Ngaba i-Knee Ligament Fixation Devices itshintsha njani ukulungiswa kwe-ACL?

Amayeza ezemidlalo · Isikhokelo sokwakhiwa kwakhona kwe-ACL

Izixhobo ze-ACL zokulungisa i-graft zikhusela i-graft yokwakhiwa kwakhona kwi-femur kunye ne-tibia ngelixa ukuhlanganiswa kwezinto eziphilayo kukhula. Izikrufu zokuphazamiseka, amaqhosha ecortical, iziseko, izithuba, iiankile, kunye ne-hybrid construction zidala ukulungiswa kwiindawo ezahlukeneyo nangeendlela ezahlukeneyo. Akukho sixhobo esinye esilungele sonke isigulana, i-graft, itonela, okanye imeko yohlaziyo.

Uzinzo lokuqala Ukulungiswa kukhusela isikhundla soxhulumaniso kunye noxinzelelo ngexesha lokuqala ngaphambi kokuhlanganiswa kwe-graft-to-bone.

Ubuchwephesha obukhethekileyo bokhetho Uhlobo lwe-Graft, umgangatho wamathambo, uyilo lwetonela, i-anatomy yokuhlaziya, kunye namava ogqirha wotyando ukhetho lwesixhobo.

Akukho mntu uphumeleleyo jikelele Iindlela zokulungisa eziqhelekileyo zinokuvelisa iziphumo ezilungileyo xa zihambelana ngokufanelekileyo kwaye zisetyenziswe ngokuchanekileyo.

Idolo elihlangeneyo le-anatomy kunye ne-ACL yokulungisa i-graft — Ukwakhiwa kwakhona kwe-ACL kufuna i-graft ebekwe ngokuchanekileyo kunye nokulungiswa okukhuselekileyo kumacala omabini e-femoral kunye ne-tibial.

Ukulungiswa kwe-ACL kunye noKwakha kwakhona kwe-ACL akuyiyo iNkqubo efanayo

Amagama okulungisa i-ACL kunye nokwakhiwa ngokutsha kwe-ACL akufuneki asetyenziswe ngokutshintshanayo.

Inkqubo	Yintoni ephathwayo	Indlela ukulungiswa kusetyenziswa ngayo
Ulungiso oluphambili lwe-ACL	Iinyembezi ezikhethiweyo ziqikelelwa kwakhona kwiinzame zokulondoloza i-ligament yendalo yesigulana.	I-Sutures, i-anchors, amaqhosha, okanye i-augmentation construction inokuxhasa i-ligament elungisiweyo, kuxhomekeke kubuchule.
Ukwakhiwa kwakhona kwe-ACL	I-ACL ekrazukileyo iyatshintshwa ibe yi-autograft okanye iallograft.	I-graft ikhuselekile kwi-femoral kunye ne-tibial tunnels okanye i-sockets usebenzisa i-aperture, i-suspensory, okanye ukulungiswa kwe-hybrid.

Eli nqaku ligxile kakhulu kwi -graft fixation ngexesha lokwakhiwa kwakhona kwe-ACL . Ukulungiswa okuphambili kufumaneka kuphela kwiipateni zokulimala ezikhethiweyo kwaye kunezibonakaliso ezahlukeneyo, i-biology, izixhobo, kunye neengcamango zokuvuselela.

Izixhobo zokulungisa azenzi ukuba inkqubo ye-ACL ihlasele kancinci ngokwazo. Ukufikelela kwi-arthroscopic, itonela okanye ukulungiswa kwe-socket, ukhetho lwe-graft, unyango oluhambelana ne-meniscal okanye i-cartilage, kunye nenkqubo yotyando ngokubanzi imisela ukuphazamiseka kunye nokubuyisela.

Kutheni le nto i-Graft Fixation ibalulekile kwi-ACL Reconstruction?

Ukwakhiwa ngokutsha kufuneka kuvelise kwakhona umsebenzi wokuzinzisa we-ACL yomthonyama. Phambi kokuba kuqaliswe ukubandakanywa kwebhayoloji, ulwakhiwo lokulungiswa luthwala umthwalo kwaye lunciphisa ukufuduswa kwegrafti. Injongo kukugcina indawo ehloselwe ukuxutywa kunye noxinzelelo ngaphandle kokonakalisa i-graft okanye ukuphazamisa itonela yamathambo.

