Chifukwa chiyani Cortical Button Fixation Imakhala Yofunika Nthawi Zonse Pamachiritso

Kukhazikika kwa batani la Cortical kumathandizira kulumikiza minofu yofewa ndi fupa. Amagwiritsidwa ntchito mu opaleshoni ya mafupa . Njirayi ndi yamphamvu ndipo imathandiza kuchiritsa. Madokotala ochita opaleshoni amachikhulupirira chifukwa chimagwira ntchito bwino. Madokotala amagwiritsa ntchito njirayi mu 3.4% mwa maopaleshoniwa. Mukasankha ma implants opangira opaleshoni kuchokera ku XCmedico, mumapeza uinjiniya wabwino. Mumapezanso zotsatira zomwe mungakhulupirire. Gome ili m'munsili likuwonetsa momwe kukonza batani la cortical kumafananizira ndi njira zina. Imawonekera pakulemetsa-kulephera komanso kupsinjika:

Zofunika Kwambiri

• Kukhazikika kwa batani la Cortical kumathandizira kwambiri minofu yofewa kupita ku fupa. Izi zimathandiza kuti machiritso azikhala bwino.

• Izi zimachepetsa mwayi wamavuto pambuyo pa opaleshoni. Kumatanthauza maopaleshoni ochepa pambuyo pake komanso kuchira kotetezeka.

• Odwala amachira mwachangu ndipo amakhala okhazikika olumikizana bwino ndi cortical button fixation. Izi ndi zabwino kuposa njira zakale.

• Madokotala ochita opaleshoni amakonda kukonza batani la cortical chifukwa ndikolondola komanso kumagwira ntchito bwino. Zimapanga zipsera zing'onozing'ono ndikuchepetsa chiopsezo cha matenda.

• Kutola ma implants abwino , monga ochokera ku XCmedico, kumathandiza kuti njirayi igwire ntchito bwino. Zimathandizanso machiritso kukhala abwino kwambiri.

Cortical Button Fixation Kufotokozera

Kodi Batani la Cortical ndi Chiyani?

Bokosi la cortical ndi chipangizo chaching'ono, cholimba chomwe chimathandiza kumangirira minofu yofewa, monga tendon kapena ligament, ku fupa. Mudzaziwona zikugwiritsidwa ntchito m'maopaleshoni ambiri a mafupa. Batani limakhala pagawo lolimba lakunja la fupa, lotchedwa cortex. Madokotala amachigwiritsa ntchito chifukwa chimasunga minofu pamalo pomwe thupi lanu likuchiritsa.

Kapangidwe ka batani la cortical ndi kosavuta koma kothandiza. Imawoneka ngati mbale yaying'ono yokhala ndi mabowo a sutures. Ma sutures awa amalumikiza minofu ndi batani. Batani limafalitsa mphamvu pamalo ambiri, zomwe zimathandiza kuti minofu isatuluke. Mabatani ambiri a kortical amapangidwa kuchokera ku zinthu zolimba, monga titaniyamu kapena zitsulo zotha kusuntha. Zida izi zimapereka batani mphamvu yayikulu ndikupangitsa kuti ikhale yotetezeka ku thupi lanu.

Mutha kuwona momwe kapangidwe kake ndi zida zimasinthira:

• Batani la cortical suspensory limatha kunyamula katundu wokwera kwambiri musanathyoke poyerekeza ndi zida zina.

• Ili ndi kuuma kwakukulu, zomwe zikutanthauza kuti imagwira minofu mwamphamvu.

• Zitsulo zomwe zimagwiritsidwa ntchito m'mabatani ena zimatha kuwonongeka pang'onopang'ono m'thupi lanu, kukusungani otetezeka ndikuthandizira machiritso.

Momwe Cortical Button Fixation imagwirira ntchito

Cortical button fixation ndi njira yomwe imagwiritsa ntchito batani kuti ateteze minofu ku fupa. Mungaganizire ngati nangula wamphamvu. Dokotalayo amalumikiza minofuyo kudzera pa batani, kenako amakokera kudzera mumsewu waung'ono m'fupa. Batani limakhala kunja kwa fupa, kutseka minofu m'malo mwake.

Njirayi imakupatsani zabwino zingapo za biomechanical:

• Mumakhala omasuka pang'ono mu olowa anu pambuyo opaleshoni.

• Mukhoza kubwerera ku masewera ndikugwira ntchito ndi ululu wochepa.

• Minofuyo imachiritsa mozungulira ngalandeyo, kupangitsa kukonzako kukhala kolimba.

