Ziziphi izikrweqe zoPhakamezo kunye nendima yazo kuTyando lwe-Orthopedic?

Usebenzisa izikrufu zokuphazamiseka ukuze ubambe igrafti ngokuqinileyo kwiitonela zamathambo ngexesha lotyando lwamathambo. Ezi zikrufu zibalulekile kwi-ligament kunye nokulungiswa kwezicubu ezithambileyo, ngakumbi ukulungiswa kwe-acl, kuba zigcina izinto zizinzile. Uphononongo lubonisa ukuba zombini izikrufu ze-bioabsorbable kunye ne-titanium zokuphazamiseka zisebenza ngokufanayo, ke zombini zilukhetho olulungileyo lomsebenzi wakho. Iinkqubo ezintsha, njengeLigament Fixation System ngo XC Medico , yiza neengcinga ezintsha kuqhaqho lwakho kwaye ikuncede ufumane iziphumo ezingcono kwizigulana.

Izinto eziphambili zokuThatha

• Izikrufu zokuphazamiseka zinceda ukugcina iigrafti zizinzileyo kwiitonela zamathambo ngexesha lotyando. Zibaluleke kakhulu ekulungiseni iigaments.

• Izikrufu zeBioabsorbable kunye nezikrufu ze-titanium zombini zisebenza kakuhle kuqhaqho lwe-ACL. Banceda izigulane ziphilise ngeendlela ezifanayo.

• Ukukhetha eyona sayizi ye-screw kunye nemathiriyeli kubaluleke kakhulu. Inceda abantu ukuba baphile ngcono kwaye ithobe ithuba leengxaki.

• Iingcamango ezintsha ezifana ne I-Ligament Fixation System yi-XC Medico yenza utyando lube ngcono. Basebenzisa imathiriyeli eyomeleleyo kunye noyilo olukrelekrele.

• Oogqirha kufuneka bajonge izigulane emva kotyando. Oku kunceda ukufumana iingxaki kwangethuba kwaye kuqinisekisa ukuba ukuphilisa kuhamba kakuhle.

UPhando lwezikrufu

Ziintoni Izikrufu Zokuphazanyiswa

Izikrufu zokuphazamiseka zinceda ukubamba iigrafti ziqine kwiitonela zamathambo ngexesha lotyando. Zibalulekile ukulungisa iigaments kunye nezicubu ezithambileyo. Oogqirha bahlala bezisebenzisa ekulungiseni i-ACL. Ezi zikrufu zigcina i-graft izinzile ngokuyicinezela kwithambo. Oku kunceda i-graft iphile kwaye idibanise nethishu ejikelezileyo.

Oogqirha bathi izikrufu zokuphazamiseka ziyindlela eqhelekileyo yokulungisa ukulimala kwe-ACL. Basebenzela zombini ithambo ukuya kwithambo kunye nokulungiswa kwezicubu ezithambileyo ukuya kwithambo. Izikrufu zibamba i-graft endaweni kwaye zivumele oogqirha balawule indawo yayo kunye nokuqina. Olu lawulo lunceda izigulane ziphilise kakuhle kwaye zichache ngokukhawuleza.

Qaphela: Izikrufu zokuphazamiseka zithenjwa kwaye zifundelwa ukulungiswa kwe-ligament. Izifundo ezininzi zibonisa ukuba zisebenza kakuhle kwi-bone-patellar tendon-bone ACL surgeries.

Zisebenza Njani Izikrweqe Zokuphazamiseka

Okokuqala, oogqirha benza i-tunnel kwithambo apho i-ligament idinga ukulungiswa. Emva koko, bafaka intambo kule tonela. Isikrufu sityhala igrafti kudonga lwetonela. Oku kugcina i-graft ingashukumi.

Nantsi into eyenzekayo ngexesha lotyando:

• Oogqirha bagrumba itonela ethanjeni, ngokuqhelekileyo malunga ne-8 mm ububanzi.

• Bafaka i-graft kwitonela.

• Babeka isikrufu sokuphazamiseka ecaleni kwe-graft kwaye bayicinezele ngokuqinileyo.

• Ubuncinci i-20 mm ye-graft ihlala ngaphakathi kwetonela ukomelela.