I-Graft elungiselelwe Uhlobo, ubungakanani, ubude, kunye neziphelo zokulungiswa ziqinisekisiwe.

Iitonela okanye iisokethi ezenziweyo Isikhundla, ububanzi, ubude, kunye ne-cortex iyahlolwa.

I-Graft ipasisiwe kwaye i-Tensioned Orientation kunye nezihlalo ziyajongwa.

Ukulungiswa okuqinisekisiweyo Indawo yesixhobo, ukunyanzeliswa kwegrafti, ukunyakaza, kunye nokuzinza kuyavavanywa.

Ukulungiswa yinxalenye enye kuphela yokwakhiwa kwakhona. Ukubekwa kwe-tunnel, ukukhethwa kwe-graft kunye nokulungiswa, ukulinganisa, ukuma kwamadolo ngexesha lokulungiswa, unyango lokulimala okuhambelanayo, ukubuyisela, kunye nezinto zesigulane nazo zichaphazela umphumo.

I-Aperture, i-Suspensory, kunye noLungiso olongezelelweyo

Ukulungiswa komngxuma

Ukulungiswa kwe-aperture ikhusela i-graft kufuphi nokuvulwa komgca odibeneyo wetonela yamathambo. Isikrufu sokuphazamiseka ngowona mzekelo uqhelekileyo. Isikrufu sicinezela uxhulumaniso lwezicubu ezithambileyo okanye ibhloko yethambo eludongeni lwetonela. Oku kunokunciphisa intshukumo ye-graft-tunnel, kodwa ukubekwa kufuneka kuthintele ukuqhekeka kwegrafti, ukwahluka, ukungena ngokudibeneyo, kunye nokulahleka kokulungiswa.

Ukulungiswa kweSuspensor

Ukulungiswa kwe-Suspensory kudlulisa umthwalo wokuxhunyelelwa kwi-cortex yangaphandle. Iqhosha le-cortical kunye ne-fixed or adjustable loop lisetyenziswa ngokuqhelekileyo kwicala le-femoral kwaye linokusetyenziswa ngeendlela zonke zangaphakathi. Ubude betonela obuchanekileyo, ukudlula iqhosha, ukuthunyelwa kwe-cortical, ulawulo lwe-loop, kunye nokuhlaliswa kwegrafti kubalulekile.

Ukulungiswa okongeziweyo okanye umxube

I-hybrid construct idibanisa iindlela zokulungisa, okanye yongeza i-staple, i-post-and-washer, i-anchor, okanye esinye isixhobo sokugcina xa ugqirha unenkxalabo malunga nokulungiswa okuphambili. Ukulungiswa okongeziweyo kwongeza i-interfaces kunye ne-hardware, ngoko inzuzo yayo kunye neempawu ezinokuthi ziqwalaselwe kwimeko nganye.

Iindidi ze-Knee Ligament Fixation Devices

Izikrufu zokuphazamiseka

kweAperture fixation I-Femoral okanye i-tibial

Ifakwe ngaphakathi kwetonela ukucinezela i-graft okanye ibhloko yethambo. Iinketho ziquka isinyithi, i-PEEK, kunye ne-bioabsorbable okanye i-biocomposite materials. Idayamitha, ubude, uyilo lwentambo, indlela yokufaka, kunye nomcimbi wokukhusela uxhulumaniso.

Amaqhosha e-Cortical

Ukulungiswa kwe-Suspensory Fixed or adjustable loop

Iqhosha lezihlalo kwi-cortex yangaphandle ngelixa i-loop ixhasa i-graft. Ubuchwephesha bunokwamkela ukuxutywa kwezicubu ezithambileyo kunye nokwakhiwa kwakhona okusekwe kwisiseko, kodwa kufuna ukuthunyelwa okuqinisekisiweyo kunye nezihlalo.