Nayi tebulo lomwe likuwonetsa mayeso akulu a biomechanical omwe amagwiritsidwa ntchito kuwunika momwe ma cortical batani amagwirira ntchito:

Maphunziro ambiri amayerekeza kukonza mabatani a cortical ndi njira zina. Nkhani imodzi yodziwika bwino imayang'ana momwe imagwirira ntchito Opaleshoni ya ACL . Zotsatira zikuwonetsa kuti njirayi imapereka chithandizo chabwinoko ndikukuthandizani kuchira mwachangu.

Mudzapezanso kuti mayiko osiyanasiyana ali ndi malamulo awo a zipangizozi. Ku North America, malamulo ndi okhwima komanso omveka bwino. Ku Europe, malamulowa amakhudza mayiko onse koma amatha kukhala osiyana m'malo aliwonse. Ku Asia, muyenera kugwira ntchito ndi akatswiri amderalo kuti atsatire malamulowo.

Langizo: Ngati mukufuna kukonza mwamphamvu komanso kodalirika, funsani dokotala wanu za opaleshoni ya cortical button fixation. Amadaliridwa ndi madokotala ambiri chifukwa cha chitetezo ndi mphamvu zake.

Kugwiritsa Ntchito Opaleshoni ya Cortical Button Fixation

Pang'onopang'ono Njira Yopangira Opaleshoni

Madokotala ochita opaleshoni amatsatira mosamala njira yokonza batani la cortical. Choyamba, dokotala amadula pang'ono pafupi ndi cholumikizira chanu. Kenako, dokotalayo akubowola ngalande m’fupa lanu. Njirayi imatsogolera tendon kapena ligament pamalo oyenera. Kenako, dokotalayo amalumikiza tendon kapena ligament kudzera mumsewu. Batani la cortical limakhala kunja kwa fupa. Dokotala amakoka minofu mwamphamvu. Kenako, batani limatembenuzidwa kuti litseke m'malo mwake. Izi zimapangitsa kuti minofu ikhale yotetezeka pamene thupi lanu likuchira.

XCmedico's 2.7/3.5/4.5 mm Cortical Screw Full-threaded imathandiza pa maopaleshoni awa. Dokotala amagwiritsa ntchito zomangira izi kuti agwire batani ndi minofu mwamphamvu. Mapangidwe amtundu wonse amapereka mphamvu yogwira. Zimathandizira kukonza kukhala kokhazikika. Mumamva kupweteka pang'ono ndikuyenda bwino pambuyo pa opaleshoni chifukwa kukonzanso kumakhala kolimba.

Njira Wamba ndi Ntchito

Cortical button fixation imagwiritsidwa ntchito m'maopaleshoni ambiri a mafupa. Chogwiritsidwa ntchito kwambiri ndi in kukonzanso kwa mtsempha wamtundu wa anterior cruciate . Madokotala ochita opaleshoni amagwiritsa ntchito njirayi kuti agwirizane ndi ligament yatsopano pabondo lanu. Batani limagwira kumezanitsa pamalo pomwe thupi lanu likuchiritsa. Kuwonongeka kwa mabatani a chikazi panthawi yomanganso ligament ya anterior cruciate ligament kunachitika mwa odwala 3.5% okha. Izi zikuwonetsa kulondola kwakukulu.

Mudzawonanso njira iyi pakukonza kwina:

• Anterior cruciate ligament reconstruction chifukwa cha kuvulala kwa mawondo

• Distal biceps tendon kukonza kwa kuvulala kwa chigongono

• Kukonzekera kwakukulu kwa tendon ya Pectoralis kwa kuvulala kwa mapewa

• Njira ya Latarjet pakusakhazikika kwa mapewa

Njira ya Latarjet idagwiritsapo ntchito zomangira m'mbuyomu, koma kafukufuku watsopano akuwonetsa kuti kukonza batani la cortical suture kumatha kuchepetsa mavuto kuchokera pakuyika wononga.

Kafukufuku wa distal biceps tendon kukonza akuwonetsa kuti intramedullary cortical button fixation imapereka chithandizo champhamvu kuposa njira zakale.

Madokotala amasankha njirayi chifukwa imapereka chithandizo champhamvu. Zimakuthandizani kuti mubwerere kuntchito mwachangu. Mutha kudalira ma implants a XC medico kuti apereke kukhazikika kofunikira pakukonza bwino.

