Imfashanyigisho ya siporo yubuvuzi
Inanga ya Suture ni ntoya yatewe muguhuza amagufwa yoroshye - nka tendon, ligament, cyangwa labrum - kumagufa. Bikunze gukoreshwa mugukingura na arthroscopique kubaga amagufwa , harimo gusana rotate cuff gusana, gutuza ibitugu, hamwe no gutoranya ivi, ikirenge, akaguru, ikiganza, n'inkokora.
Igisubizo cyihuse: Umuganga ubaga ashyira inanga mu magufa kandi agakoresha suture yometse ku gufata amagufwa yoroshye yakomeretse ku magufwa mugihe gukira bibaye. Niba inanga ya suture ishonga biterwa nibikoresho byayo. Titanium, ibyuma bitagira umwanda, hamwe na PEEK inanga ntibishobora gukururwa, mugihe bioabsorbable hamwe na ankeri zimwe na zimwe za biocomposite zagenewe kwangirika buhoro buhoro. Gutesha agaciro birashobora gufata amezi cyangwa imyaka kandi ntibishobora kuba byuzuye muri buri kintu.
Ibyingenzi
Icyuma Cyiza ni iki?
Mu kubaga amagufwa, an 'inanga ' ni igikoresho cyo gukosora cyinjijwe mu magufa kugirango gitange aho gifatira kuri suture imwe cyangwa nyinshi. Iyo suture inyura cyangwa ikikije imyenda yoroshye yangiritse ikayifata kumagufwa. Ikigamijwe ni ugukomeza umwanya wo gusana mugihe gukiza ibinyabuzima bitera imbere; uwatewe ubwayo ntabwo akiza ingirangingo.
Sisitemu isanzwe ya suture ikubiyemo:
Umubiri wa ankeri: ibice byashyizwe mumagufwa. Ukurikije igishushanyo cyayo, irashobora gutondekwa, gukanda-gukwira, kwaguka, cyangwa gukorwa cyane cyane mubikoresho byo kudoda.
Uburyo bwa eyelet cyangwa suture-kugumana: igice gihuza inanga na suture. Mu bishushanyo bimwe bidafite ipfundo, uburyo nabwo burahagarika umutima kandi bugafunga gusana.
Suture cyangwa kaseti: ibikoresho binyura mumyenda. Mugari kaseti yo mu bwoko bwa kaseti irashobora gutoranywa kubikorwa bimwe byo gusana, nubwo itandukaniro ryibinyabuzima ridahita ryemeza neza ivuriro ryiza.
Nigute Inkuge zidoda zikora?
Tekinike nyayo iratandukanye kubikorwa no gushushanya, ariko inzira yibanze yo gukosora ikurikiza amahame amwe:
Umuganga abaga ategura ingingo yinjizamo igufwa hafi yikibanza cyateganijwe.
Inanga yinjizwa mumwanya uteganijwe nu mfuruka ukoresheje igikoresho gikwiye cyo gutanga.
Suture inyuzwa muri tendon, ligament, capsule, cyangwa labrum.
Suture irahambiriwe cyangwa irinzwe hamwe nuburyo bwo gufunga ipfundo kugirango uhuze ingirangingo namagufwa.
Gusana birinda ibice by-amagufwa mugihe cyo gukira hakiri kare, mugihe nyuma yo kubagwa nyuma yubuvuzi igenzura imitwaro nigikorwa.
Imbaraga zo gukosorwa ziterwa na byinshi kuruta inanga yonyine. Ubwiza bwamagufa, inguni yinjizwamo, diameter ya ankeri nigishushanyo, imiterere ya suture, imiterere yimyenda, tekinike yo kubaga, hamwe no gusubiza mu buzima busanzwe byose bigira ingaruka kubisanwa. Inanga ibereye kurubuga rumwe cyangwa umurwayi ntishobora kuba iyindi.
Icyangombwa: Inanga zidoda zirashobora gushyigikira tekinike yibasiwe, ariko ntabwo yonyine yemeza ko ububabare buke, gukira vuba, cyangwa ibisubizo byihariye byubuvuzi. Gukira biterwa n'imvune yumwimerere, inzira, ubuzima bwumurwayi, ubwiza bwo gusana, na gahunda yo gusubiza mu buzima busanzwe.
Ese Suture Anchors Iratandukana?
