Ni irihe tandukaniro riri hagati yo gufunga no kudafunga ibyapa?

Itandukaniro riri hagati ya a isahani yo gufunga hamwe nisahani idafunze iramanuka kumitekerereze imwe: uburyo umugozi uhuza isahani . Mu isahani yo gufunga, umugozi wumugozi wumugozi ufunze mumwobo wibisahani, bityo imigozi hamwe nisahani bitwara nkigice kimwe gikomeye, gifatika-kidafite aho gihuriye no guterana amagufwa. Mu isahani idafunze (isanzwe), imigozi ikanda isahani kumagufwa, kandi ituze rituruka ku guterana amagambo hejuru yisahani.

Itandukaniro rimwe ryashushanyijeho ibintu byose - guhuza amagufwa, gutanga amaraso ya periosteal, kwikuramo ahavunitse, imyitwarire mumagufwa ya osteoporotique, igipimo cyo gukuraho ibyuma, nigiciro kuri buri kubaka. Aka gatabo kagereranya gufunga vs ibyapa bidafunze muburyo bwimikorere, ibinyabuzima, ibimenyetso byamavuriro, hamwe namasoko, bityo rero gutera byatewe no kuvunika numurwayi.

Gufunga vs Isahani idafunze

Niba usoma igice kimwe cyuru rupapuro, soma iyi mbonerahamwe. Ivuga muri make itandukaniro rihindura ibyemezo byubuvuzi.

Icyitonderwa cyameza: ikiguzi, kuvanaho hamwe nibibazo bitandukana bitewe nubwoko bwavunitse, sisitemu yatewe hamwe na sisitemu yubuzima. Fata imirongo itatu yanyuma nkicyerekezo, ntabwo ari rusange.

Ibyingenzi

• Urwego rukora ibintu byose. Gufunga imigozi birema inguni ihamye; imigozi idafunze ishingiye ku guterana hagati yisahani n'amagufwa.

• Gufunga amasahani yihanganira bidatunganye. Ntibakenera guhuzwa neza n'amagufwa, afasha kubungabunga amaraso no koroshya kubaga kuvunika.

• Isahani idafunze ikeneye guhuza neza. Bakora neza mumagufa akomeye hamwe nuburyo bworoshye bwo kuvunika, aho bashobora no kubyara compression.

• Ibisubizo akenshi birasa; ingorane ziratandukanye. Kugereranya byatangajwe muburyo busanzwe bwavunitse raporo yerekana ibisubizo byagereranijwe byagereranijwe, hamwe nibitandukaniro byibanda kubibazo by ibikomere, kongera gufungura no gukuraho ibyuma.

• Hitamo ukurikije ubwiza bwamagufwa nuburyo bwavunitse mbere, igiciro cya kabiri. Intege nke cyangwa zagabanijwe zifunga gufunga; kuvunika byoroshye mumagufa meza atonesha kudafunga.

Uburyo bwo Gufunga no kudafunga ibyapa bikora

Uburyo isahani yo gufunga ikora

Isahani yo gufunga ikoreshwa mugihe ubwubatsi ubwabwo bugomba gutanga ituze. Umutwe wa screw utwara urudodo ruhuza urudodo ruhuye nu mwobo, bityo umugozi hamwe nisahani bifatanyirijwe hamwe. Inguni n'umwanya bigenwa nisahani, ntabwo byatewe nuburyo umugozi uruma igufwa.

Ingaruka eshatu zikurikira. Ubwa mbere, isahani ntigomba gukandagirwa kumagufwa, bityo irashobora gusigara gato hejuru yubutaka kandi amaraso ya periosteal munsi yayo akabaho. Icya kabiri, kubera ko screw idashobora guhindagurika, ibyubaka birwanya gukuramo nubwo ubwiza bwamagufwa ari bubi cyangwa kuvunika biri mubice byinshi. Icya gatatu, micromotion igenzurwa no gutandukanya icyuho itera gushigikira ikiraro - ihame ryo gukira mu buryo butaziguye.

Impanuro: Isahani yo gufunga nuguhitamo bisanzwe mugihe igufwa ridashobora kwishingikiriza gufata umugozi - osteoporose, comminution, cyangwa kuvunika periprosthetic.

Imbonerahamwe ikurikira irerekana amahame ya biomehanike inyuma yizo nyungu.

Uburyo isahani idafunze ikora

A. isahani idafunze - nayo yanditse 'isahani idafunga ', kandi bakunze kwita isahani isanzwe cyangwa yogusenya - ikora muburyo bunyuranye. Imiyoboro inyura mu isahani no mu magufa, ikurura isahani hasi kuri cortex. Ihungabana rituruka ku guterana hejuru kuri plaque-amagufwa: uko kwikuramo kwinshi, niko birwanya kugenda.

