PEEK Suture Anchors na Metal Anchors: Ninde uruta Rotator Cuff Gusana?

Intangiriro

Niba warigeze gutanyagura cuff ya rotator, uzi uburyo bishobora guhungabanya ubuzima. Waba uri umukinnyi uhatana, umurwanyi wicyumweru, cyangwa umuntu wageze kubintu bitameze neza, ibikomere bya rotateur ntabwo ari urwenya. Kubwamahirwe, kubaga amagufwa ya kijyambere atanga ibisubizo bikomeye byo kugarura imikorere yigitugu - igikuru muri byo ni ugukoresha ibyuma bya suture . Ariko dore 

Incamake yicyuma cya Suture

Ibyuma byuma byabayeho kuva muminsi yambere ya arthroscopie. Mubisanzwe bikozwe muri titanium cyangwa ibyuma bidafite ingese, bifite agaciro kuri:

• Imbaraga zisumba izindi no gukomera

• Ikimenyetso cyerekana intsinzi

• Gukosora neza, cyane cyane mumagufwa ya osteoporotic

Nyamara, imiterere yabyo ya metani izana nibibi:

• X-ray na MRI ibihangano , bidasobanutse amashusho

• Ingorane mugihe cyo kubaga gusubiramo , kuko zihoraho

• Ibishobora kwimuka cyangwa kwangirika kuri karitsiye

Baraboneka mubunini butandukanye hamwe nuburyo bwo guhuza kugirango bahuze ibikenewe bitandukanye byo kubaga.

Incamake ya PEEK Suture Anchors

PEEK, cyangwa polyetheretherketone , ni thermoplastique idafite ibyuma byazamutse cyane kubera ibinyabuzima na shimi bihamye . Mubisanzwe bikoreshwa mugutera umugongo, byinjiye mubuvuzi bwa siporo kubera ibyiza nka:

• Imirasire (nta kwivanga kwishusho)

• Umwirondoro ukomeye ariko woroshye

• Biocompatibilité hamwe namagufwa hamwe nuduce tworoshye

Abaganga babaga bakunze kuvuga ko byoroshye kongera kugaragara no kugaragara neza hamwe na ankeri ya PEEK, cyane cyane kubisuzuma nyuma ya op.

Kugereranya imikorere ya mashini

Mugihe cyo gukurura imbaraga , torsional stabilite , hamwe no kugumana suture , ubwoko bwombi bwombi bukora neza. Icyakora:

• Ibyuma byuma byerekana imbaraga nyinshi cyane kubera gukomera kwabyo.

• PEEK inanga akenshi ihuza cyangwa irenga ibyuma byuma mugeragezwa kwa clinique kubera igishushanyo mbonera cyiza hamwe na polymer elastique.

PEEK iragabanya kandi guhangayikishwa no guhagarika amagufwa ya ankor-amagufwa, birashobora kugabanya microfractures mumagufwa yoroshye.

Kwerekana amashusho na radiografiya igaragara

Imwe mu ngingo nini zo kugurisha kuri PEEK? Nta kugoreka amashusho.

• Ibyuma byuma bikora ibihangano muri MRI na CT scan, bishobora guhisha gukira ingirabuzimafatizo zoroshye kandi bigatuma kwisuzumisha bigorana.

• PEEK inanga ni radiolucent, itanga amashusho asobanutse neza.

Ibi ni ingenzi cyane kubakinnyi, aho kugenzura neza gukira ari ngombwa mbere yo gusubira mubikorwa byo murwego rwo hejuru.

Biocompatibilité hamwe nigisubizo cyibinyabuzima

Ibikoresho byombi birahuza , ariko muburyo butandukanye.

• Ibyuma byuma byinjira ariko birahoraho; ntibashobora kwishyira hamwe namagufwa.

• PEEK inanga nazo zirimo inert, ariko variants zimwe zanditse cyangwa zashizweho kugirango ziteze imbere osseointegration (gukura amagufwa muri ankeri).

Byongeye kandi, PEEK yirinda ingaruka ziterwa na allergie yicyuma, yibasira 10-15% byabaturage.

