Kungani Ukulungiswa Kwenkinobho Ye-Cortical Kuhlala Kubalulekile Ekuphulukiseni

Ukulungiswa kwenkinobho ye-Cortical kusiza ukuxhuma izicubu ezithambile nethambo. Isetshenziswa ku ukuhlinza amathambo . Le ndlela inamandla futhi isiza ukuphulukisa. Odokotela abahlinzayo bayayithemba ngoba isebenza kahle. Odokotela basebenzisa le ndlela ku-3.4% walokhu kuhlinzwa. Uma ukhetha izimila zokuhlinzwa ku-XCmedico, uthola ubunjiniyela obuhle. Uphinde uthole imiphumela ongayethemba. Ithebula elingezansi libonisa ukuthi ukulungiswa kwenkinobho yekhorotiki kuqhathaniswa kanjani nezinye izindlela. Ibheka ukulayisha-kuya-ukwehluleka kanye nobunzima:

Okuthathwayo Okubalulekile

• Ukulungiswa kwenkinobho ye-Cortical kunikeza ukusekela okuqinile kwezicubu ezithambile kuya ethanjeni. Lokhu kusiza ukuphulukiswa kube ngcono.

• Le ndlela inciphisa amathuba okuba nezinkinga ngemva kokuhlinzwa. Kusho ukuhlinzwa okumbalwa kamuva kanye nokululama okuphephile.

• Iziguli zelaphe ngokushesha futhi zibe nokuzinza okungcono kwamalunga ngokulungiswa kwenkinobho ye-cortical. Lokhu kungcono kunezindlela ezindala.

• Odokotela abahlinzayo bathanda ukulungiswa kwenkinobho ye-cortical ngoba inembile futhi isebenza kahle. Kwenza izibazi ezincane futhi yehlise nengozi yokutheleleka.

• Ukukhetha izimila ezinhle , njengalezo ezivela ku-XCmedico, kusiza inqubo ukuthi isebenze kahle. Kuyasiza futhi ukuphulukiswa kube ngcono kakhulu.

I-Cortical Button Fixation Ichazwe

Iyini Inkinobho Ye-Cortical?

Inkinobho ye-cortical iyithuluzi elincane, eliqinile elisiza ukunamathisela izicubu ezithambile, njenge-tendon noma umsipha, ethanjeni. Uzoyibona isetshenziswa ekuhlinzeni okuningi kwamathambo. Inkinobho ihlala ongqimbeni oluqinile lwangaphandle lwethambo, olubizwa ngokuthi i-cortex. Odokotela abahlinzayo bayisebenzisa ngoba ibamba izicubu endaweni lapho umzimba wakho ululama.

Isakhiwo senkinobho ye-cortical silula kodwa siyasebenza. Kubukeka njengepuleti elincane elinezimbobo ze-sutures. Lezi zithunga zixhuma izicubu enkinobho. Inkinobho isakaza amandla endaweni ebanzi, okusiza ukuvimbela izicubu ekukhipheni. Izinkinobho eziningi ze-cortical zenziwe ngezinto eziqinile, njenge-titanium noma izinsimbi ezimuncayo. Lezi zinto zinikeza inkinobho amandla aphezulu futhi ziyenze iphephe emzimbeni wakho.

Ungabona ukuthi isakhiwo nezinto zokwakha ziwenza kanjani umehluko:

• Inkinobho ye-cortical suspensory ingaphatha umthwalo ophakeme kakhulu ngaphambi kokuphuka uma iqhathaniswa namanye amadivayisi.

• Inokuqina okukhulu, okusho ukuthi ibamba izicubu ngokuqinile.

• Izinsimbi ezimuncwayo ezisetshenziswa kwezinye izinkinobho zingaphuka kancane kancane emzimbeni wakho, zikugcine uphephile futhi zisekele ukuphulukiswa.

