Isubiramo ry'ibimenyetso · Gusana Cuff Gusana
Kaseti ya kaseti irashobora kunoza imiterere yambere yubukorikori bwo gusana, ariko ibimenyetso byubuvuzi byubu ntibigaragaza byerekana gukira byihuse, imikorere myiza, cyangwa igipimo cyo hasi cyo hasi kuruta suture zisanzwe zikomeye.
Igisubizo kigufi: kaseti ya kaseti irashobora gutanga igihe kinini-zeru igitutu cyo guhura, gukomera, hamwe numutwaro kunanirwa muburyo bwa laboratoire. Nyamara, ibyo byiza bya biomehanike ntabwo byahinduwe muburyo bwiza bwo gukiza imitsi cyangwa gusubiramo gake kubarwayi. Ibiranga amarira, inyama nubwiza bwamagufwa, gusana impagarara, tekinike yo gukosora, ibintu byabarwayi, hamwe no gusubiza mu buzima busanzwe bikomeza kuba igice cyingenzi cyibisubizo.
Ibyingenzi byingenzi
Flat kaseti ikwirakwiza imbaraga mugice kinini cya tendon kuruta uruziga ruzengurutse rwo gukoresha.
Ubushakashatsi bwibinyabuzima bukunze kuvuga raporo yumuvuduko mwinshi, gukomera, cyangwa umutwaro watsinzwe.
Ubushakashatsi bugereranije bwubuvuzi bwabonye ibipimo bisa nkibisubizo byabarwayi.
Guhitamo ibikoresho nimwe mubihinduka muburyo bwuzuye bwo gusana hamwe n'inzira yo kwita kubitaro.
Ikariso ni iki?
Ikariso ya Suture ni igikoresho kiringaniye, gipfundikijwe, kidashobora gukurura ibikoresho bya suture bikoreshwa mugukosora byoroshye. Ugereranije nibisanzwe bizengurutse imbaraga-suture, umwirondoro wacyo umeze nkumugozi wongera ubuso buhuza na tendon. Intego igamije gukoreshwa ni ugukwirakwiza umutwaro mukarere kanini no kugabanya imihangayiko yibanze kuri suture - tendon.
Ijambo kaseti kaseti isobanura imiterere yibintu, ntabwo igicuruzwa kimwe gisanzwe. Ubugari bwa kaseti, ibihimba bya fibre, gupfunyika, gutwikira, gukora ibiranga, uburyo bwo kuboneza urubyaro, hamwe no guhuza inanga birashobora gutandukana nuwabikoze. Ibimenyetso byabonetse hamwe na kaseti imwe yanditseho cyangwa gusana ibyubaka ntibigomba guhita bikoreshwa kuri buri kaseti-hamwe na ankor.
XC Medico's UHMWPE siporo yubuvuzi siporo itanga ibicuruzwa-urwego rwibicuruzwa byo gusuzuma umwuga. Ibicuruzwa bigomba gusubirwamo ukundi kubimenyetso byubuvuzi byavuzwe muri iyi ngingo.
Nigute Ikariso ya Suture ikoreshwa mugusana ibintu bya Rotator?
Mugihe cya arthroscopic rotator cuff yo gusana, imitsi yatanyaguwe irakangurwa kandi igasubira mubirenge byayo. Umuganga ubaga anyura suture cyangwa kaseti akoresheje tendon akayizirika hamwe na ankeri imwe cyangwa nyinshi. Tape irashobora kwinjizwa mumurongo umwe, kabiri-umurongo, transosseous-ihwanye, cyangwa suture-ikiraro cyubaka.
Ibikoresho ntibishobora gusuzumwa byigenga byubatswe. Umubare hamwe n’ahantu h'inyanja, uburyo bwo gufata kaseti, guhagarara hagati yumurongo wo hagati, gukosora impande zombi, kuruma ingirangingo, kugenda kwa tendon, no kugura inanga mu magufwa byose bishobora kugira ingaruka kubakanishi. Ibikoresho bikomeye ntabwo byishyura ubwiza bwimyanya mibi, impagarara nyinshi zo gusana, cyangwa gukosora inanga idahagije.
- Umurongo umwe wo gusana: inanga zisanzwe zishyizwe kumurongo umwe kuruhande rwikirenge.
- Gusana imirongo ibiri: ingingo zo gukosora hagati no kuruhande zikoreshwa mugusubizaho ubugari bwagutse-ku-magufa.