Gukemura no Gutanga ibitekerezo

Abaganga babaga bakunda ibyo bashobora kumva.

• Ibyuma byuma bitanga 'kuruma ' bikomeye mumagufwa kandi bimenyerewe kubaga benshi babatojwe.

• PEEK inanga ziroroshye, hamwe nigisubizo cyitondewe gike, ariko moderi nshya yigana ibitekerezo bya tactile yibyuma neza.

Kwinjiza torque, kwizerwa gukosorwa, no kugenzura ubujyakuzimu byose birakomeye-kandi PEEK iri gufata vuba.

Kuramba no Kuramba muri Vivo

Ibikoresho byombi byateguwe kumara imyaka mirongo. Icyakora:

• Ibyuma byuma bizwiho kuramba ariko birashobora gutera impagarara.

• PEEK inanga ntizitesha igihe kandi zigakomeza ubusugire bwimiterere nubwo haba hari ibibazo byinshi.

Nta kimenyetso cyerekana umunaniro wa PEEK munsi yumutwaro usanzwe wigitugu-na nyuma yimyaka.

Kubaga no Gusubiramo

Aha niho PEEK itsindira amaboko hasi.

• Ibyuma byuma birashobora kugorana kuyikuramo cyangwa gukora hafi. Ibihangano byabo bigora amashusho no gutegura.

• PEEK inanga , tubikesha radiolucency hamwe numwirondoro udahujwe, akenshi byoroshye gusubiramo.

Ku barwayi bakiri bato cyangwa bafite ibyago byinshi, gusubiramo byoroshye ni ikintu kinini.

Kugereranya Ibiciro nibintu byubukungu

• Ibyuma byuma muri rusange bihendutse kuri buri gice.

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• PEEK inanga ihenze cyane , ariko irashobora kugabanya ibiciro mubindi bice, nko gufata amashusho, kubaga ubugororangingo, nigihe cyo gukora.

Mugihe rero PEEK ishobora guhagarika ingengo yambere, irashobora kuzigama ibiciro byo hasi.

Ibisubizo by'abarwayi no kunyurwa

Ubushakashatsi bwerekana ko nta tandukaniro rikomeye riri mu bipimo byo gukiza cyangwa kongera kurira hagati yubwoko bubiri.

Nubwo bimeze bityo ariko, abarwayi bafite inanga ya PEEK bakunze kuvuga ko nyuma yo kwibagirwa amashusho nyuma yo kubagwa , kandi rimwe na rimwe, kugenda neza ku bitugu, birashoboka bitewe no kutitabira neza.

Ibyifuzo byo kubaga hamwe niterambere ryisi

• Muri Amerika y'Amajyaruguru n'Uburayi , PEEK irimo kwiyongera vuba.

• Muri Aziya no muri Amerika yepfo , ibyuma byuma biracyakoreshwa cyane kubera kumva ibiciro.

Ibyo byavuzwe, ibitaro byinshi byo murwego rwo hejuru birahindukira kuri PEEK murwego rwo kubaga bigezweho.

Inyigo Yiburanisha hamwe nigeragezwa rya Clinical

2023 meta-isesengura rya 15 RCTs yerekanye:

• PEEK hamwe nicyuma cyicyuma cyari gifite igipimo cyo gutsindwa

• PEEK yari ifite MRI nziza

• Kubaga gusubiramo byihuse kandi bisukuye hamwe na PEEK

Ubushakashatsi bumwe bugaragara bwaturutse mu Buyapani bwerekanye ko inanga ya PEEK yagabanije igihe cyo gukora ku kigereranyo cy'iminota 12 kuri buri rubanza.

Ibitekerezo no kubungabunga ibidukikije

• Ibyuma byuma byimbaraga nyinshi kubyara umusaruro kandi biragoye kubisubiramo.

• PEEK inanga ikozwe mubice bito ariko irashobora kugira ikirere cyo hasi muri rusange kubera kugabanuka kwishusho no gukenera gukosorwa.

