav pom nws siv ntau yam kev phais orthopedic. Lub pob zaum ntawm cov tawv txheej txheej ntawm cov pob txha, hu ua cortex. Cov kws phais siv nws vim nws tuav cov ntaub so ntswg thaum koj lub cev zoo.
Cov qauv ntawm lub pob cortical yog yooj yim tab sis siv tau. Nws zoo li lub phaj me me nrog lub qhov rau cov sutures. Cov sutures txuas cov ntaub so ntswg rau lub pob. Lub khawm kis tau lub zog tshaj qhov chaw dav, uas pab tiv thaiv cov ntaub so ntswg los ntawm kev rub tawm. Feem ntau cov nyees khawm cortical yog tsim los ntawm cov ntaub ntawv muaj zog, xws li titanium los yog absorbable hlau. Cov ntaub ntawv no muab lub pob muaj zog thiab ua kom muaj kev nyab xeeb rau koj lub cev.
Koj tuaj yeem pom tias cov qauv thiab cov ntaub ntawv sib txawv li cas:
Lub cortical suspensory khawm tuaj yeem ua haujlwm ntau dua ua ntej tawg piv rau lwm yam khoom siv.
Nws muaj qhov nruj dua, uas txhais tau hais tias nws tuav cov ntaub so ntswg khov kho.
Cov hlau nqus tau siv nyob rau hauv qee cov nyees khawm tuaj yeem maj mam tawg hauv koj lub cev, ua rau koj muaj kev nyab xeeb thiab txhawb kev kho mob.
Cortical khawm fixation yog ib txoj hauv kev siv lub pob kom ruaj ntseg rau cov pob txha. Koj tuaj yeem xav tias nws yog ib qho chaw ruaj khov. Tus kws phais neeg muab cov ntaub so ntswg los ntawm lub pob, tom qab ntawd rub nws los ntawm qhov me me hauv cov pob txha. Lub khawm zaum ntawm sab nraud ntawm cov pob txha, xauv cov ntaub so ntswg nyob rau hauv qhov chaw.
Txoj kev no muab koj ntau yam zoo biomechanical:
Koj tau txais kev xoos tsawg hauv koj cov leeg tom qab kev phais.
Koj tuaj yeem rov qab mus ua kis las thiab ua haujlwm nrog qhov mob tsawg dua.
Cov ntaub so ntswg kho tag nrho ib ncig ntawm lub qhov, ua kom kho kom zoo.
Ntawm no yog ib lub rooj uas qhia txog cov kev ntsuam xyuas biomechanical tseem ceeb siv los xyuas seb cortical khawm fixation ua haujlwm zoo li cas:
Hom kev xeem |
Kev piav qhia |
|---|---|
Cyclic loading |
Kuaj seb lub pob tuav li cas nyob rau hauv rov qab txav thiab quab yuam. |
Load rau Failure |
Ntsuas qhov siab tshaj plaws quab yuam lub khawm tuaj yeem tuav ua ntej tawg. |
Elongation |
Tshawb xyuas seb lub khawm stretches npaum li cas thaum siv. |
Kev nruj |
Qhia tias khawm tuav cov ntaub so ntswg kom ruaj khov npaum li cas. |
Yield Load |
Nrhiav qhov taw tes uas lub pob pib khoov thiab tsis rov qab mus rau nws cov duab. |
Ntau cov kev tshawb fawb piv cortical khawm fixation rau lwm txoj kev. Ib tsab xov xwm paub zoo saib seb nws ua haujlwm li cas hauv ACL phais . Cov txiaj ntsig tau pom tias txoj kev no muab kev txhawb nqa zoo dua thiab pab koj kho sai dua.
Koj tseem yuav pom tias ntau lub tebchaws muaj lawv tus kheej txoj cai rau cov khoom siv no. Hauv North America, cov kev cai nruj thiab meej. Hauv Tebchaws Europe, cov kev cai npog txhua lub tebchaws tab sis tuaj yeem sib txawv hauv txhua qhov chaw. Hauv Asia, koj yuav tsum ua haujlwm nrog cov kws tshaj lij hauv zos kom ua raws li cov cai.
Tswv yim: Yog tias koj xav tau kev kho kom ruaj khov thiab txhim khu kev qha, nug koj tus kws kho mob txog kev kho lub pob cortical. Nws tau ntseeg los ntawm ntau tus kws kho mob rau nws txoj kev nyab xeeb thiab lub zog.