• Oogqirha banokusebenzisa izikrufu ezithathayo okanye zetsimbi, kuxhomekeke kwimeko.

Imisebenzi ephambili yezikrufu zokuphazamiseka yile:

• Ukugcina i-graft kwindawo echanekileyo kunye nokuqina okulungileyo.

• Ukunika ukubamba ngamandla apho isikrufu sichukumisa ithambo.

• Ukubamba i-graft ngokuqinileyo de ithambo liphole.

Kukho iintlobo ezintsha zezikrufu zokuphazamiseka nazo. Ezinye zenziwe nge-magnesium ephuma emzimbeni. Abanye baxuba i-magnesium kunye nezinye iintsimbi ukuze babe namandla ngakumbi. Abanye baye benza njalo imilo emitsha yomsonto ukubamba ngcono . Olu tshintsho lunceda izikrufu zisebenze ngcono kwaye zincede amathambo aphole.

Uphononongo lubonisa ukuba izikrufu ezichophileyo zomelele kwaye zigcina igrafti iqinile kunezikrufu eziqhelekileyo. Oku kuthetha ukuba izigulane ziba ngcono kwaye zinamandla amadolo ngokuhamba kwexesha.

Oogqirha babala kwizikrufu zokuphazamiseka ukuze bagcine i-grafts ikhuselekile ngelixa bephilisa. Uyilo kunye nezixhobo zinceda oogqirha ukuba bafumane iziphumo ezilungileyo xa belungisa iigaments.

Iindidi kunye neMathiriyeli yeZikrikri zoKuphazamiseka

Iinketho zeMetal kunye neBioabsorbable

Kukho iintlobo ezahlukeneyo zezikrufu zokuphazamiseka zokulungisa iigaments. Izinto ezisetyenziswa kakhulu zezi:

• I-Titanium

• Yenziwe ngentsimbi eshayinayo

• Ipolymer

• Iglasi yeBioactive

Izikrufu zesinyithi, njenge-titanium, zomelele kakhulu kwaye zihlala ixesha elide. I-Titanium ayirusi, ngoko ihlala ilungile ngaphakathi emzimbeni. Oogqirha basebenzisa izikrufu ze-titanium kwiimeko ezinzima kuba zomelele ngakumbi kunezikrufu ze-bioabsorbable. Izikrufu ze-Titanium zinokuba namandla esivuno malunga ne-1130 MPa. Oku kumalunga namaxesha alishumi ngaphezulu kwezinye izikrufu ze-bioabsorbable, njenge-PLA. Ke, izikrufu ze-titanium zinika inkxaso eyomeleleyo xa uyifuna kakhulu.

Izikrufu ze-Bioabsorbable zenziwe kwizinto ezifana ne-PLA okanye i-magnesium. Ezi zikrufu ziqhekeka kancinci emzimbeni. IMagnesium yintsimbi ekhaphukhaphu eyomeleleyo kwaye inokufunxwa ngumzimba. Ezi zikrufu zinokubamba izinto endaweni yotyando oluninzi. Izikrufu ezintsha ze-bioabsorbable ziphantse zaqina njengezikrufu ze-titanium, ukuya kuthi ga kwi-90%. Kodwa, azikaqini njengezikrufu zentsimbi. Sekunjalo, uphando lubonisa ukuba zombini iintlobo zisebenza kakuhle ekuzinzeni kwamadolo emva kokuhlinzwa kwe-ACL. Azikho iingxaki ezininzi ngohlobo olunye kunolunye.

Iimpawu zoyilo kunye nezinto ezintsha

Izikrufu zophazamiseko zihlala zibangcono ngoyilo olutsha. Izikrweqe ngoku zinemilo eyahlukeneyo, imisonto, kunye nemathiriyeli ukuzinceda ukubamba kwaye ziphilise ngcono. Umzekelo, i-conical okanye i-tapered core shape yenza isikrufu sibambe siqine. Oku kunceda isikrufu sigcine igrafti isendaweni. Itheyibhile engezantsi ibonisa indlela ubume besijirufu obutshintsha ngayo amandla okukhupha:

Imilo emitsha yomsonto kunye neengcebiso ezingcono zokujija zenza kube lula ukubeka kwisikrufu. Kwakhona benza ukuba kuthathe amandla amancinci. Izikrufu zeHybrid zisebenzisa iindawo ezivela kwizinto ezahlukeneyo ukuze zomelele kwaye zikhuseleke emzimbeni. I-Titanium kunye ne-PEEK zikhetho ezilungileyo kuba zikhuselekile kwaye zinceda ukukhula kwamathambo. Ezi ngcamango zintsha zinceda oogqirha bagcine i-graft izinzile kwaye inceda izigulana ziphilise ngcono.