Ubwino Wochiritsa wa Cortical Button Fixation

Kukhazikika ndi Kuchira

Mukufuna kuti mgwirizano wanu ukhale wolimba pambuyo pa opaleshoni. Kukhazikika kwa batani la Cortical kumathandizira kuti ikhale yolimba. Njirayi imasunga minofu yanu kuti ichiritse. Batani limapereka chithandizo chabwino cha tendon kapena ligament yanu. Imagwira mwamphamvu minofu motsutsana ndi fupa. Izi zimapangitsa kukonza kwanu kukhala kokhazikika, ngakhale mutasuntha olowa.

Madokotala ambiri amawona kuti kukonza batani la cortical kumapangitsa kuti sutures ikhale yolimba. Batani silimatambasula kapena kumasuka mosavuta. Kukonza kwanu kumakhalabe kolimba pamene mukuchiritsa. Mutha kukhulupirira kuti olowa anu sakhala ofooka kapena omasuka.

Odwala nthawi zambiri amachira msanga pogwiritsa ntchito njirayi. Mwachitsanzo, anthu omwe ali ndi distal biceps tendon kukonza pogwiritsa ntchito chipangizo cha ToggleLoc TM anamva bwino m'miyezi iwiri. Amatha kusuntha mkono wawo ndikuchita zinthu zatsiku ndi tsiku mwachangu. Kuyenda kwa tendon musanayambe opaleshoni sikunasinthe zotsatira zabwino. Mutha kuyembekezera kuchira kosalala komanso mgwirizano wamphamvu.

Nali tebulo lomwe likuwonetsa momwe odwala amamvera atachitidwa opaleshoni:

Odwala ambiri amanena kuti amamva kupweteka pang'ono ndikuyenda bwino. Pafupifupi odwala onse amafika pachiwopsezo chomwe chili chofunikira kwa iwo.

Langizo: Ngati mukufuna kubwereranso kumasewera kapena kugwira ntchito mwachangu, funsani dokotala za kukonza batani la cortical. Njirayi imakuthandizani kuchira mwachangu komanso kuyenda bwino.

Kuchepetsa Mavuto

Mukufuna kuti opaleshoni yanu ikhale yotetezeka. Kukonza batani la Cortical kumachepetsa chiopsezo cha mavuto pambuyo pa opaleshoni. Mavuto omwe amapezeka kwambiri ndi kuvulala kwa mitsempha, kukula kwa mafupa owonjezera, ndi kuphulika kwa tendon. Izi zimachitika kawirikawiri ndi njira iyi kusiyana ndi zina.

Madokotala adapeza kuti kuchuluka kwamavuto ndikotsika kwambiri ndi kukonza batani la cortical. Mwachitsanzo, 0% ya odwala anali ndi vuto ndi njirayi, poyerekeza ndi 26.4% ndi anangula a suture ndi 44.8% ndi zomangira za intraosseous. Simungathe kukhala ndi vuto mutatha kukonza.

Nali tebulo lofanizira kuchuluka kwa kubwereza ndi kuyambiranso:

Njira zonsezi zili ndi mitengo yotsika, koma kukonza zomangira kumakhala ndi zovuta zambiri monga kuvulala kwa mitsempha ndi matenda. Kukonzekera kwa batani la Suture kumabweretsa kuyambiranso kochepa chifukwa pali zovuta zochepa zoyikapo.

Mumachitidwa opareshoni yotetezeka komanso mwayi wochepera wofuna opaleshoni ina. Odwala ambiri safuna kuchitidwa opaleshoni yachiwiri, ndipo alibe vuto ndi kusakhazikika kapena matenda. Mutha kutsimikiza kuti kukonza kwanu kudzatha.

Zindikirani: Nthawi zonse lankhulani ndi dokotala wanu wa opaleshoni za njira yabwino kwambiri yovulazira. Kukonzekera kwa batani la Cortical kumapereka chithandizo champhamvu komanso kuchira kotetezeka kwa kukonzanso kwa tendon ndi ligament.

Kufananiza Kukonzekera Njira

Cortical Button vs. Traditional Techniques

Mutha kudabwa momwe kukonza batani la cortical kumayenderana ndi njira zakale. Njira zachikhalidwe gwiritsani ntchito zomangira kapena anangula pochita opaleshoni yotsegula . Izi zakhala zikuchitika kwa nthawi yayitali. Amatha kugwira ntchito, koma amabweretsa zoopsa zambiri. Opaleshoni yotsegula nthawi zambiri imatanthauza kupweteka kwambiri komanso kuchiritsa kwanthawi yayitali. Nthawi zina, zomangira zimafunika kuchotsedwa pambuyo pake. Izi zikutanthauza kuti mungafunike kuyendera chipatala kwina.