Ibikoresho byombi byemewe na FDA , byashyizweho ikimenyetso cya CE, kandi byemewe cyane mubuyobozi bwo kubaga.

Guhanga udushya muburyo bwa Anchor

PEEK inanga ni igice gishya cyo guhanga udushya:

• Bioactive coatings kugirango iteze imbere gukira

• 3D yacapishijwe ibyuma byubaka kugirango amagufwa arusheho kuba meza

• Knotless PEEK inanga yoroshye yo kudoda

Ibyuma byuma nabyo biratera imbere, ariko PEEK ihindagurika mubishushanyo itanga umurongo.

Igihe cyo Gukoresha Ibyuma

Ibyuma byuma biracyafite akamaro kanini, cyane cyane kuri:

• Abarwayi bafite ubuziranenge bwamagufwa aho hakenewe imbaraga zo gukanika

• Kubaga hamwe n'imbogamizi

• Abaganga babaga bakeneye ibitekerezo byinshi

Igihe cyo gukoresha PEEK Anchors

PEEK inanga zirabagirana:

• Abarwayi bato cyangwa siporo bashobora gukenera gusubirwamo nyuma

• Ibihe bisaba amashusho meza

• Abaganga babaga bakoresheje tekinike idafite ipfundo cyangwa arthroscopie igezweho

Ikiganiro nyacyo: Ibyiza nibibi Gusubiramo

Kubaga no gutanga ubuhamya bw'abarwayi

'Iyo maze guhindukira ku nkuge ya PEEK, ntabwo nigeze nsubiza amaso inyuma. Kwerekana amashusho neza no kubagwa neza bituma biba bifite agaciro kangana na ijana. ' - Dr. Harris, Umuganga ubaga amagufwa, NY

'Nari mpangayikishijwe no kugira ibyuma imbere mu mubiri wanjye. Muganga wanjye yahisemo PEEK, kandi gukira kwanjye kwagenze neza kandi byihuse. ' - Alex, 38, Umukinnyi wa Tennis

Ibibazo Bikunze Kubazwa (Ibibazo)

Ikibazo: Ese inanga ya PEEK ishobora kumeneka mumubiri?
Igisubizo: Ntibishoboka. PEEK irakomeye bidasanzwe kandi yagenewe kwihanganira imitwaro yigitugu.

Ikibazo: Ese ibyuma bizagira ingaruka kumutekano wikibuga cyindege cyangwa MRI?
Igisubizo: Ntabwo bazimya impuruza, ariko barashobora kubangamira ubuziranenge bwa MRI.

Ikibazo: Ese PEEK ishobora kubangikanywa?
Igisubizo: Oya, PEEK nigiterwa gihoraho nkicyuma, ariko muburyo bwa biologiya.

Kazoza ka Suture Anchors mubuvuzi bwa siporo

Mugihe tekinike yo kubaga igenda isobanuka neza kandi yihariye, guhitamo inanga bizakomeza guhinduka. Tegereza byinshi bya Hybride , byongeweho ibinyabuzima bya PEEK , hamwe na AI ifashwa mugihe cya vuba.

Icyemezo cya nyuma: Ninde Watsinze?

Nta gisubizo-kimwe-gisubiza-byose, ariko kubintu byinshi bigezweho byo gusana ibyuma bya rotateur, ibyuma bya PEEK bitanga uruvange rukomeye rwibintu bisobanutse, biocompatibilité, hamwe nigihe kizaza.

Umwanzuro

Inanga zidoda zirashobora kuba nto, ariko ingaruka zazo ni nini. Waba uri umuganga ubaga uhitamo ibikoresho, cyangwa umurwayi ukora ubushakashatsi ku mahitamo yawe, gusobanukirwa itandukaniro riri hagati yicyuma na PEEK inanga bishobora gusobanura itandukaniro riri hagati yo gukira neza n'amezi yo gucika intege.

PEEK ntishobora kuba ihendutse cyane, ariko muburyo bwinshi, nigishoro cyigihe kirekire cyigihe kirekire cyo gusana rotate cuff.