Cortical Button Fixation: Ntchito, Mitundu ndi Zowopsa

Malangizo amankhwala amasewera | Cortical suspensory fixation

Kukonza batani la Cortical ndi njira yoyimitsira yoyimitsidwa yomwe imagwiritsidwa ntchito posankha ligament ndi njira zomanganso tendon. Batani limakhazikika motsutsana ndi fupa la cortical ndipo limagwira ntchito ndi suture loop yokhazikika kapena yosinthika kuti isungitse zomangira zomwe zakonzedwa kapena minofu yofewa. Chipangizochi chimapereka kukonzanso kwamakina pomwe machiritso achilengedwe akukula, koma sizimatsimikizira kuchira mwachangu, zovuta zochepa kapena kubwereranso koyambirira kumasewera.

Kapangidwe ka suspensory Batani la kortical, loop, graft kapena suture ndi ngalande yokonzekera mafupa amagwira ntchito limodzi ngati kumanga.

Umboni weniweni wa ndondomeko Zotsatira za kumangidwanso kwa ACL sizingagwiritsidwe ntchito ku distal biceps, ankle syndesmosis kapena mapewa.

Palibe mtundu wa Lupu wapadziko lonse wa chipangizo , kukula kwa mabatani, kumezanitsa, tunnel, mtundu wa mafupa, njira yokhazikitsira ndi kulemba zovomerezeka zonse zimakhudza kusankha.

Chipangizo chowongolera batani la Cortical chomwe chimagwiritsidwa ntchito pomanganso ligament — Machitidwe a mabatani a Cortical amasiyana ndi mabatani a geometry, mapangidwe a loop, mapangidwe a suture, zida ndi maopaleshoni olembedwa.

Kodi Cortical Button Fixation ndi chiyani?

Kukhazikika kwa batani la Cortical, komwe kumatchedwanso cortical suspensory fixation, kumagwiritsa ntchito batani laling'ono loyimitsidwa motsutsana ndi fupa lakunja lolimba la fupa. Kumanga kwa loop kapena suture kumagwirizanitsa batani ku tendon graft, ligament graft kapena kukonzanso minofu yofewa. Ikayikidwa pamalo omwe akuyembekezeredwa, bataniyo imapereka malo othandizira a cortical pakumanga koyimitsidwa.

Pakumanganso kwa ACL, mwachitsanzo, batani la femoral cortical litha kuthandizira kumezanitsa mkati mwa socket kapena ngalande yachikazi. Machitidwe ena mabatani amapangidwira zigawo zosiyanasiyana za anatomical ndi machitidwe. Zogulitsazi sizisinthana chifukwa zimagawana mawonekedwe ofanana.

Zigawo Zazikulu za Cortical Button Construct

Bokosi la Cortical Implant yaing'ono yopangidwa kuti ipumule motsutsana ndi fupa la cortical ndikugawa mphamvu molingana ndi kapangidwe kake.

Lupu kapena suture kupanga Kulumikizana kwautali wokhazikika kapena kosinthika pakati pa batani ndi kumezanitsa kapena minofu yokonzedwa.

Kumezanitsa kapena minofu yofewa Minofu yachilengedwe yomwe ikumangidwanso kapena kukonzedwa, yokonzedwa motsatira njira yomwe yasankhidwa.

Bone tunnel kapena socket Njira ya fupa yokonzedwa kapena socket yomwe ma graft ndi zida zotumizira zimayambitsidwa.

Kudutsa ma sutures Sutures omwe amagwiritsidwa ntchito kutsekereza, kuwongolera, kutumiza kapena kukakamiza kumanga molingana ndi dongosolo.

Zida zodzipatulira Zobowola, maupangiri, ma geji akuya, zida zodutsa ndi zida zolimbikitsira zomwe zimagwirizana ndi dongosolo losankhidwa.

Cortical Button vs Cortical Screw

Bokosi la cortical silofanana ndi screw bone ya cortical. Sirawu yokhazikika ya cortical imagwiritsa ntchito ulusi kuti ilumikizane ndi fupa ndipo nthawi zambiri imalumikizidwa ndi kuthyoka kapena kupanga mbale. Batani la cortical nthawi zambiri limapereka kukhazikika koyimitsidwa kudzera pa batani-ndi-loop kapena batani-ndi-suture kumanga.

Musasokoneze mankhwala: 2.7, 3.5 kapena 4.5 mm cortical bone screw siyenera kufotokozedwa ngati gawo lofunika lachizoloŵezi cha ACL cortical fixation pokhapokha ngati ndondomeko yovomerezeka yeniyeni ndi njira ya opaleshoni ikuphatikiza.

