Kodi Kusokoneza Screws ndi Udindo Wawo pa Opaleshoni Yamafupa Ndi Chiyani?

Mumagwiritsa ntchito zomangira zosokoneza kuti mugwire zolimba m'mafupa a mafupa panthawi ya opaleshoni ya mafupa. Zomangira izi ndizofunikira pakukonza ligament ndi minofu yofewa, makamaka pakukonza ma acl, chifukwa amasunga zinthu kukhala zokhazikika. Kafukufuku akuwonetsa kuti zomangira zonse za bioabsorbable ndi titaniyamu zimagwira ntchito mofanana, kotero onsewo ndi zisankho zabwino pantchito yanu. Machitidwe atsopano, monga Ligament Fixation System ndi XC Medico , bweretsani malingaliro atsopano ku maopaleshoni anu ndikuthandizani kupeza zotsatira zabwino kwa odwala.

Zofunika Kwambiri

• Zomangira zosokoneza zimathandiza kuti ma graft azikhala okhazikika m'mafupa a mafupa panthawi ya opaleshoni. Ndiwofunika kwambiri kukonza mitsempha.

• Zomangira za bioabsorbable ndi titaniyamu zonse zimagwira ntchito bwino pamaopaleshoni a ACL. Iwo amathandiza odwala kuchira mofananamo.

• Kusankha screw size yabwino kwambiri ndi zinthu ndizofunikira kwambiri. Zimathandizira anthu kuchira bwino ndikuchepetsa mwayi wamavuto.

• Malingaliro atsopano ngati Ligament Fixation System yolembedwa ndi XC Medico imapangitsa maopaleshoni kukhala abwino. Amagwiritsa ntchito zida zolimba komanso mapangidwe anzeru.

• Madokotala amafunika kuyang'anitsitsa odwala pambuyo pa opaleshoni. Izi zimathandiza kupeza mavuto mwamsanga ndikuonetsetsa kuti machiritso akuyenda bwino.

Kusokoneza Screws mwachidule

Kodi Interference Screws ndi chiyani

Zomangira zosokoneza zimathandiza kuti ma grafts agwire mwamphamvu m'mafupa pa nthawi ya opaleshoni. Ndiwofunika kukonza mitsempha ndi minofu yofewa. Madokotala nthawi zambiri amawagwiritsa ntchito pokonza ACL. Zomangira izi zimapangitsa kuti zitsulozo zikhale zokhazikika pokanikizira fupa. Izi zimathandiza kumezanitsa kuchira ndikulumikizana ndi minofu yozungulira.

Madokotala amati zomangira zosokoneza ndi njira yodziwika bwino yothetsera kuvulala kwa ACL. Amagwira ntchito pokonzanso fupa ndi fupa komanso kukonzanso minofu yofewa kupita ku fupa. Zomangira zimagwira zitsulozo m'malo mwake ndikulola madokotala kuti aziwongolera momwe zimakhalira komanso kulimba kwake. Kuwongolera kumeneku kumathandiza odwala kuchira bwino ndikuchira msanga.

Zindikirani: Zomangira zosokoneza zimadaliridwa ndikuphunziridwa kuti akonze ligament. Kafukufuku wambiri akuwonetsa kuti amagwira ntchito bwino pa maopaleshoni a mafupa a patellar tendon-bone ACL.

Momwe Zosokoneza Zimagwirira Ntchito

Choyamba, madokotala amapanga ngalande mu fupa kumene ligament ikufunika kukonza. Kenako, amalowetsamo mumphangayo. Chomangiracho chimakankhira cholumikizira ku khoma la ngalandeyo. Izi zimapangitsa kuti kumezanitsa kusasunthike.

Nazi zomwe zimachitika panthawi ya opaleshoni:

• Madokotala amabowola ngalande m'fupa, nthawi zambiri pafupifupi 8 mm m'lifupi.

• Iwo amaika kumezanitsa kupyola mumphangayo.

• Iwo amayika zosokoneza zosokoneza pafupi ndi graft ndikuzikakamiza mwamphamvu.

• Osachepera 20 mm wa kumezanitsa amakhala mkati mwa ngalandeyo kuti akhale wamphamvu.