Iziseko kunye nezithuba

Ulungiso olongezelelweyo Ukhetho logcino

I-Ligament staples okanye i-screw-and-washer constructs inokukhusela i-sutures okanye iqinise ukulungiswa kwe-tibial kwiimeko ezikhethiweyo. Ukuvelela kwe-Hardware kunye nokucaphuka kwendawo yingqwalasela efanelekileyo.

Ii-ankile ze-Suture kunye nokwandisa

ukulungiswa okanye ukuqinisa iTechnique exhomekeke

Ii-anchors ziyakwazi ukukhusela izicubu ezithambileyo okanye i-sutures ekulungiseni okukhethiweyo kunye neendlela ezongezelelweyo. I-Suture-tape augmentation ayithatheli indawo yesalathiso esichanekileyo, ukubekwa kwe-anatomic, ukuqina okufanelekileyo, okanye ukuphiliswa kwebhayoloji.

Imizekelo yezixhobo ze-ACL zokulungisa i-ligament yokwakhiwa ngokutsha — Iinkqubo zokulungisa i-ACL zingabandakanya izikrufu zokuphazamiseka, amaqhosha, i-staples, i-anchors, kunye nenkqubo-inkqubo yokufakwa kwezixhobo.

I-Metallic, i-PEEK, kunye ne-Bioabsorbable Fixation Materials

Iqela lezinto eziphathekayo	Iinzuzo ezinokuthi	zibe kho Iingqwalasela ezibalulekileyo
I-Titanium okanye ezinye izixhobo zetsimbi	Amandla aphezulu, ukusetyenziswa okusekiweyo, okubonakalayo kwiiradiographs, kwaye akukho mpendulo yokuthotywa.	I-artifact yomfanekiso, iimpawu ze-hardware ezinokwenzeka, kunye nokuphazamiseka okunokuthi kwenzeke kumsebenzi wokuhlaziya itonela.
PEEK	Ipolymer yeRadiolucent, akukho bioabsorption, kunye nokubonwa lula kwetonela ejikelezileyo kumfanekiso othile.	Isixhobo sihlala emzimbeni; indawo inokufuna iziphawuli zeradiopaque okanye olunye uqinisekiso.
I-Bioabsorbable okanye i-biocomposite polymers	Yenzelwe ukwehlisa umgangatho ngokuhamba kwexesha kwaye inokunciphisa imathiriyeli yokufakelwa ngokusisigxina.	Ukuthotywa kuxhomekeke kwizinto ezithile; i-cyst, impendulo yokuvuvukala, ukuphuka, ukufuduka, okanye utshintsho lwetonela luye lwabikwa.

I-meta-analysis ye-14 izilingo ezingabonakaliyo azifumananga mmahluko obalulekileyo ekusebenzeni kwedolo okanye ukukhululeka phakathi kwe-bioabsorbable kunye ne-metallic interference screws, ngelixa iqela le-bioabsorbable linomngcipheko ophezulu odibeneyo weengxaki. Oku akuthethi ukuba zonke izikrufu zentsimbi ziyakhethwa; imathiriyeli, uyilo, uxhulumaniso, ubuchule, kunye nomxholo wesigulane usebalulekile.

Njani uGqirha Khetha i ACL Fixation Ukwakhiwa

Ukhetho lwenziwa kumacala omabini e-graft. Izixhobo ze-femoral kunye ne-tibial akufanele zisebenzise indlela efanayo. Imiba ebalulekileyo ibandakanya:

I-Graft: i-bone-patellar tendon-bone, i-hamstring, i-quadriceps tendon, i-autograft okanye i-allograft, i-soft-tissue-kuphela okanye i-bone-block block.
Uyilo lwetonela: itonela epheleleyo okanye isokhethi, ububanzi, ubude, ingqibelelo yecortical, isikhokelo setonela, kunye nesitokhwe samathambo esikhoyo.
Izinto zesigulane: umgangatho wamathambo, ubudala, iinjongo zomsebenzi, ukukhula kwamathambo, utyando lwangaphambili, kunye nokulimala okuhambelanayo.
Utyando olusisiseko okanye lohlaziyo: ukwandiswa kwetonela esele ikho, ihardware egciniweyo, iziphene zamathambo, kunye nesidingo sokwakhiwa ngokutsha.
Iimfuno zolwakhiwo: ulandelelwano olucwangcisiweyo lwe-tension, indawo yokulungiswa, ukulungiswa kwe-backup, iimfuno ze-imaging, kunye nohlaziyo olulindelekileyo.
Ukuhambelana kwenkqubo: ubungakanani begrafti, i-drill kunye nemilinganiselo yesikhokelo, izifakeli zokufakelwa, ubude be-loop, i-screw dimensions, kunye nojongano oluqinisekisiweyo lwesixhobo-sixhobo.
Amava ogqirha: ukuqhelana nokuthunyelwa, iindlela zokungaphumeleli, ukhetho lokuhlangula, kunye nokuqinisekiswa kwe-intraoperative.

