Ni ubuhe buryo bwa ACL Backup Fixation Sisitemu nuburyo Bashyigikira Kwiyubaka kwa ACL

Sisitemu yo gukosora ACL itanga ubufasha bwinyongera mugihe cyo kubagwa. Izi sisitemu zigumaho ibihingwa nyuma yo kwiyubaka kwa ACL. Niba uzi ibijyanye no kugarura ibintu, urashobora kubona uburyo bituma kubaga bitekanye. Iragufasha kandi gukira neza. Abaganga babaga bakoresha sisitemu kugirango bagabanye amahirwe yo gutsindwa. Bafasha kandi kwirinda kubagwa byinshi. Ubushakashatsi bushya bwerekana uburyo bwo kugarura ibintu bukora neza. Ongeraho osteosuture cyangwa inyandiko birashobora kugufasha kubona ibisubizo byiza. Bisobanura kandi kubagwa gake kugirango bakemure ibibazo:

Ibisubizo byambere biva muri XC Medico bigufasha hamwe na muganga wawe kubona ibisubizo byiza.

Ibyingenzi

• Sisitemu yo gukosora ACL itanga ubufasha bwinyongera mugihe cyo kubagwa. Babika ibihingwa kandi bigafasha gukira neza. Gukoresha backup fixation ituma gutsindwa kunanirwa bidashoboka. Ibi bivuze ko abarwayi bafite ibisubizo byiza kandi bakeneye kubagwa gake. Uburyo bushya, nka suture anchors hamwe na stabilisation stabilisation, bituma igihangano gikomera. Ubu buryo kandi bufasha abantu gukira vuba. Gukosora ibikubiyemo bifasha cyane abantu bafite amagufwa adakomeye cyangwa kubagwa kera. Ifasha gusana gukomera. Guhitamo ibisubizo byiza, nkibyavuye muri XC Medico, bifasha abantu gukira vuba. Irabafasha kandi gusubira mubuzima busanzwe vuba.

Ni ubuhe buryo bwa sisitemu yo gukosora ACL

Ibisobanuro n'intego

Sisitemu yo gukosora ACL ifasha kurinda ibihingwa umutekano mugihe cyo kubagwa. Sisitemu zitanga inkunga yinyongera kubikosorwa nyamukuru. Bemeza neza ko ibihingwa bigumaho mugihe ivi ryawe rikize. Intego ni ugufasha ingirangingo gukira neza nyuma yo kubagwa.

Sisitemu ikoresha ibikoresho byihariye nibikoresho. Kurugero, 4,75 mm ya SwiveLock® yatewe ifasha mugukosora tibial. Iyi ntambwe ningirakamaro cyane kugirango kwiyubaka kwa ACL gukora. Gukosora ibikubiyemo ntibisimbuza ligamenti yawe. Ifasha ibihingwa kuguma hafi yamagufa kugirango gukira gushobore kubaho.

XC Medico ifite ibisubizo byo kwiyubaka kwa ACL na PCL. Sisitemu iguha hamwe na muganga wawe kugenzura mugihe cyo kubaga. Gukoresha backup fixation bigabanya ibyago byo kwimuka cyangwa gutsindwa. Ibi bivuze ko ushobora gukira neza no gukira vuba.

Impanuro: Sisitemu yo kugarura ibintu ntishobora gusimbuza ibyingenzi. Bongeraho umutekano wongeyeho, cyane cyane iyo ivi ryawe rikize.

Uruhare rwo Kubaga Ligamenti Yimbere

Ufasha gukira kwawe wiga kubyerekeye gukosora backup muri ACL kubaga. Mugihe cyo kwiyubaka kwa ACL, umuganga wawe ashyiramo igihangano cyo gusimbuza ligamente yangiritse. Sisitemu yo kugarura ibintu neza ishyigikira ibihingwa kandi ikabika ahantu heza nkuko ukiza.

Ubuhanga bushya muri sisitemu yo gukosora ACL ituma kubaga bitekanye kandi byiza. Dore imbonerahamwe yerekana tekinike nshya ninyungu zabo:

Ubu buryo bushya bufasha kugumya guhuza neza. Guhagarara ni ngombwa kubisubizo byiza nyuma yo kubagwa. Uburyo bwo kugarura ibikubiyemo, nka suture ya ankure nibikoresho bifite imbaraga, bitanga uburinzi bwinyongera kubibazo byubugeni.

Abaganga babaga bakoresha sisitemu yo kugarura ibintu kugirango basane imbaraga kandi bimare igihe kirekire. Urashobora kumva neza kumenya igihangano cyawe gifite inkunga yinyongera mugihe ukize. Iyi nkunga irashobora gusobanura ibibazo bike no gusubira vuba mubuzima busanzwe.