• Madokotala amatha kugwiritsa ntchito zomangira kapena zitsulo, malingana ndi momwe zilili.

Ntchito zazikulu za zomangira zosokoneza ndi:

• Kusunga kumezanitsa pamalo abwino komanso kumangika koyenera.

• Kugwira mwamphamvu pomwe phula limagwira fupa.

• Kugwira mwamphamvu kumezanitsa mpaka fupa litachira.

Palinso mitundu yatsopano ya zomangira zosokoneza. Zina zimapangidwa kuchokera ku magnesium yomwe imawonongeka m'thupi. Ena amasakaniza magnesium ndi zitsulo zina kuti apeze mphamvu. Ena atero mawonekedwe atsopano a ulusi kuti agwire bwino . Zosinthazi zimathandizira kuti zomangira zizigwira ntchito bwino komanso zimathandiza kuti mafupa azikhala bwino.

Kafukufuku akuwonetsa kuti zomangira tapered ndi zolimba ndipo zimapangitsa kuti zitsulozo zikhale zolimba kuposa zomangira nthawi zonse. Izi zikutanthauza kuti odwala amakhala bwino ndi mawondo amphamvu pakapita nthawi.

Madokotala amawerengera zomangira zosokoneza kuti ma graft atetezeke pamene akuchiritsa. Mapangidwe ndi zipangizo zimathandiza madokotala kupeza zotsatira zabwino pokonza mitsempha.

Mitundu ndi Zida Zosokoneza Zopangira

Zosankha za Metal ndi Bioabsorbable

Pali mitundu yosiyanasiyana ya zomangira zosokoneza zokonza minyewa. Zida zomwe zimagwiritsidwa ntchito kwambiri ndi:

• Titaniyamu

• Chitsulo chosapanga dzimbiri

• Polima

• Galasi ya bioactive

Zomangira zitsulo, monga titaniyamu, ndizolimba kwambiri ndipo zimakhala nthawi yayitali. Titaniyamu sichita dzimbiri, choncho imakhala yabwino mkati mwa thupi. Madokotala amagwiritsa ntchito zomangira za titaniyamu pamilandu yolimba chifukwa ndizolimba kwambiri kuposa zomangira zomwe zimatha kubzalidwa ndi bioabsorbable. Zomangira za Titaniyamu zimatha kukhala ndi mphamvu zokolola pafupifupi 1130 MPa. Izi ndi pafupifupi kuwirikiza kakhumi kuposa zomangira zina zowoneka ndi bioabsorbable, monga PLA. Chifukwa chake, zomangira za titaniyamu zimapereka chithandizo champhamvu mukachifuna kwambiri.

Zomangira za bioabsorbable zimapangidwa kuchokera ku zinthu monga PLA kapena magnesium. Zomangira izi zimasweka pang'onopang'ono m'thupi. Magnesium ndi chitsulo chopepuka chomwe chimakhala champhamvu ndipo chimatha kutengeka ndi thupi. Zomangira izi zimatha kusunga zinthu m'malo mwa maopaleshoni ambiri. Zomangira zatsopano za bioabsorbable zimakhala zolimba ngati zomangira za titaniyamu, mpaka 90%. Koma, iwo sali olimba ngati zomangira zitsulo. Komabe, kafukufuku amasonyeza kuti mitundu yonse iwiri imagwira ntchito bwino kuti mawondo azikhala okhazikika pambuyo pa opaleshoni ya ACL. Palibe mavuto ambiri ndi mtundu umodzi kuposa wina.

