Impamvu Cortical Button Gukosora Buri gihe Byingenzi Mugukiza

Cortical buto ikosora ifasha guhuza inyama zoroshye kumagufwa. Byakoreshejwe muri kubaga amagufwa . Ubu buryo burakomeye kandi bufasha gukira. Abaganga babaga barabyizeye kuko bikora neza. Abaganga bakoresha ubu buryo muri 3.4% yo kubaga. Niba uhisemo kubaga muri XCmedico, ubona injeniyeri nziza. Urabona kandi ibisubizo ushobora kwizera. Imbonerahamwe ikurikira irerekana uburyo gukosora buto ya cortical ugereranije nubundi buryo. Ireba umutwaro-kunanirwa no kunanirwa:

Ibyingenzi

• Cortical buto ikosora itanga inkunga ikomeye kumubiri woroshye kumagufwa. Ibi bifasha gukira gukira.

• Ubu buryo bugabanya amahirwe yibibazo nyuma yo kubagwa. Bisobanura kubagwa gake nyuma no gukira neza.

• Abarwayi bakira vuba kandi bafite ihungabana ryiza hamwe na cortical buto ikosora. Ibi nibyiza kuruta uburyo bukera.

• Abaganga babaga nka cortical buto yo gukosora kuko irasobanutse kandi ikora neza. Ikora inkovu nto kandi igabanya ibyago byo kwandura.

• Gutoranya neza , kimwe na XCmedico, bifasha inzira gukora neza. Ifasha kandi gukira kuba byiza bishobora kuba.

Cortical Button Gukosora Byasobanuwe

Buto ya Cortical Niki?

Akabuto ka cortical nigikoresho gito, gikomeye gifasha guhuza ingirangingo zoroshye, nka tendon cyangwa ligament, kumagufa. Uzabona ikoreshwa muburyo bwinshi bwo kubaga amagufwa. Akabuto kicaye kumurongo ukomeye w'amagufwa, bita cortex. Abaganga babaga babikoresha kuko bifata tissue mugihe umubiri wawe ukize.

Imiterere ya buto ya cortical iroroshye ariko ikora neza. Irasa nisahani ntoya ifite umwobo wo kudoda. Utudomo duhuza tissue kuri buto. Akabuto gakwirakwiza imbaraga ahantu hanini, bifasha kurinda ingirangingo gusohoka. Utubuto twinshi twa cortical twakozwe mubikoresho bikomeye, nka titanium cyangwa ibyuma byinjira. Ibi bikoresho biha buto imbaraga nyinshi kandi bikagira umutekano kumubiri wawe.

Urashobora kubona uburyo imiterere nibikoresho bigira icyo bihindura:

• Cortical suspensory buto irashobora gukora umutwaro muremure mbere yo kumeneka ugereranije nibindi bikoresho.

• Ifite ubukana bunini, bivuze ko ifata tissue neza.

• Ibyuma bidashobora gukoreshwa bikoreshwa muri buto zimwe birashobora gusenyuka buhoro mumubiri wawe, bikarinda umutekano kandi bigashyigikira gukira.

Uburyo Cortical Button Gukosora Bikora

Cortical buto ikosora nuburyo bukoresha buto kugirango umutekano uhindurwe. Urashobora kubitekereza nkinanga ikomeye. Umuganga ubaga yambika ingirangingo akoresheje buto, hanyuma akayikurura mu muyoboro muto mu magufa. Akabuto kicaye hanze yamagufa, gufunga ingirangingo.

Ubu buryo buguha ibyiza byinshi bya biomehanike:

• Ubona ubunebwe buke mu gihimba cyawe nyuma yo kubagwa.

• Urashobora gusubira muri siporo ugakora ufite ububabare buke.

• Tissue ikiza impande zose, bigatuma gusana gukomera.

