Isikhokelo soNyango lwezeMidlalo yezoNyango lwamathambo
Ii-anchors ze-Suture ziyi-implants ezincinci ezisetyenziselwa ukudibanisa izicubu ezithambileyo-ezifana ne-tendon, ligament, okanye i-labrum-kwithambo. Ngokuqhelekileyo zisetyenziswa kwindawo evulekileyo kunye ne-arthroscopic utyando lwamathambo , kubandakanywa ukulungiswa kwe-rotator cuff, ukuzinza kwamagxa, kunye nedolo elikhethiweyo, unyawo, i-ankle, isandla, kunye neenkqubo ze-elbow.
Impendulo ekhawulezayo: Ugqirha wotyando ubeka i-ankile ethanjeni kwaye usebenzisa i-suture eqhotyoshelweyo ukubamba izicubu ezithambileyo ezonzakeleyo kwithambo ngelixa ukuphiliswa kwenzeka. Ingaba i-anchor ye-suture iyachithwa kuxhomekeke kwizinto zayo. I-Titanium, i-stainless-steel, kunye nee-anchors ze-PEEK azinakufunxa, ngelixa i-bioabsorbable kunye nezinye i-anchors ze-biocomposite zenzelwe ukuthotywa kancinci kancinci. Ukuthotywa kwesidima kunokuthatha iinyanga okanye iminyaka kwaye kusenokungagqibi kuyo yonke imeko.
Izinto eziphambili zokuThatha
Yintoni i-Anchor eSuture?
Kutyando lwamathambo, 'iankile' sisixhobo sokulungisa esifakwe ethanjeni ukunika indawo yokuncamathela kumthungo omnye okanye ngaphezulu. Ezo sutures zidlula okanye zijikeleze izicubu ezithambileyo ezonakeleyo kwaye ziyibambe ngokuchasene nethambo. Injongo kukugcina indawo yokulungisa ngelixa ukuphiliswa kwezinto eziphilayo kukhula; i-implant ngokwayo ayiphili i-tissue.
Inkqubo yeankile ye-suture eqhelekileyo ibandakanya:
Umzimba we-ankile: Ilungu elimiswe kwithambo. Kuxhomekeka kuyilo lwayo, inokudityaniswa, icofe, ilingane, yandiswe, okanye yenziwe ngokuyintloko ngemathiriyeli ye-suture.
I-eyelet okanye i-suture-retention mechanism: indawo edibanisa i-ankile kunye ne-suture. Kolunye uyilo olungenamaqhina, umatshini nawo uyacinezela kwaye utshixe ukulungiswa.
I-suture okanye iteyiphu: Isixhobo esidlula kwithishu. Banzi I-tape-type sutures inokukhethwa kwizakhiwo ezithile zokulungisa, nangona ukungafani kwe-biomechanical akuqinisekisi ngokuzenzekelayo iziphumo ezingcono zekliniki.
Zisebenza Njani Iiankile zeSuture?
Ubuchwephesha obuchanekileyo buyohluka ngokusebenza kunye noyilo lwe-ankile, kodwa inkqubo yokulungiswa kwesiseko ilandela imigaqo efanayo:
Ugqirha wotyando ulungiselela indawo yokufakwa kwithambo kufuphi nendawo eqhotyoshelweyo ye-tissue.
I-anchor ifakwe kwindawo ecwangcisiweyo kunye ne-angle usebenzisa isixhobo esifanelekileyo sokuhambisa.
I-suture idlula kwi-tendon, ligament, capsule, okanye i-labrum.
I-suture ibotshelelwe okanye ikhuselwe ngendlela yokutshixa engenamaqhina ukuzisa izicubu ukuba zidibane nethambo.
Ukulungiswa kukhusela i-tissue-to-bone interface ngexesha lokuqala lokuphulukisa, ngelixa ukuvuselelwa kwe-postoperative kulawula umthwalo kunye nokunyakaza.
Amandla okulungisa aphenjelelwa ngaphezu kwe-anchor yodwa. Umgangatho wethambo, i-angle yokufaka, ububanzi be-anchor kunye noyilo, ukucwangciswa kwe-suture, imeko yethishu, ubuchule botyando, kunye nokubuyisela kwimeko yesiqhelo konke kuchaphazela ukulungiswa. I-ankile efanelekileyo kwindawo enye ye-anatomical okanye isigulane sinokungafaneleki kwenye.
