Ni ubuhe buryo bwo kwivanga n'uruhare rwabo mu kubaga amagufwa?

Ukoresha imigozi yo kwivanga kugirango ufate ibihangano neza mumagufwa mugihe cyo kubaga amagufwa. Iyi miyoboro ni ingenzi mu gusana no koroshya ingirabuzimafatizo, cyane cyane mu gusana acl, kuko ituma ibintu bihagarara neza. Ubushakashatsi bwerekana ko imigozi ya bioabsorbable na titanium yivanga ikora kimwe, kubwibyo byombi ni amahitamo meza kumurimo wawe. Sisitemu nshya, nka Ligament Fixation Sisitemu na XC Medico , zana ibitekerezo bishya kubagwa kwawe kandi bigufashe kubona ibisubizo byiza kubarwayi.

Ibyingenzi

• Imigozi yo kwivanga ifasha kugumisha ibihangano neza mumagufwa mugihe cyo kubagwa. Nibyingenzi cyane mugukosora ligaments.

• Bioabsorbable screw na titanium screw byombi bikora neza kubaga ACL. Bafasha abarwayi gukira muburyo busa.

• Guhitamo ingano nziza ya screw nibikoresho ni ngombwa cyane. Ifasha abantu gukira neza kandi bigabanya amahirwe yibibazo.

• Ibitekerezo bishya nka Ligament Fixation Sisitemu ya XC Medico ituma kubaga neza. Bakoresha ibikoresho bikomeye nibishushanyo mbonera.

• Abaganga bakeneye kureba abarwayi nyuma yo kubagwa. Ibi bifasha kubona ibibazo hakiri kare kandi byemeza ko gukira bigenda neza.

Incamake y'Imigozi Incamake

Ni ubuhe buryo bwo kwivanga?

Imigozi yo kwivanga ifasha gufata ibihangano neza mumagufwa mugihe cyo kubagwa. Nibyingenzi mugukosora ligaments hamwe nuduce tworoshye. Abaganga bakunze kubikoresha mugusana ACL. Iyi miyoboro ituma igiti gihinduka mukanda kumagufwa. Ibi bifasha ibihingwa gukira no gufatanya nuduce tuyikikije.

Abaganga bavuga ko imiyoboro yo kwivanga ari inzira isanzwe yo gukosora ibikomere bya ACL. Bakora kumagufa-y-amagufwa hamwe nuduce tworoshye-gusana amagufwa. Imigozi ifata igiti mu mwanya kandi ikareka abaganga bakagenzura umwanya wacyo no gukomera. Ubu bugenzuzi bufasha abarwayi gukira neza no gukira vuba.

Icyitonderwa: Imigozi yo kwizerwa yizewe kandi yizwe mugusana ligament. Ubushakashatsi bwinshi bwerekana ko bakora neza mumagufa-patellar tendon-bone kubaga ACL.

Uburyo Imigozi yo Kwivanga ikora

Ubwa mbere, abaganga bakora umuyoboro mumagufwa aho ligamente ikeneye gukosorwa. Ibikurikira, bashira ibihingwa muri uyu muyoboro. Imashini isunika igiti hejuru y'urukuta rwa tunnel. Ibi bituma ibihingwa bitagenda.

Dore uko bigenda mugihe cyo kubagwa:

• Abaganga batobora umuyoboro mu magufwa, ubusanzwe hafi mm 8 z'ubugari.

• Bashyize ibihingwa binyuze mumurongo.

• Bashyira umugozi wo kwivanga kuruhande rwa graft hanyuma ukande cyane.

• Nibura mm 20 yubukorikori iguma imbere mumurongo kugirango imbaraga.

• Abaganga barashobora gukoresha imashini zikurura cyangwa ibyuma, bitewe nurubanza.

Imirimo nyamukuru yimigozi yo kwivanga ni:

• Kugumisha ibihingwa ahantu heza no gukomera.

• Gutanga gufata cyane aho screw ikora igufwa.

• Gufata igiti neza kugeza igufwa rikize.

Hariho ubwoko bushya bwo kwivanga nabwo. Bimwe bikozwe muri magnesium ivunika mumubiri. Bamwe bavanga magnesium nibindi byuma kugirango imbaraga nyinshi. Abandi bafite shusho yumutwe mushya kugirango ifate neza . Izi mpinduka zifasha imigozi gukora neza no gufasha amagufa gukira.

Ubushakashatsi bwerekana ko imigozi ifatanye ikomera kandi igakomeza gukomera kuruta imigozi isanzwe. Ibi bivuze ko abarwayi bakira neza kandi bagakomera kumavi mugihe.