Hano hari imbonerahamwe yerekana ibizamini byingenzi bikoreshwa mu kugenzura uburyo buto ya cortical ikosora neza:

Ubushakashatsi bwinshi bugereranya buto ya cortical ikosorwa nubundi buryo. Ingingo imwe izwi ireba uko ikora Kubaga ACL . Ibisubizo byerekana ko ubu buryo butanga inkunga nziza kandi bugufasha gukira vuba.

Uzasanga kandi ibihugu bitandukanye bifite amategeko yabyo kubikoresho. Muri Amerika ya Ruguru, amategeko arakomeye kandi arasobanutse. Mu Burayi, amategeko akubiyemo ibihugu byose ariko birashobora gutandukana ahantu hose. Muri Aziya, ugomba gukorana ninzobere zaho kugirango ukurikize amategeko.

Impanuro: Niba ushaka gusanwa gukomeye kandi kwizewe, baza umuganga wawe kubijyanye no gukosora buto ya cortical. Yizewe nabaganga benshi kubwumutekano n'imbaraga zayo.

Kubaga Gukoresha Cortical Button Gukosora

Intambwe ku yindi Gahunda yo Kubaga

Abaganga babaga bakurikiza uburyo bwitondewe bwo gukosora buto. Ubwa mbere, umuganga akora agace gato hafi yingingo zawe. Hanyuma, umuganga abaga umuyoboro unyuze mu magufwa yawe. Uyu muyoboro uyobora tendon cyangwa ligamente ahantu heza. Ibikurikira, umuganga ubaga umugozi cyangwa ligament unyuze mumurongo. Akabuto ka cortical kicaye hanze yamagufa. Umuganga abaga akurura ingirangingo. Hanyuma, buto irahindurwa kugirango ifunge ahantu. Ibi bituma tissue itekana mugihe umubiri wawe ukize.

XCmedico ya 2.7 / 3.5 / 4.5 mm Cortical Screw Umuyoboro wuzuye ufasha muri kubaga. Umuganga ubaga akoresha iyo miyoboro kugirango afate buto na tissue neza. Igishushanyo cyuzuye-cyuzuye gitanga imbaraga. Ifasha gusana kuguma bihamye. Urumva ububabare buke kandi ukagenda neza nyuma yo kubagwa kuko gukosora birakomeye.

Inzira Rusange na Porogaramu

Cortical buto yo gukosora ikoreshwa muburyo bwinshi bwo kubaga amagufwa. Ikoreshwa cyane ni muri kwiyubaka imbere yimbere . Abaganga babaga bakoresha ubu buryo kugirango bahuze ligamente nshya kumavi. Akabuto gafata ibihingwa mugihe umubiri wawe ukize. Malpositioning ya buto yumugore mugihe cyo kwiyubaka kwa ligamenti yimbere yabayeho mubarwayi 3.5% gusa. Ibi birerekana neza.

Uzabona kandi ubu buhanga mubindi bisanwa:

• Kwubaka ligamenti yimbere kubwo gukomeretsa kw'ivi

• Intera ya biceps ikunda gusana ibikomere byinkokora

• Pectoralis ikomeye yo gusana ibikomere

• Uburyo bwa Latarjet kubitugu bidahungabana

Uburyo bwa Latarjet bwakoresheje imigozi mbere, ariko ubushakashatsi bushya bwerekana ko gukosora buto ya cortical suture bishobora kugabanya ibibazo bivuye kumurongo.

Ubushakashatsi bwakozwe kuri biceps ya tendon yo gusana bwerekana ko gukosora buto ya cortical buto itanga inkunga ikomeye kuruta uburyo bukera.

Abaganga babaga bahitamo ubu buryo kuko butanga inkunga ikomeye. Iragufasha gusubira mubikorwa byihuse. Urashobora kwizera XC medico yatewe kugirango itange ituze ikenewe kugirango isanwe neza.