Ukuthi Ukulungiswa Kwenkinobho Ye-Cortical Kusebenza Kanjani

Ukulungiswa kwenkinobho ye-Cortical kuyindlela esebenzisa inkinobho ukuvikela izicubu ethanjeni. Ungacabanga ngakho njengehange eliqinile. Udokotela ohlinzayo ucubungula isicubu ngenkinobho, bese esidonsa ngomhubhe omncane osethanjeni. Inkinobho ihlala ngaphandle kwethambo, ikhiye izicubu endaweni.

Le ndlela ikunikeza izinzuzo ezimbalwa ze-biomechanical:

• Uthola ukuxega okuncane ejoyintini lakho ngemva kokuhlinzwa.

• Ungabuyela ezemidlalo futhi usebenze ngobuhlungu obuncane.

• Izicubu ziphulukisa nxazonke zomhubhe, okwenza ukulungisa kuqine.

Nali ithebula elibonisa izivivinyo eziyinhloko ze-biomechanical ezisetshenziselwa ukuhlola ukuthi ukulungiswa kwenkinobho ye-cortical kusebenza kahle kangakanani:

Ucwaningo oluningi luqhathanisa ukulungiswa kwenkinobho ye-cortical nezinye izindlela. Isihloko esisodwa esaziwayo sibheka ukuthi sisebenza kanjani ku Ukuhlinzwa kwe-ACL . Imiphumela ibonisa ukuthi le ndlela inikeza ukwesekwa okungcono futhi ikusiza ukuthi ululame ngokushesha.

Uzothola nokuthi amazwe ahlukene anemithetho yawo yalezi zisetshenziswa. ENyakatho Melika, imithetho iqinile futhi icacile. EYurophu, imithetho ihlanganisa wonke amazwe kodwa ingahluka endaweni ngayinye. E-Asia, udinga ukusebenzisana nochwepheshe bendawo ukuze ulandele imithetho.

Ithiphu: Uma ufuna ukulungiswa okuqinile nokuthembekile, buza udokotela wakho ohlinzayo mayelana nokulungisa inkinobho yekhohlo. Ithenjwa odokotela abaningi ngokuphepha namandla ayo.

Ukusetshenziswa Kokuhlinzwa Kwe-Cortical Button Fixation

Isinyathelo Ngesinyathelo Inqubo Yokuhlinza

Odokotela abahlinzayo balandela inqubo ecophelelayo yokulungisa inkinobho ye-cortical. Okokuqala, udokotela wenza ukusikeka okuncane eduze kwelunga lakho. Khona-ke, udokotela ohlinzayo ubhoboza umhubhe ethanjeni lakho. Lo mhubhe uqondisa i-tendon noma i-ligament endaweni efanele. Okulandelayo, udokotela ohlinzayo uxhuma i-tendon noma i-ligament emhubheni. Inkinobho ye-cortical ihlala ngaphandle kwethambo. Udokotela ohlinzayo udonsa izicubu ziqine. Bese, inkinobho iyaphenywa ukuze ivalwe endaweni. Lokhu kugcina izicubu zivikelekile ngenkathi umzimba wakho ululama.

I-XCmedico's 2.7/3.5/4.5 mm Cortical Screw Full-threaded iyasiza kulokhu kuhlinzwa. Udokotela ohlinzayo usebenzisa lezi zikulufu ukuze abambe inkinobho nethishu ngokuqinile. Idizayini enentambo egcwele inika ukubamba okuqinile. Isiza ukulungisa kuhlale kuzinzile. Uzwa ubuhlungu obuncane futhi uhamba kangcono ngemva kokuhlinzwa ngoba ukulungiswa kunamandla.

Izinqubo Ezivamile Nezicelo

Ukulungiswa kwenkinobho ye-Cortical kusetshenziswa ekuhlinzeni okuningi kwamathambo. Ukusetshenziswa okuvame kakhulu ku- ukwakhiwa kabusha kwe-anterior cruciate ligament . Odokotela abahlinzayo basebenzisa le ndlela ukuze banamathisele umsipha omusha emadolweni akho. Inkinobho ibamba i-graft endaweni ngenkathi umzimba wakho ululama. Ukungasebenzi kahle kwezinkinobho zesifazane ngesikhathi sokwakhiwa kabusha kwemigqa ye-anterior cruciate ligament kwenzeka kuphela ku-3.5% weziguli. Lokhu kubonisa ukunemba okuphezulu.