Abaganga barizera imigozi yo kubangamira kugirango ibihangano bikingire neza mugihe cyo gukira. Igishushanyo nibikoresho bifasha abaganga kubona ibisubizo byiza mugihe bakosora ligaments.

Ubwoko n Ibikoresho byo Kwivanga

Ibyuma na Bioabsorbable Amahitamo

Hariho ubwoko butandukanye bwo kwivanga mugukosora ligaments. Ibikoresho byakoreshejwe cyane ni:

• Titanium

• Ibyuma

• Polymer

• Ikirahure cyibinyabuzima

Imiyoboro y'icyuma, nka titanium, irakomeye cyane kandi imara igihe kirekire. Titanium ntishobora kubora, bityo iguma ari nziza imbere mu mubiri. Abaganga bakoresha imiyoboro ya titanium kubibazo bikomeye kuko birakomeye cyane kuruta bioabsorbable screw. Imiyoboro ya Titanium irashobora kugira imbaraga zingana na MPa 1130. Ibi bikubye inshuro icumi kurenza bioabsorbable screw, nka PLA. Noneho, imigozi ya titanium itanga inkunga ikomeye mugihe ubikeneye cyane.

Bioabsorbable screw ikozwe mubintu nka PLA cyangwa magnesium. Iyi miyoboro isenyuka buhoro buhoro mumubiri. Magnesium nicyuma cyoroshye gikomeye kandi gishobora kwinjizwa numubiri. Iyi screw irashobora gufata ibintu muburyo bwo kubaga benshi. Imiyoboro mishya ya bioabsorbable irakomeye cyane nka titanium, kugeza 90%. Ariko, baracyakomeye nkibikoresho byicyuma. Nubwo bimeze bityo, ubushakashatsi bwerekana ubwoko bwombi bukora neza kumavi nyuma yo kubagwa ACL. Hano ntakibazo kirenze ubwoko bumwe kurenza ubundi.

Ibishushanyo biranga udushya

Imigozi yo kwivanga ikomeza gutera imbere hamwe nigishushanyo gishya. Imiyoboro ubu ifite imiterere, insanganyamatsiko, nibikoresho kugirango bibafashe gufata no gukira neza. Kurugero, imiterere yibyingenzi cyangwa ifatanye ituma imigozi ifata neza. Ibi bifasha umugozi kugumisha ibihingwa. Imbonerahamwe ikurikira irerekana uburyo imiterere ya screw ihinduka imbaraga zo gukuramo:

Imiterere mishya hamwe ninama nziza ya screw byoroha gushira muri screw. Bituma kandi bifata imbaraga nke. Imashini ya Hybrid ikoresha ibice biva mubikoresho bitandukanye kugirango ikomere kandi itekanye kumubiri. Titanium na PEEK ni amahitamo meza kuko afite umutekano kandi afasha amagufwa gukura. Ibi bitekerezo bishya bifasha abaganga gukomeza ibihingwa kandi bigafasha abarwayi gukira neza.

Imiyoboro ya ACL yo kubaga

Porogaramu yo Kwubaka ACL

Imigozi yo kwivanga ya ACL ifata ibihangano mugihe cyo kubaga ACL. Izi nsinga kanda igiti kirwanya amagufwa. Ibi bikomeza ibihingwa kugirango bikire neza. Igihuza gihuza imyenda ikikijwe. Urashobora gutora ibyuma cyangwa bioabsorbable screw yo kubaga ACL. Ubwoko bwombi bukora neza kandi butanga ibisubizo bisa.

Iyo uhisemo imiyoboro ya interineti ya ACL, urashaka ko igihangano kigumaho. Ntigomba kugenda mugihe cyo gukira. Ubushakashatsi bwerekana imigozi ya bioabsorbable hamwe na hydroxyapatite ikora neza cyane. Ntabwo zitera ingaruka mbi. Iyi miyoboro ni amahitamo meza aho kuba titanium. Ibyuma na bioabsorbable screw birananirana kurwego rumwe. Abarwayi bakora neza nubwoko bumwe.

Rimwe na rimwe, abaganga bakoresha ibikoresho bishobora guhagarikwa. Ibi bikoresho kandi bitanga ibisubizo byiza kandi bikomeza ivi. Igipimo cyo gutsindwa ni gito, kimwe nibindi bikoresho. Imigozi yo kwivanga ya ACL itanga amagufwa akomeye kumagufwa hamwe nuduce tworoshye-kumagufwa. Ibi bifasha abarwayi gukira vuba no gusubira mubikorwa byabo.