I-ACL Interference Screws kuTyando

ACL Reconstruction Applications

I-ACL interference screws ibambe i-grafts kwindawo ngexesha lotyando lwe-ACL. Ezi zikrufu zicinezela i-graft kwitonela yethambo. Oku kugcina i-graft iqinile ukuze iphole kakuhle. Iibhondi zegraft kunye nethishu ejikelezileyo. Ungachola intsimbi okanye izikrufu ezifunyaniswa yibioabsorbable ukwenzela utyando lwe-ACL. Zombini ezi ntlobo zisebenza kakuhle kwaye zinika iziphumo ezifanayo.

Xa ukhetha izikrufu zokuphazamiseka kwe-ACL, ufuna ukuba igrafti ihlale bhuma. Akufunekanga ishukume ngelixa iphilisa. Izifundo zibonisa izikrufu ze-bioabsorbable ezine-hydroxyapatite zisebenza kakuhle kakhulu. Azibangeli iziphumo ezibi. Ezi zikrufu zilukhetho oluhle endaweni yezikrufu ze-titanium. Izikrufu zesinyithi kunye ne-bioabsorbable zisilela malunga nomlinganiselo ofanayo. Izigulana zenza kanye ngalo naluphi na uhlobo.

Ngamanye amaxesha, oogqirha basebenzisa izixhobo zokulungiswa kwe-suspensory adjustable. Ezi zixhobo zikwanika iziphumo ezilungileyo kwaye zigcine idolo lizinzile. Izinga lokusilela lisezantsi, njengezinye izixhobo. Izikrufu zokuphazamiseka kwe-ACL zinika ithambo ukuya kwithambo elomeleleyo kunye nezicubu ezithambileyo ukuya kwithambo ukulungiswa. Oku kunceda izigulane ziphilise ngokukhawuleza kwaye zibuyele kwimisebenzi yazo.

Ingcebiso: Qinisekisa ukuba uxhulumaniso luyi-20 mm ubuncinane ngaphakathi kwitonela yamathambo. Oku kunceda ukuba i-graft ihlale yomelele kwaye iphile ngcono.

Okunye Ukusetyenziswa kweLigament Fixation

Izikrufu zokuphazamiseka azikho nje utyando lwe-ACL. Oogqirha bawasebenzisa kwezinye izilungiso ze-ligament, njenge-PCL kunye ne-MPFL. Ezi zikhonkwane zinceda ukulungisa iigaments kunye nezicubu ezithambileyo kwiindawo ezininzi. Basebenzela zombini ithambo ukuya kwithambo kunye nokulungiswa kwezicubu ezithambileyo ukuya kwithambo.

I-Ligament Fixation System yi-XC Medico ineempawu ezintsha zolu tyando. Isebenzisa i-PEEK, ekhuselekileyo emzimbeni kwaye ayibangeli iimpendulo ezimbi. Izikrufu ziza ngobukhulu obuninzi ukuze zilingane neemfuno ezahlukeneyo. Izikrufu ze-PEEK zenza oogqirha babone imifanekiso ecacileyo emva kotyando. Zilula ukuzifaka, ezigcina ixesha kwigumbi lokusebenza. Inkqubo ikhuselekile kwi-MRI scans, ngoko oogqirha banokujonga ukuphilisa ngaphandle kweengxaki.

Nantsi itafile eneempawu ezibalulekileyo zeLigament Fixation System nguXC Medico:

Oogqirha basebenzisa izikrufu zokuphazamiseka kuqhaqho oluninzi lwe-ACL. Izikrufu ze-Bioabsorbable zezona zixhaphakileyo zokubamba i-graft kwi-tibia. Ezinye izigulana, ngakumbi iimbaleki eziselula, zinokuziva iintlungu apho kukho isikrufu. IiCysts zinokwenza ukuya kuthi ga kwi-5% yamatyala emva kotyando lwe-ACL kunye nezikrufu ezifumanekayo. Oku kwenzeka ngenxa yokuba umzimba usabela kwisikrufu, ngoko ke oogqirha bajonga izigulana ngokusondeleyo.