Kubalulekile: Ii-ankile ze-Suture zinokuxhasa iindlela zokuhlasela kancinci, kodwa aziqinisekisi ngokwazo iintlungu ezincinci, ukuphiliswa ngokukhawuleza, okanye iziphumo ezithile zekliniki. Ukubuyiswa kuxhomekeke kwingozi yokuqala, inkqubo, impilo yesigulane, umgangatho wokulungisa, kunye nesicwangciso sokubuyisela.
Ngaba ii-ankile zeSuture ziyanyibilika?
Ezinye iiankile ze-suture zenzelwe ukuthotywa, ngelixa ezinye zihlala emzimbeni. 'Inyibilika' yinkcazo yemihla ngemihla eluncedo, kodwa i-bioabsorbable okanye i-biodegradable ichaneke ngakumbi. Ezi iankile ziyaqhekeka ngeenkqubo zebhayoloji kunye neekhemikhali kunokuba zinyamalale kwangoko.
| Imathiriyeli ye-ankile okanye uyilo | Ngaba iyanyibilika? | Ukuqwalasela okusebenzayo |
|---|---|---|
| Isinyithi, njenge-titanium okanye insimbi engenasici | Hayi | Ibonelela ngokulungiswa kwe-radiopaque esisigxina kodwa inokwenza umfanekiso we-artifact kwaye inokwenza kube nzima uhlaziyo kwezinye iimeko. |
| PEEK | Hayi | Ipolima engenakufunxwa ene-radiolucent kwi-X-reyi eqhelekileyo kwaye ngokubanzi idala i-artifact yomfanekiso omncinci kunentsimbi. |
| Iipolymer zeBioabsorbable | Yenzelwe ukuthoba isidima | Ireyithi iyahluka kakhulu ngokubunjwa kwepolymer, ubungakanani beankile, indawo, kunye nempendulo yebhayoloji. |
| Biocomposite | Idla ngokuyilwa ukuthotywa kancinci kancinci | Udibanisa i-polymer eyonakalisayo kunye necandelo lamaminerali; ukutshintshwa kwethambo kuyaguquguquka kwaye akufanele kucingelwe. |
| I-ankile yonke-suture | Kuxhomekeke kwizinto eziphathekayo | 'All-suture' ichaza ulwakhiwo, hayi ukufunxa. Ulwazi lwemathiriyeli ethile kufuneka lujongwe. |
Iiankile zeBioabsorbable azithobi zonke kwishedyuli enye. Ngokuxhomekeke kwizinto eziphathekayo, iintsalela zingabonakala iminyaka, kwaye ukufunxa ngokupheleleyo akuqinisekiswanga. Ukukhethwa kwe-ankile kufuneka ke ngoko kusekelwe kwimeko yeklinikhi kunye namaxwebhu emveliso-kungekhona nje kukhetho lokufakelwa 'olunyibilikayo.'
Iintlobo zeeDevices ze-Anchor Suture
Uyilo lwe-anchor ye-Suture luyahluka kwizinto eziphathekayo, ijometri, indlela yokufaka, kunye ne-suture-retention mechanism.
Ii-ankile ezingenakufunxwa
Ii-ankile ezingafunxwanga zenzelwe ukuba zihlale emzimbeni ngaphandle kokuba ukususwa kuba yimfuneko ngokwezonyango. Uluhlu lubandakanya uyilo lwesinyithi kunye noyilo lwepolymer olungenakufunxa njenge-PEEK. Ii-ankile ezingenakufunxa zingabonelela ngokulungiswa kwexesha elide, kodwa iziphumo zomfanekiso kunye nokuhlaziywa okunokwenzeka kuxhomekeke kwizinto kunye nokubekwa.
