Ukulungiswa kweqhosha leCortical: Ukusetyenziswa, Iintlobo kunye neengozi

Isikhokelo samayeza ezemidlalo | Ukulungiswa kweCortical suspensor

Ukulungiswa kweqhosha le-Cortical yindlela yokumisa i-suspensor esetyenziswa kwiinkqubo ezikhethiweyo ze-ligament kunye ne-tendon. Iqhosha liphumle ngokuchasene ne-cortical bone kwaye lisebenza nge-suture loop esisigxina okanye ehlengahlengiswayo ukugcina i-graft ecwangcisiweyo okanye ukwakhiwa kwezicubu ezithambileyo. Isixhobo sibonelela ngokulungiswa komatshini ngelixa ukuphiliswa kwebhayoloji kuphuhla, kodwa akuqinisekisi ngokuzimeleyo ukuphiliswa ngokukhawuleza, iingxaki ezimbalwa okanye ukubuya kwangaphambili kwezemidlalo.

Ulwakhiwo oluxhomileyo Iqhosha lecortical, iluphu, igrafti okanye i-suture kunye netonela yethambo elungisiweyo isebenza kunye njengolwakhiwo lokulungiswa.

Ubungqina obucacileyo benkqubo Iziphumo ezivela kwi-ACL yokwakhiwa ngokutsha azikwazi ukusetyenziswa ngokuzenzekelayo kwi-biceps ye-distal, i-ankle syndesmosis okanye iinkqubo zamagxa.

Akukho sixhobo silungileyo kwihlabathi jikelele Uhlobo lweLoop, imilinganiselo yamaqhosha, igrafti, itonela, umgangatho wamathambo, iqhinga lolungiso kunye nokuleyibheli okugunyazisiweyo konke kuchaphazela ukhetho.

Isixhobo sokulungiswa kweqhosha leCortical esetyenziselwa ukwakhiwa kwakhona kwe-ligament — Iinkqubo zeqhosha le-Cortical ziyahluka ngejometri yeqhosha, uyilo lwe-loop, ulwakhiwo lwe-suture, izixhobo kunye nesicelo sotyando esibhalwe phantsi.

Yintoni uLungiso lweqhosha leCortical?

Ukulungiswa kweqhosha leCortical, ekwabizwa ngokuba yi-cortical suspensory fixation, isebenzisa iqhosha elincinane elibekwe ngokuchasene ne-cortex yangaphandle eqinile yethambo. I-loop okanye i-suture construct idibanisa iqhosha kwi-tendon graft, i-ligament graft okanye ukulungiswa kwezicubu ezithambileyo. Emva kokuba isetyenziswe kwindawo ekujoliswe kuyo, iqhosha linika indawo yokuxhasa i-cortical yolwakhiwo olumisiweyo.

Kulwakhiwo ngokutsha lwe-ACL, umzekelo, iqhosha le-cortical ye-femoral linokuxhasa i-graft ngaphakathi kwe-socket ye-femoral elungiselelwe okanye itonela. Ezinye iinkqubo zeqhosha ziyilelwe imimandla eyahlukeneyo ye-anatomical kunye neenkqubo. Ezi mveliso azitshintshi kuba nje zinemilo efanayo.

Amacandelo Angundoqo Olwakhiwo lweqhosha leCortical

Iqhosha leCortical Ukufakelwa okuncinci okujoliswe ukuphumla ngokuchasene nethambo le-cortical kunye nokusabalalisa amandla ngokoyilo lwalo.

I-Loop okanye i-suture construct Ubude obusisigxina okanye uxhulumaniso oluhlengahlengiswayo phakathi kweqhosha kunye ne-graft okanye izicubu ezilungisiweyo.

I-Graft okanye izicubu ezithambileyo Izicubu zebhayoloji zakhiwa ngokutsha okanye zilungiswa, zilungiswe ngokwenkqubo ekhethiweyo.

Itonela yethambo okanye isiseko Indlela yethambo ecwangcisiweyo okanye isiseko apho i-graft kunye nezixhobo zokusasazwa zingeniswa.

Ukudlula i-sutures I-sutures esetyenziselwa ukushutha, ukuqhelanisa, ukuhambisa okanye ukuxininisa isakhiwo ngokobuchwephesha benkqubo.

Izixhobo ezinikezelweyo I-Drills, izikhokelo, iigeji zobunzulu, izixhobo ezidlulayo kunye nezixhobo zoxinzelelo ezihambelana nenkqubo ekhethiweyo.