XC Medico's Inkqubo yokulungiswa kwe-ACL / PCL ye-ligament ibonisa imizekelo yokufakelwa kunye nezixhobo zokucwangcisa. Ulwazi lwemveliso kufuneka luhlale lujongiwe ngokuchasene nosetyenziso olugunyazisiweyo lwesixhobo kunye nobuchule obucwangcisiweyo bogqirha.

Ngaba amaQhosha okanye izikrweqe zoMphazamiso zivelisa iziphumo ezingcono?

Ubungqina bangoku abuxhasi udidi olulula lwehlabathi. Uhlalutyo lwe-meta yenethiwekhi ethelekisa isikrufu sokuphazamiseka, iqhosha lecortical, kunye ne-cross-pin femoral fixation ye-hamstring autografts ayifumananga mahluko abalulekileyo ngokwezibalo kuzo zonke iziphumo eziphambili zekliniki ezifundiweyo. Olunye uphononongo olucwangcisiweyo lufumene umsebenzi othelekisekayo, ukuyekelela, kunye neziphumo zokuqhawuka phakathi kokulungiswa okumisiweyo kwangaphakathi kunye nokwakhiwa kwakhona kwetonela epheleleyo, ngelixa ezinye iziphumo zetonela yeradiographic zahlukile.

Umbuzo wothelekiso	Ukutolika ngokulinganayo
Ngaba ukulungiswa kwentunja kungaphezulu kwe-anatomic?	Ikhusela i-graft kufuphi nokuvulwa kwetonela yomgca odibeneyo, kodwa impumelelo ye-anatomic ikwaxhomekeke kwindawo echanekileyo yetonela, ubungakanani begrafti, uxinzelelo kunye nokubekwa.
Ngaba ukulungiswa kwe-suspensor kunamandla?	Ukunqunyanyiswa kweCortical kunokubonelela ngokomelela okwaneleyo kokuqala, kodwa ukwenza umsebenzi wokwakha kuxhomekeke kwindawo yokuhlala iqhosha, ukuziphatha kwe-loop, i-cortex, itonela, kunye nokugxunyekwa.
Ngaba isikrufu se-bioabsorbable siphucula iziphumo?	Inciphisa imathiriyeli yesinyithi esisigxina, kodwa ukongama kweklinikhi akukasekwa kwaye iingxaki ezithe ngqo kwizinto eziphathekayo zifuna ukuqwalaselwa.
Ngaba ukulungiswa kwe-backup kuhlala kunceda?	Kunokuba luncedo xa ukulungiswa okuphambili kuyinkxalabo, kodwa yongeza i-hardware kwaye ayinakuphucula iziphumo ezinentsingiselo kuzo zonke iindlela zokwakhiwa kwakhona.

Isigqibo esisebenzayo kukuba ukulungiswa okukhuselekileyo, okusetyenziswe ngokuchanekileyo okuhambelana ne-graft kunye netonela kubaluleke kakhulu kunokukhetha isixhobo ngecandelo lokuthengisa kuphela.

Indlela Isixhobo Setha Inkxaso Reproducible ACL Reconstruction

Ufakelo lusebenza njengenxalenye yenkqubo epheleleyo. Izikhokelo zetonela, iibhloko zokulinganisa, ii-sutures ezidlulayo, ii-reamers, iigeji zobunzulu, izifakeli zamaqhosha, ii-screwdrivers, iimpompo, izixhobo zokulungiselela igrafti, kunye nombutho wetreyi zonke zichaphazela ukuhamba komsebenzi. Isikhokelo esingahambelaniyo, umqhubi owonakeleyo, ubungakanani obungachanekanga bo-drill, okanye isixhobo esidlulayo esilahlekileyo sinokubeka esichengeni isicwangciso sokulungisa esifanelekileyo.