Ubu buryo bufite ibyiza nyabyo. Ihererekanya umutwaro ku isahani kandi ikabyara compression kumurongo wavunitse, ishishikariza gukiza amagufwa yibanze muburyo bworoshye. Igura kandi make kandi ntisaba ibikoresho byihariye byo gufunga. Ariko ifite ikintu kimwe gisabwa: isahani igomba kuba yuzuye neza. Niba isahani iticaye neza, guterana bifata ibyubaka hamwe biratakara kandi kugabanuka bishobora gutakara hamwe nayo.

Icyitonderwa: Isahani idafunze ikora neza mumagufa meza hamwe no kuvunika byoroshye. Guhuza neza ntabwo ari ubushake - ni uburyo.

Imbonerahamwe ikurikira iragereranya uburyo bubiri bwubaka bukwirakwiza umutwaro.

Itandukaniro ryibanze rya tekiniki iyo urebye

Igihe cyo Gukoresha Isahani Ifunga nigihe cyo gukoresha Isahani idafunze

Gufunga ibyapa

Isahani yo gufunga ikoreshwa aho igufwa ridashobora kwizerwa gufata umugozi. Ibihe bisanzwe birimo kuvunika kwimyanya ndangagitsina kumurwayi ukuze, kuvunika femur cyangwa kure ya radiyo ya kure hamwe na metafhyseal, kuvunika periprosthetike kuzengurutse ikibuno cyangwa ivi, hamwe no kuvunika gukinguye aho kwangirika kwinyama bigabanya uburyo bwo kubaga.

Muri ibi bihe, isahani itwara umutwaro kuruta igufwa. Kuberako inguni ya screw yagenwe nisahani, ibyubaka birwanya kunama no guhindagurika kandi bitanga inzinguzingo nyinshi zo kunanirwa - bifite akamaro mugihe gukira bizatinda. Gufunga amasahani nabyo ni ingirakamaro mugihe isahani idafunze yakenera guhuza cyane, kubera ko yihanganira icyuho gito kiri hagati yisahani namagufwa.

Amategeko agenga igikumwe: hitamo isahani yo gufunga kuvunika gukomeye cyangwa kudahindagurika, kutagira amagufwa meza, cyangwa mugihe gukosorwa bitagomba guterwa no kugura imigozi.

Ibyapa bidafunze ibimenyetso byerekana

Isahani idafunze ikomeza kuba igisubizo cyukuri kuvunika byoroshye mumagufwa meza. Ivunika rihindagurika cyangwa rigufi rya diaphyseal ivunika kumuntu mukuru ukuze ni ikimenyetso cyerekana: isahani irashobora guhuzwa na cortex, ikabyara compression kumurongo wavunitse, kandi igashyigikira gukira kwambere.

Nabo guhitamo pragmatique aho amikoro ari make. Guterwa bigura make, tekinike iramenyerewe, ibikoresho byihariye byo gufunga ntibisabwa, kandi kuvanaho - niba bikenewe - biroroshye. Kugabanuka mu buryo butaziguye amagufwa akomeye, isahani idafunze akenshi iba yoroshye kandi ihendutse kuruta kubaka.

Icyitonderwa: hitamo isahani idafunze kuburyo bworoshye bwo kuvunika, amagufwa meza, hamwe nigihe compression cyangwa ikiguzi-cyambere aricyo kintu cyambere.

Guhuza isahani guhitamo umurwayi no kuvunika

Ibintu byabarwayi bifite akamaro nkumurongo wacitse. Abarwayi bakuze bafite igabanuka ryamagufwa yamagufa birashoboka cyane ko bungukirwa no guhagarara neza; abarwayi bato bafite imiterere yoroshye ntibakunze kubikenera. Imbonerahamwe ikurikira irerekana incamake yubucuruzi.

Ibyiza nibibi bya buri bwoko bwa plaque

Ibyiza nibibi byo gufunga amasahani

Isahani yo gufunga itanga inkunga ikomeye, inguni-itajegajega idakeneye uburyo bwiza bwa anatomical fit cyangwa comport cortical compression, bigatuma yishingikiriza kumagufa atoroshye. Igishushanyo kimwe, ariko, kizana ibicuruzwa. Gufunga amasahani arabyimbye kandi arigaragaza cyane, kandi ubuvanganzo buvuga ko umubare munini w’ibibazo byakomeretse ndetse no kongera gufungura muburyo bumwe na bumwe bwavunitse - cyane cyane hafi ya radiyo ya kure. Ubushakashatsi bwinshi bugereranya nabwo bwasanze nta nyungu ikora kurenza amasahani adafunze nubwo igiciro kinini.