Iqhosha leCortical vs iCortical Screw

Iqhosha le-cortical alifani ne-screw ye-cortical bone yesiqhelo. Isikrufu somgangatho wecortical sisebenzisa imisonto ukubandakanya ithambo kwaye siqhele ukunxulunyaniswa nokulungiswa kokwaphuka okanye ukwakhiwa kwepleyiti. Iqhosha lecortical libonelela ngokulungiswa kokuxhoma ngeqhosha-kunye-loop okanye iqhosha-kunye nolwakhiwo lwe-suture.

Musa ukubhidanisa iimveliso: i-2.7, 3.5 okanye i-4.5 mm ye-cortical bone screw akufanele ichazwe njengenxalenye efunekayo yokulungiswa kweqhosha le-ACL cortical ngaphandle kokuba inkqubo egunyazisiweyo kunye nobuchule botyando bubandakanya ngokukodwa.

Fixed-Loop vs Adjustable-Loop Cortical Buttons

Izixhobo zokumisa i-Femoral cortical ezisetyenziswa ekwakhiweni kwakhona kwe-ligament zihlala zixoxwa njenge-fixed-loop okanye i-adjustable-loop systems. Umahluko uchaphazela ukulungiswa kwe-graft, itonela okanye isicwangciso sesokethi, ukusasazwa kunye nokuhamba komsebenzi.

Isixhobo se-loop esisigxina

Iluphu inobude obumiselwe kwangaphambili. Ubunzulu betonela, ubude bokuxhunyelelwa kunye neqhosha lokugqitha kufuneka kucwangciswe malunga nomlinganiselo omiselweyo.

Isixhobo esinokulungiswa kwilophu

Ubude belophu bunokuhlengahlengiswa ngexesha lenkqubo ngaphakathi kwemida kunye nobuchule benkqubo ethile, ukuvumela uxhulumaniso ukuba luqhubele phambili okanye luxinzelelwe emva kokusasazwa kweqhosha.

Yeyiphi imilinganiselo yovavanyo lwaseLabhoratri

Uvavanyo lwe-Biomechanical lunokuthi lunike ingxelo yokufuduswa komjikelo, ukongezwa kwe-loop, ukuqina, umthwalo wesivuno kunye nokusilela. Olu vavanyo lunceda ekuboniseni ukuziphatha kwesixhobo phantsi kweprothokholi yelabhoratri echaziweyo, kodwa iziphumo zixhomekeke kuhlobo lovavanyo, umzekelo, indlela yokulayisha, ukulayisha kwangaphambili, iprothokholi yokukhwela ibhayisekile kunye nesiphelo.

Ixabiso eliphezulu lokungaphumeleli komthwalo kwisifundo sebhubhoratri esinye alibonakalisi ukuphiliswa kwe-tendon-to-bone ngokukhawuleza okanye izinga elisezantsi lokungaphumeleli kweklinikhi. Iziphumo zebhubhoratri kufuneka ziqwalaselwe kunye nobungqina beklinikhi kunye nolwakhiwo olupheleleyo lotyando.

Yintoni eboniswa bubungqina bezonyango

Uphononongo olucwangcisiweyo lwezixhobo zokumisa i-cortical-loop femoral cortical suspension lufumene umahluko phakathi kwelebhu kunye neziphumo zeklinikhi: izifundo ezininzi zelabhoratri zichaze ulwandiso lwelophu phantsi komthwalo we-cyclic, ngelixa izifundo zeklinikhi eziphononongwayo azizange zibonise umahluko ocacileyo phakathi kwamaqela ahlengahlengiswayo kunye namaqela amiselweyo azinzo, amanqaku amadolo okanye ukungaphumeleli kwegrafti. Ababhali babize ulingo lweklinikhi olomelele ngakumbi.

Ngokufanelekileyo, alukho udidi lwe-loop ekufuneka luchazwe njengophezulu jikelele. Ukhetho kufuneka lunike ingxelo ngesicwangciso soxhulumaniso, isicwangciso setonela, imiyalelo yesixhobo, ukuqhelana nogqirha wotyando kunye nobungqina obufanelekileyo bekliniki.