Oogqirha bakhetha izikrufu zokuphazamiseka kuba zisebenza kakuhle kwii-ligament ezininzi kunye notyando lwezicubu ezithambileyo. Bathemba ezi zikrufu ukuba zibambe i-graft ngokuqinile kwaye zincede izigulana ziphilise kakuhle.

Ukukhetha Izikrweqe zoMphazamiso

Izinto eziphathekayo kunye noKhetho lobungakanani

Xa ukhetha izikrufu zokuphazamiseka, kufuneka ucinge ngezinto kunye nobukhulu. Isikrufu esilungileyo sinceda izigulana ziphilise ngcono. Ukuhambelana kwezinto kubalulekile kwizicubu zomzimba. Ufuna ukuyeka ukusabela okubi kungenzeki. Iimathiriyeli ezihambelana ne-Bioocompatible, njengeepolima ezifunxayo okanye i-titanium, zihlala zisetyenziswa. Ezi zixhobo zinceda ukugcina umzimba ukhuselekile.

Kufuneka kwakhona ujonge izikrufu ezenziwe ngomatshini ochanekileyo. Oku kuthetha ukuba isikrufu singena kakuhle kwaye sibambe igrafti iqine. Ukulingana kakuhle kunokwenza utyando lusebenze ngcono.

Ubungakanani beScrew bubalulekile, nabo. Iidayamitha zesikrufu esikhulu zinika amandla okulungisa ngakumbi. Oku kunceda ukuba i-graft ihlale kwindawo. Itheyibhile engezantsi ibonisa indlela ubungakanani bezijija ezizitshintsha ngayo iziphumo:

Iingqwalasela zesigulane kunye noCando

Kufuneka uhlale ucinga ngesigulana ngasinye xa ukhetha izikrufu. Umgangatho wamathambo ubaluleke kakhulu. Ukuba isigulana sinamathambo awomeleleyo, ungasebenzisa isikrufu esahlukileyo kunesamathambo abuthathaka. Inqanaba lomsebenzi libalulekile, nalo. Iimbaleki zisenokufuna izikrufu ezomeleleyo.

Nantsi itheyibhile ekuncedayo ukuba wazi into omawuyiqwalasele:

Ukuthelekisa isikrufu kuqhaqho kubaluleke kakhulu. Uphononongo lubonisa isikrufu esilungileyo sinceda izigulana ziphilise ngokukhawuleza nangcono. Unokunceda izigulane ngokugxila kwiinkcukacha zemeko nganye. Le ndlela enonyameko ikunceda ukuba unikezele ngononophelo olungcono kwi-acl kunye nolunye utyando lwe-ligament.

Imingcipheko kunye noLungelo

Iingxaki ezinokuthi zibekho

Xa oogqirha besebenzisa izikrufu zokuphazamiseka, kufuneka bajonge iingxaki. Ezi ngxaki zinokutshintsha ukuba utyando olufana nomsebenzi wokwakha kwakhona i-acl. Ezinye iingxaki eziqhelekileyo zezi:

• Isikrufu sinokuphuka.

• Umzimba unokusabela kwaye udumbe.

• I-graft inokusikwa.

• Isikrufu sisenokungabi kwindawo elungileyo okanye siqine ngokwaneleyo.

Ngokumalunga ne-1 kwizigulane ze-10 zinokuba neempawu emva kokuhlinzwa. Malunga ne-5% yezigulane zidinga olunye utyando ukulungisa ezi ngxaki. Uninzi lwabantu luyakwazi ukudlala imidlalo kwakhona emva kokuba i-screw ikhutshiwe. Izikrufu zinokukhululeka okanye zophuka ukuba kukho intshukumo enkulu okanye uxinzelelo. Oku kunokubangela ukuba isikrufu siqhekeke. Kwezinye izifundo, izikrufu zasuka endaweni ukuya phezulu I-16.9% yamatyala. Izikrweqe ezifakwe nge-engile zisuswe ngaphezulu kunezikrufu ezithe ngqo.

