PEEK Screw (ACL/PCL): Tataiso e Feletseng
Ho opereishene ea masapo, nts'etsopele ea lisebelisoa le lisebelisoa li phetha karolo ea bohlokoa ho ntlafatseng liphello tsa mokuli. Har'a likhatelo-pele tsena, sekoti sa PEEK (Polyether Ether Ketone) se fetohile sesebelisoa se batloang haholo bakeng sa ho tsitsisa anterior cruciate ligament (ACL) le posterior cruciate ligament (PCL) nakong ea opereishene ea ho tsosolosa. Sengoliloeng sena se fana ka tlhahlobo e tebileng ea li-screw tsa PEEK, haholo-holo bakeng sa liopereishene tsa ACL le PCL, ho hlahloba likarolo tsa tsona, melemo, lits'ebetso tsa bongaka, le litebello tsa nako e tlang mekhoeng ea masapo.
PEEK Screw (ACL/PCL) ke eng?
The PEEK screw (Polyether Ether Ketone screw) ke implant ea boemo ba bongaka e sebelisoang haholo-holo ho ACL le PCL ligament reconstruction. Li-screws tsena li entsoe ka PEEK, polymer e sebetsang hantle haholo ea thermoplastic e tsebahalang ka biocompatibility ea eona e ntle haholo, matla le ho tšoarella ha eona. Li-screws tsa PEEK li sebelisetsoa ho sireletsa li-graft tsa tendon nakong ea ho tsosolosoa ha ligament, ho netefatsa hore ho na le botsitso ba lesapo ha le ntse le kopana le lesapo nakong ea pholiso.
Se etsang hore likurufu tsa PEEK li fapane le likurufu tsa tšepe tsa setso ke radiolucency ea tsona, eo lingaka tse buoang lefats'e ka bophara.
e lumella ho etsa litšoantšo tse betere nakong ea ts'ebetso ea tlhahlobo ea tlhahlobo. Ho ba sieo ha tšitiso ea tšepe litšoantšong tsa radiological ho etsa hore li-screw tsena e be tse loketseng ho lekola mokhoa oa ho folisa oa ACL le PCL.
Likarolo tsa PEEK Screw (ACL/PCL).
Matla a marang-rang
Li-screw tsa PEEK li khanya, ho bolelang hore ha li sitise li-X-ray kapa li-scans tsa MRI. Ts'ebetso ena e bohlokoa bakeng sa ho lekola pholiso ea graft le ho beha maemo kamora ho buuoa ntle le tšitiso ea screw.
Karolelano e Phahameng ea Matla-to-Boima
PEEK e na le karo-karolelano e babatsehang ea matla ho boima ba 'mele, e etsa bonnete ba hore li-screws li matla ka ho lekaneng hore li ka mamella meroalo e sebelisoang nakong ea ho sisinyeha ha lengole ha li ntse li le bobebe ho feta litšepe.
Biocompatibility
PEEK ha e sebetse ka lisele tsa motho, haholo-holo ho fokotsa kotsi ea mathata a kang ho teneha kapa ho ruruha, ao ka linako tse ling a amanang le li-implants tsa tšepe.
Ho hanyetsa Mokhathala
Khanyetso e ikhethang ea mokhathala oa PEEK e etsa hore e be e loketseng bakeng sa lits'ebetso tsa manonyeletso a jereng mojaro joalo ka lengole, moo li-screws li tlas'a khatello ea maikutlo khafetsa nakong ea ho sisinyeha.
Customizable Designs
Li-screw tsa PEEK li tla ka bolelele bo fapaneng, li-diameter, le meralo ea likhoele ho lumellana le litlhoko tse ikhethang tsa bakuli ka bomong. Tlhahiso ena e tiisa ho lekana le botsitso nakong ea kaho bocha ea ACL kapa PCL.
PEEK Screw (ACL/PCL) Melemo
Litšoantšo tse Ntlafetseng
Lintho tse nang le mahlaseli a kotsi a li-screw tsa PEEK li lumella setšoantšo se hlakileng haholoanyane nakong ea litlhahlobo tsa ka mor'a ho buuoa. Sena se etsa bonnete ba hore ho behoa leihlo ho betere ha boemo ba graft e ntse e tsoela pele, ho fola ha masapo, le ho beoa ha screw, e leng ntho ea bohlokoa bakeng sa ntlafatso e atlehileng.