I-loop esisigxina kunye ne-adjustable-loop cortical ukumiswa kwezixhobo zokumisa — Izixhobo ezilungisiweyo zelophu kunye ne-loop ehlengahlengiswayo zisebenzisa ulungiselelo olwahlukileyo kunye nokuhamba komsebenzi woxinzelelo; ukufaneleka kweklinikhi kuxhomekeke kwisicwangciso esipheleleyo sokwakhiwa kwakhona.

Izicelo eziQhelekileyo zoTyando lweCortical Button Fixation

Uyilo lwamaqhosha eCortical lusetyenziswa kwiinkqubo ezininzi ze-orthopedic, kodwa isalathiso sixhomekeke kuphawu oluchanekileyo lwesixhobo. Iqhosha elicinyiweyo okanye elibhalisiweyo kwinkqubo enye akufanele kuthathwe ukuba ligunyazisiwe kuyo yonke i-tendon, i-ligament okanye i-joint.

ACL kunye PCL Reconstruction

Ukulungiswa kwe-Cortical suspensory ngokuqhelekileyo kusetyenziswa kwicala le-femoral yeendlela ezikhethiweyo zokwakha kwakhona i-ACL kwaye inokudityaniswa kwi-PCL ekhethiweyo okanye ngaphakathi kolwakhiwo lwangaphakathi. Iqhosha lixhasa i-graft nge-loop ngelixa i-graft ithatha itonela elilungisiweyo okanye i-socket.

Iziphumo zeklinikhi zixhomekeke ngaphezu kweqhosha. Isikhundla setonela, uhlobo lwegrafti kunye nokulungiswa, ukulungiswa kumacala omabini, ukunyanzeliswa, ukulimala okuhambelanayo, ukubuyisela kwisimo sangaphambili kunye nemiba yesigulane zonke zinegalelo. Abafundi banokuphonononga indima ebanzi ye Iinkqubo zokulungiswa kogcino lwe-ACL kunye nesikhokelo esihambelanayo esichazayo indlela ukugcinwa kogcino luxhasa ukwakhiwa kwakhona kwe-ACL.

Distal Biceps Tendon Ukulungisa

Iinkqubo ezichanekileyo ze-cortical systems zingasetyenziselwa ukukhusela i-tendon ye-biceps ekude kwi-radius. Ubungqina obuvela kulo msebenzi abukwazi ukudluliselwa ngokuthe ngqo kwi-ACL yokwakhiwa kwakhona ngenxa yokuba i-anatomy, ukulayishwa, ukubonakaliswa kokuhlinzwa kunye neprofayili yobunzima iyahluka.

Uphononongo olupapashiweyo lunika ingxelo ngeziphumo zokusebenza ezithandekayo kodwa lukwachaza ukwenzakala kwemithambo-luvo, ukungahambi kakuhle kweqhosha okanye ukungazinzi, i-heterotopic ossification, ukuqhawuka kunye neengxaki zamanxeba. Le mingcipheko kufuneka ihlale ibonakala nanini na xa ubungqina be-biceps buxoxwa.

I-Ankle Syndesmosis kunye nezinye i-Soft-Tissue Fixation

Iinkqubo ezikhethiweyo zeqhosha le-suture zingabhalwa ngokuzinzisa i-syndesmosis okanye ezinye iinkqubo zokulungisa izicubu ezithambileyo. Ezi zakhiwo zihlala zisebenzisa amaqhosha amabini adityaniswe yi-suture ephezulu, kodwa injongo yabo yotyando kunye noomatshini bahluke ekumisweni kwe-ACL ye-femoral.

Ezinye izicelo ezikhethekileyo zenkqubo zingabandakanya i-ligament ekhethiweyo okanye i-tendon reconstructions ehlombe, i-elbow, unyawo okanye i-ankle. Iimpawu ezifanelekileyo, ukuchasana kunye nezixhobo kufuneka zitshekishwe ngemveliso ngqo kunye nemarike yendawo ekusingwa kuyo.

ILatarjet kunye nezinye iiTechnique eziZodwa

Ukulungiswa kweqhosha le-Suture kuye kwaphandwa ukulungiswa kwe-coracoid graft kwinkqubo ye-Latarjet. Ubungqina obuthelekisekayo bubonisa ukurhweba endaweni yokuphakama kwehlabathi jikelele: ukulungiswa kwe-screw kunokubonisa ukungazinzi okuphantsi okuphindaphindiweyo kolunye uhlalutyo oluhlanganisiweyo, ngelixa ukulungiswa kweqhosha kunokubonisa ukusebenza kwakhona okumbalwa okunxulumene ne-hardware. Iingxaki zizonke kunye nezinye iziphumo zisenokungahlukanga ngokucacileyo.