Impanuro: Menya neza ko igiti gifite byibura mm 20 imbere mumagufwa. Ibi bifasha ibihingwa gukomeza gukomera no gukira neza.

Ibindi Gukoresha Ligament Gukoresha

Imiyoboro yo kwivanga ntabwo ari iyo kubaga ACL gusa. Abaganga babakoresha mubindi bisanwa, nka PCL na MPFL. Iyi miyoboro ifasha gutunganya ligaments hamwe nuduce tworoshye ahantu henshi. Bakora kumagufa-y-amagufwa hamwe nuduce tworoshye-gusana amagufwa.

Sisitemu ya Ligament Fixation ya XC Medico ifite ibintu bishya kubyo kubaga. Ikoresha PEEK, ifite umutekano kumubiri kandi ntabwo itera reaction mbi. Imiyoboro ije mubunini kugirango ihuze ibikenewe bitandukanye. PEEK screw reka abaganga babone amashusho asobanutse nyuma yo kubagwa. Biroroshye gushiramo, bikiza umwanya mubyumba byo gukoreramo. Sisitemu ifite umutekano kuri scan ya MRI, bityo abaganga barashobora gusuzuma gukira nta kibazo.

Hano hari imbonerahamwe ifite ibintu byingenzi biranga sisitemu ya Ligament Fixation na XC Medico:

Abaganga bakoresha imashini zibangamira kubaga ACL nyinshi. Imiyoboro ya Bioabsorbable niyo isanzwe ifata ibihingwa muri tibia. Bamwe mu barwayi, cyane cyane abakinnyi bato, bashobora kumva ububabare aho umugozi uri. Cysts irashobora kuboneka mugihe kigera kuri 5% nyuma yo kubagwa ACL hamwe na bioabsorbable screw. Ibi bibaho kubera ko umubiri witwara kuri screw, bityo abaganga bakurikiranira hafi abarwayi.

Abaganga batoranya imiyoboro yo kubangamira kuko ikora neza kubagwa benshi hamwe no kubaga ingirangingo. Bizera ko iyi miyoboro ifata ibihano kandi bigafasha abarwayi gukira neza.

Guhitamo Imiyoboro

Guhitamo Ibikoresho nubunini

Mugihe utoranya imigozi yo kubangamira, ugomba gutekereza kubintu nubunini. Umugozi wiburyo ufasha abarwayi gukira neza. Guhuza ibikoresho ni ngombwa kubice byumubiri. Urashaka guhagarika imyitwarire mibi ibaho. Ibikoresho biocompatible, nka polymers cyangwa titanium ishobora gukoreshwa, akenshi bikoreshwa. Ibi bikoresho bifasha kurinda umubiri umutekano.

Ugomba kandi gushakisha imiyoboro ikozwe neza. Ibi bivuze ko umugozi uhuye neza kandi ufashe ibihano neza. Ibyiza birashobora gutuma kubaga bikora neza.

Ingano nini ni ngombwa, kandi. Diameter nini nini itanga imbaraga zo gukosora. Ibi bifasha ibihingwa kuguma mu mwanya. Imbonerahamwe ikurikira irerekana uburyo ingano ya screw ihindura ibisubizo:

Ibitekerezo by'abarwayi no kubaga

Ugomba buri gihe gutekereza kuri buri murwayi mugihe utoragura imigozi. Ubwiza bw'amagufwa ni ngombwa. Niba umurwayi afite amagufwa akomeye, urashobora gukoresha umugozi utandukanye n'amagufwa adakomeye. Urwego rwibikorwa rufite akamaro. Abakinnyi bashobora gukenera imigozi ikomeye.

Dore imbonerahamwe igufasha kumenya icyo ugomba kugenzura:

Guhuza umugozi no kubaga ni ngombwa cyane. Ubushakashatsi bwerekana umugozi wiburyo ufasha abarwayi gukira vuba kandi neza. Urashobora gufasha abarwayi wibanda kubisobanuro bya buri kibazo. Ubu buryo bwitondewe buragufasha gutanga ubuvuzi bwiza muri acl no kubaga ligamente.

Ingaruka no Kwirinda

Ibishobora kubaho

Mugihe abaganga bakoresha imiyoboro yo kubangamira, bagomba kureba ibibazo. Ibi bibazo birashobora guhindura uburyo kubaga neza nka acl kwiyubaka. Ibibazo bimwe bikunze kugaragara ni:

• Umugozi urashobora gucika.