Ibibazo byavuzwe byavuzwe hafi yibikoresho byamamare, gukira ibikomere na - kubireba radiyo ya kure - ibimenyetso bya tuneli ya karpal. Muganire ku bucuruzi bweruye mugihe uhitamo gufunga.

Ibyiza nimbibi zisahani idafunze

Isahani idafunze iroroshye gukoresha, byoroshye guhuza kandi byoroshye kuyikuramo, kandi ihuza nurwego runini rwimvune zoroshye. Igura make, ntikeneye ibikoresho byihariye byo gufunga, kandi ireka umuganga abaga compression kurubuga rwacitse. Kubitaro bikora kuri bije, ibyo guhuza biragoye gutsinda.

• Tekinike yoroshye: ibikoresho bizwi, kwinjiza neza no gukuraho.

• Binyuranye: bikwiranye nuburyo bwinshi bworoshye bwo kuvunika no kumagufwa.

• Igiciro-cyiza: igiciro cyibiciro biri hasi, bifite akamaro mubunini.

Imipaka iragaragara neza. Kudafunga gukosora biterwa no guterana amagambo, biterwa rero nubwiza bwamagufwa. Mu magufa ya osteoporotic cyangwa yagabanijwe, imigozi irashobora gukuramo kandi kugabanuka birashobora gutakara; isahani irananirwa kenshi. Kwiyunvikana munsi yisahani birashobora kandi kubangamira cortical parfusion. Niba isahani idahujwe neza, ubwubatsi ntibigera bugera ku guterana kwishingikirije.

Impanuro: ihuza isahani nuburyo bwo kuvunika hamwe nubwiza bwamagufwa. Kudafunga gukosora birananirana cyane iyo bikoreshejwe hanze yerekana, sibyo kuko igishushanyo gifite inenge.

Ibiciro, Ibarura hamwe no Gutanga Amasoko

Ibyemezo byamasoko ntabwo bisa nibyemezo byubuvuzi, kandi byombi bigomba kwiyunga. Gufunga amasahani bitwara igiciro cyinshi, ariko birashobora kugabanya uburyo bwo gusubiramo no gukuraho ibyuma mugihe bigoye, bihindura ibiciro kuva ikinamico ikorera kuri bije yatewe. Isahani idafunze ihendutse kuri buri gice kandi itwikiriye igice kinini cyubwinshi bwihungabana.

Ingamba zifatika zo kugura ni ukubika byombi, byerekanwe neza kubimenyetso: gufunga inyubako za osteoporotic, metafhyseal na periprosthetic; kudafunga kubaka kubikorwa byoroshye bya diaphyseal. Kugereranya kuri sisitemu itanga ubwoko bwibisahani byombi - hamwe nibikoresho bisangiwe, imiyoboro ya screw ihuza hamwe nibyangombwa bihoraho - bigabanya kubara ibintu bigoye, bigabanya igihe cyagenwe kandi bigabanya ibyago byo kubura hagati yimanza.

Inama: gusuzuma igiciro cyose cyubuvuzi, ntabwo igiciro cyibice. Ibintu mubikoresho, kuboneza urubyaro, gushiraho byuzuye, ibyago byo gusubiramo no kuyobora igihe.

Guhitamo Isahani

Guhitamo isahani ni kimwe cya kabiri cyicyemezo; ikindi gice ninde ubikora. Kugirango ihahamuka ryaterwe kwizerwa, ibikoresho, ubworoherane, kurangiza hejuru hamwe na sterisizione byose bigomba kugenzurwa - kandi uwabitanze agomba kwerekana ibimenyetso bigenzura binyuze mubyemezo.

XC Medico ikora orthopedic ihahamuka harimo gufunga amasahani na Isahani idafunze muri sisitemu yubuziranenge yanditse: ISO 13485 yo gucunga neza ibikoresho byubuvuzi na ISO 10993 kugirango biocompatibilité yibikoresho bihuye na tissue. Buri cyiciro kirashobora gukurikiranwa, kandi buri bwato bwatewe hamwe nibitaro byabigenewe hamwe nababikwirakwiza bakeneye ibisabwa n'amabwiriza.

Kubihungabana byahurijwe hamwe hamwe nibisobanuro bihoraho muburyo bwombi, suzuma sisitemu yo guhahamuka orthopedic cyangwa vugana na XC Medico kubitabo byubu byo gufunga no kudafunga urutonde, umubare ntarengwa wateganijwe hamwe nigihe cyo kuyobora.

Ibibazo

Ni irihe tandukaniro nyamukuru riri hagati yisahani ifunze nisahani idafunze?

Mu isahani yo gufunga, umutwe wumugozi wumugozi ufunga umwobo wibisahani, ugakora inguni ihamye itajyanye no guterana amagufwa. Isahani idafunze ifata igufwa no guterana amagambo: imigozi isunika isahani kuri cortex, kandi isahani igomba guhuzwa kugirango ihuze neza.

