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Ukuqinisekisa ukhuseleko kunye nokuthotyelwa, ukufakelwa kwamayeza ezemidlalo kufuneka kuqinisekiswe ngemigangatho yamazwe ngamazwe njenge-FDA (USA), i-CE Mark (iYurophu), kunye ne-ISO 13485 (iinkqubo zokulawula umgangatho). Ezi ziqinisekiso zibonisa imvume yolawulo kunye nokuthembeka kwemveliso.
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Oogqirha baqwalasela izinto ezifana nohlobo lokulimala, inqanaba lomsebenzi wesigulane, umgangatho wamathambo, imathiriyeli yokufakelwa, kunye nendlela yotyando. Bahlala bexhomekeke kumava ekliniki kunye nophando lwangoku ukukhetha izixhobo ezifanelekileyo zokulungiswa kwe-ACL, i-meniscus, okanye ukulungiswa kwamagxa.
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I-arthroscopy encinci ye-invasive yehlisa ukwenzakala kotyando, inciphisa ixesha lokuchacha, yehlisa umngcipheko wosulelo, kwaye ibonelele ngokubalaseleyo ngokudibeneyo. Kuye kwaba yindlela eqhelekileyo yokuxilonga kunye nokunyanga ukulimala okuhlangeneyo kwezemidlalo.
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Ushicilelo lwe-3D lwenza ukuba iprototyping ekhawulezileyo kunye nokwenza okuchanekileyo kokufakelwa kunye nezikhokelo zotyando. Ivumela iinkampani zamathambo ukuba zenze izixhobo ezikhethekileyo zesigulana, ukufanisa ukuhluka kwe-anatomical, kunye nokuvavanya ukusebenza kwe-biomechanical ngaphambi kokuveliswa.
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Izinto ezintsha zibandakanya i-anchors zonke-suture, i-anchors self-punching, i-reamers e-cannulated, i-arthroscopy encediswa ukuhamba, kunye nezixhobo eziqhelekileyo eziprintiweyo ze-3D. Ezi zixhobo ziphucula ukusebenza kakuhle, ukunciphisa umonakalo wezicubu, kunye nokubonelela ngeziphumo ezingcono zokulungisa.
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Izixhobo eziqhelekileyo ziphucula ukuchaneka kotyando, ukunciphisa ixesha le-intraoperative, kunye nokuphucula iziphumo zesigulane. Kwi-anatomies entsonkothileyo okanye ukhetho oluthile lotyando, izikhokelo ezizezakho okanye izixhobo ziqinisekisa ukubekwa kunye nokulungelelana kokufakelwa.
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Oogqirha basebenzisa i-anchor ye-suture eyenziwe kwizinto ezifana ne-titanium, i-PEEK, okanye i-bioabsorbables. Ezi iankile zifakwe kwithambo kwaye zisetyenziselwa ukubuyisela i-tendon ekrazukileyo usebenzisa i-sutures eqinile. Umqolo ophindwe kabini okanye zonke-i-anchors ze-suture ziqhelekileyo ngokuxhomekeka kwiqhinga lokulungisa.
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Ufakelo lwe-PEEK lunomathotholo kwaye luneempawu zomatshini ezifana nethambo, zizenza zilungele usetyenziso olufana nezikrufu zokuphazamiseka, iiankile ze-suture, kunye namaqhosha okulungisa. Ngokuqhelekileyo zisetyenziswa kwi-ACL/PCL reconstructions kunye nokulungiswa kwamagxa.
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Ukufakelwa kwe-Bioabsorbable kunciphisa ngokuhamba kwexesha kwaye ekugqibeleni kuthatyathelwe indawo yezicubu zendalo, ukuphelisa isidingo sotyando lokususa. Ukufakelwa kwe-Titanium, kwelinye icala, kusisigxina, kunamandla, kwaye kuhambelana ne-biocompatible, kodwa kunokufuna ukususwa kwimeko yokucaphuka okanye iingxaki.
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I-ACL interference screws isetyenziselwa ngexesha lokwakhiwa kwakhona kwe-ligament ukukhusela i-graft (ingaba i-autograft okanye i-allograft) ngaphakathi kwe-tunnel ye-femoral okanye ye-tibial. Baqinisekisa ukulungiswa ngokukhawuleza kunye nokunceda ukuququzelela ukuphiliswa kwezinto eziphilayo phakathi kwe-graft kunye nethambo.