Inyungu zo Gukiza za Cortical Button Fixation

Guhagarara no gukira

Urashaka ko ingingo yawe ikomera nyuma yo kubagwa. Cortical buto ikosora ifasha kuyikomera. Ubu buryo butuma tissue yawe ihagarara kugirango ishobore gukira. Akabuto gatanga inkunga nziza kuri tendon yawe cyangwa ligament. Ifata ingirabuzimafatizo ku magufa. Ibi bituma gusana kwawe bihamye, niyo wimura ingingo yawe.

Abaganga benshi babona ko gukosora buto ya cortical ikomeza suture ikomeye. Akabuto ntabwo karambuye cyangwa ngo karekure byoroshye. Gusana kwawe kuguma gushikamye mugihe ukize. Urashobora kwizera ko ingingo yawe itazumva intege nke cyangwa irekuye.

Akenshi abarwayi bakira vuba hamwe nubuhanga. Kurugero, abantu bafite biceps ya biceps yo gusana bakoresheje igikoresho cya ToggleLocTM bumvise bamerewe neza mumezi abiri. Bashoboraga kwimura ukuboko bagakora ibintu bya buri munsi vuba. Imyitwarire ya tendon mbere yo kubagwa ntabwo yahinduye ibisubizo byiza. Urashobora kwitega gukira neza hamwe ningingo ikomeye.

Dore imbonerahamwe yerekana uko abarwayi bumva nyuma yo kubagwa:

Abarwayi benshi bavuga ko bafite ububabare buke kandi bakagenda neza. Abarwayi hafi ya bose bagera kurwego rwiterambere rubafitiye akamaro.

Impanuro: Niba ushaka gusubira muri siporo cyangwa gukora byihuse, baza muganga wawe kubyerekeye gukosora buto ya cortical. Ubu buryo bugufasha gukira vuba no kugenda neza.

Kugabanya Ingorane

Urashaka ko kubagwa kwawe bigira umutekano. Cortical buto ikosora igabanya ibyago byibibazo nyuma yo kubagwa. Ibibazo bikunze kugaragara ni ibikomere by'imitsi, gukura kw'amagufwa y'inyongera, no guhagarika imitsi. Ibi bibaho gake cyane hamwe nubu buryo kuruta kubandi.

Abaganga basanze igipimo cyibibazo kiri hasi cyane hamwe na cortical buto ikosora. Kurugero, 0% byabarwayi bagize ibibazo murubu buryo, ugereranije na 26.4% bafite inanga ya suture na 44.8% bafite imiyoboro yimbere. Ntushobora cyane kugira ibibazo nyuma yo gusana.

Dore imbonerahamwe igereranya ibipimo byo kwisubiramo no gufungura:

Ubwo buryo bwombi bufite igipimo gito, ariko gukosora screw bifite ibibazo byinshi nko gukomeretsa imitsi no kwandura. Gukosora-buto gukosora biganisha kuri reoperations nkeya kuko hariho ibibazo bike byatewe.

Urabona kubagwa neza kandi amahirwe make yo gukenera ikindi gikorwa. Abarwayi benshi ntibakeneye kubagwa bwa kabiri, kandi nta kibazo bafite cyo guhungabana cyangwa kwandura. Urashobora kumva neza ko gusana kwawe bizaramba.

Icyitonderwa: Buri gihe vugana na muganga wawe kubaga uburyo bwiza bwo gukomeretsa. Cortical buto ikosora itanga inkunga ikomeye hamwe no gukira neza kubintu byinshi byo gusana na ligament.

Kugereranya Uburyo bwo Gukosora

Cortical Button na tekinike gakondo

Urashobora kwibaza uburyo cortical buto ikosora ikurikirana inzira zishaje. Uburyo gakondo koresha imigozi cyangwa suture inanga mugikorwa cyo kubaga kumugaragaro . Ibi bimaze igihe kinini. Barashobora gukora, ariko bazana ibyago byinshi. Kubaga kumugaragaro akenshi bisobanura ububabare bwinshi no gukira igihe kirekire. Rimwe na rimwe, imigozi igomba gukururwa nyuma. Ibi bivuze ko ushobora gukenera urundi ruzinduko rwibitaro.