- Gusana ikiraro-ikiraro: suture cyangwa kaseti bizenguruka imitsi kandi bikingirwa kuruhande, akenshi bidafite ipfundo ryumurongo.
- Ibikoresho bya Rip-guhagarika: kaseti irashobora gukora igice cyo kugabana imizigo igamije kurwanya ibice byaciwe.
Ibimenyetso Byibinyabuzima Byerekana Niki?
Ubushakashatsi bwa laboratoire busanzwe bushyigikira imiterere ya kaseti. Muri moderi ya ovine yatangajwe na Liu na bagenzi be, gusana kaseti byatanze umuvuduko mwinshi wo guhuza ibirenge hamwe nuburemere bukabije bwo kunanirwa kurenza No 2 gusana suture ukoresheje sisitemu imwe idafite ipfundo. Igice cyabantu muri ubwo bushakashatsi, nticyerekanye igipimo cyo hasi cyamezi atandatu yo gusubiramo.
| Kwiga | Icyitegererezo | Cyingenzi Kubona | Ibyo bidahamya |
|---|---|---|---|
| Liu n'abandi, 2017 Laboratoire + cohort |
Intugu 16 yintanga zo gupima imashini | Umuvuduko w'itumanaho: 0.33 ± 0.03 MPa hamwe na kaseti na 0.11 ± 0.03 MPa hamwe na suture. Umutwaro urenze urugero: 217 ± 28 N na 144 ± 14 N. | Ntabwo ishyiraho uburyo bwihuse bwo gukiza ibinyabuzima cyangwa igipimo cyo hasi cyumurwayi. |
| Huntington n'abandi, Laboratoire ya 2018 |
Ovine suture-ikiraro cyubaka | Ibikoresho bimwe byafashwe byerekana umuvuduko mwinshi wo guhuza, aho uhurira, cyangwa imbaraga zingana. | Ibisubizo byari bitandukanye nuburyo bwa ankor kandi byaturutse mubyitegererezo by'inyamaswa. |
| Borbas n'abandi, 2021 Cadaveric |
Ibizamini byibikoresho hamwe na cadaveric cuff tendons | Nka tsinda, kaseti yerekanaga gukomera no gukora bijyanye n'imitwaro kuruta kuzenguruka. | Kwipimisha igihe-zeru ntibishobora gupima gukira amagufwa kubarwayi bazima. |
Ubushobozi bwa biomehanike ni umutungo wubwubatsi bwageragejwe mugihe cya zeru; ntabwo, ubwayo, gihamya yo gukira kwa kliniki.
Impamvu Ifoto Yagutse Irashobora Kugabanya Imyitozo Yumudugudu
Kaseti yagutse irashobora gukwirakwiza imbaraga hejuru yubuso. Ibi birashobora kongera imbaraga zo guca mubihe bimwe byikizamini. Nubwo bimeze bityo, igisubizo cyinyuma giterwa nubugari bwa kaseti, uburyo bwo gutambuka, impagarara zashyizwe mu bikorwa, kwangirika kwinyama, gupakira ibintu, no kubaka byuzuye. Nibyiza cyane kuvuga kaseti irashobora kunoza ikwirakwizwa ryumutwaro kuruta kuvuga ko burigihe itera kwangirika kwinyama.
Ese ibinyabuzima byiza bitanga umusaruro mwiza wo kuvura?
Ntabwo bihoraho. Ubuvanganzo bwa clinique bwitondewe kuruta imvugo yo kwamamaza ikoreshwa kenshi hafi ya kaseti. Ubushakashatsi bugereranya bwerekana ko kaseti ishobora gukoreshwa neza, ariko ntabwo yashyizeho igabanuka ryizewe ryisubiramo cyangwa iterambere rihoraho mubisubizo byatangajwe nabarwayi.
