Ukulungiswa Kwezinkinobho ZeCortical: Ukusetshenziswa, Izinhlobo Nezingozi

Igayidi yemithi yezemidlalo | Ukulungiswa kwe-Cortical suspensor

Ukulungiswa kwenkinobho ye-Cortical kuyindlela yokulungisa i-suspensor esetshenziswa ezinqubweni ezikhethiwe zokwakhiwa kabusha kwe-tendon. Inkinobho imelene ne-cortical bone futhi isebenza nge-suture loop egxilile noma elungisekayo ukuze kugcinwe i-graft ehleliwe noma ukwakhiwa kwezicubu ezithambile. Idivayisi ihlinzeka ngokulungiswa komshini ngenkathi ukuphulukiswa kwebhayoloji kwenzeka, kodwa akuqinisekisi ngokuzimela ukuphulukiswa okusheshayo, izinkinga ezimbalwa noma ukubuya kwangaphambi kwesikhathi kwezemidlalo.

Ukwakhiwa okulengayo Inkinobho yekhohlo, iluphu, igraft noma i-suture kanye nomhubhe wamathambo olungisiwe asebenza ndawonye njengokwakhiwa kokulungisa.

Ubufakazi obucacile benqubo Imiphumela evela ekwakhiweni kabusha kwe-ACL ayikwazi ukusetshenziswa ngokuzenzakalelayo kuma-biceps e-distal, i-ankle syndesmosis noma izinqubo zehlombe.

Alukho uhlobo lweluphu yedivayisi engcono kakhulu, ubukhulu bezinkinobho, ukuxhunyelelwa, umhubhe, ikhwalithi yamathambo, isu lokulungisa nokulebula okugunyaziwe konke kuthinta ukukhetha.

Idivayisi yokulungisa inkinobho ye-Cortical esetshenziselwa ukwakhiwa kabusha kwe-ligament — Amasistimu wezinkinobho ze-Cortical ayahluka nge-button geometry, i-loop design, i-suture construct, izinsimbi kanye nohlelo lokusebenza lokuhlinzwa olunelebula.

Iyini I-Cortical Button Fixation?

Ukulungiswa kwenkinobho ye-Cortical, okuphinde kubizwe ngokuthi ukulungiswa kwe-cortical suspensory, kusebenzisa inkinobho encane ebekwe ngokumelene ne-cortex yangaphandle eqinile yethambo. Iluphu noma i-suture construct ixhuma inkinobho ne-tendon graft, i-ligament graft noma izicubu ezithambile ezilungisiwe. Uma isisetshenziswe endaweni ehlosiwe, inkinobho ihlinzeka ngendawo yokusekela yekholamu lokwakha okumisiwe.

Ekwakhiweni kabusha kwe-ACL, isibonelo, inkinobho yekholamu yesifazane ingase isekele ukuxhunyelelwa ngaphakathi kwesokhethi ye-femoral elungisiwe noma umhubhe. Amanye amasistimu wezinkinobho aklanyelwe izifunda nezinqubo ezahlukene ze-anatomical. Le mikhiqizo ayishintsheki ngenxa nje yokuthi inomumo ofanayo.

Izingxenye Eziyinhloko Zokwakhiwa Kwenkinobho Ye-Cortical

Inkinobho ye-Cortical I-implant encane ehloselwe ukuphumula ngokumelene nethambo le-cortical nokusabalalisa amandla ngokuya ngomklamo walo.

Iluphu noma i-suture construct Ubude obugxilile noma ukuxhumana okulungisekayo phakathi kwenkinobho nokuxhunyelelwa noma izicubu ezilungisiwe.

I-Graft noma izicubu ezithambile Izicubu zebhayoloji ezakhiwa kabusha noma ezilungiswayo, zilungiswa ngokwenqubo ekhethiwe.

Umhubhe wethambo noma isokhethi Indlela yamathambo ehleliwe noma isokhethi lapho i-graft kanye nezingxenye zokusatshalaliswa kwethulwa khona.

Ama -sutures adlulayo Ama-sutures asetshenziselwa ukushutha, ukuqondisa, ukuphakela noma ukuqinisa isakhiwo ngokuya ngesu lesistimu.

Amathuluzi azinikele Ama-drill, imihlahlandlela, amageji okujula, amathuluzi adlulayo namathuluzi okuqinisa ahambisana nesistimu ekhethiwe.