Kotsi e Fokotseng ea Mathata
Ho fapana le li-implants tsa tšepe, li-screw tsa PEEK li theola haholo kotsi ea ho ruruha kapa lintho tse hananang le tšepe, li fana ka mokhoa o sireletsehileng bakeng sa bakuli ba nang le kutloelo-bohloko ea tšepe.
Ntlafatso ea Graft e ntlafalitsoeng
Li-screw tsa PEEK li etselitsoe ho fana ka ts'ebetso e sireletsehileng ha li ntse li fokotsa kotsi ea ho falla kapa ho hlephisa. Sena se fana ka botsitso nakong ea mehato ea pele e mahlonoko ea pholiso ea ligament, e leng ntho ea bohlokoa bakeng sa ho phela nako e telele ea graft.
Ho Fokotsa Tšitiso ea Magnetic Resonance Imaging (MRI)
Li-screws tsa tšepe tse tloaelehileng li ka khopamisa litšoantšo tsa MRI, tsa etsa hore litlhahlobo tsa morao-rao li be thata haholoanyane. Ka li-screw tsa PEEK, ha ho na tšitiso ea litlhahlobo tsa MRI, ho thusa tlhahlobo ea ho kopanngoa ha graft le pholiso ka kakaretso.
Matšeliso a Mokuli a Ntlafetseng
Hobane li-screw tsa PEEK ha li bake ho teneha kapa ho hanana le lintho tse kang li-screw tsa tšepe, li na le ho fana ka matšeliso a holimo nakong ea ho hlaphoheloa.
Litlhokomeliso Bakeng sa Screw ea PEEK (ACL/PCL)
Sizing e nepahetseng
Khetho e nepahetseng ea boholo ba screw e bohlokoa. Haeba screw e kholo haholo kapa e nyane haholo, e ka senya botsitso ba graft mme ea lebisa litabeng tse kang ho lokoloha ha graft kapa pholiso e sa lokelang.
Tsebo ea ho Buoa
Katleho ea ts'ebetso e itšetlehile ka bokhoni ba ngaka le phihlelo ea ho beha ka nepo le ho tiisa screw. Ho beoa ka mokhoa o sa lokelang kapa ho tiisa ho feta tekano ho ka baka tšenyo e eketsehileng masapong kapa liseleng tse bonolo.
Ho nahanela Bone Boleng
Ho bakuli ba nang le boleng ba masapo a senyehileng (mohlala, lefu la ho fokola ha masapo), tšebeliso ea li-screws tsa PEEK e ka 'na ea hloka tlhokomelo e eketsehileng.Mehaho e fokolang ea masapo e ka' na ea se ke ea tšoara sekoti ka mokhoa o sireletsehileng joaloka masapo a matla, ho hloka hore ho be le liphetoho tseleng ea ho buuoa.
Tlhokomelo ea Kamor'a Operative
Leha li-screw tsa PEEK li tšoarella, ho ntse ho le bohlokoa ho beha lengole leihlo khafetsa bakeng sa matšoao a ho hloka botsitso kapa mathata. Litšoantšo li lokela ho etsoa ho netefatsa boemo bo nepahetseng ba graft le ho behoa ha screw.
Tšebeliso e Lekanyelitsoeng Libakeng Tsa Khatello e Phahameng
Le hoja li-screws tsa PEEK li le matla, e ka 'na ea se ke ea e-ba khetho e ntle ka ho fetisisa libakeng tsa' mele tse nang le matla a feteletseng kapa moo ho hlokahalang ho lokisoa ka ho sa feleng. Maemong a mang, mokhoa oa lebasetere o nang le likurufu tsa tšepe o ka sebelisoa ho netefatsa botsitso bo lekaneng.
PEEK Screw (ACL / PCL) Kalafo ea Mefuta ea Fracture
Ho tsosolosoa ha ACL
Bakeng sa meokho ea ACL, e atisang ho etsahala ho baatlelete kapa batho ba amehang mesebetsing e nang le tšusumetso e matla, li-screws tsa PEEK li sebelisetsoa ho boloka lesela (hangata le kotuloa ho tloha hamstring kapa patellar tendon) ho ea femur le tibia. The screw e tsitsisa graft nakong ea ho folisa, e lumella hore e kopane le lesapo.