Cov kws phais mob ua raws li cov txheej txheem ceev faj rau kev kho lub pob cortical. Ua ntej, tus kws kho mob ua ib qho kev txiav me me nyob ze koj cov leeg. Tom qab ntawd, tus kws phais mob tho qhov qhov los ntawm koj cov pob txha. Qhov tunnel no coj cov leeg los yog ligament mus rau qhov chaw zoo. Tom qab ntawd, tus kws phais xov cov leeg los yog ligament los ntawm lub qhov. Lub pob cortical zaum sab nraum pob txha. Tus kws phais rub cov ntaub so ntswg nruj. Tom qab ntawd, lub khawm yog flipped los xauv nws nyob rau hauv qhov chaw. Qhov no ua rau cov ntaub so ntswg ruaj ntseg thaum koj lub cev zoo.
XCmedico's 2.7 / 3.5 / 4.5 mm Cortical Screw Full-threaded pab hauv cov kev phais no. Tus kws phais siv cov ntsia hlau no los tuav lub pob thiab cov ntaub so ntswg kom ruaj khov. Cov xov tag nrho tsim muab lub zog tuav. Nws pab kho kom ruaj khov. Koj hnov mob tsawg dua thiab txav mus zoo dua tom qab kev phais vim tias qhov kho tau muaj zog.
Cortical khawm fixation yog siv nyob rau hauv ntau qhov kev phais orthopedic. Feem ntau siv yog nyob rau hauv anterior cruciate ligament reconstruction . Cov kws phais siv txoj kev no los txuas cov ligament tshiab rau koj lub hauv caug. Lub pob tuav lub graft nyob rau hauv qhov chaw thaum koj lub cev kho. Malpositioning ntawm femoral nyees khawm thaum lub sij hawm anterior cruciate ligament reconstruction tshwm sim nyob rau hauv tsuas yog 3.5% ntawm cov neeg mob. Qhov no qhia tau hais tias muaj tseeb.
Koj tseem yuav pom cov txheej txheem no hauv lwm qhov kev kho:
Anterior cruciate ligament reconstruction rau lub hauv caug raug mob
Distal biceps tendon kho rau lub luj tshib raug mob
Pectoralis loj kho cov leeg rau lub xub pwg nyom
Latarjet txheej txheem rau lub xub pwg instability
Cov txheej txheem Latarjet siv cov ntsia hlau ua ntej, tab sis cov kev tshawb fawb tshiab qhia tau hais tias cortical suture khawm fixation yuav txo cov teeb meem los ntawm cov ntsia hlau tso.
Ib txoj kev tshawb fawb txog kev kho cov pob txha biceps cov leeg qhia tau hais tias kev kho cov pob txha cortical intramedullary muab kev txhawb zog ntau dua li cov txheej txheem qub.
Cov kws phais neeg xaiv txoj kev no vim nws muab kev txhawb zog. Nws pab koj rov qab mus ua haujlwm sai dua. Koj tuaj yeem ntseeg XC medico cov kev cog qoob loo los muab qhov kev ruaj ntseg uas xav tau rau kev kho kom zoo.
Koj xav kom koj pob qij txha muaj zog tom qab phais. Cortical khawm fixation pab ua kom muaj zog. Txoj kev no khaws koj cov ntaub so ntswg kom nws tuaj yeem kho tau. Lub pob muab kev txhawb nqa zoo dua rau koj cov leeg lossis ligament. Nws tuav cov ntaub so ntswg nruj tiv thaiv cov pob txha. Qhov no ua rau koj kho kom ruaj khov, txawm tias koj txav koj cov leeg.
Ntau tus kws kho mob pom tias cortical khawm fixation kom sutures muaj zog. Lub khawm tsis ncab lossis xoob yooj yim. Koj qhov kho yuav ruaj khov thaum koj kho. Koj tuaj yeem ntseeg tias koj qhov kev sib koom tes yuav tsis muaj zog lossis xoob.
Cov neeg mob feem ntau rov zoo dua nrog cov txheej txheem no. Piv txwv li, cov neeg uas muaj cov pob txha biceps kho qhov muag siv lub ToggleLocTM cov cuab yeej zoo dua hauv ob lub hlis. Lawv tuaj yeem txav lawv txhais tes thiab ua txhua hnub sai. Cov leeg nqaij ua ntej kev phais tsis tau hloov cov txiaj ntsig zoo. Koj tuaj yeem cia siab tias yuav rov qab zoo thiab muaj kev sib koom ua ke.