Fixed-Loop vs Adjustable-Loop Cortical Mabatani

Zipangizo za femoral cortical suspension zomwe zimagwiritsidwa ntchito pomanganso ligament nthawi zambiri zimakambidwa ngati makina okhazikika kapena osinthika. Kusiyanitsa kumakhudza kukonzekera kwa graft, tunnel kapena socket plan, kutumizira ndi kusuntha kwa ntchito.

Chipangizo chokhazikika

Lupu ili ndi utali wodziwikiratu. Kuya kwa ngalande, kutalika kwa kumezanitsa ndi mabatani ayenera kukonzedwa mozungulira gawo lokhazikikalo.

Chida chosinthika-lopu

Kutalika kwa loop kumatha kusinthidwa panthawi ya ndondomeko mkati mwa malire ndi njira ya dongosolo linalake, kulola kuti graft ipitirire patsogolo kapena kugwedezeka pambuyo pa kutumizidwa kwa batani.

Zomwe Mayeso a Laboratory Amayesa

Kuwunika kwa biomechanical kumatha kuwonetsa kusamuka kwapang'onopang'ono, kutalika kwa loop, kuuma, kuchuluka kwa zokolola ndi kulemetsa kulephera. Mayeserowa amathandizira kuwonetsa kachitidwe ka chipangizocho pansi pa protocol yofotokozedwa ya labotale, koma zotsatira zake zimatengera kuyeserera, chitsanzo, komwe amakwezera, kutsitsa, mayendedwe apanjinga ndi pomaliza.

Kuchulukirachulukira kwa kulephera kwapang'onopang'ono mu kafukufuku wa labotale sikuwonetsa machiritso othamanga a tendon-to-fupa kapena kulephera kutsika kwachipatala. Zotsatira za labotale ziyenera kuganiziridwa pamodzi ndi umboni wachipatala komanso kumanga kwathunthu kwa opaleshoni.

Zimene Umboni Wachipatala Umasonyeza

Kuwunika mwadongosolo kwa zida zosinthira zosinthika za femoral cortical suspension zidapeza kusiyana pakati pa labotale ndi zomwe zapezedwa zachipatala: kafukufuku wambiri wa labotale adanenanso za kutalika kwa loop pansi pa cyclic loading, pomwe maphunziro azachipatala omwe adawunikiridwa sanawonetse kusiyana koonekeratu pakati pamagulu osinthika ndi okhazikika mu bata, mawondo kapena kulephera kwa graft. Olembawo adayitanitsa mayesero azachipatala amphamvu kwambiri.

Chifukwa chake, palibe gulu la loop lomwe liyenera kufotokozedwa kuti ndilopambana padziko lonse lapansi. Kusankhidwa kuyenera kuwerengera dongosolo la kumezanitsa, njira ya ngalande, malangizo a chipangizocho, kudziwana ndi madokotala ndi umboni wofunikira wachipatala.

Fixed-loop ndi chosinthika-loop cortical kuyimitsidwa fixation zipangizo — Zipangizo zokhazikika komanso zosinthika za loop zimagwiritsa ntchito kukonzekeretsa kosiyanasiyana ndi kukanikiza kachitidwe; kuyenerera kwachipatala kumadalira ndondomeko yonse yomanganso.

Kugwiritsa Ntchito Opaleshoni Yodziwika ya Cortical Button Fixation

Mapangidwe a mabatani a Cortical amagwiritsidwa ntchito m'njira zingapo za mafupa, koma chizindikiritso chimadalira chizindikiro cha chipangizocho. Batani lochotsedwa kapena lolembetsedwa panjira imodzi siliyenera kuganiziridwa kuti ndilololedwa pamtundu uliwonse wa tendon, ligament kapena cholumikizira.

Kukonzanso kwa ACL ndi PCL

Cortical suspensory fixation imagwiritsidwa ntchito kwambiri kumbali yachikazi ya njira zopangiranso za ACL ndipo zitha kuphatikizidwanso mu PCL yosankhidwa kapena zomanga zonse zamkati. Batani limathandizira kumezanitsa kudzera pa loop pomwe kumezanitsa kumakhala mumsewu wokonzedwa kapena socket.