Uzobona le nqubo kokunye ukulungisa:

• Ukwakhiwa kabusha kwe-anterior cruciate ligament yokulimala kwamadolo

• Ukulungiswa kwethenda ye-biceps yokulimala kwendololwane

• Ukulungiswa kwe-tendon enkulu ye-Pectoralis yokulimala kwehlombe

• Inqubo ye-Latarjet yokungaqini kwehlombe

Inqubo ye-Latarjet ike yasebenzisa izikulufu ngaphambili, kodwa ucwaningo olusha lubonisa ukuthi ukulungiswa kwenkinobho ye-cortical suture kungase kwehlise izinkinga ekubekweni kwesikulufu.

Ucwaningo ngokulungiswa kwe-distal biceps tendon lubonisa ukuthi ukulungiswa kwenkinobho ye-intramedullary cortical kunikeza ukwesekwa okunamandla kunezindlela ezindala.

Odokotela abahlinzayo bakhetha le ndlela ngoba inikeza ukusekela okuqinile. Kukusiza ukuthi ubuyele emsebenzini ngokushesha. Ungathemba izimila ze-XC medico ukunikeza ukuzinza okudingekayo ukuze kulungiswe kahle.

Izinzuzo Zokuphulukisa Ze-Cortical Button Fixation

Ukuzinza Nokululama

Ufuna ilunga lakho libe namandla ngemva kokuhlinzwa. Ukulungiswa kwenkinobho ye-Cortical kusiza ukuyenza iqine. Le ndlela igcina izicubu zakho zisendaweni ukuze ziphole. Inkinobho inikeza ukusekelwa okungcono kwe-tendon noma i-ligament yakho. Ibambe isicubu siqinise ethanjeni. Lokhu kugcina ukulungisa kwakho kuzinzile, ngisho noma uhambisa ilunga lakho.

Odokotela abaningi babona ukuthi ukulungiswa kwenkinobho ye-cortical kugcina ama-sutures eqinile. Inkinobho ayinwebeki noma ikhululeke kalula. Ukulungisa kwakho kuhlala kuqinile ngenkathi uphulukisa. Ungathemba ukuthi ilunga lakho ngeke lizizwe libuthakathaka noma lixega.

Iziguli zivame ukululama ngokushesha ngale ndlela. Isibonelo, abantu abane-distal biceps tendon ukulungisa usebenzisa idivayisi ye-ToggleLocTM bazizwe bengcono ezinyangeni ezimbili. Babekwazi ukuhambisa ingalo yabo futhi benze izinto zansuku zonke ngokushesha. Ukunyakaza kwe-tendon ngaphambi kokuhlinzwa akuzange kushintshe imiphumela emihle. Ungalindela ukululama okushelelayo kanye nokuhlangana okuqinile.

Nali ithebula elibonisa ukuthi iziguli zizizwa kanjani ngemva kokuhlinzwa:

Iziguli eziningi zithi zinezinhlungu ezincane futhi zihamba kangcono. Cishe zonke iziguli zifinyelela izinga lokuthuthuka elibalulekile kuzo.

Ithiphu: Uma ufuna ukubuyela kwezemidlalo noma usebenze ngokushesha, buza udokotela wakho mayelana nokulungisa inkinobho yekhorotiki. Le ndlela ikusiza ukuthi ululame ngokushesha futhi uhambe kangcono.

Izinkinga Ezincishisiwe

Ufuna ukuhlinzwa kwakho kuphephe. Ukulungiswa kwenkinobho ye-Cortical kwehlisa ingozi yezinkinga ngemva kokuhlinzwa. Izinkinga ezivame kakhulu ukulimala kwezinzwa, ukukhula kwamathambo engeziwe, nokuqhekeka kwe-tendon. Lokhu kwenzeka kancane kakhulu ngale ndlela kunezinye.

