Ishobora gushushanya ifasha Rotator yawe Cuff gukira neza

Nibyo, kaseti ya suture irashobora gufasha rotator cuff gukira neza. Abantu benshi bahangayikishijwe no kubagwa ibitugu. Abaganga ubu bakoresha ibikoresho bishya nuburyo bufasha abantu gukira neza. Kudoda kaseti hamwe na ankore idafite ipfundo bituma gukosora urutugu bikomera kandi bifite umutekano.

Abarwayi bagomba gutekereza kuri aya mahitamo. Barashobora kubaza umuganga wabo niba kaseti ya suture ishobora gufasha gukomeretsa urutugu.

Ibyingenzi

• Kaseti ya kaseti ni ibikoresho bikomeye kandi biringaniye. Ifasha gukosora imitsi yatanyaguwe murutugu. Ibi bituma gukira bitekanye kandi byiza. Gukoresha kaseti ya suture mububiko birashobora gutuma gusana gukomera. Ikwirakwiza igitutu kimwe. Ibi bigabanya amahirwe yo kongera guturika. Akenshi abarwayi bumva ububabare buke suture . Bashobora gukira vuba kuruta hamwe na suture isanzwe. Ibi bibafasha gusubira mubikorwa bisanzwe vuba. Annotless anchors ikorana na suture kaseti kugirango ufate tendon. Ntibakeneye ipfundo. Ibi birashobora kugabanya ibibazo no kubaga vuba. Kaseti ya kaseti ifite ingingo nyinshi nziza. Abarwayi bagomba kuvugana na muganga wabo kubyerekeye ingaruka kandi niba bibakwiriye mbere yo kubagwa.

Kanda kaseti muri rotator cuff gusana

Suture kaseti

Kaseti ya kaseti ni ubwoko bwihariye bwibikoresho abaganga bakoresha mu gusana imitsi yatanyaguwe ku rutugu. Irasa neza kandi yagutse, hafi nkakabuto gato, aho kuzenguruka nkubudozi busanzwe. Igishushanyo gifasha gukwirakwiza imbaraga kuri tendon. Kaseti ya suture ikozwe muri fibre ikomeye. Iyi fibre itanga imbaraga zirenze insinga ya suture gakondo. Abaganga babaga bahitamo kaseti ya suture kuko irashobora gufata imitsi idakatiye mubice.

Suture kaseti iha abaganga uburyo bushya bwo gukosora rotate cuff. Ifasha gusana gukomera no gutekana kubarwayi.

Uburyo kaseti ikoreshwa

Abaganga bakoresha kaseti ya suture mugihe cyo kubaga rotator cuff kugirango bahuze imitsi yacitse igaruka kumagufa. Basudira kaseti bakoresheje tendon bakayihambira kumagufa bakoresheje ibikoresho byihariye. Izi nkuge zifata kaseti ahantu kugirango tendon ikire.

Abaganga babaga bakunze gukoresha kaseti ya suture hamwe na ankore idafite ipfundo. Ubu buryo bwirinda guhambira ipfundo, rishobora rimwe na rimwe gutera ibibazo. Imiterere iringaniye ya suture ifasha kurinda kaseti gukururuka. Ibi bivuze ko gusana bidashoboka kunanirwa.

• Kaseti ya kaseti yongerera umwanya uhuza imitsi n'amagufwa.

• Itanga imbaraga zirenze insinga zisanzwe.

• Kaseti ifasha kugumya guhagarara neza mugihe ikize.

Ubushakashatsi bwerekana ko gusana ukoresheje kaseti ya suture bifite amahirwe menshi yo gutsinda. Igishushanyo cya kaseti ituma umuntu akira neza kandi akagira ibyago bike byo kongera guturika. Abaganga benshi ubu bahitamo suture kaseti yo gusana rotator cuff kuko itanga izi nyungu zingenzi.