Mapangidwe Apangidwe ndi Zatsopano

Zomangira zosokoneza zimapitilira kukhala bwino ndi mapangidwe atsopano. Zomangira tsopano zili ndi mawonekedwe osiyanasiyana, ulusi, ndi zida zomwe zimawathandiza kugwira ndikuchira bwino. Mwachitsanzo, mawonekedwe a conical kapena tapered amapangitsa kuti screw igwire mwamphamvu. Izi zimathandiza kuti phula kuti lisamangidwe. Gome ili m'munsili likuwonetsa momwe wononga mawonekedwe amasinthira mphamvu yokoka:

Maonekedwe atsopano a ulusi ndi nsonga zabwino zomangira zipangitsa kuti zikhale zosavuta kuziyika mu screw. Amapangitsanso kutenga mphamvu zochepa. Zomangira zosakanizidwa zimagwiritsa ntchito zida zamitundu yosiyanasiyana kuti zikhale zolimba komanso zotetezeka ku thupi. Titaniyamu ndi PEEK ndi zisankho zabwino chifukwa ndizotetezeka komanso zimathandiza fupa kukula. Malingaliro atsopanowa amathandiza madotolo kuti akhazikitse kumezanitsa ndikuthandiza odwala kuchira bwino.

ACL Interference Screws mu Opaleshoni

Ntchito Zomanganso za ACL

Zomangira zosokoneza za ACL zimakhala ndi ma grafts m'malo mwa opaleshoni ya ACL. Zomangira izi zimakanikiza cholumikizira ku ngalande ya fupa. Izi zimapangitsa kuti zitsulozo zikhale zokhazikika kuti zichiritse bwino. Kumezanitsa kumalumikizana ndi minofu yozungulira. Mutha kunyamula zomangira zachitsulo kapena bioabsorbable za opaleshoni ya ACL. Mitundu yonse iwiri imagwira ntchito bwino ndipo imapereka zotsatira zofanana.

Mukasankha zomangira zosokoneza za ACL, mukufuna kuti kumezanitsa kukhale chete. Iyenera kusasuntha pamene ikuchiritsa. Kafukufuku akuwonetsa zomangira za bioabsorbable zokhala ndi hydroxyapatite zimagwira ntchito bwino kwambiri. Samayambitsa zotsatira zoyipa. Zomangira izi ndizosankha zabwino m'malo mwa zomangira za titaniyamu. Zomangira zachitsulo ndi bioabsorbable zimalephera pamlingo womwewo. Odwala amachita chimodzimodzi ndi mtundu uliwonse.

Nthawi zina, madokotala amagwiritsa ntchito zida zosinthira zoyimitsidwa. Zidazi zimaperekanso zotsatira zabwino ndikusunga bondo lokhazikika. Mlingo wolephera ndiwotsika, monga zida zina. Zomangira zosokoneza za ACL zimapereka kulimba kwa fupa kupita ku fupa komanso kukhazikika kwa minofu yofewa. Izi zimathandiza odwala kuchira msanga ndikubwerera ku ntchito zawo.

Langizo: Onetsetsani kuti kumezanitsa ndi osachepera 20 mm mkati mwa fupa. Izi zimathandizira kuti mbewuyo ikhale yolimba komanso kuchira bwino.

Ntchito Zina za Ligament Fixation

Zopangira zosokoneza sizongopanga opaleshoni ya ACL. Madokotala amawagwiritsa ntchito pokonza mitsempha ina, monga PCL ndi MPFL. Zomangira izi zimathandiza kukonza minyewa ndi minofu yofewa m'malo ambiri. Amagwira ntchito pokonzanso fupa ndi fupa komanso kukonzanso minofu yofewa kupita ku fupa.

Ligament Fixation System yolembedwa ndi XC Medico ili ndi zatsopano pa maopaleshoni awa. Imagwiritsa ntchito PEEK, yomwe ili yotetezeka kwa thupi ndipo siyimayambitsa zoyipa. Zomangira zimabwera mosiyanasiyana kuti zigwirizane ndi zosowa zosiyanasiyana. PEEK zomangira madokotala amawona zithunzi zomveka pambuyo pa opaleshoni. Zimakhala zosavuta kuziyika, zomwe zimasunga nthawi mu chipinda cha opaleshoni. Dongosololi ndi lotetezeka pakuwunika kwa MRI, kotero madokotala amatha kuyang'ana machiritso popanda mavuto.