Ngeso sizathu, idatha yeLatarjet ayifanele isetyenziswe njengobungqina bokuba amaqhosha e-cortical ahlala ekhuselekile, azinzile okanye angcono ukuphilisa kwiinkqubo ezingahambelaniyo.

Indlela amaqhosha eCortical axhasa ngayo ukuPhiliswa kweTendon-to-Bone

Iqhosha le-cortical linikezela ukulungiswa komatshini okujoliswe ukugcina indawo ecwangcisiweyo ye-graft okanye i-tendon ngelixa ukuphulukiswa kwezinto eziphilayo kukhula. Ayenzi impiliso ngokwayo. Ukudityaniswa kwe-tendon-to-bone kuphenjelelwa kuqhagamshelwano lwe-graft, ukunyakaza kwi-interface, ithambo kunye nomgangatho wezicubu, ukulungiswa kwetonela, ukwakha ukuzinza, ukuvuselelwa kunye ne-biology yesigulane.

Ugcina indawo ye-graft Ulwakhiwo lwenzelwe ukugcina i-graft okanye i-tendon kwi-tunnel ecwangcisiweyo, i-socket okanye indawo yokunamathisela.

Ukuhanjiswa komthwalo Iqhosha kunye nelophu yokuhambisa amandla ngethambo lecortical ngokwejometri yolwakhiwo olupheleleyo.

Ixhasa isithuba sokuphilisa Ukulungiswa koomatshini kukhusela ukwakhiwa kwakhona ngelixa ukuhlanganiswa kwebhayoloji kuqhubeka phantsi kwesicwangciso esimiselweyo sokubuyisela kwisimo sangaphambili.

IiMechanics kunye nebhayoloji zahlukile: ukulungiswa okuqinileyo kokuqala kuyinjongo yobunjineli ebalulekileyo, kodwa akuqinisekisi ukufakwa kwe-graft, isiqabu kwiintlungu, ukuzinza kwamalungu, ukubuyela kwezemidlalo okanye ukukhululeka kutyando oluhlaziyiweyo.

Ukuhamba koMsebenzi woTyando Jikelele

Ukuhamba komsebenzi wotyando kuyahluka ngokwenkqubo kunye nenkqubo. Oku kulandelayo yinkcazo yomgangatho ophezulu wokulungiswa kwe-cortical suspensory graft, kungekhona ubuchule botyando okanye umyalelo wesigulane.

Cwangcisa ulwakhiwo Ugqirha wotyando ukhetha i-graft, iqhosha, i-loop, itonela okanye imilinganiselo yesokhethi kunye nesicwangciso sokulungisa esongezelelweyo.

Lungiselela uxhulumaniso kunye nethambo Itonela yokuxhunyelelwa kunye nethambo zilungiswa kusetyenziswa izixhobo kunye nemilinganiselo echazwe kwinkqubo ekhethiweyo.

Dlula kwaye usebenzise Iqhosha ligqithwe kwitonela elicwangcisiweyo kwaye lihlaliswe ngokubhekiselele kumphezulu ocetywayo wecortical.

Ukuqinisekisa kunye noxinzelelo Ukusasazwa, ukuhlangana kwezicubu, indawo yoxhulumaniso kunye noxinzelelo luyajongwa ngokwenkqubo kunye nobuchule besixhobo.

Ukuma kweqhosha elingalunganga okanye ukudibanisa kwezicubu ezithambileyo phakathi kweqhosha kunye necortex kunokuphazamisa ukulungiswa. Ukubonwa kwe-intraoperative, imaging okanye ezinye iindlela zokuqinisekisa zixhomekeke kubuchule. Iqhosha akufuneki kucingelwe ukuba lisetyenziswe ngokuchanekileyo ngokusekelwe kuphela kwingxelo ebambekayo.

Ukubekwa kweqhosha leCortical ngexesha lokulungiswa kwe-ligament graft — Ukusasazwa kweqhosha, indawo yokuhlala yecortical, indawo yokugxunyekwa kunye noxinzelelo lwelophu kufuna uqinisekiso kusetyenziswa inkqubo ethe ngqo.