Inyungu za kaseti

Gusana cyane

Kaseti ya kaseti ituma rotateur cuff gusana gukomera. Imiterere yacyo kandi yagutse ikwirakwiza umuvuduko hejuru ya tendon. Ibi bifasha guhagarika kaseti gukata mubice. Abaganga babaga babona ko gusana kaseti bishobora gufata imbaraga mbere yo kumeneka. Imbonerahamwe ikurikira irerekana uburyo kaseti ya suture na suture gakondo bigereranya:

Ibipimo	Igicapo cyo kudoda (n = 50)	Imyenda gakondo (n = 100)
Igipimo cy'inyuma	16% (8/50)	17% (17/100)
Ibirenge Byitumanaho (MPa)	0.33 ± 0.03	0.11 ± 0.03
Umutwaro Utsinzwe (N)	217 ± 28	144 ± 14

Imbonerahamwe nimbonerahamwe yerekana suture kaseti yo gusana ifite umuvuduko mwinshi wo guhura. Barashobora kandi gukoresha imbaraga nyinshi mbere yo kumena. Ibi bivuze ko imitsi iguma kumagufa neza mugihe ikiza.

Kwangirika kwinyama

Kaseti ya suture itera kwangirika kwinyuma kurenza suture isanzwe. Imiterere yacyo iringaniye ubanza umwobo munini, ariko irinda imitsi kurira iyo wimutse. Abashakashatsi babonye inyungu zimwe:

• Imashini yerekana imashini ikora umwobo munini ubanza, ariko ibyo byobo ntibikura cyane nyuma.

• Ubudodo busanzwe butangirana nu mwobo muto, ariko ibyo byobo bigenda binini hamwe no kugenda kandi bishobora kubabaza imitsi.

• Ubwoko bwikariso ifasha guhagarika gukuramo suture, nimpamvu isanzwe yo gusana byananiranye.

Kaseti ya kaseti ifasha kugumya gukomera no kugira ubuzima bwiza mugihe gikiza.

Gukiza neza

Abantu babona kaseti ya suture akenshi bakira neza kandi bafite ibitugu bikomeye. Ubushakashatsi bwerekana igipimo cyo gusubiramo ibyuma bya suture kaseti ni 11.1%. Kubisanzwe bya suture, ni 12.0%. Itandukaniro ni rito, ariko inzira zombi zifasha imitsi gukira neza. Abaganga bakoresha scan ya MRI kugirango barebe gukira nyuma yo gusana kaseti. Mu bushakashatsi bumwe, 5.56% gusa yo gusana byarananiranye, kandi abantu benshi bafite amanota meza yigitugu.

• Abantu benshi bafite kaseti ya suture basana amanota arenga 80 mugupimisha ibitugu.

• Isuzuma rya MRI ryerekana gukira gukomeye kwinshi.

Kaseti ya kaseti iha abantu amahitamo meza yo gusana rotate cuff gusana, hamwe no gukira gukomeye no kugenda neza ibitugu.

Suture kaseti na suture

Gukiza n'ibisubizo

Abaganga bareba uburyo kaseti ya suture hamwe na suture isanzwe bifasha gukira. Inzira zombi zifasha imitsi gukomera kumagufwa. Hariho itandukaniro hagati yabo. Amezi atandatu nyuma yo kubagwa, itsinda rya kaseti ryagize igipimo cya 25%. Itsinda risanzwe rya suture ryari rifite igipimo cya 15% cyo gusubiramo. Abashakashatsi bavuga ko iyi mibare itandukanye cyane ( P = 0.3). Abantu mumatsinda yombi bafite amahirwe amwe yo gukira neza.

• Itsinda rya kaseti ya kaseti: igipimo cya 25% cyo gusubiramo (abarwayi 7 kuri 28)

• Itsinda risanzwe rya suture: 15% igipimo cyo gusubiramo (8 kuri 53)

• Gukira ni kimwe kuri ayo matsinda yombi

Abaganga bakomeza kwiga inzira ikora kuri buri muntu. Gukira biterwa nibintu nkimyaka, uko ukora, nuburyo amarira ari manini.