Zotsatira zachipatala zimatengera zambiri kuposa batani. Udindo wa ngalande, mtundu wa kumezanitsa ndi kukonzekera, kukonza mbali zonse ziwiri, kukangana, kuvulala kogwirizana, kukonzanso ndi zinthu za odwala zonse zimathandizira. Owerenga atha kuwonanso ntchito yokulirapo ya Machitidwe osungira zosunga zobwezeretsera ACL ndi kalozera wofananira akufotokozera momwe kukonza zosunga zobwezeretsera kumathandizira kukonzanso kwa ACL.

Distal Biceps Tendon Kukonza

Machitidwe apadera a cortical batani angagwiritsidwe ntchito kuteteza tendon ya distal biceps kumtunda. Umboni wochokera ku opaleshoniyi sungathe kusamutsidwa mwachindunji ku kumangidwanso kwa ACL chifukwa matupi a anatomy, kutsitsa, kuwonetseredwa kwa opaleshoni ndi mbiri yazovuta ndizosiyana.

Ndemanga zosindikizidwa zimawonetsa zotsatira zabwino zogwirira ntchito komanso zimalongosola kuvulala kwa mitsempha, kusokonezeka kwa batani kapena kuchotsedwa, heterotopic ossification, kuphulika ndi zovuta zabala. Zowopsa izi ziyenera kuwonekabe nthawi iliyonse umboni wa distal biceps ukakambidwa.

Ankle Syndesmosis ndi Kukonza Zina Zofewa

Machitidwe osankhidwa a mabatani a suture akhoza kulembedwa kuti akhazikitse syndesmosis kapena njira zina zokometsera zofewa. Zomangamangazi nthawi zambiri zimagwiritsa ntchito mabatani awiri olumikizidwa ndi suture yamphamvu kwambiri, koma cholinga chawo cha opaleshoni ndi makina amasiyana ndi kuyimitsidwa kwa ACL yachikazi.

Ntchito zina zokhudzana ndi ndondomekoyi zingaphatikizepo kukonzanso ligament kapena tendon pamapewa, m'gongolero, phazi kapena m'bowo. Zomwe zikuwonetsa, zotsutsana ndi zida ziyenera kuyang'aniridwa kuti ziwonetsedwe zenizeni ndi msika womwe ukupita.

Latarjet ndi Njira Zina Zapadera

Kukonzekera kwa batani la Suture kwafufuzidwanso kuti coracoid graft fixation mu ndondomeko ya Latarjet. Umboni wofananira ukuwonetsa kusinthana m'malo mokulirapo konsekonse: kukonza zomangira kumatha kuwonetsa kusakhazikika kwapang'onopang'ono pamawunikidwe ena ophatikizidwa, pomwe kukonza mabatani kungawonetse kuyambiranso kocheperako kokhudzana ndi zida. Zovuta zonse ndi zotsatira zina sizingasiyane bwino.

Pazifukwa izi, deta ya Latarjet siyenera kugwiritsidwa ntchito ngati umboni wakuti mabatani a cortical nthawi zonse amakhala otetezeka, okhazikika kapena abwino kuti achiritsidwe pazochitika zosagwirizana.

Momwe Mabatani A Cortical Amathandizira Machiritso a Tendon-to-Bone

Batani la cortical limapereka kukonzanso kwamakina komwe kumapangidwa kuti asunge malo omwe adakonzedwa a graft kapena tendon pomwe machiritso achilengedwe akukula. Sizimapanga machiritso paokha. Kuphatikizika kwa tendon-to-fupa kumakhudzidwa ndi kulumikizidwa kwa graft, kusuntha kwa mawonekedwe, fupa ndi minofu, kukonzekera ngalande, kumanga bata, kukonzanso ndi biology ya odwala.

Imasunga malo omezanitsa Ntchitoyi imapangidwa kuti isunge kumezanitsa kapena tendon mumsewu womwe wakonzedwa, socket kapena malo omangirira.

Katundu Wosamutsa Batani ndi loop imatumiza mphamvu kudzera mu fupa la cortical molingana ndi geometry yomanga yonse.

Imathandizira nthawi ya machiritso Kukhazikika kwamakina kumateteza kumangidwanso pomwe kuphatikiza kwachilengedwe kumapitilira pansi pa dongosolo lokonzanso lokhazikitsidwa.

Zimango ndi biology ndizosiyana: kukonza kolimba koyambirira ndi cholinga chofunikira cha uinjiniya, koma sikumatsimikizira kuphatikizidwa, kuchepetsa ululu, kukhazikika kwamagulu, kubwereranso kumasewera kapena kumasuka ku opareshoni yobwereza.