| Uhlobo lwe-Anchor yeSuture | Iinzuzo | ezinokuthi ziqwalaselwe |
|---|---|---|
| Ayinakufunxwa | Izinto ezisisigxina; ifumaneka kuyilo olusekiweyo oluninzi kunye nemathiriyeli. | Izinto eziphathekayo zihlala emzimbeni; i-artifact yomfanekiso kunye neengqwalasela zohlaziyo ziyahluka. |
| I-Bioabsorbable okanye i-biocomposite | Yenzelwe ukuthotywa kancinci kancinci; Uyilo oluthile lunokunciphisa imathiriyeli yokufakelwa ngokusisigxina. | Ukuthotywa kuyaguquguquka; impendulo yokuvuvukala, ukubunjwa kwe-cyst, okanye utshintsho lwamathambo lungenzeka. |
| I-suture yonke | Isebenzisa itonela encinci yamathambo kwaye inokugcina amathambo amaninzi kuneiankile eziqinileyo. | Ukusebenza kuxhomekeke ekuhanjisweni, umgangatho wamathambo, kunye noyilo; Ukufunxa akunakuthathwa kwigama. |
I-PEEK iankile ezineNgxowa
Izixhobo ze -PEEK ezinentambo ye-suture anchor zisebenzisa i-polyether ether ketone, i-polymer yobunjineli engenakufunxa. I-PEEK i-radiolucent kwii-radiographs eziqhelekileyo kwaye ngokubanzi idala i-artifact encinci ye-imaging kunesinyithi, nangona indawo yokufakelwa kwayo inokuchongwa ngabamakishi abahambelanayo okanye itonela yamathambo ejikelezileyo. Iiankile zePEEK azinyibiliki.
Ubungakanani be-ankile yinto enye kuphela yokukhetha; i-anatomy, umgangatho wamathambo, izicubu, kunye nokwakhiwa okucwangcisiweyo kokulungiswa kufuneka kuqwalaselwe.
Iiankile ezingenamaqhina
Iiankile ezingenamaqhina zisebenzisa indlela yokutshixa ukukhusela kunye nokucinezela i-suture ngaphandle kweqhina eliqhelekileyo le-arthroscopic. Izikhonkwane ezingenamaqhina zinokwenza lula amanyathelo athile okulungisa kwaye ziphephe ukuvelela okunxulumene neqhina, kodwa ukufaneleka kwazo kuxhomekeke kwinkqubo kunye nesicwangciso sokulungiswa kogqirha. 'Knotless' ichaza indlela i-suture ekhuselwa ngayo; ayichongi ukuba i-anchor yintsimbi, i-PEEK, i-absorbeble, okanye i-biocomposite.
Zonke-Anchors Suture
Zonke-i-ankile ze-suture zenziwe ngokukodwa ukusuka kwi-high-high-streyth suture material kunokuba kumzimba we-ankile oqinileyo. Ngokuqhelekileyo zifuna itonela encinci yamathambo kwaye yandise okanye ibekwe phantsi komphezulu we-cortical. Ukuziphatha kwabo kuxhomekeke kubuchule bokuthunyelwa kunye nomgangatho wamathambo wendawo. Akufunekanga zichazwe ngokuzenzekelayo njengezinokunyibilika.
Ii-anchor ze-Suture zifumaneka ngobukhulu obahlukeneyo, izixhobo, kunye noqwalaselo lokulayisha. I-XC Medico ibonelela ngemveliso ye-orthopedic-medicine yezemidlalo, kuquka i-PEEK ekhethiweyo kunye ne-titanium-alloy suture suture options. Ukhetho lwemveliso kufuneka lusekelwe kusetyenziso olucetywayo, ubume bolawulo lwendawo, izixhobo ezihambelanayo, kunye nesigwebo sikagqirha onoxanduva.
Zisetyenziswa phi iiankile zeSuture?
I-ankile ye-Suture inokudityaniswa kwiinkqubo ezibandakanya:
Ihlombe: ukulungiswa kwe-rotator cuff, i-Bankart okanye ukulungiswa kwe-labral, kunye neenkqubo ezikhethiweyo ze-biceps.
I-Hip: ukulungiswa kwe-labral ekhethiweyo.
Idolo: i-ligament ekhethiweyo, i-tendon, i-meniscal-root, okanye i-capsular fixation procedures.
Unyawo kunye ne-ankle: i-tendon ekhethiweyo ye-Achilles, i-ligament, kunye ne-tendon ukulungiswa.
I-elbow, wrist, kunye nesandla: i-tendon ekhethiweyo okanye iinkqubo zokubuyisela i-ligament.
Ugqirha wotyando uthatha isigqibo sokuba ngaba ukulungiswa kwe-ankile, ubuchule be-transosseous, okanye enye indlela efanelekileyo kakhulu. Isiphumo seklinikhi siphenjelelwa yindlela yokulimala kunye nokulungiswa ngokubanzi-kungekhona nje ubukho bezinto ezithile ze-anchor.