Inkinobho YeCortical vs I-Cortical Screw

Inkinobho ye-cortical ayifani nesikulufu esivamile se-cortical bone. Isikulufu esijwayelekile se-cortical sisebenzisa imicu ukuze sibandakanye ithambo futhi ngokuvamile sihlotshaniswa nokulungiswa kokuphuka noma ukwakhiwa kwamapuleti. Inkinobho yekholamu ngokuvamile ihlinzeka ngokulungiswa okulengayo ngokusebenzisa inkinobho-ne-loop noma inkinobho-ne-suture construct.

Ungayiphambanisi imikhiqizo: isikulufu se-cortical bone esingu-2.7, 3.5 noma esingu-4.5 mm akufanele sichazwe njengengxenye edingekayo yokulungiswa kwenkinobho yekhohlo yekhohlo ye-ACL ngaphandle kwalapho isistimu egunyazwe ncamashi kanye nezindlela zokuhlinza ikufaka ngokuqondile.

I-Fixed-Loop vs Adjustable-Loop Cortical Buttons

Amadivayisi okumiswa kwe-cortical wesifazane asetshenziswa ekwakhiweni kabusha kwe-ligament avame ukuxoxwa ngokuthi ama-fixed-loop noma ama-adjustable-loop systems. Umehluko uthinta ukulungiswa kokuxhunyelelwa, umhubhe noma ukuhlelwa kwesokhethi, ukuthunyelwa kanye nokuhamba komsebenzi okucindezelayo.

Idivayisi ye-loop engaguquki

Iluphu inobude obunqunywe kusengaphambili. Ukujula komhubhe, ubude bokuxhunyelelwa kanye nephaseji yenkinobho kufanele kuhlelwe ngokuzungeza lobo bukhulu obungashintshi.

Idivayisi ye-loop elungisekayo

Ubude belophu bungalungiswa phakathi nenqubo phakathi kwemikhawulo namasu ohlelo oluthile, okuvumela ukuxhunyelelwa ukuthi kuthuthukiswe noma kucindezeleke ngemva kokusetshenziswa kwenkinobho.

Izinyathelo Zokuhlolwa Kwelabhorethri

Ukuhlola kwe-Biomechanical kungase kubike ukugudluzwa komjikelo, ukunwetshwa kweluphu, ukuqina, umthwalo wesivuno nomthwalo ukwehluleka. Lokhu kuhlola kusiza ukuveza ukuziphatha kwedivayisi ngaphansi kwephrothokholi yaselabhorethri echaziwe, kodwa imiphumela incike endaweni yokuhlola, isifanekiso, indawo yokulayisha, ukulayisha kuqala, iphrothokholi yokugibela ibhayisikili nendawo yokugcina.

Inani eliphakeme lokulayisha ukuya-kuhlulekeni ocwaningweni olulodwa lwaselabhorethri alibonisi ukuphulukiswa kwe-tendon-to-bone ngokushesha noma izinga eliphansi lokuhluleka komtholampilo. Imiphumela yaselabhorethri kufanele icatshangelwe kanye nobufakazi bomtholampilo kanye nokwakhiwa okuphelele kokuhlinzwa.

Lokho Okubonisa Ubufakazi Bomtholampilo

Ukubuyekezwa okuhlelekile kwemishini yokumiswa kwekhoroksi ye-femoral adjustable-loop ithole umehluko phakathi kokutholwe kwaselabhorethri nokutholwa komtholampilo: izifundo ezimbalwa zaselabhorethri zibike ukwelulwa kweluphu ngaphansi kokulayisha okujikelezayo, kuyilapho izifundo zomtholampilo ezibuyekeziwe azizange zibonise umehluko ocacile phakathi kwamaqembu aguquguqukayo kanye nama-fixed-loop ekuzinzeni, amaphuzu amadolo noma ukwehluleka kwegraft. Ababhali bacele ukuthi kube nokuhlolwa komtholampilo okungahleliwe okuqinile.

Ngakho-ke, asikho isigaba se-loop okufanele sichazwe njengesiphakeme kakhulu. Ukukhethwa kufanele kuhambisane nohlelo lokuxhunyelelwa, isu lomhubhe, imiyalelo yedivayisi, ukujwayelana nodokotela ohlinzayo kanye nobufakazi bomtholampilo obufanele.

I-Fixed-loop kanye ne-adjustable-loop cortical suspension suspension — Amadivayisi e-Fixed-loop kanye ne-adjustable-loop asebenzisa ukulungiswa okuhlukile nokugeleza komsebenzi okucindezelayo; ukufaneleka komtholampilo kuncike ohlelweni oluphelele lokwakha kabusha.