General Opaleshoni Ntchito Yoyenda

Mayendedwe a opaleshoni amasiyanasiyana malinga ndi ndondomeko ndi kachitidwe. Zotsatirazi ndizofotokozera zapamwamba za cortical suspensory graft fixation, osati njira ya opaleshoni kapena malangizo oleza mtima.

Konzani zomanga Dokotala wa opaleshoni amasankha kulumikiza, batani, loop, tunnel kapena miyeso ya socket ndi njira yowonjezera yowonjezera.

Konzani kumezanitsa ndi fupa Kumezanitsa ndi fupa ngalande imakonzedwa pogwiritsa ntchito zida ndi miyeso yotchulidwa pa dongosolo losankhidwa.

Pita ndikuyika Batani limadutsa mumsewu womwe wakonzedwa ndikukhazikika moyang'anizana ndi cortical.

Tsimikizirani ndi kukanikiza Kutumiza, kuphatikizika kwa minofu, malo omezanitsa ndi kukangana kumafufuzidwa molingana ndi ndondomeko ndi njira ya chipangizocho.

Mabatani olakwika kapena kuphatikizika kwa minofu yofewa pakati pa batani ndi kotekisi kumatha kusokoneza kukonza. Kuwona kwa intraoperative, kujambula kapena njira zina zotsimikizira zimadalira njirayo. Batanilo siliyenera kuganiziridwa kuti latumizidwa molondola potengera mayankho owoneka bwino.

Kuyika kwa batani la Cortical panthawi ya kulumikiza kwa ligament — Kuyika mabatani, kukhala pansi pa cortical, malo a graft ndi kugwedezeka kwa loop kumafuna kutsimikiziridwa pogwiritsa ntchito njira yeniyeni.

Cortical Button vs Njira Zina Zokonzera

Kufananitsa kokhazikika kumakhala kopindulitsa pokhapokha ngati kuphatikizira njira yomweyo, kumezanitsa, malo a anatomical ndi zotsatira zake. Ndizolakwika kufananiza batani la femoral ACL cortical ndi distal biceps suture nangula kapena screw ya Latarjet ndikuwonetsa zotsatira zake ngati kusanja kwapadziko lonse.

Gulu lokonzekera	Njira zokhazikika	Zoganizira za ndondomeko
Cortical batani	Imayimitsa kumezanitsa kapena minofu yofewa kuchokera ku batani lothandizidwa ndi fupa la cortical	Kukhalapo kwa mabatani, machitidwe a loop, cortical integrity, tunnel geometry ndi interposition soft-tissue interposition
Kusokoneza screw	Amapereka kukonza kabowo mwa kukanikiza kumezanitsa mkati mwa ngalande	Screw material ndi kukula, kuwonongeka kwa graft, kukwanira kwa tunnel, khalidwe la mafupa ndi kuchotsa kapena kukonzanso
Suture nangula	Amalumikiza minofu yofewa ku fupa kudzera pa nangula-ndi-suture	Zida za nangula, ngodya yoyika, mtundu wa fupa, kapangidwe kopanda mfundo kapena kolumikizira ndi kapangidwe ka minofu
Kukonzekera koyambirira kapena kosungirako	Amapereka kukhazikika kowonjezera kapena pamwamba molingana ndi kapangidwe ka implant	Maonekedwe am'deralo, malo omezanitsa, kutchuka, kusanja kokhazikika komanso ngati ndikokhazikika koyambirira kapena kosunga zosunga zobwezeretsera

Cortical Button vs Interference Screw mu Kumanganso kwa ACL

Njirazi zimakonza kumezanitsa m'njira zosiyanasiyana ndipo zingagwiritsidwe ntchito kumbali zosiyanasiyana za kumangidwanso komweko. Batani la cortical limapereka suspensory fixation, pomwe cholumikizira chosokoneza chimakhala pafupi ndi pobowo. Kuyerekeza kwachipatala kumadalira njira yonse ya ACL m'malo mwa implants yokhayokha.

Cortical Button vs Suture Anchor mu Kukonza Tendon

Maphunziro a biomechanical angafananize katundu ndi kulephera kapena kusamuka, koma kusankhidwa kwachipatala kumadaliranso kuwonetseredwa kwa opaleshoni, mawonekedwe a anatomical, mafupa a mafupa, chiopsezo cha mitsempha yapafupi, kukonzanso ndi chidziwitso cha chipangizo chomwe chilipo. Magulu a XC Medico amasiyana suture nangula machitidwe chifukwa nangula si dzina lina chabe la batani la cortical.