Uburyo ACL Yibitseho Sisitemu yo Gukora

Ubwoko nuburyo bukoreshwa

Hariho uburyo butandukanye bwo kugarura ibintu kugirango habeho kwiyubaka mbere. Ubwoko bumwe ni PEEK Suture Anchor Screw. Iki gikoresho gifata ibihingwa bihamye mugihe cyo kubagwa. Ubundi sisitemu ya ankeri na screw birashobora no gukoreshwa mugusana ACL hamwe ninyuma ya ligamenti yo gusana. Buri sisitemu ifasha kugumya gushira mugihe ivi ryawe rikize.

Urashobora kureba uburyo sisitemu zikomeye. Imbonerahamwe ikurikira irerekana uburyo ibikoresho bibiri bikora muburyo bwimbere bwo kwiyubaka:

Imigozi yo kwivanga irashobora gufata ibihano. Ubwoko bwombi bufasha guhagarika ibihano kunyerera. Bombi bashyigikira ibisubizo byiza nyuma yo kubagwa.

XC Medico iguha ibikoresho bigezweho kandi byuzuye kandi byizewe. Amaseti yabo afite ibikenewe byose kugirango yongere yubake imbere. Ibi bikoresho bigufasha kubona ibisubizo byiza no kugabanya ibyago byo gutsindwa.

Subcortical and Supplementary Fixation

Subcortical fixation ikoresha umwobo muto mumagufwa. Ubu buryo bukuraho amagufwa make kandi bugakomeza imbaraga. Urabona umwirondoro wo hasi ugereranije kuruta inzira zishaje. Ibi bifasha ibihingwa kuguma bihamye mugihe cyo kwiyubaka kwimbere. Ifasha kandi ibisubizo byiza nyuma yo kubagwa.

Inyongera ya tibial fixation itanga umutekano winyongera kubikorwa byawe. Dore inyungu zimwe zubu buryo:

• Uburyo buroroshye kandi buzigama amafaranga.

• Irinda ububabare buturuka kubibazo byibyuma.

• Gukosora inshuro ebyiri bituma igihangano gikomera.

• Abaganga babaga bakoresheje ubu buryo inshuro zirenga 100 nta kunanirwa.

Gukoresha backup fixation nkiyi ifasha graft kuguma mumwanya. Iyi nkunga igufasha gukira neza no kugira ibibazo bike nyuma yo kwiyubaka kwa ligamenti imbere.

Inyungu zo gukosora ACL

Gutezimbere no Gukiza

Iyo ufite ligamenti yimbere yo kwiyubaka, urashaka ko igihangano cyawe kiguma mumwanya kandi ugakira neza. Sisitemu yo kugarura ACL itanga inkunga yawe yinyongera. Iyi nkunga ituma igihangano gihoraho nkuko ivi ryawe rigenda. Abaganga babaga bakoresha backup fixation kugirango babuze ibihingwa kunyerera cyangwa kurambura. Urabona gukira neza kuko igihangano kiguma hafi yamagufwa. Ubushakashatsi bwerekana ko gukoresha backup fixation biganisha kubikorwa bikomeye no gukira neza nyuma yo kwiyubaka.

Urashobora kubona uburyo butandukanye bwo gukosora bukora mumeza ikurikira:

Kugabanya Impanuka zo Kunanirwa

Urashaka ko ligamente yimbere yimbere iramba. Gukosora ibikubiyemo bigabanya ibyago byo gutsindwa. Abaganga babaga bakoresha sisitemu zo kubika kugirango bongere urundi rwego rwumutekano. Iyi nkunga yinyongera ifasha ibihano kurwanya imbaraga zishobora gutuma binanirwa. Ubushakashatsi bwerekana ko uburyo bwo gukosora ibikubiyemo, nko gukosora no guhagarika imiyoboro, kunoza ibyavuye mu mavuriro no kugabanya ibikenerwa byo kubagwa.

Dore inyungu zingenzi ziboneka mubushakashatsi bwa vuba:

Icyitonderwa: Abaganga babaga batangaza ko ivi ridakabije kandi imikorere myiza hamwe no kugarura ibikenewe, cyane cyane kubikurikirana igihe kirekire.

Gushyigikira gukira kw'abarwayi

Urashaka gusubira mubikorwa byawe bisanzwe nyuma yo kwiyubaka kwa ligamenti imbere. Gukosora ibikubiyemo bigufasha gukira vuba kandi hamwe nibibazo bike. Abarwayi batanga amanota menshi kumikorere y'amavi n'icyizere mugihe gukosora gukosorwa byakoreshejwe. Urashobora kubona itandukaniro mubisubizo byatangajwe nabarwayi hepfo:

Sisitemu yo hejuru ya ACL ikosora neza, nka ziva muri XC Medico, zagenewe kuguha ibisubizo byiza. Urabona ibihingwa bihamye, ibyago byo gutsindwa, no gukira neza. Sisitemu igufasha gusubira muri siporo, akazi, nubuzima bwa buri munsi ufite ikizere.