Kusintha kwa batani la Cortical sikusokoneza. Madokotala amapanga mabala ang'onoang'ono ndikugwira ntchito moyenera. Pomanganso anterior cruciate ligament reconstruction, kafukufuku amawonetsa mavuto ochepa ndi mabatani a cortical kuposa opaleshoni yotseguka. Mumapeza chithandizo champhamvu cha tendon yanu ndikuchiritsa popanda chiopsezo chochepa. Madokotala anayerekeza mabatani osinthika a loop cortical, zida za loop osakhazikika, ndi zomangira zachitsulo. Adapezanso mitengo yofananira ya ACL pazaka ziwiri ndi zisanu. Izi zikutanthauza kuti mumachiritsa bwino, ziribe kanthu kuti chipangizocho chikugwiritsidwa ntchito.

Kafukufuku wina adawona mtengo ndi kuchira. Kukonzekera kwa tendon suture kungapulumutse ndalama poyerekeza ndi kukonza wononga. Mutha kuyenda ndikuchita zinthu zatsiku ndi tsiku posachedwa. Odwala omwe ali ndi tendon suture fixation anali ndi ululu wochepera miyezi itatu atachitidwa opaleshoni. Amatha kusuntha mwendo wawo mwachangu.

Ubwino Wapadera kwa Madokotala Ochita Opaleshoni ndi Odwala

Mumapindula mwapadera dokotala wanu akamagwiritsa ntchito batani la cortical. Chipangizocho chimagwira minofu yanu molimba ku fupa. Izi zimathandiza kukonza kwanu kukhala kolimba. Madokotala ochita opaleshoni amakonda kuwongolera ndi kulondola njira iyi imapereka. Mumakhala ndi chipsera chocheperako ndikuchepetsa chiopsezo chotenga matenda.

XCmedico's 2.7/3.5/4.5 mm Cortical Screw Full-threaded imawonjezera phindu. Zomangira izi zimakwanira mafupa ambiri. Dokotala wanu akhoza kusankha yabwino kwa inu. Mapangidwe a ulusi wonse amagwira fupa mwamphamvu. Izi zimasunga batani ndi minofu pamalo ake. Mumachiritsa mwachangu chifukwa wonongayo imathandiza fupa ndi tendon kukula limodzi. Titaniyamu aloyi sachita dzimbiri ndipo ndi otetezeka m'thupi lanu. Simuyenera kudandaula za kusweka kwa screw kapena kuyambitsa vuto.

Langizo: Funsani dokotala wanu ngati batani la cortical ndi screw-threaded screw ndi zabwino pakupanganso ligament yanu yam'mbuyo. Mutha kuchiza mwachangu ndikumva kukhala amphamvu ndi kukonza kwapamwamba uku.

Zotsatira Zenizeni Zapadziko Lonse

Umboni Wakuti Machiritso Awongoleredwa

Mutha kudabwa ngati kukonza batani la cortical kumathandizadi anthu kuchiritsa. Kafukufuku wambiri amati njirayi imapereka zotsatira zamphamvu komanso zokhalitsa. Odwala nthawi zambiri amakhala okondwa pambuyo pa opaleshoni yawo. Mutha kubwereranso kumasewera ndi moyo watsiku ndi tsiku mosavuta. Madokotala amawona kukhazikika kokhazikika pakuvulala ngati fractures ya Lisfranc. Izi zikutanthauza kuti olowa anu amakhalabe pamalo pomwe mukuchiritsa.

• Kukonzekera kwa batani la Suture kumakuthandizani kuti mubwerere ku zomwe mumakonda.

• Mutha kuyembekezera mwayi waukulu woseweranso masewera, ngakhale patapita zaka zambiri.

• Njira ya arthroscopic cortical-batani ya Latarjet ili ndi 95% kubwerera kumasewera pafupifupi zaka zisanu ndi chimodzi.

Ngati mukufuna kukonza tendon, mutha kukhulupirira njira iyi. Maphunziro a distal biceps tendon kukonza amawonetsa zotsatira zabwino kuchokera kwa odwala. Anthu amabwereranso pafupifupi mphamvu zawo zonse za mkono ndi kuyenda. Odwala ambiri amati moyo wawo umakhala bwino pambuyo pa opaleshoni. Mutha kutsimikiza kuti kuchira kwanu kudzakhala kolimba komanso kokhazikika.