Primary vs Backup Fixation

Batani la cortical litha kukhala njira yoyambira kuyimitsidwa munjira imodzi, pomwe chokhazikika, misala kapena choyika china chitha kukhala ngati chosungirako china. The Ligament fixation staple system motero ndi gulu lazinthu zapadera m'malo mwa chigawo cha batani la cortical.

Zowopsa ndi Zolephera Zaukadaulo

Palibe makina a cortical batani omwe alibe chiopsezo. Zovuta zomwe zimagwirizana zimatengera momwe thupi limakhalira komanso kachitidwe, koma zotsatirazi zingafunike kuganiziridwa:

Kusokonekera kwa batani: choyikapo sichikhoza kukhala molingana ndi cortical yomwe ikufuna.
Kuphatikizika kwa minofu yofewa: minofu imatha kutsekeka pakati pa batani ndi fupa.
Kusamuka kapena kuchotsedwa: Kutayika kwa mabatani omwe akufunidwa kumatha kusokoneza kumanga.
Kutalikirana kwa loop kapena mayendedwe omezanitsa: kusamuka pansi pa kukweza kwa cyclic kungakhudze malo okhazikika.
Kukula kwa tunnel: kusintha kwa ngalande kumakhala kosiyanasiyana ndipo kumatha kulumikizidwa ndi kayendedwe ka graft, biology ndi luso.
Kusagwirizana kwa Cortical: Kutuluka kosakwanira kwa ngalande, kuphulika kwa cortical kapena kutsika kwa mafupa kungasokoneze chithandizo.
Kuvulala kwa Neurovascular: Chiwopsezo chimadalira njira yopangira opaleshoni, mayendedwe obowola, matupi awo ndi machitidwe.
Kutenga kachilomboka, kuuma kapena kulephera kwa minofu: zovuta zonse zokhudzana ndi opaleshoni ya opaleshoni zimakhalabe zotheka.

Umboni uyenera kukhalabe ndondomeko yeniyeni: zovuta zowonongeka kuchokera ku distal biceps kukonza siziyenera kufotokozedwa ngati ACL zovuta zowonongeka, ndipo Latarjet recurrence kapena reoperation data sayenera kugwiritsidwa ntchito kulosera machiritso a tendon-to-fupa pa bondo kapena chigongono.

Kodi Madokotala Ochita Opaleshoni Amasankha Batani La Cortical?

Kusankhidwa kumatengera dongosolo lathunthu lomanganso m'malo mongofuna kutsatsa zamphamvu. Zofunikira zofunika ndizo:

chizindikiro chovomerezeka cha anatomical ndi kulembetsa kwa msika komwe akupita;
mayendedwe okhazikika kapena osinthika oyenda;
miyeso ya batani ndi chopondapo cha cortical;
zinthu zozungulira, kutalika kwake ndi njira yosinthira;
mtundu wa kumezanitsa, m'mimba mwake ndi kutalika kokonzekera;
ngalande kapena zitsulo m'mimba mwake, kuya ndi kukhulupirika kwa cortical;
fupa khalidwe ndi kukonzanso udindo;
kubowola kogwirizana, maupangiri, ma sutures odutsa ndi zida zolimbitsa;
kukonza kokonzekera mbali ina ya kumangidwanso;
maphunziro a opaleshoni ndi njira yeniyeni.

Zolemba za chipangizo cha FDA za cortical fixation system zimatchula kusakwanira kwa fupa la cortical kapena kuchuluka kwake ngati zotsutsana. Contraindications yeniyeni ya mankhwala iyenera kuwunikiridwanso m'malo mongoganiza kuti cortical fixation ndi yoyenera kwa wodwala aliyense.

Cortical Fixation Systems kwa Zipatala ndi Ogawa

Zipatala, ogawa ndi othandizana nawo a OEM/ODM akuyenera kuwunika zonse za ligament fixation portfolio, osati batani lowoneka bwino la titaniyamu. Zithunzi za XC Medico machitidwe amankhwala amfupa ndi masewera amaphatikiza magawo angapo okonzekera kuti agwiritse ntchito akatswiri.

The Ligament fixation titaniyamu mbale ndi magulu mabatani ayenera kuyesedwa ndi nambala ya catalog, kagwiritsidwe ntchito, zinthu, mawonekedwe a loop ndi zida zogwirizana. Magulu ogula zinthu ayenera kupempha zolemba zamakono za kasinthidwe ndi msika.