Zonke-in cruciate cruciate ligament isixhobo sokwakhiwa ngokutsha kwe-ACL kunye notyando lwe-PCL — Iseti yesixhobo esihambelana nenkqubo sinokuququzelela ukulungiswa kwetonela, i-graft passage, kunye namanyathelo okulungisa i-ACL okanye i-PCL yokwakhiwa kwakhona.

Phonononga i zonke-in cruciate ligament isixhobo sokwakha ngokutsha iseti okanye ebanzi i-arthroscopy isixhobo-seti uluhlu . Ngaphambi kokusetyenziswa, qinisekisa iziqulatho zetreyi, ukuhambelana, ukucocwa kunye nemiyalelo yokuvala inzala, indlela yokuhlola, kunye nokufumaneka kokutshintshwa.

Iingxaki eziNxulumana noLungiso olunokubakho

Iingxaki zinokuvela kwisixhobo, ukufakelwa, itonela, ubuchule, ibhayoloji, usulelo, ukubuyisela kwisimo sangaphambili, okanye ukwenzakala kwakhona. Iingxaki ezinxulumene nokulungiswa zinokubandakanya:

ukulahleka kokulungiswa, ukutyibilika kwegrafti, ukunweba, okanye ukukhulula ukwakha;
ukufuduka kweqhosha, ukuhanjiswa kwecortical engaphelelanga, ukudibanisa kwezicubu ezithambileyo, okanye iingxaki ezinxulumene ne-loop;
ukuhlukana kwe-screw, ukuphuka, ukufuduka, ukungena ngokudibeneyo, okanye umonakalo we-graft ngexesha lokufakwa;
isitayile esibalaseleyo, iposti, iwasha, okanye iqhosha elibangela ukucaphuka kwendawo;
ukwandiswa kwetonela, ukubunjwa kwe-cyst, okanye impendulo yokuvuvukala enxulumene nezinto;
ubunzima bokutolika umfanekiso okanye ukulungiswa kwetonela yohlaziyo lwexesha elizayo;
usulelo, ukuqina, i-arthrofibrosis, ukungazinzi okuqhubekayo, ukungaphumeleli kwe-graft, okanye ukwenzakala kwakhona.

Iimpawu kunye nokubuyisela akukwazi ukuqikelelwa kwisixhobo sokulungisa kuphela. Ukungazinzi okutsha, umkhuhlane, ukukhupha amanxeba, ukuvuvukala okukhulayo, intlungu yethole, ukulahlekelwa yintshukumo, okanye intlungu engalindelekanga idinga ukuhlolwa liqela lezonyango.

Ngaba uLungiso olomeleleyo luthetha ukuBuyiselwa kwimo yesiqhelo ngokukhawuleza?

Ukulungiswa kokuqala okukhuselekileyo kunceda ukuxhasa inkqubo yokuvuselela ecwangcisiweyo, kodwa ayifinyezi ngokuzenzekelayo ukubuyiswa. Ukuthwala ubunzima, ukubethelwa, ukunyathela, ukuqiniswa, ukugijima, ukujikeleza, kunye nokubuyela-kwinkqubela phambili yezemidlalo kuxhomekeke kwi-graft, i-meniscal ehambelanayo okanye iinkqubo ze-cartilage, ukulungiswa, ukuvuvukala, amandla, ukulawulwa kwe-neuromuscular, ukuhlolwa kweklinikhi, kunye neprotocol ye-surgeon kunye ne-physical therapist.

Isikhokelo se-AAOS sigxininisa uvavanyo olusebenzayo ngaphambi kokuba ubuyele kwimidlalo kwaye ucebisa ukuvuselelwa komntu ngamnye. Isixhobo sokulungiswa akufanele sisetyenziswe njengesona sizathu sodwa sokukhawulezisa ukulayisha okanye ukususa i-brace. Uninzi lwe-ACL reconstruction lwenziwa njengeenkqubo zokugula ngaphandle, kodwa ixesha lokukhutshwa lichongwa yimeko epheleleyo yeklinikhi kunecandelo lokufakelwa.

