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Ho netefatsa polokeho le ho latela melao, li-implants tsa meriana ea lipapali li lokela ho netefatsoa ka litekanyetso tsa machabeng tse kang FDA (USA), CE Mark (Europe) le ISO 13485 (litsamaiso tsa taolo ea boleng). Lisetifikeiti tsena li bonts'a tumello ea taolo le ts'epahalo ea sehlahisoa.
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Lingaka tse buoang li nahana ka lintlha tse kang mofuta oa kotsi, boemo ba ts'ebetso ea mokuli, boleng ba masapo, lisebelisoa tsa ho kenngoa, le mokhoa oa ho buuoa. Hangata ba itšetlehile ka phihlelo ea bongaka le lipatlisiso tsa morao-rao ho khetha lisebelisoa tse nepahetseng tsa ho lokisa bakeng sa ACL, meniscus, kapa ho lokisa mahetla.
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Arthroscopy e hlaselang haholo e fokotsa ts'oaetso ea ho buuoa, e khutsufatsa nako ea ho hlaphoheloa, e fokotsa kotsi ea tšoaetso, 'me e fana ka pono e ntle ea manonyeletso. E fetohile mokhoa o tloaelehileng oa ho hlahloba le ho phekola likotsi tsa manonyeletso tse amanang le lipapali.
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Khatiso ea 3D e thusa ho etsa prototyping ka potlako le mokhoa o nepahetseng oa ho kenya li-implants le litataiso tsa ho buoa. E lumella lik'hamphani tsa masapo ho etsa lisebelisoa tse khethehileng tsa mokuli, ho bapisa phapang ea anatomical, le tlhahlobo ea ts'ebetso ea biomechanical pele ho tlhahiso.
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Litlhahiso li kenyelletsa li-ankora tse nang le li-suture tsohle, li-ankora tsa ho iphunya, li-reamers tse nang le cannulated, arthroscopy e thusang ho tsamaea, le lisebelisoa tsa tloaelo tse hatisitsoeng ka 3D. Lisebelisoa tsena li ntlafatsa ts'ebetso, li fokotsa tšenyo ea lisele, 'me li fana ka liphello tse ntle tsa ho lokisa.
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Lisebelisoa tse tloahelehileng li ntlafatsa ho nepahala ha opereishene, li fokotsa nako ea ho buuoa, le ho ntlafatsa liphello tsa mokuli. Bakeng sa li-anatomies tse rarahaneng kapa likhetho tse khethehileng tsa ngaka, litataiso kapa lisebelisoa tse ikhethileng li netefatsa ho beoa le ho lekana ha li-implants.
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Lingaka li sebelisa liankora tsa suture tse entsoeng ka thepa e kang titanium, PEEK, kapa bioabsorbables. Li-ankora tsena li kenngoa ka har'a lesapo 'me li sebelisetsoa ho tsosolosa tendon e tabohileng ho sebelisa sutures e matla. Li-ankora tse nang le mela e 'meli kapa li-suture kaofela li tloaelehile ho itšetlehile ka leano la ho lokisa.
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Li-implants tsa PEEK li na le mahlaseli a kotsi 'me li na le lisebelisoa tse ts'oanang le lesapo, li etsa hore li tšoanelehe bakeng sa lits'ebetso tse kang li-interference screws, suture ankora, le likonopo tsa ho lokisa. Li sebelisoa hangata ho ACL/PCL reconstruction le ho lokisa mahetla.
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Li-implants tsa bioabsorbable li senyeha ha nako e ntse e ea 'me qetellong li nkeloa sebaka ke lisele tsa tlhaho, ho felisa tlhokahalo ea ho buuoa ho tlosoa. Ka lehlakoreng le leng, li-implants tsa Titanium ke tsa ka ho sa feleng, li matla ebile lia lumellana, empa li ka hloka hore li tlosoe haeba ho na le ho teneha kapa mathata.
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Li-screws tsa ho kena-kenana tsa ACL li sebelisoa nakong ea ho tsosolosoa ha ligament ho boloka graft (ebang ke autograft kapa allograft) ka har'a kotopo ea botšehali kapa tibial. Li etsa bonnete ba ho lokisa hang-hang le ho thusa ho nolofatsa pholiso ea likokoana-hloko pakeng tsa graft le lesapo.