Madokotala amawonanso zovuta zochepa ndi njirayi. Munjira ya Latarjet, palibe odwala omwe ali ndi batani la cortical omwe amafunikira opaleshoni ina. Koma odwala ena omwe anali ndi screw fixation anali ndi vuto la hardware. Mlingo wa mgwirizano wa graft ndiwokwera kwambiri ndi mabatani a cortical. Izi zikutanthauza kuti fupa lanu limachira bwino.

Nkhani Zakupambana ndi Kusankha kwa Opereka

Mukufuna mwayi wabwino kwambiri wochira bwino komanso wamphamvu. Zochitika zenizeni zikuwonetsa kuti kukonza batani la cortical kumachepetsa chiopsezo cha zovuta za Hardware. Mpaka 46% ya odwala omwe ali ndi screw fixation anali ndi zovuta, koma mlingowo ndi wotsika kwambiri ndi mabatani a cortical. Mumapeza zotsatira zabwinoko ndipo simudandaula kuti mukufunika opaleshoni ina.

Mukasankha wogulitsa, muyenera kuyang'ana:

• High biocompatibility ndi mphamvu zamakina

• Ma implants omwe ndi osavuta kugwiritsa ntchito komanso olingana ndi zosowa zanu

• Yang'anani kulimba kwamphamvu komanso kufanana bwino ndi minofu yanu

• Zogulitsa zochokera kumakampani olembetsedwa ndi FDA kapena ISO-certified

• Chotsani mbiri yotsekereza ndi kutsatira

XCmedico imakwaniritsa izi. Mumapeza kukhazikika kwa batani la cortical komwe kumakuthandizani kuchiritsa. Madokotala ochita opaleshoni khulupirirani XC medico pazabwino, chitetezo, komanso kutumiza mwachangu. Mutha kumva otetezeka podziwa kuti implant yanu imachokera ku kampani yodalirika.

Kusankha implant yoyenera ndi kukupatsirani ndikofunikira kuti muchiritse. Ndi XCmedico, mumadzipatsa mwayi wabwino kuti muchiritse bwino.

Mutha kudalira kukonza batani la cortical kuti muchiritsidwe mwamphamvu. Zimapereka zotsatira zomwe mungakhulupirire. Kafukufuku watsopano akuwonetsa kuti mutha kugwiritsa ntchito graft yokhuthala. Njirayi imalepheretsanso ngalande yomwe ili m'mafupa anu kuti isakule.

• Mumataya mafupa ochepa ndi zida izi. Kuchiritsa kuli bwino komanso mwachangu.

• Madokotala safunika kuchita maopaleshoni owonjezera nthawi zambiri.

Sankhani XCmedico kuti mupeze mayankho anzeru ndi chithandizo chokhazikika mukamachira.

FAQ

Kodi kukonza batani la cortical ndi chiyani?

Kukhazikika kwa batani la Cortical kumagwirizanitsa minofu yofewa ndi fupa. Zimathandizira kulumikiza tendons kapena ligaments. Njira iyi imapereka chithandizo champhamvu. Thupi lanu limachira bwino pambuyo pa opaleshoni.

Kodi batani la suture limathandizira bwanji kuchira?

Batani la suture limapangitsa kuti minofu ikhale yolimba pa fupa. Izi zimapangitsa kukonza kukhazikika. Mumachira msanga chifukwa minofu imakhala pamalo ake. Maselo atsopano amatha kukula pamene akufunikira.

Kodi kukonza batani la cortical ndikwabwino pakuvulala kwa anterior cruciate ligament?

Inde, madokotala amagwiritsa ntchito kuvulala uku. Mumapeza chithandizo champhamvu komanso mavuto ochepa. Anthu ambiri amabwerera ku masewera ndi moyo wa tsiku ndi tsiku mofulumira.

Kodi zopindulitsa zazikulu za kukonza batani la cortical ndi chiyani?

Mumapeza chithandizo champhamvu komanso kupweteka kochepa. Kuchira ndikofulumira. Kachipangizo kakang'ono kamachepetsa mwayi wanu wochita opaleshoni ina. Gulu lanu limakhala lokhazikika komanso lotetezeka.

Kodi kuchira kumatenga nthawi yayitali bwanji mukakonza batani la cortical?

Anthu ambiri amasuntha olowa awo atangomaliza opaleshoni. Mutha kuchita zinthu zabwinobwino pakatha milungu kapena miyezi. Dokotala wanu adzakupatsani dongosolo la machiritso otetezeka.