Iqhosha leCortical vs Ezinye iindlela zokuLungisa

Ukuthelekiswa kokulungiswa kunentsingiselo kuphela xa kubandakanya inkqubo efanayo, i-graft, indawo ye-anatomical kunye nesiphumo. Kuyalahlekisa ukuthelekisa i-femoral ACL iqhosha le-cortical kunye ne-distal biceps suture anchor okanye i-screw ye-Latarjet kwaye ibonise umphumo njenge-universal ranking.

Udidi lolungiso	Indlela ngokubanzi	Imiba ethile yenkqubo ethile
Iqhosha leCortical	Ixhoma i-graft okanye izicubu ezithambileyo kwiqhosha elixhaswa lithambo le-cortical	Ukuhlala kwamaqhosha, ukuziphatha kwe-loop, ingqibelelo ye-cortical, i-tunnel geometry kunye ne-soft-tissue interposition
Isikrufu sokuphazamiseka	Ibonelela ngokulungiswa kokuvula ngokucinezela i-graft ngaphakathi kwetonela	Izinto zokukrurulana kunye nobukhulu, umonakalo wokuxhunyelelwa, ukulingana kwetonela, umgangatho wamathambo kunye nokususwa okanye ukuqwalaselwa ngokutsha
Suture iankile	Idibanisa inyama ethambileyo kwithambo ngokusebenzisa i-ankile kunye ne-suture	Imathiriyeli ye-ankile, i-engile yokufaka, umgangatho wamathambo, uyilo olungenaqhina okanye olunamaqhina kunye nepateni yethishu
Isiseko okanye ukulungiswa kwe-backup	Ibonelela ngolungiso olongezelelweyo okanye umphezulu ngokoyilo lokufakelwa	I-anatomy yendawo, indawo yokufakela, ukubalasela, ukulandelelana kokulungiswa kunye nokuba iyona nto iphambili okanye ukulungiswa kwe-backup

Iqhosha leCortical vs I-Inference Screw kwi-ACL Reconstruction

Ezi ndlela zilungisa i-graft ngeendlela ezahlukeneyo kwaye zinokusetyenziswa kumacala ahlukeneyo okwakhiwa kwakhona okufanayo. Iqhosha lecortical libonelela ngolungiso oluxhomileyo, ngelixa isikrufu sokuphazamiseka sibonelela ngokulungiswa kufutshane netonela yokuvula. Uthelekiso lweklinikhi luxhomekeke kubo bonke ubuchule be-ACL endaweni yokufakelwa kodwa.

Iqhosha leCortical vs Suture Anchor kwiTendon Repair

Izifundo ze-Biomechanical zinokuthelekisa umthwalo kunye nokungaphumeleli okanye ukufuduka, kodwa ukhetho lweklinikhi lukwaxhomekeke ekuvezweni kotyando, unyawo lwe-anatomical, isitokhwe samathambo, umngcipheko kwiimbilini ezikufutshane, ukubuyisela kwimeko yesiqhelo kunye nesalathisi esikhoyo sesixhobo. Amaqela e-XC Medico ahlukene iinkqubo ze-ankile ze-suture kuba i-ankile ayilolinye igama nje leqhosha lecortical.

Iprayimari vs Ukulungiswa kogcino

Iqhosha lecortical inokuba lulungiso olusisiseko oluxhonyiweyo kwinkqubo enye, ngelixa i-staple, screw okanye enye implanti inokusebenza njengolungiso olugcinayo kwenye. I I-ligament fixation staple system ngoko ke icandelo lemveliso eyahlukileyo kunecandelo leqhosha le-cortical.

Imingcipheko kunye neMida yoBugcisa

Akukho nkqubo yeqhosha le-cortical ikhululekile kumngcipheko. Iingxaki ezifanelekileyo zixhomekeke kwi-anatomy kunye nenkqubo, kodwa le miba ilandelayo inokufuna ukuqwalaselwa:

Ukonakala kweqhosha: Ufakelo lusenokungahlali ngokubhekiselele kumphezulu wecortical.
I-soft-tissue interposition: izicubu zinokubanjwa phakathi kweqhosha kunye nethambo.
Ukufuduka okanye ukuchithwa: ukulahlekelwa kwesikhundla seqhosha elijoliswe kuyo kunokuphazamisa ukwakhiwa.
Ubude be-Loop okanye i-graft motion: ukufuduka phantsi kokulayisha okujikelezayo kunokuchaphazela indawo yokulungiswa.
Ukwandiswa kwetonela: Utshintsho lwetonela zizinto ezininzi kwaye zinokunxulunyaniswa nentshukumo yegrafti, ibhayoloji kunye nobuchule.
I-Cortical compromise: ukuphuma kwetonela okungonelanga, ukuvuthuza kwecortical okanye umgangatho ophantsi wamathambo kunokuchaphazela inkxaso.
Ukulimala kwe-neurovascular: umngcipheko uxhomekeke kwindlela yotyando, isikhokelo sokomba, i-anatomy kunye nenkqubo.
Usulelo, ukuqina okanye ukungaphumeleli kwezicubu: iingxaki eziqhelekileyo kunye nenkqubo ethile yotyando zihlala zinokwenzeka.