Zoyang'anira zogula	Zomwe muyenera kutsimikizira
Chizindikiro	Kugwiritsiridwa ntchito kwa ligament, tendon, mgwirizano ndi fixation zomwe zatchulidwa panopa
Kusintha kwa chipangizo	Makulidwe a mabatani, mtundu wa loop, loop range, suture material ndi mitundu yomwe ilipo
Zida	Zobowola zogwirizana, zowongolera zamachubu, zoyezera kuya, zodutsa ndi zida zolimbikitsira
Umboni wamakina	Kuyika kwapang'onopang'ono koyenera, kusamuka komanso kuyesa kulephera pakukonza komaliza kwa chipangizocho
Zolemba	Zikalata, malangizo ogwiritsira ntchito, kufufuza, kusabereka komanso zambiri za moyo wa alumali
Kupeza msika	Kulembetsa ndi zovomerezeka zovomerezeka za dziko kapena dera lomwe mukupita

Pogula akatswiri: funsani kalozera wamakono wa ligament fixation, mafotokozedwe a zida, mndandanda wa zida zomwe zimagwirizana ndi zolembedwa zokhudzana ndi msika musanasankhe kachitidwe ka cortical fixation.

Onani Ma Implant a Ligament Fixation Unikaninso batani la titaniyamu lomwe likupezeka, mbale ndi magulu owonjezera. Lumikizanani ndi XC Medico Team Tsimikizirani zochulukira, zolemba, kugwirizana kwa zida ndi zomwe msika ukupita.

Mafunso Ofunsidwa Kawirikawiri Okhudza Cortical Button Fixation

Kodi kukonza batani la cortical ndi chiyani?

Ndi njira yokhazikika yokhazikika momwe batani limapumira motsutsana ndi fupa la cortical ndikulumikizana ndi loop kapena suture kumanga ku tendon graft, ligament graft kapena kukonzanso minofu yofewa.

Kodi batani la cortical ndi lofanana ndi screw cortical?

Ayi. Batani la cortical nthawi zambiri limagwira ntchito ngati gawo la suspensory button-and-loop build. Zomangira za cortical zimagwiritsa ntchito ulusi kuti zigwirizane ndi fupa ndipo zimakhala m'gulu lina lokhazikika.

Kodi pali kusiyana kotani pakati pa mabatani okhazikika-loop ndi mabatani osinthika?

Chipangizo chokhazikika chokhazikika chimakhala ndi kutalika kodziwiratu. Chida chosinthika cha loop chimalola kutalika kwa loop kusinthidwa molingana ndi momwe amagwiritsidwira ntchito komanso njira yolimbikitsira.

Kodi kukonza batani la cortical kumapangitsa kuti ACL graft ichiritse mwachangu?

Amapereka kukhazikika kwamakina pomwe machiritso achilengedwe akukula, koma sizimatsimikizira kuphatikizidwa mwachangu. Machiritso amadalira kukonzanso kwathunthu, biology ya minofu, kukonzekera ngalande, kukhazikika, kukonzanso ndi zinthu za odwala.

Kodi batani losinthika liri bwino kuposa batani lokhazikika?

Osati konsekonse. Kafukufuku wa ma laboratory apeza kusiyana kwa biomechanical, pamene maphunziro a zachipatala sanawonetsere kuti ndi apamwamba kwambiri mu bata, mawondo kapena kulephera kwa graft. Kusankha kuyenera kukhala ndondomeko komanso ndondomeko yeniyeni.

Ndi zovuta zotani zomwe zingachitike?

Zomwe zingatheke ndi monga malposition, minofu yofewa, kusuntha, kutalika kwa loop, kukula kwa ngalande, kulephera kwa kukonza ndi ndondomeko yeniyeni ya mitsempha, mitsempha, matenda kapena kuuma.

Zolozera Zachipatala ndi Zowongolera

Chodzikanira pazachipatala: Nkhaniyi ndi yazambiri komanso zamaphunziro. Si malangizo achipatala, njira ya opaleshoni, chizindikiro cha chinthu kapena choloŵa m'malo mwazolemba zapachipangizo zamakono komanso kuweruza kwa odwala malinga ndi akatswiri odziwa bwino zaumoyo. Kupezeka kwazinthu, kugwiritsiridwa ntchito kwake komanso momwe amawongolera zimasiyana malinga ndi msika. XC Medico imapereka zinthu kumabungwe akatswiri ndipo simagulitsa mwachindunji kwa odwala.

Kodi Cortical Button Fixation ndi chiyani? Kagwiritsidwe, Mitundu ndi Zowopsa