Kufuneka zijonge ntoni izibhedlele kunye nabasasazo?

Ukuphononongwa kokuthengwa kwempahla kufuneka kuqhagamshele ukufakelwa kwezixhobo kwizixhobo zayo, iilebhile, amaxwebhu olawulo, kunye nokulandeleka. Ikhathalogu epholisiweyo okanye ibango elibanzi lokuthotyelwa kwamazwe ngamazwe alanele.

Qinisekisa usetyenziso olucetyiweyo kunye nogunyaziso lwentengiso Tshatisa isixhobo esichanekileyo, imodeli, imathiriyeli, umenzi osemthethweni, ulwahlulo, kunye nemarike yendawo ekuyiwa kuyo.
Ukuphonononga ukuhambelana kwesixhobo sokufakelwa kwesixhobo Jonga ujongano lomqhubi, i-drill kunye nobukhulu betonela, izifaki, iigeyiji zobunzulu, amaqhosha, iilophu, izikrufu, iistaples, kunye nokhetho lokugcina.
Qinisekisa imathiriyeli kunye nobungqina bomatshini Cela iinkcukacha, izatifikethi eziqhagamshelwe kakhulu, iimvavanyo ezifanelekileyo, iindlela zokuhlola, kunye neendlela zokwamkelwa.
Vavanya ubume bokupakisha kunye nokuvala inzala Cacisa unikezelo olungenantsholongwane okanye olungabulawa zintsholongwane, ubomi beshelufu apho kufanelekileyo, ukuleyibhelishwa, ukulandeleka, kunye nemiyalelo eqinisekisiweyo yokucubungula kwakhona.
Hlola itreyi epheleleyo Sebenzisa iphepha lokubala elilawulwayo, uqinisekise amanqaku kunye nemeko, kunye nomsebenzi wesixhobo sokuvavanya phambi kokuvunywa.
Uphononongo lolawulo lotshintsho kunye nenkxaso yesikhalazo Chaza isaziso sotshintsho kwizinto eziphathekayo, uyilo, umthengisi, inkqubo, ukulebhile, ukupakishwa, okanye ukuvala inzala.

Abathengi banokuphonononga i-XC Medico's ulawulo lomgangatho kunye nenkqubo yokuhlola kunye nokucela ubungqina obuthe ngqo kwisixhobo ngexesha lesiqinisekiso.

Related XC Medico Sports Medicine Resources

I-Ligament Fixation System yokufakelwa ngokutsha kwe-ACL / PCL, iinketho zokulungisa, kunye nezixhobo ezihambelanayo. I-Ligament Fixation Staple Staple specifications for ezikhethiweyo soft-tissue kunye nezicelo zokulungiswa ezongezelelweyo. I-Cruciate Ligament Instrument Set Guides kunye nezixhobo ze-ACL / PCL tunnel kunye nokulungiswa kweesokhethi. Iiseti zesixhobo se-Arthroscopy Buka inkqubo-i-arthroscopy ethile kunye nezixhobo zokwakhiwa kwakhona kwe-ligament. Ulungelelwaniso lwee-Anchor zeSuture kwiinkqubo ezikhethiweyo zokulungisa izicubu ezithambileyo. Inkqubo yoNyango lwezeMidlalo Phonononga imilenze, imeniscal, i-arthroscopy, umthungo, kunye neemveliso zonyango ezinxulumene nezemidlalo. Ulawulo lomgangatho Uphononongo lokwenziwa kohlolo, ilabhoratri, kunye nolwazi lokulandeleka. Ubuchwephesha beMveliso yeSicelo seenkcukacha, iinkcukacha zokuhambelana, izatifikethi, okanye amaxwebhu emveliso.

Imibuzo ebuzwa qho

Yintoni ebambe i-ACL graft endaweni?

I-graft ivame ukukhuselwa kumacala e-femoral kunye ne-tibial kunye nezikrini zokuphazamiseka, amaqhosha e-cortical, izikhonkwane ezinqamlezayo, izithuba, i-staples, okanye idibaniso. Ulwakhiwo luxhomekeke kuhlobo lwegrafti, uyilo lwetonela, umgangatho wamathambo, kunye nobuchule.