• Umubiri urashobora kubyitwaramo no gucanwa.

• Igicuruzwa gishobora gucibwa.

• Imiyoboro ntishobora kuba ahantu heza cyangwa ngo ifatanye bihagije.

Abarwayi bagera kuri 1 kuri 10 barashobora kugira ibimenyetso nyuma yo kubagwa. Abarwayi bagera kuri 5% bakeneye ubundi kubagwa kugirango bakemure ibyo bibazo. Abantu benshi barashobora kongera gukina siporo nyuma yo gukuramo umugozi. Imiyoboro irashobora kurekura cyangwa gucika niba hari kugenda cyane cyangwa guhangayika. Ibi birashobora gutuma umugozi ucika. Mu bushakashatsi bumwe na bumwe, imigozi yavuye ahantu hejuru kugeza 16.9% by'imanza. Imiyoboro yashyizwe kumurongo yimutse kuruta imigozi igororotse.

Icyitonderwa: Amahirwe yibibazo arashobora guhinduka hamwe nubwoko bwa screw nuburyo kubaga bikorwa.

Umutekano hamwe nibikorwa byiza

Abaganga barashobora kugabanya ingaruka bakurikiza amategeko yumutekano ningeso nziza. Hano hari inama zifasha kubona ibisubizo byiza hamwe nintera yo kwivanga:

• Tora ingano ya screw n'ibikoresho kuri buri murwayi.

• Shira umugozi witonze kugirango igihangano kitakomeretsa.

• Menya neza ko igiti gifite byibura mm 20 imbere mumagufwa.

• Reba abarwayi ibimenyetso byerekana ko umugozi urekuye cyangwa wimutse nyuma yo kubagwa.

Abaganga bagomba kandi gukurikirana ibintu bibi byose no kugenzura abarwayi kenshi. Byombi bioabsorbable nicyuma bikora hafi kimwe kububabare, kugenda, nuburyo urugingo rukora neza. Niba umugozi umenetse mugihe ushyizemo, ntabwo buri gihe bitera ibibazo, ariko abaganga bagomba kugenzura umurwayi.

Impanuro: Gutegura neza no kwitondera amakuru arambuye bifasha kugabanya ingaruka no gutuma ibisubizo byumurwayi birushaho kuba byiza iyo ukoresheje imigozi yo kubangamira.

Ukoresha imiyoboro yo kubangamira kugirango ibihangano bihamye muri acl na ligament kubaga. Ubushakashatsi bwerekana bioabsorbable screw na sisitemu nshya zifasha abarwayi gukira neza nyuma yo gusana acl. Ligament Fixation Sisitemu ya XC Medico itanga inkunga ikomeye, ifasha gukira, kandi igabanya ibibazo. Abaganga benshi babona imbaraga zifatika hamwe nibisubizo byiza birebire hamwe niyi sisitemu.

• XC Medico ikurikiza amategeko yo mu rwego rwo hejuru.

• Urabona gutanga byihuse kandi ugafasha mubibazo.

• Sisitemu igufasha kubona ibisubizo byiza kubarwayi bawe.

Tora XC Medico nkisosiyete yawe yizewe kugirango ibangikanye nibindi bicuruzwa.

Ibibazo

Niyihe ntego nyamukuru ya screw yo kwivanga?

Ukoresha umugozi wo kwivanga kugirango ufate igiti neza mumagufwa. Ibi bituma ibihingwa bihinduka mugihe cyo gukira. Imashini ifasha ligamente nshya kumagufa.

Nigute ushobora guhitamo ubunini bukwiye bwo kwivanga?

Uhuza ubunini bwa screw na graft na tunnel. Umugozi munini utanga gufata byinshi. Buri gihe genzura amagufwa yumurwayi nubwoko bwo kubaga uteganya.

Ese imigozi ya bioabsorbable ifite umutekano kubarwayi bose?

Imashini ya bioabsorbable ifite umutekano kubarwayi benshi. Ugomba gusuzuma allergie cyangwa ubuzima bwihariye. Iyi miyoboro isenyuka mumubiri mugihe runaka.

Urashobora gukoresha imiyoboro yo kubaga kubagwa usibye kwiyubaka kwa ACL?

Nibyo, urashobora gukoresha imiyoboro yo kubangamira ubundi buryo bwo gusana ligament, nka PCL cyangwa kubaga MPFL. Bafasha kandi mugukosora tissue yoroheje muburyo bwinshi bwimikorere.