Ukhuseleko, Ubomi obude, kunye neeNgxaki ezinokwenzeka
Ii-anchors ze-Suture zisetyenziswa kakhulu, kodwa akukho nkqubo yokufakelwa okanye yotyando ayinabungozi. I-anchor ekhethiweyo ngokufanelekileyo kunye nebekwe kwindawo ihloselwe ukuhlala izinzile ngexesha lokuphilisa. Ii-ankile ezingafunxwanga zisenokuhlala ngokusisigxina, ngelixa izinto ezinokufunxwa zitshintsha ngokuhamba kwexesha ngokwemilinganiselo yemathiriyeli ethile.
Iingxaki ezinokuthi zibandakanye:
Ukutsalwa kwee-ankile, ukukhulula, ukufuduka, ukwaphuka, okanye ukulahleka kokulungiswa
I-Suture abrasion, ukwaphuka, okanye ukucaphuka okunxulumene neqhina
Umonakalo we-Cartilage ukuba i-anchor ivelele okanye ingena kwi-joint
Ukusabela kwamathambo, ukwandiswa kwetonela, ukubunjwa kwe-cyst, okanye i-osteolysis
Ukuvutha okanye ukuphendula komzimba wangaphandle kwizinto ezithile
Usulelo, ukuqina, intlungu eqhubekayo, okanye ukusilela ukulungisa
Umngcipheko uyahluka ngokwenkqubo, imathiriyeli yokufakelwa, ubuchule botyando, umgangatho wethishu, umgangatho wamathambo, ukubuyisela kwisimo sangaphambili, kunye nezinto zesigulana. Iintlungu ezintsha okanye ezibuhlungu, ubomvu, ukukhupha amanzi, umkhuhlane, ukudumba, ukubanjwa ngoomatshini, okanye ukulahleka kwentshukumo engalindelekanga emva kotyando olugunyazisa uvavanyo olukhawulezileyo liqela lonyango.
Iziphumo zophando lweklinikhi kufuneka zitolikwe kumxholo wenkqubo, inani lezigulane, ixesha lokulandelela, kunye noyilo lokufunda.
Indlela OoGqirha Abayivavanya Ngayo Iankile
Xa ukhetha inkqubo yokulungisa, iqela lotyando linokuqwalasela:
Indawo ye-anatomical kunye nomthamo wamathambo akhoyo
I-Cortical kunye nomgangatho wethambo lokurhoxisa
Ubungakanani kunye nemeko yezicubu ezilungiswayo
Idayamitha ye-ankile, ubude, ijometri, kunye nendlela yokufaka
Isinyithi, i-PEEK, i-bioabsorbable, i-biocomposite, okanye ukwakhiwa kwe-suture yonke
Ubuchule bokulungisa obunamaqhina okanye obungenamaqhina
Suture okanye tape ubukhulu, uqwalaselo, kunye nokuhambelana
Isicwangciso sohlaziyo kunye neemfuno zemifanekiso emva kokusebenza
Ukucocwa kokulawulwa, ukulandeleka, ukupakishwa okungenazintsholongwane, kunye nokuhambelana kwesixhobo
Uphuhliso lwemveliso luyaqhubeka nokucokisa izinto, iinkqubo zokufaka, iindlela ezingenamaqhina, kunye noyilo lokulondoloza amathambo. Nangona kunjalo, 'intsha' ayithethi ngokuzenzekelayo ukuba uphezulu ngokwezonyango. Amabango amalunga notyando olukhawulezayo, amaxabiso aphantsi obunzima, ukuphiliswa okunamandla, okanye iziphumo eziphuculweyo kufuneka zixhaswe ngobungqina obuthile be-biomechanical okanye bekliniki.
Abavelisi kufuneka babonelele ngamaxwebhu obugcisa acacileyo kunye nolawulo lwekhwalithi olungaguqukiyo. I-XC Medico ixhasa uphuhliso lwemveliso ye-orthopedic kunye iteknoloji entsha kwi-anchors ye-suture , kodwa abaqeqeshi bezempilo kunye nabasasazi kufuneka baqinisekise iinkcukacha, ubungqina, ukusetyenziswa okujoliswe kuyo, kunye nesimo sokubhaliswa kwemveliso nganye kwimarike yabo.
Suture Anchor FAQ
Ithetha ntoni 'iankile' kuqhaqho lwamathambo?