| Ibimenyetso bya Clinical | Amatsinda no gukurikirana | ibisubizo byo | gusobanura |
|---|---|---|---|
| Liu n'abandi., 2017 | Igishushanyo n = 50; suture n = 100; ultrasound mumezi 6 | Gusubiramo: 16% hamwe na kaseti na 17% hamwe na suture. | Ibipimo nkibi byo gusubiramo nubwo ubukanishi bwiza bwa laboratoire; gusubira inyuma, umuganga umwe-wo kubaga. |
| Isubiramo ritunganijwe hamwe na meta-isesengura, 2021 | 681 gusana amavuriro mubyigisho bitandatu byubuvuzi | Gusubiramo: 16% hamwe na kaseti na 20% hamwe na suture isanzwe; P = .26. Nta tandukanyirizo ryujuje ibisubizo byavuzwe n'abarwayi. | Nta nyungu zikomeye zishingiye ku mibare; ubushakashatsi bufite ireme buracyakenewe. |
| Nie n'abandi, 2025 | Itsinda rya Tape-inanga n = 36; itsinda gakondo-inanga n = 50; byibuze amezi 12 yo gukurikirana | Gusubiramo: 11.1% na 12.0%; nta tandukaniro rikomeye. Itsinda rya Tape-anchor ryerekanye ibyiza bimwe mubyimbye bya tendon n'imbaraga z'imitsi. | Gusezeranya ibya kabiri, ariko igishushanyo mbonera gisubira inyuma hamwe nicyitegererezo gito kigabanya imyanzuro yimpamvu. |
Kugabanya ibimenyetso: Ubushakashatsi bugereranya ibicuruzwa bitandukanye bya kaseti, inanga, uburyo bwo kunyuramo, kubaka amazu, ingano y'amarira, uburyo bwo gufata amashusho, n'ibihe byo gukurikirana. Inyigisho nyinshi zubuvuzi zirasubira inyuma. Ntibikwiye rero kwerekana ijanisha rimwe nkigisubizo giteganijwe kuri buri murwayi cyangwa sisitemu y'ibikoresho.
Bite ho Kubabara, Gukoresha Opioid, no Gusubira muri Siporo?
Ibimenyetso biriho ntabwo bifite ishingiro kuvuga ko kaseti ya suture yonyine igabanya byimazeyo ububabare bwa nyuma yibikorwa, gukoresha opioid, cyangwa igihe cyo gusubira muri siporo. Ibi bisubizo byatewe cyane na anesthesia, protocole ya analgesic, inzira zihuriza hamwe, ibiranga amarira, gusubiza mu buzima busanzwe, ibyo abarwayi bategereje, hamwe nibisabwa mubikorwa. Keretse niba ubushakashatsi bugereranya kaseti na suture isanzwe mugihe ugenzura ibyo bihinduka, ububabare bwayo cyangwa amakuru yo gukira ntibigomba kwitirirwa ibikoresho bya suture.
Igishushanyo Cyashushanyije na Annotors
Inanga idafunze irashobora gushira suture cyangwa kaseti idafite ipfundo gakondo rihambiriye kuri iyo ngingo. Ukurikije sisitemu na tekinike, ibi birashobora koroshya impagarara, kugabanya ubwinshi bujyanye n ipfundo, cyangwa kwirinda guhuza umurongo wo hagati. Kubisobanuro rusange byibikoresho byo gukosora, reba burya suture inanga ikora.
Knotless ntabwo ihita isobanura imbaraga, umutekano, cyangwa ivuriro risumba ayandi. Isubiramo rifatika ryibitugu 1,411 ryasanze nta tandukaniro rinini ryibiciro byisubiramo hagati yo guhambira ipfundo no gusana ipfundo ryimirongo ibiri, nubwo ikwirakwizwa ryuburyo butandukanye. Ubundi meta-isesengura naryo ryasanze nta nyungu rusange yo gusubira inyuma-igipimo cyombi.
Ibikoresho bya Anchor nabyo ni icyemezo gitandukanye nuburyo bwa suture. Ingingo ku PEEK hamwe nicyuma cya suture ibyuma biganira kumashusho, gusubiramo, no gutekereza kubintu utabanje gufata ikintu kimwe nkicyifuzo rusange.
Icyitonderwa cyihariye cyibikoresho: Iboneza rya Eyelet, uburyo bwo gufunga, uburyo bwo gushiramo, imyitozo cyangwa gutegura punch, guhuza kaseti, hamwe no guhagarika impagarara nibicuruzwa byihariye. Buri gihe ujye ubaza amabwiriza akoreshwa kugirango akoreshwe nibisabwa n'amategeko.
Nibihe bintu bigira uruhare muri Rotator Cuff Gukiza?
Ibikoresho bya suture nigice kimwe gusa cya rotator cuff gukiza. Ibyemezo byamavuriro nibisobanuro byavuzwe nabyo bigomba gutekereza:
Ingano y'amarira, igihe kirekire, gusubira inyuma, umubare w'amasoko arimo, hamwe no gusana impagarara bigira ingaruka ku guhanura.