Nov yog ib lub rooj qhia tias cov neeg mob xav li cas tom qab kev phais:
Kev ntsuas ntsuas |
Pre-operative Score |
Cov qhab nia zaum kawg |
p-nqi |
Qhov feem pua tau tshaj MCID |
|---|---|---|---|---|
ASES |
N/A |
Kev txhim kho tseem ceeb |
<0.01 Nws |
96.55% |
OSS |
N/A |
Kev txhim kho tseem ceeb |
<0.01 Nws |
93.10% |
DASH |
N/A |
Kev txhim kho tseem ceeb |
<0.01 Nws |
75.86% |
Cov neeg mob feem ntau hais tias lawv mob tsawg dua thiab txav mus zoo dua. Yuav luag txhua tus neeg mob mus txog qib kev txhim kho uas tseem ceeb rau lawv.
Tswv yim: Yog tias koj xav rov qab mus ua kis las lossis ua haujlwm nrawm, nug koj tus kws kho mob txog kev kho lub pob cortical. Txoj kev no yuav pab koj kho sai thiab txav mus zoo dua.
Koj xav kom koj qhov kev phais kom nyab xeeb. Cortical khawm fixation txo qhov kev pheej hmoo ntawm teeb meem tom qab kev phais. Cov teeb meem tshwm sim feem ntau yog kev raug mob paj hlwb, kev loj hlob ntawm pob txha ntxiv, thiab tendon rerupture. Cov no tshwm sim tsawg dua nrog txoj kev no dua li lwm tus.
Cov kws kho mob pom tias tus nqi ntawm cov teeb meem qis dua nrog cortical khawm fixation. Piv txwv li, 0% ntawm cov neeg mob muaj teeb meem nrog txoj kev no, piv rau 26.4% nrog suture anchors thiab 44.8% nrog intraosseous screws. Koj yuav tsis tshua muaj teeb meem tom qab koj kho.
Ntawm no yog ib lub rooj sib piv cov kev rov tshwm sim thiab rov ua haujlwm dua:
Cov txheej txheem |
Tus nqi rov tshwm sim |
Reoperation Rate |
|---|---|---|
Cortical Khawm Fixation |
5.8% |
4.1% |
Ntsia Hlau Fixation |
1.6% |
0.5% |
Ob txoj kev muaj tus nqi qis, tab sis kev kho cov ntsia hlau muaj teeb meem ntau dua li cov hlab ntsha raug mob thiab kab mob. Suture-button fixation ua rau muaj kev rov ua haujlwm tsawg dua vim tias muaj teeb meem tsawg dua.
Koj tau txais kev phais zoo dua thiab muaj feem tsawg dua ntawm kev xav tau lwm txoj haujlwm. Cov neeg mob feem ntau tsis xav tau kev phais thib ob, thiab lawv tsis muaj teeb meem nrog kev tsis ruaj khov lossis kis kab mob. Koj tuaj yeem hnov tias koj qhov kev kho yuav kav ntev.
Nco ntsoov: Nco ntsoov tham nrog koj tus kws phais mob txog txoj kev zoo tshaj plaws rau koj qhov raug mob. Cortical khawm fixation muab kev txhawb zog thiab kev nyab xeeb rov qab rau ntau cov leeg thiab ligament kho.
Tej zaum koj yuav xav tias yuav ua li cas cortical khawm fixation stacks tiv thaiv cov laus txoj kev. Cov txheej txheem ib txwm ua siv screws los yog suture anchors nyob rau hauv qhib phais . Cov no tau nyob ib puag ncig ntev. Lawv tuaj yeem ua haujlwm, tab sis lawv ua rau muaj kev pheej hmoo ntau dua. Qhib kev phais feem ntau txhais tau tias mob ntau dua thiab kho tau ntev dua. Qee zaum, screws yuav tsum tau muab tshem tawm tom qab. Qhov no txhais tau tias koj yuav xav tau lwm lub tsev kho mob.