Ubungqina kufuneka buhlale bucwangciswe ngokuthe ngqo: amaxabiso anzima ukusuka kwi-distal biceps ukulungiswa akufanele aboniswe njengemilinganiselo ye-ACL ye-complication, kunye ne-Latarjet ukuphindaphinda okanye idatha yokusebenza kwakhona akufanele isetyenziswe ukuqikelela ukuphulukiswa kwe-tendon-to-bone emadolweni okanye e-elbow.

Ingaba ooGqirha balikhetha njani iQhosha leCortical?

Ukukhethwa kusekelwe kwisicwangciso esipheleleyo sokwakhiwa kwakhona kunokuba ibango lokuthengisa malunga namandla. Iingqwalasela ezibalulekileyo ziquka:

isalathisi esigunyazisiweyo se-anatomical kunye nokubhaliswa kwemarike yendawo ekusingwa kuyo;
i-loop esisigxina okanye i-adjustable-loop workflow;
imilinganiselo yeqhosha kunye ne-cortical footprint;
impahla yeluphu, ubude boluhlu kunye nendlela yokulungelelanisa;
uhlobo lwe-graft, ububanzi kunye nobude obulungisiweyo;
itonela okanye i-socket diameter, ubunzulu kunye ne-cortical integrity;
umgangatho wamathambo kunye nesimo sohlaziyo;
i-drills ehambelanayo, izikhokelo, i-sutures edlulayo kunye nezixhobo zoxinzelelo;
ukulungiswa okucwangcisiweyo kwicala elichasene nokwakhiwa kwakhona;
uqeqesho lotyando kunye nobuchule obuthile benkqubo.

Uxwebhu lwesixhobo se-FDA senkqubo yokulungisa i-cortical dwelisa umgangatho ongonelanga we-cortical bone okanye ubuninzi njengento enokuchasana nayo. Ukuchasana okuthe ngqo kwimveliso kufuneka kuhlaziywe kunokuba kucinge ukuba ukulungiswa kwe-cortical kufanelekile kwisigulane ngasinye.

IiNkqubo zoLungiso lweCortical kwizibhedlele kunye nabasasazo

Izibhedlele, abasasazi kunye namaqabane e-OEM/ODM kufuneka avavanye ipotifoliyo yokulungisa i-ligament epheleleyo, kungekhona kuphela iqhosha le-titanium elibonakalayo. XC Medico's amathambo kunye neenkqubo zamayeza ezemidlalo ziquka iindidi ezininzi zokulungisa ukusetyenziswa kobuchule.

I i-ligament fixation ye-titanium plate kunye neendidi zamaqhosha kufuneka zihlolwe ngenombolo yekhathalogu, ukusetyenziswa okujoliswe kuyo, izinto eziphathekayo, ukucaciswa kwe-loop kunye nezixhobo ezihambelanayo. Amaqela okuthenga kufuneka acele amaxwebhu angoku malunga nolungelelwaniso kunye nemarike.

Indawo yokukhangela izinto	emaziqinisekise
Isalathiso	Ngokuchanekileyo i-ligament, i-tendon, ukusebenzisana kunye nokulungiswa okuchazwe kwilebhile yemveliso yangoku
Ubumbeko lwesixhobo	Imilinganiselo yeqhosha, uhlobo lwelophu, uluhlu lweluphu, imathiriyeli ye-suture kunye nezinto ezahlukeneyo ezikhoyo
Izixhobo zomculo	Iidrill ezihambelanayo, izikhokelo zetonela, iigeyiji zobunzulu, abantu abadlulayo kunye nezixhobo zoxinzelelo
Ubungqina bomatshini	Ukulayisha okusebenzayo komjikelo, ukufuduswa kunye novavanyo lokusilela kuqwalaselo lokugqibela lwesixhobo
Amaxwebhu	Izatifikethi, imiyalelo yokusetyenziswa, ukulandeleka, ubume obunyumba kunye nolwazi lobomi beshelufa
Ukufikelela kwimarike	Ubhaliso kunye namabango avunyelweyo kwilizwe okanye ummandla

Ukuthengwa kobuchwephesha: cela ikhathalogu yangoku yokulungisa i-ligament, iinkcukacha zesixhobo, uluhlu lwezixhobo ezihambelanayo kunye namaxwebhu olawulo angqamene neemarike ngaphambi kokukhetha inkqubo yokulungisa i-cortical.