Umubyimba wa Tendon, kwangirika, kwinjiza ibinure, atrophy yimitsi, hamwe no kugenda bigira ingaruka kumikorere.
Amagufwa meza, gushyira inanga, tekinike yo gushiramo, hamwe no kubaka iboneza bigira ingaruka ku kugura inanga.
Imyaka, kunywa itabi cyangwa nikotine, ubuzima bwa metabolike, ibisabwa mubikorwa, hamwe no kubahiriza ubuzima.
Gusana byateguwe neza bigomba kuringaniza kwikuramo no gutuza hamwe no kurinda imitsi n'amaraso yayo. Impagarara nyinshi cyangwa imizigo idakwiye yo gupakira irashobora guhungabanya gusanwa utitaye ko kaseti cyangwa suture izenguruka ikoreshwa.
Nigute Abanyamwuga Bakwiye Gusuzuma Sisitemu ya Tape-na-Anchor?
Kubaganga, ibitaro, nababikwirakwiza, isuzuma ryingirakamaro rirenze umutwaro-wo-gutsindwa. Ibimenyetso no gusuzuma amasoko bigomba gukemura sisitemu yuzuye.
| Agace k'isuzuma | Ibibazo byo kugenzura |
|---|---|
| Ibikoresho | Ni ubuhe bwoko bwa fibre, ubugari bwa kaseti, gukata, gutwikira, uburyo bwo kuboneza urubyaro, hamwe nibimenyetso byanditse? |
| Guhuza inanga | Ni ubuhe bunini bwa ankeri na eyelet cyangwa gufunga byemewe kuri kaseti? |
| Kubaka ikizamini | Ese kwimura cyclicale, gukuramo, gukata, no gutsindwa byageragejwe nkubwubatsi bwuzuye? |
| Igikoresho | Ese abahisi, gukubita, imyitozo, gushiramo, n'intambwe zo guhagarika umutima bihuye neza na sisitemu? |
| Inyandiko | Ese amabwiriza yo gukoresha, gukurikiranwa, amakuru yo gupakira, ubuzima bwa tekinike, hamwe ninyandiko zibishinzwe zirahari? |
| Ibimenyetso bifatika | Ese ibimenyetso byatanzwe bireba ibikoresho bimwe, inanga, tekinike, hamwe nogukoresha? |
Mugihe cyo gusuzuma itangwa ryuzuye ryuzuye, irahari arthroscopic ibitugu suture passer set irashobora kandi gusubirwamo kuruhande rwateganijwe gusanwa. Guhuza no gukoreshwa bigomba kwemezwa uhereye kubicuruzwa aho gushingira ku ngingo yuburezi.
Ibibazo Bikunze Kubazwa
Sapure kaseti irakomeye kuruta suture isanzwe?
Ubushakashatsi bwinshi bwa laboratoire buvuga ko bukomeye, igitutu cyitumanaho, cyangwa umutwaro wa kaseti. Ibisubizo biterwa nibicuruzwa byihariye, moderi ya tendon, ipfundo cyangwa inanga, hamwe no gusana iboneza. Imbaraga za mashini zonyine ntizigaragaza gukira neza kubarwayi.
Suture kaseti igabanya rotator cuff gusubiramo?
Ibimenyetso bigereranya ntabwo byagaragaje buri gihe igabanuka rikomeye. Tape hamwe nibisanzwe imbaraga-zidasanzwe zo kudoda zerekanye ibipimo bisa nkibisubirwamo, nubwo ubushakashatsi bukomeje gusuzuma ibyubatswe hamwe nitsinda ryabarwayi.
Suture kaseti yihutisha gukira?
Nta bimenyetso bihagije byerekana ko gukira byihuse kuri kaseti ubwayo. Gukira biterwa n'uburemere bw'amarira, ubwiza bw'inyama, uburyo bwo guhuza, kurinda nyuma yo kubagwa, gusubiza mu buzima busanzwe, hamwe n'impamvu z'abarwayi ku giti cyabo.
Ese ibyuma bidafite ipfundo nibyiza kubisana rotator?
Inkingi ya Knotless itanga ibyubaka byubaka hamwe nakazi ko gukora, ariko isubiramo ritunganijwe ntabwo ryashyizeho uburyo rusange bwo gusubiramo cyangwa inyungu zikorwa kurenza ipfundo ryimirongo ibiri yo gusana. Guhitamo tekinike bikomeza kuba- na sisitemu-ishingiye.