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Izinto eziqhelekileyo ziquka i-titanium alloys, i-PEEK (i-polyether ether ketone), insimbi engenasici, kunye ne-bioabsorbable polymers njenge-PLLA okanye i-PGA. Ukhetho luxhomekeke kwizinto ezifana namandla, ukuhambelana kwe-biocompatibility, kunye nokuba i-implant yenzelwe ukuhlala emzimbeni okanye inyibilike ngokuhamba kwexesha.
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Ixesha lokubuyisela liyahluka ngobunzima besigulane kunye nokulimala, kodwa izigulane ezininzi zibuyela kumsebenzi okhanyayo phakathi kweenyanga ze-3-6. Ukuchacha ngokupheleleyo kwimidlalo ekhuphisanayo kunokuthatha iinyanga ezi-6-9 okanye ngaphezulu, kuxhomekeke kwinkqubela yokubuyisela kwisimo sangaphambili.
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Ukulimala okuqhelekileyo kubandakanya iinyembezi zangaphambili ze-anterior cruciate ligament (ACL), iinyembezi ze-meniscal, ukulimala kwe-rotator cuff, iinyembezi ze-labral, kunye nezilonda ze-cartilage. I-arthroscopy ivumela oogqirha ukuba balungise okanye baphinde bakhe izicubu ezonakalisiweyo kunye nokuphazamiseka okuncinci kunye namaxesha okubuyisela ngokukhawuleza.
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Utyando lwe-arthroscopic yinkqubo encinci ye-invasive apho ikhamera encinci (i-arthroscope) kunye nezixhobo zifakwe ngeendlela ezincinci zokuxilonga kunye nokunyanga imiba edibeneyo. Ngokuqhelekileyo kunconywa kwiinyembezi ze-ligament, ukulimala kwe-meniscus, umonakalo we-cartilage, kunye nokungazinzi kwamalungu, ngokukodwa emadolweni, ehlombe, kunye ne-ankle.
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Iyeza lezemidlalo lisebe elikhethekileyo le-orthopedics eligxile ekuthinteleni, ekuxilongeni, nasekuphatheni ukulimala kwe-musculoskeletal ezinxulumene nomsebenzi womzimba. Idlala indima ebalulekileyo ekuncedeni iimbaleki kunye nabantu abakhutheleyo ukuba baphile ngonyango lotyando kunye nonyango olungalulo, kubandakanywa unyango lomzimba, iinkqubo ze-arthroscopic, kunye nokwakhiwa ngokutsha okusekelwe kwi-ACL okanye ukulungiswa kwe-rotator cuff.
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Siphendula yonke imibuzo kwiiyure ezili-12.
Sisoloko sibonelela ngenkonzo ekhawulezileyo nenobuchule.
Njengomthengisi onoxanduva, sizibophelele ngokupheleleyo kuyo yonke iodolo evela kubaxumi bethu.
Ukuba kukho nayiphi na imiba eyenzeka ngenxa yesiphoso sethu (njengeengxaki zomgangatho okanye ukulibaziseka kokuhanjiswa), siya kuzisombulula ngaphandle kokungabaza!
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Sinikezela ngezi nkonzo zilandelayo zokwenza ngokwezifiso:
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Ukuphawula uphawu lwakho kwiimveliso zethu ezikhoyo
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Ukwenziwa ngokwemizobo yakho
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Ukuyila ngokusekelwe kwisampulu yakho kunye nokudala imizobo yobugcisa
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Sine-inventri enkulu kwaye sinokuyithumela ngenqanawa kwiveki enye.
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Ewe, sinokubonelela ngeesampuli zasimahla zovavanyo lomgangatho. Nceda usazise iimfuno zakho ezithile.
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Singumvelisi wokufakelwa kwamathambo kunye nezixhobo zotyando. Iimveliso zethu eziphambili ziquka:
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Ukufakelwa komqolo
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Izikhonkwane ze-Intramedullary
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Iipleyiti zokwenzakala (ukutshixa nokungatshixwa)
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Iipleyiti zeCraniomaxillofacial
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Izixhobo zamandla otyando
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Izilungisi zangaphandle
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Iiprostheses ezidibeneyo ze-Hip kunye nedolo
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Iimveliso zamayeza ezemidlalo
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Izixhobo zeLaparoscopic
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Izixhobo jikelele zamathambo
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Iimveliso zezilwanyana zamathambo