Nayi tebulo lomwe lili ndi zofunikira za Ligament Fixation System yolembedwa ndi XC Medico:

Madokotala amagwiritsa ntchito zomangira zosokoneza m'maopaleshoni ambiri a ACL. Zomangira za bioabsorbable ndizofala kwambiri zogwirira ntchito ku tibia. Odwala ena, makamaka othamanga achichepere, amatha kumva kuwawa komwe kuli screw. Ma cysts amatha kupanga mpaka 5% ya milandu pambuyo pa opaleshoni ya ACL yokhala ndi zomangira zomwe zimatha kutulutsa. Izi zimachitika chifukwa thupi limakhudzidwa ndi screw, kotero madokotala amawona odwala mosamala.

Madokotala amasankha zomangira zosokoneza chifukwa zimagwira ntchito bwino pamaopaleshoni ambiri a ligament ndi minofu yofewa. Amakhulupirira zomangira izi kuti zigwire mwamphamvu kumezanitsa ndikuthandizira odwala kuchira bwino.

Kusankha Zosokoneza Zosokoneza

Kusankha Zinthu ndi Kukula

Mukasankha zomangira zosokoneza, muyenera kuganizira zakuthupi ndi kukula kwake. Chophimba choyenera chimathandiza odwala kuchira bwino. Kugwirizana kwakuthupi ndikofunikira pamitumbo yathupi. Mukufuna kuletsa zochita zoipa kuti zisachitike. Zida zomwe zimagwiritsidwa ntchito ndi biocompatible, monga ma polima osunthika kapena titaniyamu, zimagwiritsidwa ntchito nthawi zambiri. Zida zimenezi zimathandiza kuti thupi likhale lotetezeka.

Muyeneranso kuyang'ana zomangira zopangidwa ndi makina olondola. Izi zikutanthawuza kuti screw imakwanira bwino ndipo imagwira mwamphamvu kumezanitsa. Kukwanira bwino kungapangitse kuti opaleshoni igwire bwino.

Kukula kwa screw ndikofunikira, nawonso. Zokulirapo zokulirapo zimapatsa mphamvu zambiri zokhazikika. Izi zimathandiza kuti kumezanitsa kukhalabe pamalo. Tebulo ili m'munsiyi likuwonetsa momwe screw size imasinthira zotsatira:

Malingaliro Odwala ndi Opaleshoni

Muyenera kuganizira za wodwala aliyense posankha zomangira. Ubwino wa mafupa ndi wofunikira kwambiri. Ngati wodwala ali ndi mafupa olimba, mutha kugwiritsa ntchito zomangira zosiyana ndi zofowoka. Mulingo wantchito ukufunikanso. Othamanga angafunike zomangira zolimba.

Nali tebulo lokuthandizani kudziwa zoyenera kuyang'ana:

Kufananiza screw ndi opaleshoni ndikofunikira kwambiri. Kafukufuku akuwonetsa kuti screw yoyenera imathandizira odwala kuchira mwachangu komanso bwino. Mutha kuthandiza odwala poyang'ana tsatanetsatane wa vuto lililonse. Njira yosamalayi imakuthandizani kuti mupereke chisamaliro chabwino kwambiri pa maopaleshoni a acl ndi ma ligament ena.

Kuopsa ndi Chitetezo

Zovuta Zomwe Zingachitike

Madokotala akamagwiritsa ntchito zomangira zosokoneza, ayenera kuyang'ana zovuta. Mavutowa amatha kusintha momwe maopaleshoni monga acl amagwirira ntchito. Mavuto ena omwe amapezeka kawirikawiri ndi awa:

• Chophimbacho chikhoza kuthyoka.

• Thupi limatha kuchitapo kanthu ndikupsa.

• Kumezanitsa kumatha kudulidwa.

• Zomangira sizingakhale pamalo oyenera kapena zothina mokwanira.

Pafupifupi 1 mwa odwala 10 aliwonse angakhale ndi zizindikiro pambuyo pa opaleshoni. Pafupifupi 5% ya odwala amafunika opaleshoni ina kuti athetse mavutowa. Anthu ambiri amathanso kusewera masewera pambuyo pochotsa screw. Zomangira zimatha kumasuka kapena kusweka ngati pakuyenda kwambiri kapena kupsinjika. Izi zitha kupangitsa kuti wononga. M'maphunziro ena, zomangira zidachoka pamalo ake mpaka 16.9% ya milandu. Zomangira zomwe zimayikidwa pamakona zimasunthidwa kuposa zomangira zowongoka.