Phonononga i-Ligament Fixation Implants Uphononongo olukhoyo lweqhosha le-titanium, ipleyiti kunye neendidi zokulungisa ezongezelelweyo. Qhagamshelana neQela le-XC Medico Qinisekisa iinkcukacha, uxwebhu, ukuhambelana kwesixhobo kunye neemfuno zentengiso yendawo yokusingwa.

Imibuzo Ebuzwa Rhoqo malunga nokulungiswa kweqhosha leCortical

Yintoni ukulungiswa kweqhosha lecortical?

Yindlela yokulungiswa kwe-suspensory apho iqhosha lihlala kwi-cortical bone kwaye lidibanisa nge-loop okanye i-suture yokwakha kwi-tendon graft, i-ligament graft okanye ukulungiswa kwezicubu ezithambileyo.

Ngaba iqhosha lecortical liyafana nesikrufu secortical?

Hayi. Iqhosha lecortical lidla ngokusebenza njengenxalenye yolwakhiwo lweqhosha kunye nelophu. Isikrufu secortical sisebenzisa imisonto ukubandakanya ithambo kwaye sesodidi olwahlukileyo lokulungisa.

Uthini umahluko phakathi kwamaqhosha e-loop esisigxina kunye namaqhosha alungelelanisiweyo?

Isixhobo se-loop esisigxina sinobude obumiselwe kwangaphambili. Isixhobo esilungelelanisiweyo se-loop sivumela ubude belophu ukuba butshintshwe ngokuhambelana nokusasazwa kwaso kunye nobuchule boxinzelelo.

Ngaba ukulungiswa kweqhosha le-cortical kwenza i-graft ye-ACL iphilise ngokukhawuleza?

Ibonelela ngokulungiswa koomatshini ngelixa ukuphiliswa kwebhayoloji kuphuhla, kodwa akuqinisekisi ukufakwa kwegrafti ngokukhawuleza. Ukuphilisa kuxhomekeke ekwakhiweni ngokupheleleyo, i-biology ye-tissue, ukulungiswa kwetonela, ukuzinza, ukuvuselela kunye nezigulane.

Ngaba iqhosha-loop elihlengahlengiswayo lingcono kuneqhosha le-loop esisigxina?

Hayi jikelele. Izifundo zebhubhoratri zichonge ukungafani kwe-biomechanical, ngelixa izifundo zeklinikhi azizange zibonise ngokucacileyo ukuphakama okucacileyo ekuzinzeni, amanqaku amadolo okanye ukungaphumeleli kwe-graft. Ukhetho kufuneka lube yinkqubo- kunye nenkqubo ethile.

Zeziphi iingxaki ezinokubakho?

Imiba enokwenzeka ibandakanya ukungahambi kakuhle, i-soft-tissue interposition, ukufuduka, i-loop elongation, ukwandiswa kwetonela, ukungaphumeleli kokulungiswa kunye ne-nerve-specific nerve, i-vascular, usulelo okanye iingxaki zokuqina.

IiReferensi zonyango kunye noLawulo

Medical disclaimer: Eli nqaku lelolwazi jikelele lobuchwephesha kunye nemfundo. Ayiyongcebiso yezonyango, ubuchule botyando, isalathiso semveliso okanye indawo yokuleyibhelishwa kwesixhobo sangoku kunye nesigwebo esingqale sisigulana ngabasebenzi abaqeqeshiweyo bezempilo. Ukufumaneka kwemveliso, ukusetyenziswa okucetywayo kunye nesimo solawulo siyahluka ngokwemarike. I-XC Medico ibonelela ngeemveliso kwimibutho yobuchwephesha kwaye ayithengisi ngokuthe ngqo kwizigulane.

Yintoni uLungiso lweqhosha leCortical? Ukusetyenziswa, Iintlobo kunye nemingcipheko