Odokotela bathola ukuthi izinga lezinkinga liphansi kakhulu ngokulungiswa kwenkinobho ye-cortical. Isibonelo, u-0% weziguli ube nezinkinga ngale ndlela, uma kuqhathaniswa nama-26.4% anamahange we-suture kanye nama-44.8% anezikulufu ze-intraosseous. Mancane kakhulu amathuba okuba ube nenkinga ngemuva kokulungiswa kwakho.

Nali ithebula eliqhathanisa izinga lokuphindaphinda nokusebenza kabusha:

Zombili izindlela zinezilinganiso eziphansi, kodwa ukulungiswa kwezikulufu kunezinkinga eziningi njengokulimala kwemizwa nokutheleleka. Ukulungiswa kwenkinobho ye-Suture kuholela ekusebenzeni kabusha okumbalwa ngoba kunezinkinga ezimbalwa zokufakelwa.

Uthola ukuhlinzwa okuphephile kanye nethuba eliphansi lokudinga okunye ukuhlinzwa. Iziguli eziningi azidingi ukuhlinzwa okwesibili, futhi azinazo izinkinga zokungazinzi noma ukutheleleka. Ungaqiniseka ukuthi ukulungiswa kwakho kuzohlala isikhathi eside.

Qaphela: Hlala ukhuluma nodokotela wakho ohlinzayo mayelana nendlela engcono kakhulu yokulimala kwakho. Ukulungiswa kwenkinobho ye-Cortical kunikeza ukwesekwa okuqinile kanye nokululama okuphephile kokulungiswa kwe-tendon ne-ligament eminingi.

Ukuqhathanisa Izindlela Zokulungisa

Inkinobho Yecortical vs. Amasu Endabuko

Ungase uzibuze ukuthi ukulungiswa kwenkinobho ye-cortical kunqwabelana kanjani nezindlela ezindala. Izindlela zendabuko sebenzisa izikulufu noma izikhonkwane zokuthunga ekuhlinzeni okuvulekile . Lezi kudala zikhona. Bangasebenza, kodwa baletha izingozi ezengeziwe. Ukuhlinzwa okuvulekile ngokuvamile kusho ubuhlungu obuningi kanye nokuphulukiswa isikhathi eside. Ngezinye izikhathi, izikulufu zidinga ukukhishwa kamuva. Lokhu kusho ukuthi ungase udinge okunye ukuvakashelwa esibhedlela.

Ukulungiswa kwenkinobho ye-Cortical akuhlaselane kakhulu. Odokotela abahlinzayo benza ukusikeka okuncane futhi basebenze ngokunembe kakhudlwana. Ekwakhiweni kabusha kwe-anterior cruciate ligament, izifundo zibonisa izinkinga ezimbalwa ngezinkinobho ze-cortical kunokuhlinzwa okuvulekile. Uthola ukwesekwa okuqinile kwe-tendon yakho futhi uphulukise ngengozi encane. Odokotela baqhathanise izinkinobho zekhorotiki ezilungisekayo, izisetshenziswa zeluphu engashintshi, nezikulufu zensimbi. Bathole amazinga afanayo okubuyekezwa kwe-ACL eminyakeni emibili nemihlanu. Lokhu kusho ukuthi uphulukisa kahle, kungakhathaliseki ukuthi iyiphi idivayisi esetshenziswayo.

Ezinye izifundo zihlole izindleko nokululama. Ukulungiswa kwe-tendon suture kungonga imali uma kuqhathaniswa nokulungiswa kwezikulufu. Ungase uhambe futhi wenze izinto zansuku zonke ngokushesha. Iziguli ezine-tendon suture fixation zazinobuhlungu obuncane ezinyangeni ezintathu ngemva kokuhlinzwa. Babekwazi ukusheshisa iqakala.