Cortical khawm fixation yog tsawg invasive. Cov kws phais mob ua kom me me thiab ua haujlwm ntau dua. Hauv anterior cruciate ligament reconstruction, kev tshawb fawb pom muaj teeb meem tsawg dua nrog cov nyees khawm cortical dua li qhib kev phais. Koj tau txais kev txhawb nqa muaj zog rau koj cov leeg thiab kho nrog kev pheej hmoo tsawg dua. Cov kws kho mob piv cov khawm kho-voj cortical nyees khawm, cov khoom siv ruaj khov, thiab cov ntsia hlau hlau. Lawv pom zoo li ACL hloov kho tus nqi ntawm ob thiab tsib xyoos. Qhov no txhais tau tias koj kho tau zoo, txawm tias siv lub cuab yeej twg.
Qee qhov kev tshawb fawb tshawb xyuas tus nqi thiab rov qab los. Tendon suture fixation tuaj yeem txuag nyiaj piv rau cov ntsia hlau kho. Koj tuaj yeem taug kev thiab ua txhua hnub sai dua. Cov neeg mob uas muaj cov leeg suture fixation tau mob tsawg dua peb lub hlis tom qab kev phais. Lawv tuaj yeem txav lawv pob taws sai dua.
Koj tau txais txiaj ntsig tshwj xeeb thaum koj tus kws phais mob siv lub pob cortical. Cov cuab yeej tuav koj cov ntaub so ntswg nruj tiv thaiv cov pob txha. Qhov no pab koj kho kom ruaj khov. Cov kws phais neeg nyiam kev tswj hwm thiab qhov tseeb ntawm txoj kev no muab. Koj tau txais ib qho caws pliav me me thiab qis dua kev pheej hmoo kis mob.
XCmedico's 2.7 / 3.5 / 4.5 mm Cortical Screw Full-threaded ntxiv tus nqi ntxiv. Cov ntsia hlau no haum ntau cov pob txha loj. Koj tus kws phais tuaj yeem xaiv qhov zoo tshaj plaws rau koj. Cov xov tag nrho tsim tuav cov pob txha nruj. Qhov no khaws cov khawm thiab cov ntaub so ntswg nyob rau hauv qhov chaw. Koj kho sai dua vim tias cov ntsia hlau pab cov pob txha thiab cov leeg loj hlob ua ke. Cov titanium alloy tsis xeb thiab muaj kev nyab xeeb hauv koj lub cev. Koj tsis tas yuav txhawj txog cov ntsia hlau tawg lossis ua rau muaj teeb meem.
Tswv yim: Nug koj tus kws kho mob yog tias lub pob cortical thiab tag nrho-threaded ntsia hlau yog qhov zoo rau koj qhov kev tsim kho sab hauv sab hauv. Koj tuaj yeem kho sai dua thiab xav tias muaj zog nrog qhov kev txhim kho siab heev.
Tej zaum koj yuav xav tias yog cortical khawm fixation yeej pab tib neeg kho. Ntau cov kev tshawb fawb hais tias txoj kev no muab cov txiaj ntsig zoo thiab kav ntev. Cov neeg mob feem ntau zoo siab tom qab lawv phais. Koj tuaj yeem rov qab mus rau kev ua kis las thiab lub neej txhua hnub yooj yim dua. Cov kws kho mob pom kev ruaj khov hauv kev raug mob zoo li Lisfranc pob txha. Qhov no txhais tau tias koj qhov sib koom ua ke nyob hauv qhov chaw thaum koj kho.
Suture khawm fixation pab koj rov qab mus rau koj nyiam cov dej num.
Koj tuaj yeem cia siab tias yuav muaj lub sijhawm los ua si kis las dua, txawm tias xyoo tom qab.
Cov txheej txheem arthroscopic cortical-khawm Latarjet muaj 95% rov qab mus rau kev ua kis las ntawm txog rau xyoo.
Yog tias koj xav tau kho cov leeg, koj tuaj yeem ntseeg txoj kev no. Cov kev tshawb fawb txog kev kho mob biceps tendon distal qhia tau zoo los ntawm cov neeg mob. Cov neeg tau rov qab yuav luag tag nrho lawv txhais caj npab lub zog thiab txav mus los. Cov neeg mob feem ntau hais tias lawv lub neej zoo dua tom qab kev phais. Koj tuaj yeem xav tias koj qhov kev rov qab los yuav muaj zog thiab khov kho.
Cov kws kho mob kuj pom muaj teeb meem tsawg dua nrog txoj kev no. Hauv cov txheej txheem Latarjet, tsis muaj cov neeg mob uas kho lub pob cortical xav tau lwm qhov kev phais. Tab sis qee cov neeg mob uas kho cov ntsia hlau muaj teeb meem kho vajtse. Tus nqi ntawm graft union yog siab nrog cortical nyees khawm. Qhov no txhais tau tias koj cov pob txha kho tau zoo.