Qaphela: Ithuba leengxaki lingatshintsha ngohlobo lwe-screw kunye nendlela utyando lwenziwa ngayo.

Ukhuseleko kunye neZenzo ezilungileyo

Oogqirha banokuthoba imingcipheko ngokulandela imigaqo yokhuseleko kunye nemikhwa elungileyo. Nanga amanye amacebiso okunceda ufumane iziphumo ezingcono ngezikrufu zokuphazamiseka:

• Khetha ubungakanani besijirufu esifanelekileyo kunye nemathiriyeli yesigulane ngasinye.

• Faka isikrufu ngononophelo ukuze igrafti ingonzakali.

• Qinisekisa ukuba uxhulumaniso luyi-20 mm ubuncinane ngaphakathi kwitonela yamathambo.

• Jonga izigulana ngemiqondiso yokuba isikrufu sikhululekile okanye sihambile emva kotyando.

Oogqirha kufuneka bagcine umkhondo wazo naziphi na iziganeko ezimbi kwaye bajonge izigulane rhoqo. Zombini izikrufu ze-bioabsorbable kunye nentsimbi zisebenza ngokufanayo kwiintlungu, intshukumo, kunye nendlela elisebenza ngayo ilungu. Ukuba isikrufu siyaphuka xa usifaka, asisoloko sibangela ingxaki, kodwa oogqirha kusafuneka basijonge isigulana.

Ingcebiso: Ukucwangcisa ngononophelo kunye nokunikela ingqalelo kwiinkcukacha kunceda umngcipheko ophantsi kwaye wenze iziphumo zesigulane zibe ngcono xa usebenzisa izikrufu zokuphazamiseka.

Usebenzisa izikrufu zokuphazamiseka ukuze ugcine iigrafti zizinzileyo kwi-acl kunye ne-ligament surgery. Uphononongo lubonisa izikrufu ze-bioabsorbable kunye neenkqubo ezintsha zinceda izigulane ziphilise ngcono emva kokulungiswa kwe-acl. I-Ligament Fixation System yi-XC Medico inika inkxaso eqinile, inceda ukuphilisa, kunye nokunciphisa iingxaki. Oogqirha abaninzi babona amandla adibeneyo angcono kunye neziphumo ezilungileyo zexesha elide kunye nale nkqubo.

• I-XC Medico ilandela imithetho ekumgangatho ophezulu.

• Ufumana ukuhanjiswa ngokukhawuleza kunye noncedo ngemibuzo.

• Inkqubo ikunceda ukuba ufumane iziphumo ezintle kwizigulane zakho.

Khetha i-XC Medico njengenkampani yakho oyithembileyo kwizikrufu zokuphazamiseka kunye nezinye iimveliso.

FAQ

Yintoni eyona njongo yesikrufu sokuphazamiseka?

Usebenzisa isikrufu sokuphazamiseka ukuze ubambe igrafti ngokuqinileyo kwitonela yethambo. Oku kugcina i-graft izinzile ngexesha lokuphilisa. I-Screw inceda i-ligament entsha incamathele kwithambo.

Ukhetha njani ubungakanani obufanelekileyo bokuphazamiseka kwesikrufu?

Uthelekisa ubungakanani be-screw kwi-graft kunye netonela yethambo. Isikrufu esikhulu sinika ukubambelela ngakumbi. Ngalo lonke ixesha ujonge umgangatho wethambo lesigulana kunye nohlobo lotyando olucwangcisayo.

Ngaba izikrufu ze-bioabsorbable zikhuselekile kuzo zonke izigulana?

Izikrufu zeBioabsorbable zikhuselekile kwizigulana ezininzi. Kuya kufuneka ujonge i-allergies okanye iimeko ezizodwa zempilo. Ezi zikrufu ziyaqhekeka emzimbeni ngokuhamba kwexesha.

Ngaba ungasebenzisa izikrufu zophazamiseko kuqhaqho ngaphandle kokwakhiwa kwakhona kwe-ACL?

Ewe, ungasebenzisa izikrufu zokuphazamiseka kolunye ulungiso lwe-ligament, njenge-PCL okanye i-MPFL yotyando. Bakwanceda nokulungiswa kwezicubu ezithambileyo kwiinkqubo ezininzi zamathambo.