Cortical buto yo gukosora ntabwo igaragara. Abaganga babaga bakora uduce duto kandi bagakora neza. Mu iyubakwa ryimbere ryimbere, ubushakashatsi bwerekana ibibazo bike kuri buto ya cortical kuruta kubaga kumugaragaro. Ubona inkunga ikomeye kuri tendon yawe hanyuma ugakira ufite ibyago bike. Abaganga bagereranije buto-ihinduranya ya cortical buto, ibikoresho byagenwe, hamwe nicyuma. Basanze ibipimo bisa na ACL byo gusubiramo imyaka ibiri n'itanu. Ibi bivuze ko ukiza neza, ntakibazo cyakoreshwa.

Ubushakashatsi bumwe bwagenzuye ibiciro no gukira. Tendon suture ikosora irashobora kuzigama amafaranga ugereranije na screw fixation. Urashobora kugenda no gukora ibintu bya buri munsi vuba. Abarwayi bafite suture ya tendon bafite ububabare buke nyuma y'amezi atatu babagwa. Bashobora kwimura amaguru vuba.

Inyungu zidasanzwe kubaga n'abarwayi

Ubona inyungu zidasanzwe mugihe umuganga wawe akoresha buto ya cortical. Igikoresho gifata tissue yawe neza kumagufwa. Ibi bifasha gusana kwawe gukomera. Kubaga nkubugenzuzi nukuri ubu buryo butanga. Urabona inkovu ntoya kandi ibyago byo kwandura.

XCmedico ya 2.7 / 3.5 / 4.5 mm Cortical Screw Umuyoboro wuzuye-wongeyeho agaciro. Iyi miyoboro ihuye nubunini bwamagufwa. Umuganga ubaga arashobora guhitamo icyiza kuri wewe. Igishushanyo cyuzuye-gifata igufwa cyane. Ibi bikomeza buto na tissue mumwanya. Urakira vuba kuko screw ifasha amagufwa na tendon gukura hamwe. Umuti wa titanium ntushobora kubora kandi ufite umutekano mumubiri wawe. Ntugomba guhangayikishwa no kumena imigozi cyangwa gutera ibibazo.

Impanuro: Baza umuganga wawe niba buto ya cortical na screw-yuzuye-umugozi wuzuye nibyiza byo kwiyubaka kwa ligamenti imbere. Urashobora gukira vuba kandi ukumva ufite imbaraga hamwe nibi bikosorwa.

Ibyavuye mu Isi

Ibimenyetso byo gukira neza

Urashobora kwibaza niba gukosora buto ya cortical bifasha abantu gukira. Ubushakashatsi bwinshi buvuga ko ubu buryo butanga ibisubizo bikomeye kandi birambye. Ubusanzwe abarwayi bishimira nyuma yo kubagwa. Urashobora gusubira muri siporo nubuzima bwa buri munsi byoroshye. Abaganga babona gukosorwa gukomeretse nko kuvunika kwa Lisfranc. Ibi bivuze ko ingingo yawe igumye mumwanya mugihe ukize.

• Gukosora buto yo kugufasha igufasha gusubira mubikorwa ukunda.

• Urashobora kwitega amahirwe menshi yo kongera gukina siporo, nubwo hashize imyaka.

• Arthroscopic cortical-buto Latarjet inzira ifite 95% kugaruka kumikino mugihe cyimyaka itandatu.

Niba ukeneye gusana tendon, urashobora kwizera ubu buryo. Ubushakashatsi kuri biceps ya tendon yo gusana yerekana ibisubizo byiza kubarwayi. Abantu basubira hafi imbaraga zabo zose nimbaraga zabo. Abarwayi benshi bavuga ko ubuzima bwabo bumeze neza nyuma yo kubagwa. Urashobora kumva neza ko gukira kwawe kuzaba gukomeye kandi gushikamye.