Uthini umahluko phakathi kwesikrufu sokuphazamiseka kunye neqhosha lecortical?

Isikrufu sokuphazamiseka sibonelela ngolungiso lokuvula ngokucinezela igrafti okanye ibhloko yethambo ngaphakathi kwetonela. Iqhosha le-cortical libonelela ngokulungiswa kokuxhoma ngokuhlala kwi-cortex yangaphandle kunye nokuxhasa i-graft nge-loop.

Ngaba izikrufu ze-ACL ezifunxwa nge-bioabsorbable zingcono kunezikrufu zentsimbi?

Hayi jikelele. Ubungqina bovavanyo obungahleliwe bufumene umsebenzi ofanayo kunye nokuyekelela, ngelixa uhlalutyo oluhlanganisiweyo lunika ingxelo yeengxaki ezininzi kunye nezikrufu ze-bioabsorbable. Izinto eziphathekayo, uyilo, ubuchule, umfanekiso, kunye noqwalaselo lohlaziyo zonke zibalulekile.

Ngaba isixhobo sokulungisa esinye sinokusetyenziselwa uxhulumaniso ngalunye?

Hayi. I-Bone-block kunye ne-soft-tissue graft ine-interfaces ehlukeneyo, kunye nobubanzi be-graft, ubude, i-tunnel design, kunye ne-cortical bone ichaphazela ukuhambelana. Landela imiyalelo yesixhobo esigunyazisiweyo kunye nobuchule obucwangcisiweyo botyando.

Ngaba izihlangu zezilima ezidityanisiweyo zangaphakathi zithatha indawo yoxhulumaniso lwe-ACL?

Ayizenzekeli. Ukwandiswa kwe-suture-tape kunokuqinisa ukulungiswa okukhethiweyo okanye ukwakhiwa kwakhona, kodwa indima yayo ixhomekeke kwinkqubo kunye nesalathisi. Ayilungi umgangatho wezicubu ezihlwempuzekileyo, ukubekwa kwe-nonanatomic, okanye ukulungiswa kweprayimari okungonelanga.

Ngaba izixhobo zokulungisa i-ACL kufuneka zisuswe?

Ukususwa kwesiqhelo akusoloko kuyimfuneko. Ukususwa kunokuqwalaselwa njenge-hardware ye-symptomatic okanye evelele, usulelo, ukufuduka, ukuhlinzwa ngokutsha, okanye esinye isizathu esithile seklinikhi.

Ukuqukumbela

Izixhobo zokulungiswa kwe-ACL zenza ukwakhiwa kwakhona kwale mihla kwenzeke ngokuzinzisa uxhulumaniso ngelixa ukuhlanganiswa kwebhayoloji kwenzeka. Ixabiso labo livela kwindibaniselwano yesalathiso esichanekileyo, ukubekwa kwetonela ye-anatomic, isixhobo esihambelanayo, uxinzelelo olufanelekileyo loxhulumaniso, ukuthunyelwa kwesixhobo esiqinisekisiweyo, kunye nokuvuselelwa okucwangcisiweyo. Izikrufu zokuphazamiseka, amaqhosha ecortical, kunye ne-hybrid constructs nganye ineendima eziluncedo; ukhetho kufuneka lwenziwe lodwa kunokuba lusekwe kwibango 'esona sixhobo singcono' jikelele.

IiReferensi kunye neSiseko soHlelo

I-Medical and regulatory disclaimer: Eli nqaku lenzelwe imfundo ngokubanzi kunye neenjongo zemveliso-yereferensi yobungcali. Ayinakuxilonga ukulimala kwe-ACL, ukucebisa utyando, khetha ukufakelwa, okanye ukubuyisela imiyalelo yesixhobo, imimiselo yendawo, okanye ukuvavanya ngononophelo lwezempilo olufanelekileyo kunye neengcali zokulawula. Ukufumaneka kwemveliso kunye nezibonakaliso ezigunyazisiweyo ziyahluka ngokwamazwe.