I-ankile sisifakelo esincinane esimiliselwe ethanjeni ukuze sibambe i-sutures. I-sutures ikhusela i-tendon, i-ligament, i-capsule, okanye i-labrum ngokuchasene nethambo ngelixa izicubu ezilungisiweyo ziphilisa.
Ngaba iiankile ze-suture ziyanyibilika?
Abanye bayakwenza kwaye abanye abakwenzi. I-Titanium, intsimbi-engenasici, kunye neeiankile zePEEK azifunxeki. I-Bioabsorbable kunye nezinye ii-anchors ze-biocomposite zenzelwe ukuthotywa kancinci kancinci, kodwa oku kungathatha iinyanga okanye iminyaka kwaye kusenokungagqibeki kwisigulana ngasinye.
Ngaba umthungo we-ankile uyafana ne-ankile yokuthunga?
Hayi. 'umthungo we-ankile' ubhekisa ngokubanzi kwipateni yomthungo okanye ubuchule bokuthunga. I-anchor ye-suture yi-implant efakwe kwithambo ukunika indawo yokulungisa i-suture.
Zihlala ixesha elingakanani ii-ankile zokuthunga emzimbeni?
Ii-ankile ezingafunxwanga zisenokuhlala ngokusisigxina ngaphandle kokuba ukususwa kuba yimfuneko ngokwezonyango. Ii-ankile ezifunxayo zithotywa ngamaxabiso ahlukeneyo ngokwezinto zazo, indawo, kunye nempendulo yebhayoloji yesigulana.
Ngaba uyayiva i-ankile ye-suture?
Uninzi lwee-ankile zihleli ngaphakathi kwethambo kwaye azivakala ngokuthe ngqo. Ukungakhululeki kwangemva kokusebenza kusenokuvela kwizicubu zokuphilisa, ukuqina, ukudumba, ukuvelela, iingxaki zokufakelwa, okanye ezinye izizathu. Iimpawu eziqhubekayo okanye eziqhubekayo kufuneka zihlolwe ngugqirha onyangayo.
Ngaba i-ankile ye-suture ingabonwa kwi-X-ray okanye i-MRI?
Ii-ankile zesinyithi zidla ngokubonakala kwi-X-reyi kwaye zinokwenza umfanekiso we-artifact. I-PEEK ine-radiolucent kwaye ayibonakali kangako kwii-X-reyi eziqhelekileyo. Ukubonakala kunye ne-artifact ye-MRI iyahluka ngokomathiriyeli kunye noyilo lwemveliso, ngoko ke izigulane kufuneka zixelele abasebenzi bomfanekiso malunga naso nasiphi na isixhobo esifakelweyo.
Yintoni omele uyilindele emva kotyando lwe-anchor ye-suture?
Ukubuyiswa kuyahluka ngokulungiswa kwezicubu kunye nenkqubo. Izigulana zinokufuna ukhuseleko lwexeshana, isindululo esithintelweyo, kunye nokubuyiselwa kwimeko yesiqhelo okuqhubekekayo. Ukubuyela emsebenzini, umthambo, okanye umdlalo kufuneka ulandele imiyalelo yogqirha wotyando kunye neqela lokubuyisela kwisimo sangaphambili kunethayimthebhile emiselweyo.
Xa kufuneka uqhagamshelane nogqirha wakho emva kotyando?
Qhagamshelana neqela elinyangayo ngokunyuka kweentlungu, ububomvu, ukukhupha amanzi, umkhuhlane, ukudumba okungaqhelekanga, ukubamba ngoomatshini, ubuthathaka ngequbuliso, okanye ukulahleka kwentshukumo engalindelekanga. Iimpawu ezingxamisekileyo kufuneka zihlolwe ngokukhawuleza.
Xoxa ngeeMfuno zakho ze-Anchor ye-Suture
Kubalulo lwemveliso, iinketho eziphathekayo, izixhobo ezihambelanayo, okanye iingxoxo zokuvelisa i-OEM, I-XC Medico ikunika iimveliso ezikhuselekileyo nezithembekileyo.
Medical disclaimer: Eli nqaku lenzelwe iinjongo zemfundo jikelele kunye nolwazi lwemveliso. Ayiboneleli ngoxilongo, iingcebiso zonyango, okanye isincomo sofakelo oluthile. Izigulana kufuneka ziqhagamshelane nengcali yezempilo eqeqeshiweyo. Ukufumaneka kwemveliso, usetyenziso olucetywayo, kunye nesimo solawulo siyahluka ngokwemarike.