Izinzuzo Eziyingqayizivele Kodokotela Abahlinzayo Neziguli

Uthola izinzuzo ezikhethekile lapho udokotela wakho ohlinzayo esebenzisa inkinobho ye-cortical. Idivayisi ibamba izicubu zakho ziqine ngokumelene nethambo. Lokhu kusiza ukulungisa kwakho ukuhlala kuqinile. Odokotela abahlinzayo bathanda ukulawula nokunemba kwale ndlela enikezayo. Uthola isibazi esincane bese unciphisa ingozi yokutheleleka.

I-XCmedico's 2.7/3.5/4.5 mm Cortical Screw Umluko ogcwele wengeza inani elengeziwe. Lezi zikulufu zilingana osayizi abaningi bamathambo. Udokotela wakho ohlinzayo angakukhethela okulungele wena. Idizayini enentambo egcwele ibamba ithambo ngokuqinile. Lokhu kugcina inkinobho nethishu endaweni. Ululama ngokushesha ngoba isikulufu sisiza ithambo ne-tendon zikhule ndawonye. Ingxubevange ye-titanium ayigqwali futhi iphephile emzimbeni wakho. Awudingi ukukhathazeka ngokuphuka kwesikulufu noma ukubangela inkinga.

Ithiphu: Buza udokotela wakho ukuthi ingabe inkinobho yekhorotiki nesikulufu esinentambo egcwele zikulungele yini ukwakhiwa kabusha kwemisipha yakho yangaphambili. Ungaphulukisa ngokushesha futhi uzizwe unamandla ngalokhu kulungisa okuthuthukile.

Imiphumela Yomhlaba Wangempela

Ubufakazi Bokuphulukisa Okuthuthukisiwe

Ungase uzibuze ukuthi ukulungiswa kwenkinobho ye-cortical kusiza ngempela yini abantu ukuphulukisa. Ucwaningo oluningi luthi le ndlela inikeza imiphumela eqinile nehlala njalo. Iziguli zivame ukujabula ngemva kokuhlinzwa kwazo. Ungabuyela kwezemidlalo kanye nempilo yansuku zonke kalula. Odokotela babona ukulungiswa okuzinzile ekulimaleni okufana nokuphuka kwe-Lisfranc. Lokhu kusho ukuthi ilunga lakho lihlala lisendaweni ngenkathi uphulukisa.

• Ukulungiswa kwenkinobho ye-Suture kukusiza ukuthi ubuyele emisebenzini yakho eyintandokazi.

• Ungalindela ithuba eliphezulu lokudlala ezemidlalo futhi, ngisho neminyaka kamuva.

• Inqubo ye-Latarjet ye-arthroscopic cortical-button inezinga le-95% lokubuyela kwezemidlalo cishe eminyakeni eyisithupha.

Uma udinga ukulungiswa kwe-tendon, ungayethemba le ndlela. Izifundo zokulungisa i-distal biceps tendon zibonisa imiphumela emihle evela ezigulini. Abantu babuyela emuva cishe wonke amandla abo nokunyakaza kwengalo. Iziguli eziningi zithi impilo yazo iba ngcono ngemva kokuhlinzwa. Ungaqiniseka ukuthi ukululama kwakho kuzoba namandla futhi kuzinzile.

Odokotela baphinde babone izinkinga ezimbalwa ngale ndlela. Enqubweni ye-Latarjet, azikho iziguli ezinezinkinobho ze-cortical ezidinga olunye ukuhlinzwa. Kodwa ezinye iziguli ezine-screw fixation zazinezinkinga ze-hardware. Izinga le-graft union liphezulu ngezinkinobho ze-cortical. Lokhu kusho ukuthi ithambo lakho liphila kahle.