Ho tsosolosoa ha PCL
Maemong a likotsi tsa PCL, haholo-holo tse bakoang ke likotsi tse sithabetsang tsa lengole, li-screws tsa PEEK li sebelisetsoa ho ts'ehetsa PCL graft, ho fana ka ts'ehetso e hlokahalang bakeng sa pholiso ea graft ha ho ntse ho fokotsa ho kena-kenana le litšoantšo tsa ho hlahloba.
Likotsi tsa Ligament tse peli
Li-screw tsa PEEK li ka boela tsa sebelisoa maemong a meokho e kopantsoeng ea ACL le PCL, e thusang ho tsitsisa li-ligamente tse peli ka nako e le 'ngoe nakong ea ho buoa bocha.
Mmaraka oa Kamoso oa PEEK Screw (ACL/PCL)
Keketseho e Eketsehileng ea Likotsi Tsa Lipapali
Ha botumo ba lipapali le mesebetsi ea 'mele bo ntse bo eketseha lefatšeng ka bophara, tlhokahalo ea ho aha bocha ACL le PCL e tla eketseha, e leng ho tsamaisang tlhoko ea lisebelisoa tse tsoetseng pele tsa ho lokisa joalo ka li-screw tsa PEEK.
Tsoelo-pele ho Biomaterials
Nts'etsopele e tsoelang pele ea lisebelisoa tsa biocompatible le tse tšoarellang e tla tsoela pele ho ntlafatsa ts'ebetso ea li-screw tsa PEEK, e leng se etsang hore li khahle le ho feta bakeng sa lingaka tsa masapo.
Mekhoa ea ho Buoa e sa Hlaseheng Hanyenyane
Ho phahama ha opereishene e fokolang haholo, moo ho hatisoang likarolo tse nyenyane le ho kenngoa ka mokhoa o nepahetseng haholoanyane, ho lumellana hantle le melemo ea li-screw tsa PEEK, tse bobebe 'me li fana ka ts'ebetso e ka tšeptjoang ntle le tlhokahalo ea likheo tse kholo.
Tlhokahalo e Eketsehileng Limmarakeng Tse Hlahang
Ha litšebeletso tsa bophelo bo botle li ntse li ntlafala moruong o ntseng o hola, tlhoko ea li-implants tsa boleng bo holimo tsa masapo, ho kenyeletsoa le li-screw tsa PEEK, e tla eketseha, e holise menyetla ea bona ea mmaraka lefatšeng ka bophara.
Kakaretso
Sekurufu sa PEEK (ACL/PCL) ke sesebelisoa sa phetoho lefatšeng la kaho ea ligament, se fanang ka melemo e mengata ho feta likurufu tsa tšepe tsa setso. Radiolucency ea eona, biocompatibility, le matla a eona a etsa hore e be khetho e babatsehang bakeng sa ho tsitsisa li-graft tsa ACL le PCL, athe bokhoni ba eona ba ho fana ka litšoantšo tse hlakileng tsa ka mor'a ts'ebetso e le tsa bohlokoa bakeng sa tlhahlobo le tlhahlobo e tsoelang pele.
Ka tsoelo-pele e tsoelang pele ea theknoloji ea biomaterial le ho tsepamisa maikutlo ho ntseng ho eketseha ho mekhoa e fokolang haholo, ts'ebeliso ea li-screws tsa PEEK liopereishene tsa masapo a masapo li tla tsoela pele ho hola. Ha 'maraka oa li-implants tse tsoetseng pele tsa masapo o ntse o hola, li-screw tsa PEEK li behiloe maemong a ho bapala karolo ea bohlokoa kalafong e atlehileng ea likotsi tsa ligament, haholoholo ho batho ba mafolofolo le baatlelete.
Qetellong, sekoti sa PEEK (ACL / PCL) se fana ka tharollo e phahameng ea ts'ebetso bakeng sa ho tsosolosoa ha ligament, ho ntlafatsa liphello tse peli tsa ho buuoa le linako tsa ho hlaphoheloa ha mokuli. Thepa ea eona e ikhethang ea thepa le bokhoni ba ho ntlafatsa ho lokisoa ha graft, ho kopantsoe le radiolucency bakeng sa tlhahlobo e ntlafalitsoeng ea kamora ts'ebetso, e e etsa khetho e ratoang bakeng sa masapo.
Sebaka sa polokelo ea lihlahisoa
Kamore ea mohlala