Zindikirani: Mwayi wamavuto ukhoza kusintha ndi mtundu wa screw komanso momwe opaleshoni imachitikira.

Chitetezo ndi Njira Zabwino Kwambiri

Madokotala amatha kuchepetsa ngozi potsatira malamulo otetezeka komanso zizolowezi zabwino. Nawa maupangiri othandizira kupeza zotsatira zabwino ndi zomangira zosokoneza:

• Sankhani wononga kukula ndi chuma kwa wodwala aliyense.

• Ikani wononga mosamala kuti kumezanitsa zisavulale.

• Onetsetsani kuti kumezanitsa ndi osachepera 20 mm mkati mwa fupa.

• Yang'anani odwala kuti muwone zizindikiro zosonyeza kuti wononga kapena wasuntha pambuyo pa opaleshoni.

Madokotala ayeneranso kuyang'anira zochitika zilizonse zoyipa ndikuwunika odwala pafupipafupi. Zomangira zonse za bioabsorbable ndi zitsulo zimagwira ntchito mofanana pa ululu, kuyenda, komanso momwe olumikizira amagwirira ntchito. Ngati chomangira chathyoka ndikuchiyika, sichimayambitsa vuto nthawi zonse, koma madokotala amayenera kuyang'anitsitsa wodwalayo.

Langizo: Kukonzekera mosamala ndi kulabadira mwatsatanetsatane kumathandiza kuchepetsa ziwopsezo komanso kupangitsa zotsatira za odwala kukhala zabwinoko mukamagwiritsa ntchito zomangira zosokoneza.

Mumagwiritsa ntchito zomangira zosokoneza kuti ma graft asasunthike mu opaleshoni ya acl ndi ligament. Kafukufuku akuwonetsa zomangira za bioabsorbable ndi makina atsopano amathandiza odwala kuchira bwino pambuyo pokonza ma acl. Ligament Fixation System yolembedwa ndi XC Medico imapereka chithandizo champhamvu, imathandizira machiritso, ndikuchepetsa mavuto. Madokotala ambiri amawona mphamvu zolumikizana bwino komanso zotsatira zabwino zanthawi yayitali ndi dongosololi.

• XC Medico imatsatira malamulo apamwamba kwambiri.

• Mumalandila mwachangu ndikuthandizidwa ndi mafunso.

• Dongosolo limakuthandizani kuti mupeze zotsatira zabwino kwa odwala anu.

Sankhani XC Medico ngati kampani yanu yodalirika yolumikizira zomangira ndi zinthu zina.

FAQ

Kodi cholinga chachikulu cha screw yosokoneza ndi chiyani?

Mumagwiritsa ntchito wononga zosokoneza kuti mugwire mwamphamvu kumezanitsa mumsewu wa fupa. Izi zimapangitsa kumezanitsa kukhala kokhazikika panthawi ya machiritso. Zowononga zimathandiza kuti ligament yatsopano igwirizane ndi fupa.

Kodi mungasankhire bwanji screw yopingasa kukula koyenera?

Mumafananiza kukula kwa screw ndi njira yolumikizira mafupa ndi mafupa. Chophimba chokulirapo chimapereka mphamvu zambiri. Nthawi zonse fufuzani ubwino wa mafupa a wodwalayo ndi mtundu wa opaleshoni yomwe mukukonzekera.

Kodi zomangira za bioabsorbable ndizotetezeka kwa odwala onse?

Zomangira za bioabsorbable ndizotetezeka kwa odwala ambiri. Muyenera kuyang'ana ziwengo kapena matenda apadera. Zomangira izi zimawonongeka m'thupi pakapita nthawi.

Kodi mungagwiritse ntchito zomangira zosokoneza pa maopaleshoni ena kupatula kumanganso ACL?

Inde, mutha kugwiritsa ntchito zomangira zosokoneza pokonzanso ligament, monga maopaleshoni a PCL kapena MPFL. Amathandizanso kukonza minofu yofewa m'njira zambiri za mafupa.