Izindaba Zempumelelo kanye Nokukhethwa Komhlinzeki

Ufuna ithuba elingcono kakhulu lokululama okuphephile nokuqinile. Izimo zokuphila kwangempela zibonisa ukuthi ukulungiswa kwenkinobho yekhorotiki kwehlisa ubungozi bezinkinga zehadiwe. Kufika ku-46% weziguli ezinezikulufu zokulungisa zibe nezinkinga, kodwa izinga liphansi kakhulu ngezinkinobho ze-cortical. Uthola umphumela ongcono futhi ukhathazeke kancane ngokudinga okunye ukuhlinzwa.

Lapho ukhetha umphakeli, kufanele ubheke:

• I-biocompatibility ephezulu namandla emishini

• Izimila ezisebenziseka kalula nezihambisana nezidingo zakho

• Kuhlolwe amandla aqinile nokufanelana kahle nezicubu zakho

• Imikhiqizo evela ezinkampanini ezibhalisiwe ze-FDA noma eziqinisekiswe i-ISO

• Sula amarekhodi okuvala inzalo nokulandelela

I-XCmedico ihlangabezana nalawa mazinga. Uthola ukulungiswa kwenkinobho ye-cortical okuthembekile okukusiza ukuthi uphulukise. Odokotela abahlinzayo thembela i-XC medico ngekhwalithi, ukuphepha, nokulethwa okusheshayo. Ungazizwa uphephile ngokwazi ukuthi ukufakelwa kwakho kuvela enkampanini ethembekile.

Ukukhetha isifakelo esifanele kanye nomhlinzeki kubaluleke kakhulu ekululameni kwakho. Nge-XCmedico, uzinika ithuba elingcono kakhulu lokuphulukisa kahle.

Ungathembela ekulungiseni inkinobho ye-cortical ukuze uthole ukuphulukiswa okuqinile. Inikeza imiphumela ongayethemba. Ucwaningo olusha lubonisa ukuthi ungasebenzisa i-graft enkulu. Le ndlela iphinde ivimbe umhubhe osethanjeni lakho ekubeni ube mkhulu.

• Ulahlekelwa amathambo amancane ngalezi zixhobo. Ukuphulukisa kungcono futhi kuyashesha.

• Odokotela abadingi ukwenza ukuhlinzwa okwengeziwe kaningi.

Khetha i-XCmedico ukuze uthole izixazululo ezihlakaniphile nosizo oluqinile ngenkathi ululama.

FAQ

Kuyini ukulungiswa kwenkinobho ye-cortical?

Ukulungiswa kwenkinobho ye-Cortical kuxhuma izicubu ezithambile nethambo. Kuyasiza ukunamathisela imisipha noma imigqa. Le ndlela inikeza ukwesekwa okuqinile. Umzimba wakho ululama kangcono ngemva kokuhlinzwa.

Inkinobho ye-suture isiza kanjani ekwelapheni?

Inkinobho ye-suture igcina izicubu ziqinile ethanjeni. Lokhu kwenza ukulungisa kuzinze. Ululama ngokushesha ngoba izicubu zihlala endaweni. Amaseli amasha angakhula lapho kudingeka khona.

Ingabe ukulungiswa kwenkinobho ye-cortical kuphephile ekulimaleni kwe-anterior cruciate ligament?

Yebo, odokotela bayisebenzisela lokhu kulimala. Uthola ukwesekwa okuqinile nezinkinga ezimbalwa. Abantu abaningi babuyela ezemidlalo kanye nempilo yansuku zonke ngokushesha.

Yiziphi izinzuzo eziyinhloko zokulungiswa kwenkinobho ye-cortical?

Uthola ukwesekwa okuqinile nobuhlungu obuncane. Ukubuyisela kuyashesha. Idivayisi encane yehlisa ithuba lakho lokunye ukuhlinzwa. Ijoyinti lakho lihlala lizinzile futhi liphephile.

Kuthatha isikhathi esingakanani ukululama ngemva kokulungiswa kwenkinobho ye-cortical?

Abantu abaningi bahambisa ilunga labo ngokushesha ngemva kokuhlinzwa. Ungenza izinto ezijwayelekile emavikini noma ezinyangeni. Udokotela wakho uzokunikeza isu lokuphulukisa okuphephile.