Ese imigozi yo gufunga iruta imigozi idafunze?

Ntabwo ari rusange. Gufunga imigozi nibyiza mugihe ubwiza bwamagufwa ari mabi cyangwa kuvunika kugabanijwe, kuko birwanya guhindagurika no gukuramo. Mu magufa mazima afite kuvunika kworoshye, imigozi idafunze ikora neza, yemerera kwikuramo kandi bigura make. Icyerekana, ntabwo ari screw, igena icyiza.

Ni ryari ugomba guhitamo isahani idafunze?

Hitamo isahani idafunze kuburyo bworoshye bwo kuvunika muburyo bwiza bwamagufwa meza - kuvunika kwa diaphyseal transvers, kurugero - cyangwa mugihe kwikomeretsa ahavunitse kandi bikoresha neza nibyo byihutirwa. Ihuza kandi igenamiterere aho gufunga ibikoresho byihariye bidahari.

Isahani yo gufunga igomba guhuzwa n'amagufwa?

Oya. Ibyo ni bimwe mu byiza byabo. Kuberako ituze rituruka kumurongo wa plate-plate aho guturuka ku guterana amagambo, isahani yo gufunga irashobora gusigara gato hejuru yamagufwa. Ibi birinda amaraso ya periosteal munsi yisahani. Isahani idafunze, bitandukanye, igomba kwicara neza.

Gufunga amasahani nibyiza kumagufwa ya osteoporotic?

Yego - ibi nibyo byerekana neza. Gufunga imigozi ifata inguni nubwo amagufwa akikije adashobora gutanga ibintu byinshi, bityo gukosora ntibishobora kunanirwa kandi imigozi ntishobora guhinduka. Niyo mpamvu amasahani yo gufunga akoreshwa cyane kubarwayi bakuze no kuvunika periprosthetic.

Nihe sahani ihenze cyane kubitaro?

Biterwa no kuvanga imanza. Isahani idafunze igura make kuri buri gice kandi igapfundikira ihahamuka risanzwe neza. Gufunga amasahani bisaba amafaranga menshi ariko birashobora kugabanya kubaga gusubiramo no gukuraho ibyuma mubihe bigoye. Ibigo byinshi by’ihungabana bibika byombi kandi bigashushanya ubwoko bwa buri cyapa kubigaragaza aho kugendera kuri kimwe.

Isahani yo gufunga igomba gukurwaho?

Mubisanzwe ntabwo, kandi kuvanaho ntibikunze kugaragara kuruta ibyapa bidafunze. Gukuraho bifatwa mugihe iyatewe ryagaragaye kandi rikarakaza ingirangingo zoroshye, iyo ziteye ibimenyetso, cyangwa kubarwayi bakiri bato aho ibyuma bitagikenewe. Icyemezo ni ivuriro, ntabwo ari ibintu bisanzwe.

Isahani imwe irashobora gukoreshwa muburyo bwose bwavunitse?

Nta sahani imwe ihuye n'ibimenyetso byose. Gufunga no kudafunga amasahani bikemura ibibazo bitandukanye byubukanishi, kandi muri buri cyiciro harimo ibishushanyo mbonera byihariye bya humerus yegeranye, radiyo ya kure, femur ya kure nizindi mbuga. Guhuza igishushanyo cyo kuvunika nicyo kigena ibizavamo.

Umwanzuro

Itandukaniro riri hagati yo gufunga no kudafunga amasahani ni imashini, ariko ingaruka ni ivuriro nubukungu. Gufunga amasahani arema inguni ihamye, yubatswe-ifatiye runini ifata amagufwa ya osteoporotic, yahinduwe na metafhyseal amagufwa adakanda kuri periosteum. Isahani idafunze ikoresha guterana no kwikuramo kugirango ikosore imvune yoroshye mumagufa akomeye, ku giciro gito kandi hamwe na tekinike yoroshye. Ntanubwo aruta isi yose: ibisubizo mubyiciro byinshi bigereranya birasa, mugihe ingorane no gutandukanya ibiciro. Hitamo ukurikije uburyo bwo kuvunika hamwe nubwiza bwamagufwa mbere, hanyuma uhuze iryo hitamo na gahunda yawe yo kubara no gutanga amasoko.

Shakisha XC Medico gufunga isahani na nta-gufunga isahani iringaniye, cyangwa vugana nitsinda ryacu kubyerekeye guhuza isahani ya portfolio nubunini bwihungabana.

Iheruka kuvugururwa: Ukwakira 2026.Iyi ngingo yandikiwe inzobere mu magufa n’itsinda ryamasoko kandi ntabwo risimburwa n’urubanza rw’amavuriro.