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Lisebelisoa tse tloaelehileng li kenyelletsa li-alloys tsa titanium, PEEK (polyether ether ketone), tšepe e sa hloekang, le li-polymers tse nang le bioabsorbable tse kang PLLA kapa PGA. Khetho e itšetlehile ka lintlha tse kang matla, biocompatibility, le hore na implant e etselitsoe ho lula 'meleng kapa ho qhibiliha ha nako e ntse e ea.
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Nako ea ho hlaphoheloa e fapana ho ea ka boima ba mokuli le kotsi, empa bakuli ba bangata ba khutlela mosebetsing o bobebe nakong ea likhoeli tsa 3-6. Ho hlaphoheloa ka ho feletseng bakeng sa lipapali tsa tlhōlisano ho ka nka likhoeli tse 6-9 kapa ho feta, ho itšetlehile ka tsoelo-pele ea ho tsosolosa.
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Likotsi tse tloaelehileng ka ho fetisisa li kenyelletsa meokho ea anterior cruciate ligament (ACL), meokho ea meniscal, maqeba a rotator cuff, labral tears, le maqeba a lefufuru. Arthroscopy e lumella lingaka tse buoang ho lokisa kapa ho tsosolosa lisele tse senyehileng ka tšitiso e fokolang le linako tsa ho hlaphoheloa kapele.
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Opereishene ea Arthroscopic ke ts'ebetso e fokolang haholo moo khamera e nyenyane (arthroscope) le lisebelisoa li kenngoa ka litsela tse nyenyane ho hlahloba le ho phekola mathata a kopanetsoeng. Hangata e buelloa bakeng sa meokho ea ligament, likotsi tsa meniscus, tšenyo ea lefufuru, le ho se tsitse ha manonyeletso, haholo-holo lengoleng, mahetleng le leqaqailaneng.
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Meriana ea lipapali ke lekala le ikhethileng la masapo a masapo le shebaneng le ho thibela, ho hlahloba le ho phekola likotsi tsa mesifa le masapo tse amanang le boikoetliso ba 'mele. E na le karolo ea bohlokoa ho thusa baatlelete le batho ba mafolofolo hore ba hlaphoheloe ka liphekolo tsa opereishene le tse sa buuoeng, ho kenyeletsoa kalafo ea 'mele, lits'ebetso tsa arthroscopic, le ntlafatso e thehiloeng ho implant joalo ka ACL kapa tokiso ea rotator cuff.
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Re araba lipotso tsohle nakong ea lihora tse 12.
Kamehla re fana ka ts'ebeletso e potlakileng le e sebetsang.
Joaloka morekisi ea nang le boikarabelo, re ikemiselitse ka botlalo ho odara e 'ngoe le e 'ngoe e tsoang ho bareki ba rona.
Haeba mathata leha e le afe a hlaha ka lebaka la phoso ea rona (e kang mathata a boleng kapa tieho ea ho fana ka thepa), re tla e rarolla ntle le tika-tiko!
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Re fana ka litšebeletso tse latelang tsa ho itlhophisa:
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Ho hlahisa logo ea hau lihlahisoa tsa rona tse teng
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Ho etsoa ho latela litšoantšo tsa hau
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Ho rala ho ipapisitse le sampole ea hau le ho etsa litšoantšo tsa tekheniki
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Re na le thepa e ngata 'me hangata re ka romella ka sekepe nakong ea beke.
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E, re ka fana ka mehlala ea mahala bakeng sa tlhahlobo ea boleng. Ka kopo, re tsebise litlhoko tsa hau tse khethehileng.
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Re moetsi oa li-implants tsa masapo le lisebelisoa tsa ho buoa. Lihlahisoa tsa rona tsa mantlha li kenyelletsa:
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Li-implants tsa mokokotlo
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Lipekere tsa Intramedullary
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Lipoleiti tsa trauma (ho notlela le ho se notlele)
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Lipoleiti tsa Craniomaxillofacial
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Lisebelisoa tsa matla a ho buoa
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Lisebelisoa tsa ka ntle
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Lisebelisoa tsa maiketsetso tsa letheka le mangole
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Lihlahisoa tsa meriana ea lipapali
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Lisebelisoa tsa Laparoscopic
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Lisebelisoa tse akaretsang tsa masapo
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Lihlahisoa tsa bongaka ba liphoofolo