Uburambe

Abantu bashaka kumenya uko ibitugu byabo bizamera nyuma yo kubagwa. Kubabara nuburyo bakira byihuse ni ngombwa kuri buri wese. Ubushakashatsi bwerekana abantu bafite gusana kaseti bumva ububabare buke mukwezi kwambere. Imbonerahamwe ikurikira irerekana ububabare n'imiti ikoreshwa kuri buri tsinda:

Abantu bafite suture basana bakoresha imiti ibabaza. Basubira kandi mubuzima busanzwe byihuse. Benshi basubira muri siporo mumezi 5.71. Abantu bafite suture isanzwe bakeneye igihe kinini nubuvuzi bubabaza.

Abantu batora kaseti ya suture barashobora kubabaza bike no gukira vuba nyuma yo kubagwa rotate cuff.

Inanga

Ukuntu inanga zidafite ipfundo zikora

Utumenyetso twa Knotless reka abaganga bagerekaho suture kaseti kumagufa. Ntibakeneye guhambira ipfundo. Inanga ihuye neza mu mwobo muto mu magufa. Ifite ibyobo bibiri kuri kaseti. Muganga akuramo kaseti muri ibyo byobo. Kaseti ijya mu mwobo wa ankeri. Imbere, igice gifunga gisunika kaseti kuri ankeri. Ibi bituma kaseti itagenda. Agace kaguma mu mwanya. Muganga akoresha imbarutso kugirango ashyireho inanga. Nyuma yibi, kaseti iguma ifunze. Ifata igufwa ryamagufwa.

• Inanga ihuye neza nu mwobo w'amagufwa.

• Ibyobo bibiri reka kaseti ijya imbere muri ankeri.

• Gufunga imbere muri ankeri bikomeza kaseti.

• Imbarutso ifasha gufunga inanga hamwe na kaseti hamwe.

Ibyiza hejuru y'amapfundo

Inkingi idafite ipfunwe ifite ingingo nyinshi nziza kumapfundo. Bafasha guhagarika ibibazo nko gukanda cyane. Ipfundo rirashobora gukanda cyane. Ibi birashobora kugabanya umuvuduko wamaraso no gukira. Ubushakashatsi bwerekana gusana ipfundo bigabanya amahirwe yibibazo bya tendon.

Inanga ya Knotless nayo itwara igihe mugihe cyo kubagwa. Abaganga bamara umwanya muto bahambira ipfundo. Ubushakashatsi bumwe bwerekanye ko gusana ipfundo byatwaye iminota 67. Gusana ipfundo byatwaye iminota 76. Buri cyuma kidafite ipfundo cyatwaye iminota 26. Inanga zometseho zafashe iminota 31. Kubaga mugufi birashobora gusobanura ububabare buke no gukira vuba.

Inkingi idafite ubudodo hamwe na suture kaseti ifasha kurinda imitsi, gukomeza amaraso, no kubaga vuba kandi neza.

Ingaruka no gutekereza

Ibishobora kugabanuka

Kaseti ya Suture ifite ingingo nyinshi nziza, ariko hari n'ingaruka zimwe. Abaganga babonye ibintu bike bishobora kugenda nabi mugihe bakoresheje kaseti ya suture yo gusana rotate cuff:

• Gukomera : Abantu bamwe bumva igitugu cyabo gikomeye nyuma yo kubagwa. Gufata cyane kaseti irashobora gutuma bigora kwimuka niba udakoze imiti ikwiye.

• Kurakara : kaseti cyangwa inanga birashobora rimwe na rimwe kubabaza ingirangingo cyangwa amagufwa. Ibi birashobora gutera ububabare cyangwa kubyimba muri kariya gace.