ACL Yibitseho na Firime Yibanze

Itandukaniro ryingenzi

Ni ngombwa kumenya itandukaniro riri hagati yo gusubira inyuma no gukosorwa kwambere muburyo bwimbere bwimbere. Ikosora ryibanze rituma igiti gikomeza nyuma yo kubagwa. Gukosora ibikubiyemo bitanga inkunga yinyongera kugirango ifashe ibihingwa kuguma bihamye mugihe ukiza. Ubwo buryo bwombi bufasha ivi ryawe gukira, ariko ntibikora kimwe.

Hano hari imbonerahamwe yerekana itandukaniro nyamukuru ryibinyabuzima:

Ikibanza cyibanze gikoresha compression cyangwa inzira yo guhagarika gufata graft. Gukosora ibikubiyemo, byitwa kandi gukosora, byongera imbaraga. Ibi bitanga ibihingwa byongeye kandi bigafasha guhagarika ibibazo mugihe ukize. Gukosora ibikubiyemo ntibifata umwanya wibanze bikosorwa. Ifasha ibyingenzi gukosorwa, cyane cyane iyo igihangano gikeneye inkunga nyinshi.

Iyo Gukosora Ibikenewe bikenewe

Gukosora ibikenewe birakenewe mubihe bimwe na bimwe mugihe cyo kwiyubaka kwa ligamenti imbere. Abaganga babaga bakoresha backup fixation niba igufwa rifite intege nke cyangwa niba wabazwe mbere. Gukosora ibikubiyemo nabyo bifasha mugihe igihangano gikeneye inkunga nyinshi kugirango ugume mumwanya.

• Gukosora ibikubiyemo bifasha niba igufwa ryawe ridakomeye.

• Igabanya amahirwe yo kunanirwa kandi igakomeza ivi ryawe.

• Niba ukeneye ubundi kubaga, kugarura ibikenewe ni ngombwa cyane kubisubizo byiza.

Gukosora ibikubiyemo bituma igihangano gihinduka kandi kigufasha gukira vuba. Abaganga babaga batoranya ibikenewe kugirango bagufashe kubona ibisubizo byiza bivuye kubagwa kwawe. Urashobora gusubira mubikorwa byawe ufite ikizere cyinshi kandi ugahangayikishwa cyane nibibazo byubukorikori.

Urashaka ko ivi ryawe rigira inkunga ikomeye nyuma yo gukomeretsa. Sisitemu yo gusubiza inyuma ACL ningirakamaro cyane muburyo bwo kwiyubaka mbere. Izi sisitemu zifasha kugumya ibihingwa byawe kandi bigafasha gukira. Urashobora kwizera ko bafite umutekano kandi bakora neza. Ubushakashatsi bushya buvuga ko abarwayi bakora neza cyangwa byiza hamwe na sisitemu nshya:

• Abarwayi bumva kimwe cyangwa beza nyuma yumwaka umwe.

• Ibibazo ntibisanzwe kandi hafi kimwe mumatsinda yombi.

• Urashobora kwimura ivi ryuzuye mumezi 12.

Tora XC Medico kubisubizo bishya kandi byizewe. Uzabona inkunga nziza yo gukira nibisubizo byiza.

Ibibazo

Sisitemu yo gukosora ACL niyihe?

Ukoresha sisitemu yo gukosora ACL kugirango utange ligament yawe nshya mugihe cyo gukira. Sisitemu ifasha kugumya gushushanya kandi bikagabanya amahirwe yo kugenda cyangwa gutsindwa.

Nkeneye gukosora backup kubagwa kwa ACL?

Umuganga ubaga ahitamo niba ukeneye gukosorwa. Urashobora kubikenera niba igufwa ryawe rifite intege nke, wabazwe mbere, cyangwa igihangano cyawe gikeneye inkunga nyinshi.

Nigute gukosora backup bifasha gukira kwanjye?

Gukosora ibikubiyemo bituma igihangano cyawe gihoraho. Urakira vuba kandi ufite ibibazo bike. Urashobora gusubira muri siporo nubuzima bwa buri munsi ufite ikizere cyinshi.

Gukosora ibikubiyemo ni umutekano?

Nibyo, kugarura ibikubiyemo ni umutekano. Abaganga babaga bakoresha sisitemu kenshi. Ubushakashatsi bwerekana ko gukosora ibikubiyemo bidatera ibibazo byinyongera kandi bifasha ivi ryawe gukomera.

Nzumva igikoresho cyo kugarura ibintu mu ivi?

Mubisanzwe ntabwo wumva igikoresho cyo gukosora. Igikoresho kiguma mu ivi kandi ntikigutesha umutwe mubikorwa bisanzwe.