Inanga zimwe zidoda zagenewe gutesha agaciro, izindi ziguma mumubiri. 'Dissolvable ' nigisobanuro cyingirakamaro cya buri munsi, ariko bioabsorbable cyangwa biodegradable irasobanutse neza. Izi nkuge zisenyuka binyuze mubinyabuzima na chimique aho guhita bicika.
| Ibikoresho bya Anchor cyangwa igishushanyo | Birashonga? | Gutekereza neza |
|---|---|---|
| Icyuma, nka titanium cyangwa ibyuma bidafite ingese | Oya | Itanga radiopaque ihoraho ariko irashobora gukora ibihangano byerekana amashusho kandi birashobora kugorana gusubiramo mubihe bimwe. |
| PEEK | Oya | Polimeri idashobora gukurura irasa kuri X-imirasire isanzwe kandi muri rusange ikora ibihangano bitagaragara cyane kuruta ibyuma. |
| Bioabsorbable polymer | Yagenewe gutesha agaciro | Igipimo kiratandukanye cyane kubijyanye na polymer, ingano ya ankeri, ahantu, hamwe nibisubizo byibinyabuzima. |
| Ibinyabuzima | Akenshi yagenewe gutesha agaciro buhoro buhoro | Ihuza polymer yangirika nibintu bigize minerval; gusimburwa n'amagufwa birahinduka kandi ntibigomba gufatwa. |
| Byose-suture | Biterwa n'ibikoresho | 'Byose-suture ' bisobanura ubwubatsi, ntabwo byanze bikunze byinjira. Ibicuruzwa byihariye byamakuru bigomba kugenzurwa. |
Bioabsorbable inanga ntabwo zose zitesha agaciro gahunda imwe. Ukurikije ibikoresho, ibisigisigi birashobora kugaragara kumyaka, kandi kwinjiza byuzuye ntabwo byemewe. Guhitamo inanga rero bigomba gushingira kumiterere yubuvuzi hamwe nibisobanuro byibicuruzwa - ntabwo bishingiye gusa ku guhitamo kwimikwa 'gushonga. '
Ubwoko bwibikoresho bya Suture
Ibishushanyo bya Suture biratandukanye mubintu, geometrie, uburyo bwo gushiramo, hamwe nuburyo bwo kugumana.
Ibidashoboka
Inanga zidashobora gukurura zigenewe kuguma mu mubiri keretse gukuramo bibaye ngombwa mubuvuzi. Icyiciro kirimo ibishushanyo mbonera kimwe na polymer idashobora gukurura nka PEEK. Inanga idashobora gukururwa irashobora gutanga igihe kirekire cyo gukosorwa, ariko ingaruka zo gufata amashusho no gusubiramo zishobora guterwa nibikoresho no kubishyira.
| Ubwoko bwa Suture Anchor | Ibyiza Byiza | Ingingo zo gusuzuma |
|---|---|---|
| Ntibishobora | Ibikoresho bihoraho; kuboneka mubishushanyo byinshi byashizweho. | Ibikoresho biguma mu mubiri; amashusho yerekana ibihangano hamwe nibisubirwamo biratandukanye. |
| Bioabsorbable cyangwa biocomposite | Yagenewe guteshwa agaciro buhoro buhoro; ibishushanyo bimwe bishobora kugabanya ibikoresho bihoraho. | Gutesha agaciro birahinduka; igisubizo cyokongoka, gushiraho cyst, cyangwa guhindura amagufwa birashobora kubaho. |
| Byose | Koresha umuyoboro muto w'amagufwa kandi urashobora kubika amagufwa menshi kurenza inanga zikomeye. | Imikorere iterwa no koherezwa, ubwiza bwamagufwa, nigishushanyo; kwinjiza ntibishobora guturuka ku izina. |
PEEK Corded Anchors
PEEK umugozi wa suture anchor ikoresha polyether ether ketone, polymer yubuhanga idashobora kwinjizwa. PEEK irasa kumaradiyo asanzwe kandi mubisanzwe ikora ibihangano bike byerekana amashusho kuruta ibyuma, nubwo imyanya yatewe ishobora kumenyekana nibimenyetso bifitanye isano cyangwa umuyoboro wamagufwa ukikije. PEEK inanga ntishobora gushonga.
Ingano ya Anchor ni ikintu kimwe gusa cyo guhitamo; anatomy, ubwiza bwamagufwa, tissue, hamwe nuburyo bwateganijwe bwo gusana bigomba no gusuzumwa.
Inanga
Inkingi idafite ipfunwe ikoresha uburyo bwo gufunga kugirango itekane kandi itere suture idafite ipfundo risanzwe rya arthroscopique. Inanga idafite ipfunwe irashobora koroshya intambwe zimwe na zimwe zo gusana kandi ikirinda kumenyekana ku ipfundo, ariko guhuza kwayo biterwa nuburyo hamwe nuburyo bwo kubaga abaganga. 'Knotless ' isobanura uburyo suture ifite umutekano; ntigaragaza niba inanga ari ibyuma, PEEK, ishobora kwinjizwa, cyangwa biocomposite.