Koj xav tau txoj hauv kev zoo tshaj plaws rau kev nyab xeeb thiab muaj zog rov qab los. Cov xwm txheej ntawm lub neej tiag tiag qhia tau tias kev txhim kho cortical khawm txo qhov kev pheej hmoo ntawm cov teeb meem kho vajtse. Txog li 46% ntawm cov neeg mob uas kho cov ntsia hlau muaj teeb meem, tab sis tus nqi qis dua nrog cov nyees khawm cortical. Koj tau txais txiaj ntsig zoo dua thiab txhawj xeeb tsawg dua txog kev xav tau lwm qhov kev phais.
Thaum koj xaiv ib tus neeg muag khoom, koj yuav tsum nrhiav:
High biocompatibility thiab mechanical zog
Implants uas yooj yim rau siv thiab haum koj xav tau
Tshawb xyuas lub zog tensile thiab zoo phim nrog koj cov ntaub so ntswg
Cov khoom lag luam los ntawm FDA-registered lossis ISO-certified tuam txhab
Clear cov ntaub ntawv rau kom tsis muaj menyuam thiab taug qab
XCmedico ua tau raws li cov qauv no. Koj tau txais txhim khu kev qha cortical khawm fixation uas pab koj kho. Cov kws phais ntseeg XC medico rau qhov zoo, kev nyab xeeb, thiab xa khoom sai. Koj tuaj yeem xav tias muaj kev nyab xeeb paub tias koj cog qoob loo los ntawm lub tuam txhab ntseeg siab.
Xaiv qhov cog cog thiab tus neeg muag khoom yog qhov tseem ceeb rau koj txoj kev rov qab los. Nrog XCmedico, koj muab sijhawm zoo rau koj tus kheej kom kho tau zoo.
Koj tuaj yeem suav rau cortical khawm fixation rau kev kho kom zoo. Nws muab cov txiaj ntsig koj tuaj yeem ntseeg tau. Kev tshawb fawb tshiab qhia tau hais tias koj tuaj yeem siv cov khoom hnyav dua. Txoj kev no tseem txwv txoj hauv kev hauv koj cov pob txha kom tsis txhob loj dua.
Koj poob pob txha tsawg dua nrog cov khoom siv no. Kev kho mob zoo dua thiab sai dua.
Cov kws kho mob tsis tas yuav ua kev phais ntxiv ntau zaus.
Hom kev tsim kho tshiab |
Kev piav qhia |
|---|---|
Bioactive Coatings |
Pob txha kho sai dua |
Cov ntaub ntawv zoo dua |
Screws kav ntev |
Refined Xov Designs |
Kev tuav thiab kev ruaj ntseg zoo dua thaum phais |
Xaiv XCmedico rau cov kev daws teeb meem ntse thiab kev pab ruaj khov thaum koj rov qab los.
Cortical khawm fixation txuas cov ntaub so ntswg mus rau pob txha. Nws pab txuas cov leeg lossis ligaments. Txoj kev no muab kev txhawb zog. Koj lub cev kho tau zoo dua tom qab kev phais.
Lub khawm suture ua kom cov ntaub so ntswg nruj ntawm cov pob txha. Qhov no ua rau kev kho kom ruaj khov. Koj kho sai dua vim cov ntaub so ntswg nyob hauv qhov chaw. Cov hlwb tshiab tuaj yeem loj hlob thaum xav tau.
Yog lawm, kws kho mob siv nws rau qhov kev raug mob no. Koj tau txais kev txhawb zog thiab muaj teeb meem tsawg dua. Cov neeg feem coob rov qab mus rau kev ua kis las thiab lub neej txhua hnub sai.
Koj tau txais kev txhawb zog thiab kev mob tsawg dua. Kev rov qab sai dua. Cov cuab yeej me me txo koj txoj hauv kev ntawm lwm qhov kev phais. Koj qhov sib koom ua ke nyob ruaj khov thiab nyab xeeb.
Cov neeg feem coob txav lawv cov pob qij txha sai sai tom qab kev phais. Tej zaum koj yuav ua tej yam li qub hauv lub lis piam lossis hli. Koj tus kws kho mob yuav muab ib txoj kev npaj rau kev kho kom zoo.
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