Abaganga nabo babona ibibazo bike hamwe nubu buryo. Muburyo bwa Latarjet, nta barwayi bafite buto ya cortical ikosora ubundi bakeneye kubagwa. Ariko abarwayi bamwe bafite gukosora screw bafite ibibazo byibyuma. Igipimo cyubumwe ni kinini hamwe na cortical buto. Ibi bivuze ko amagufwa yawe akira neza.

Intsinzi Inkuru hamwe no Guhitamo Abatanga isoko

Urashaka amahirwe meza yo gukira neza kandi gukomeye. Imibereho nyayo yerekana ko buto ya cortical ikosora igabanya ibyago byibibazo byibyuma. Abagera kuri 46% byabarwayi bafite fixe ya screw bari bafite ibibazo, ariko igipimo kiri hasi cyane hamwe na buto ya cortical. Urabona ibisubizo byiza kandi uhangayikishijwe cyane no gukenera kubagwa.

Iyo uhisemo uwaguhaye isoko, ugomba gushakisha:

• Biocompatibilité nimbaraga zo gukanika

• Kwimura byoroshye gukoresha kandi bihuye nibyo ukeneye

• Kugenzura imbaraga zingana kandi zihuye neza na tissue yawe

• Ibicuruzwa biva muri FDA byemewe cyangwa byemewe na ISO

• Kuraho inyandiko zo kuboneza urubyaro no gukurikirana

XCmedico yujuje aya mahame. Ubona buto yizewe ya cortical ikosora igufasha gukira. Abaganga babaga bizere XC medico kubwiza, umutekano, no gutanga byihuse. Urashobora kumva ufite umutekano uzi ko gushiramo biva mubigo byizewe.

Gutoranya iburyo hamwe nuwabitanze bifite akamaro rwose kugirango ukire. Hamwe na XCmedico, wiha amahirwe meza yo gukira neza.

Urashobora kubara kuri cortical buto yo gukosora kugirango ukire gukomeye. Itanga ibisubizo ushobora kwizera. Ubushakashatsi bushya bwerekana ko ushobora gukoresha igicucu kinini. Ubu buryo kandi buhagarika umuyoboro mu magufwa yawe kuba manini.

• Utakaza amagufwa make hamwe nibikoresho. Gukira nibyiza kandi byihuse.

• Abaganga ntibakeneye kubagwa inshuro nyinshi.

Tora XCmedico kubisubizo byubwenge hamwe nubufasha buhoraho mugihe ukize.

Ibibazo

Gukosora buto ya cortical ni iki?

Cortical buto ikosora ihuza imyenda yoroshye namagufwa. Ifasha guhuza imitsi cyangwa ligaments. Ubu buryo butanga inkunga ikomeye. Umubiri wawe ukira neza nyuma yo kubagwa.

Nigute buto ya suture ifasha mugukiza?

Akabuto ka suture gatuma ingirabuzimafatizo zifata amagufwa. Ibi bituma gusana bihamye. Urakira vuba kuko tissue iguma mumwanya. Ingirabuzimafatizo nshya zirashobora gukura aho bikenewe.

Ese gukosora buto ya cortical bifite umutekano kubikomere byimbere byimbere?

Nibyo, abaganga barayikoresha kuriyi mvune. Urabona inkunga ikomeye nibibazo bike. Abantu benshi basubira muri siporo nubuzima bwa buri munsi byihuse.

Ni izihe nyungu nyamukuru zo gukosora buto ya cortical?

Urabona inkunga ikomeye nububabare buke. Gukira birihuta. Igikoresho gito kigabanya amahirwe yawe yo kubagwa. Igice cyawe kiguma gihamye kandi gifite umutekano.

Gusubirana bifata igihe kingana iki nyuma yo gukosora buto ya cortical?

Abantu benshi bimura ingingo zabo nyuma yo kubagwa. Urashobora gukora ibintu bisanzwe mubyumweru cyangwa ukwezi. Muganga wawe azaguha gahunda yo gukira neza.