Byose-Suture
Inanga zose zidoda zakozwe cyane cyane mubikoresho bikomeye byo kudoda aho kuba umubiri ukomeye. Mubisanzwe bakeneye amagufwa mato mato kandi bakagura cyangwa bagashyira munsi yubutaka. Imyitwarire yabo iterwa na tekinike yo kohereza hamwe nubwiza bwamagufwa yaho. Ntibagomba guhita basobanurwa nkuwaseswa.
Inkingi ya Suture iraboneka mubunini butandukanye, ibikoresho, hamwe no gupakira ibintu. XC Medico itanga orthopedic siporo-yubuvuzi, harimo PEEK yatoranijwe hamwe na titanium-alloy suture ya ankor. Guhitamo ibicuruzwa bigomba gushingira kumikoreshereze yabigenewe, imiterere yubuyobozi bwaho, ibikoresho bihuye, hamwe nubuvuzi bwabashinzwe.
Ni hehe inanga ya Suture ikoreshwa?
Inkingi zidoda zirashobora kwinjizwa mubikorwa birimo:
Igitugu: rotator cuff gusana, Bankart cyangwa labral gusana, hamwe na biceps yatoranijwe.
Ikibuno: cyatoranijwe gusanwa.
Gupfukama: byatoranijwe ligament, tendon, meniscal-imizi, cyangwa capsular fixation nzira.
Ikirenge n'amaguru: byatoranijwe Achilles tendon, ligament, hamwe no gusana.
Inkokora, ukuboko, n'ukuboko: uburyo bwatoranijwe cyangwa uburyo bwo guhuza uburyo.
Umuganga ubaga ahitamo niba gusana gushingiye ku nkuge, tekinike ihindagurika, cyangwa ubundi buryo bukwiye. Ibyavuye mu mavuriro biterwa nuburyo bwo gukomeretsa no gusana muri rusange - ntabwo biterwa gusa no kuba hari ibikoresho byihariye.
Umutekano, Kuramba, hamwe nibishoboka
Inkono ya Suture irakoreshwa cyane, ariko nta buryo bwo gutera cyangwa kubaga nta ngaruka. Ibyatoranijwe neza kandi bihagaze neza bigenewe kuguma bihamye mugihe cyo gukira. Inanga idashobora gukururwa irashobora kuguma burundu, mugihe ibikoresho byinjira bihinduka mugihe cyibiciro byihariye.
Ingorane zishobora kuba zirimo:
Gukuramo inanga, kurekura, kwimuka, kumeneka, cyangwa gutakaza gukosorwa
Gukuramo ibishishwa, kumeneka, cyangwa ipfundo rijyanye no kurakara
Kwangirika kwa karitsiye niba inanga igaragara cyangwa yinjiye hamwe
Amagufwa yerekana, kwaguka kwa tunnel, gukora cyst, cyangwa osteolysis
Gutwika cyangwa gusubiza umubiri-mubikoresho bimwe
Kwandura, gukomera, ububabare buhoraho, cyangwa gusana kunanirwa
Ingaruka ziratandukana nuburyo bukoreshwa, ibikoresho byatewe, tekinike yo kubaga, ubwiza bwimyenda, ubwiza bwamagufwa, gusubiza mu buzima busanzwe, hamwe nimpamvu z’abarwayi. Ububabare bushya cyangwa bukabije, umutuku, amazi, umuriro, kubyimba, gufata imashini, cyangwa gutakaza imbaraga zitunguranye nyuma yo kubagwa byemeza ko itsinda ryabavuzi rivura ryihuse.
Ibisubizo by’ubuvuzi bigomba gusobanurwa murwego rwuburyo bukoreshwa, abaturage barwayi, igihe cyo gukurikirana, nigishushanyo mbonera.
Uburyo Abaganga Basuzuma Anchor
Mugihe uhisemo sisitemu yo gukosora, itsinda ryo kubaga rishobora gutekereza:
Urubuga rwa anatomique nubunini bwamagufwa aboneka
Cortical and cancellous quality quality
Ingano nuburyo bwimyenda isanwa
Diameter ya Anchor, uburebure, geometrie, nuburyo bwo gushiramo
Ibyuma, PEEK, bioabsorbable, biocomposite, cyangwa kubaka byose
Tekinike yo gusana ipfundo cyangwa ipfundo
Ingano cyangwa kaseti ingano, iboneza, hamwe no guhuza
Ingamba zo gusubiramo hamwe no gukenera amashusho nyuma yibikorwa
Kwemeza kugenzura, gukurikiranwa, gupakira sterile, hamwe nibikoresho bihuza
Iterambere ryibicuruzwa rikomeje kunonosora ibikoresho, sisitemu yo kwinjiza, uburyo butagira ipfundo, hamwe nigishushanyo kibika amagufwa. Ariko, 'ibishya ' ntabwo bivuze ko bisumba ivuriro. Ibisabwa kubijyanye no kubagwa byihuse, igipimo cyo kugorana, gukira gukomeye, cyangwa ibisubizo byagezweho bigomba gushyigikirwa nibicuruzwa byihariye biomehaniki cyangwa ivuriro.