Buri kaseti ya suture irashobora gukoreshwa hamwe na ankeri yose?
Oya Ubugari bwa kaseti, uburyo bwo gufunga, gushushanya ijisho, tekinike yo gushiramo, hamwe no guhuza ibimenyetso birashobora gutandukana. Koresha gusa ibishyigikiwe bishyigikiwe nibicuruzwa byerekeranye n'amabwiriza yo gukoresha.
Umwanzuro
Suture kaseti ni amahitamo yizewe yo gusana rotate cuff kandi yerekanye ibihe byiza-zero ubukanishi muburyo bwinshi bwo kugerageza. Umwanzuro wokwirinda cyane, ariko, ntabwo kaseti ihita ikiza rotate cuff neza. Ubushakashatsi bugereranijwe buboneka muri rusange buvuga ibipimo bisa nibisubirwamo hamwe nibisubizo byakazi kubisanzwe bisanzwe-imbaraga zidasanzwe, hamwe nubushakashatsi bushya bwerekana ibyakabiri byubatswe cyangwa imbaraga bisaba ibindi byemezwa.
Guhitamo ibikoresho rero bigomba gukorwa murwego rwamarira, ubwiza bwamagufwa, amagufwa, gusana ibyuma, ibyuma bihuza ibikoresho, uburambe bwo kubaga, hamwe na protocole ikoreshwa nyuma yibikorwa.
Reba
- Liu RW, Lam PH, Umwungeri HM, Murrell GAC. Tape na Suture muri Arthroscopic Rotator Cuff Gusana: Isesengura ryibinyabuzima no gusuzuma ibiciro byatsinzwe mumezi 6 . Orthop J Imikino Med . 2017; 5 (4): 2325967117701212.
- Huntington L, n'abandi. Gukoresha suture-tape na suture-wire muri arthroscopic rotator cuff gusana: Kugereranya ibinyabuzima bigereranya . Gukomeretsa . 2018; 49 (11): 2047–2052.
- Boksh K, Haque A, Sharma A, Divall P, Singh H. Gukoresha Ibishushanyo Byibishushanyo Binyuranye Nibisanzwe Bisanzwe kuri Arthroscopic Rotator Cuff Gusana: Isubiramo Itunganijwe na Meta-isesengura . Am J Imikino Med . 2022; 50 (1): 264-22.
- Borbas P, n'abandi. Ifoto Yimbaraga Zimbaraga Zikomeye Zikomeye Muburyo Bwinshi Kuruta Imbaraga Zimbaraga Zikoreshwa muri Rotator Cuff Gusana . Arthrosc Imikino Med Rehabil . 2021.
- Nie S, n'abandi. Suture kaseti yo kongera imbaraga zo gukira muri rotator cuff amarira: ubushakashatsi bwisubireho bwiga . BMC Musculoskelet Disord . 2025; 26: 470.
- Ubwoko bwisubiramo nyuma yo guhambira no gufunga Suture Ikiraro Rotator Cuff Gusana: Isubiramo Itunganijwe na Meta-isesengura . 2022.
- Figueiredo JAF, n'abandi. Ipfunyika cyangwa ipfundikanya kabiri-umurongo rotator cuff gusana ibipimo byo gusubiramo: isubiramo rifatika hamwe na meta-isesengura . JSES Rev Rep Tech . 2023.
Imenyekanisha ry'ubuvuzi n'amabwiriza: Iyi ngingo igenewe uburezi bw'umwuga n'intego rusange yo gusuzuma ibicuruzwa. Ntabwo itanga isuzumabumenyi, ibyifuzo byo kuvura, amabwiriza yo kubaga, cyangwa garanti y'ibizavurwa. Ibicuruzwa biboneka, ibyerekana, imiterere igenga, n'amabwiriza yo gukoresha biratandukanye ku isoko. Ibyemezo byamavuriro bigomba gufatwa ninzobere mu buvuzi zujuje ibyangombwa ukoresheje urubanza rwihariye rw’abarwayi hamwe n’ibyangombwa bisabwa.
Gusuzuma Ubuvuzi bwa siporo Suture na Anchor Sisitemu?
Menyesha XC Medico kubicuruzwa biboneka, ibisobanuro bya sisitemu, amakuru yo gupakira, hamwe nisoko ryihariye ryo gusuzuma umwuga.
Menyesha XC Medico