• Ibibazo bya Anchor : Rimwe na rimwe, inanga ifata kaseti irashobora guhinduka cyangwa kugenda. Niba ibi bibaye, gusana ntibishobora gukora.

• Igiciro : kaseti ya kaseti hamwe na ankors idafite ipfundo irashobora kugura ibirenze kudoda bisanzwe. Ubwishingizi ntibushobora kwishyura ikiguzi cyinyongera.

Icyitonderwa: Abantu benshi ntibafite ibibazo bikomeye, ariko buriwese agomba kumenya izi ngaruka mbere yo kubagwa.

Imbonerahamwe ikurikira irerekana ingaruka zimwe zishobora kubaho:

Mugihe udakoresheje kaseti

Abaganga ntibakoresha kaseti ya suture kuri buri muntu. Ibihe bimwe bituma bidafasha cyane cyangwa bikagira ingaruka:

• Amarira mato cyane : Kubuto buto bwa rotator cuff amarira, suture isanzwe irashobora gukora neza.

• Amagufwa mabi : Amagufwa adakomeye cyangwa yoroheje ntashobora gufata inanga neza. Ibi birashobora gutuma gusana binanirwa.

• Allergie : Abantu bamwe bashobora kuba allergique kubikoresho biri muri kaseti cyangwa inanga.

• Ibyago byo kwandura : Niba umuntu afite infection, abaganga ntibakoresha ikintu icyo ari cyo cyose cyatewe, harimo na kaseti.

Abaganga burigihe bareba buri murwayi ibyo akeneye. Bahitamo inzira nziza yo gutunganya urutugu kuri buri muntu.

Abarwayi bagomba kuvugana na muganga wabo kuri izi ngaruka. Muganga arashobora gufasha kumenya niba kaseti ya suture aribwo buryo bwiza.

Kanda kaseti hamwe na ankore idafite ipfundo bituma gusana gukomera. Zitera kandi kwangirika kwinyuma. Gukiza nibyiza kubikomere bya rotateur. Imbonerahamwe ikurikira irerekana uburyo imbaraga zo guhuza hamwe nigitutu byanozwa ugereranije ninsinga:

Abarwayi bumva ububabare buke nyuma yo kubagwa. Igitugu cyabo gikora neza. Abantu benshi bishimiye ibisubizo byabo. Abarwayi bagomba kuvugana nabaganga babo kubijyanye no guhitamo. Ibikoresho bishya n'inzira komeza gutera imbere. Ibi bivuze gukira ibitugu bizakomeza gutera imbere mugihe kizaza.

Ibibazo

Niki gituma kaseti ya suture itandukanye na suture isanzwe?

Kaseti ya kaseti iringaniye kandi isa nkigitambara gito. Ubudodo busanzwe busa nkumugozi muto. Kaseti ikwirakwiza igitutu ahantu hanini. Ibi bifasha kurinda tendon umutekano kandi bigatuma gusana gukomera.

Abantu bose barashobora gukoresha kaseti ya suture kugirango basane rotate cuff?

Ntabwo abarwayi bose bashobora kubona kaseti. Abaganga bareba uko amarira ari manini. Bagenzura kandi niba igufwa rikomeye kandi niba ufite allergie. Muganga atoranya icyiza kuri buri muntu.

Suture kaseti yihutisha gukira?

Abantu benshi bumva ububabare buke hamwe na kaseti. Barashobora gusubira mubikorwa vuba. Kaseti ifata imitsi. Ibi bifasha igitugu gukira neza.

Hoba hariho ingorane hamwe na kaseti ya suture hamwe na ankore idafite ipfundo?

Abantu bamwe barashobora kumva bakomeye cyangwa bababaye nyuma yo kubagwa. Rimwe na rimwe, inanga irashobora kwimuka cyangwa kubabaza. Abaganga bavuga kuri izi ngaruka mbere yo kubagwa.