Ababikora bagomba gutanga ibyangombwa bya tekiniki bisobanutse hamwe nubuziranenge buhoraho. XC Medico ishyigikira iterambere ryibicuruzwa na tekinolojiya mishya muri suture , ariko inzobere mu buvuzi n’abayitanga bagomba gukomeza kugenzura ibisobanuro, ibimenyetso, imikoreshereze yabigenewe, hamwe n’imiterere ya buri gicuruzwa ku isoko ryabo.
Ikibazo cya Suture
Bisobanura iki 'inanga ' mu kubaga amagufwa?
Inanga ni ntoya yatewe mumagufwa kugirango ifate suture. Ubudodo butuma imitsi, ligament, capsule, cyangwa labrum irwanya amagufwa mugihe ingirangingo zasanwe zikira.
Suture inanga irashonga?
Bamwe barakora abandi ntibabikora. Titanium, ibyuma bidafite ingese, hamwe na PEEK inanga ntishobora gukururwa. Bioabsorbable hamwe na biocomposite zimwe na zimwe zagenewe kugabanuka buhoro buhoro, ariko ibi birashobora gufata amezi cyangwa imyaka kandi ntibishobora kuba byuzuye muri buri murwayi.
Ese inanga idoda isa na ankure ya suture?
Oya 'Ubudodo bwa Anchor ' muri rusange bivuga uburyo bwo kudoda cyangwa tekinike yo kudoda. Ikibaho cya suture nigiterwa cyinjijwe mumagufa kugirango gitange aho gikosora kuri suture.
Umwanya wo kudoda umara igihe kingana iki mumubiri?
Inanga idashobora gukururwa irashobora kuguma burundu keretse kuyikuramo bibaye ngombwa mubuvuzi. Inanga zidashobora kwangirika ku gipimo gitandukanye ukurikije ibikoresho, aho biherereye, hamwe n’ibisubizo by’umurwayi.
Urashobora kumva inanga ya suture?
Inanga nyinshi zicaye mumagufwa kandi ntabwo zunvikana neza. Nyuma yo kubagwa nyuma yubuvuzi irashobora guturuka kumitsi ikiza, gukomera, gutwika, kumenyekana, ingorane ziterwa, cyangwa izindi mpamvu. Ibimenyetso simusiga cyangwa bikabije bigomba gusubirwamo numuvuzi uvura.
Suture inanga irashobora kugaragara kuri X-ray cyangwa MRI?
Ibyuma byuma bisanzwe bigaragara kuri X-imirasire kandi birashobora gukora ibihangano byerekana amashusho. PEEK irasa kandi muri rusange ntigaragara cyane kuri X-imirasire. Kugaragara hamwe na MRI ibihangano biratandukanye bitewe nibikoresho n'ibicuruzwa, abarwayi rero bagomba kubwira abakozi bashushanya ibikoresho byose byatewe.
Ni iki ukwiye kwitega nyuma yo kubagwa suture?
Gukira biratandukanye nuduce twasanwe hamwe nuburyo bukoreshwa. Abarwayi barashobora gukingirwa by'agateganyo, kugenda kubujijwe, no gusubiza mu buzima busanzwe. Garuka ku kazi, imyitozo, cyangwa siporo bigomba gukurikiza amabwiriza yikipe yo kubaga no gusubiza mu buzima busanzwe aho gukurikiza ingengabihe.
Ni ryari ugomba kuvugana na muganga nyuma yo kubagwa?
Menyesha itsinda rishinzwe kuvura kugirango wongere ububabare, umutuku, amazi, umuriro, kubyimba bidasanzwe, gufata imashini, intege nke zitunguranye, cyangwa gutakaza umuvuduko utunguranye. Ibimenyetso byihutirwa bigomba gusuzumwa vuba.
Muganire kubisabwa bya Suture
Kubisobanuro byibicuruzwa, amahitamo yibikoresho, ibikoresho bihuye, cyangwa ibiganiro bya OEM, XC Medico itanga ibicuruzwa byizewe kandi byizewe kuri wewe.
Kwamagana ubuvuzi: Iyi ngingo igenewe uburezi rusange nibicuruzwa-amakuru. Ntabwo itanga kwisuzumisha, inama zokuvura, cyangwa ibyifuzo byatewe. Abarwayi bagomba kugisha inama inzobere mu by'ubuzima zibishoboye. Ibicuruzwa biboneka, bigenewe gukoreshwa, hamwe nuburyo bugenzurwa buratandukanye ku isoko.