Izicelo Ezivamile Zokuhlinza Zokulungisa Inkinobho Ye-Cortical

Imiklamo yenkinobho ye-Cortical isetshenziswa ezinqubweni ezimbalwa zamathambo, kodwa inkomba incike ekulebeni okuqondile kwedivayisi. Inkinobho esuliwe noma ebhaliselwe inqubo eyodwa akufanele kucatshangwe ukuthi igunyaziwe kuwo wonke ama-tendon, ligament noma ilunga.

Ukwakhiwa kabusha kwe-ACL kanye ne-PCL

Ukulungiswa kwe-Cortical suspensory kuvame ukusetshenziswa ohlangothini lwesifazane kumasu akhethiwe okwakha kabusha i-ACL futhi kungase kuhlanganiswe ne-PCL ekhethiwe noma ezakhiweni zangaphakathi zonke. Inkinobho isekela i-graft ngokusebenzisa iluphu ngenkathi igraft ithatha umhubhe olungisiwe noma isokhethi.

Umphumela womtholampilo uncike kokungaphezu kwenkinobho. Ukuma komhubhe, uhlobo lokuxhunyelelwa kanye nokulungiselela, ukulungiswa nhlangothi zombili, ukuqina, ukulimala okuhambisanayo, ukuvuselela kanye nezici zesiguli konke kunomthelela. Abafundi bangabuyekeza indima ebanzi ye Amasistimu okulungisa isipele se-ACL kanye nomhlahlandlela ohlobene ochazayo indlela ukulungisa isipele kusekela ngayo ukwakhiwa kabusha kwe-ACL.

Ukulungiswa kwe-Distal Biceps Tendon

Amasistimu enkinobho ye-cortical eqondene nenqubo angase asetshenziselwe ukuvikela i-distal biceps tendon endaweni engaba. Ubufakazi obuvela kulo msebenzi abukwazi ukudluliselwa ngqo ekwakhiweni kabusha kwe-ACL ngoba i-anatomy, ukulayisha, ukuchayeka kokuhlinzwa kanye nephrofayili yezinkinga zihlukile.

Izibuyekezo ezishicilelwe zibika ngokuvamile imiphumela emihle yokusebenza kodwa futhi zichaza ukulimala kwenzwa, ukungasebenzi kahle kwenkinobho noma ukunqanyulwa, i-heterotopic ossification, ukuphuka kanye nezinkinga zenxeba. Lezi zingozi kufanele zihlale zibonakala noma nini lapho kuxoxwa ngobufakazi be-biceps.

I-Ankle Syndesmosis nokunye Ukulungiswa Kwezicubu Ezithambile

Izinhlelo ezikhethiwe zenkinobho ye-suture zingase zilebulwe ukuzinza kwe-syndesmosis noma ezinye izinqubo zokulungisa izicubu ezithambile. Lezi zakhiwo zivame ukusebenzisa izinkinobho ezimbili ezixhunywe nge-suture ephezulu, kodwa inhloso yabo yokuhlinzwa kanye nezinsimbi zihlukile ekumisweni kwe-ACL ye-femoral.

Ezinye izinhlelo zokusebenza eziqondene nenqubo zingabandakanya ukwakhiwa kabusha kwe-ligament noma i-tendon ehlombe, indololwane, unyawo noma iqakala. Izinkomba ezisebenzayo, ukungqubuzana kanye namathuluzi kufanele kubhekwe umkhiqizo kanye nemakethe yendawo okuyiwa kuyo.

I-Latarjet kanye Namanye Amasu Akhethekile

Ukulungiswa kwenkinobho ye-Suture nakho kuye kwaphenywa ukuze kulungiswe i-coracoid graft kunqubo ye-Latarjet. Ubufakazi bokuqhathanisa bubonisa ukuhwebelana esikhundleni sokuphakama kwendawo yonke: ukulungiswa kwezikulufu kungase kubonise ukungazinzi okuphansi okuphindelelayo kwezinye ukuhlaziya okuhlanganisiwe, kuyilapho ukulungiswa kwenkinobho kungase kubonise ukusebenza kabusha okumbalwa okuhlobene nehadiwe. Isamba sezinkinga neminye imiphumela ingase ingahlukani ngokucacile.

Ngaleso sizathu, idatha ye-Latarjet akufanele isetshenziswe njengobufakazi bokuthi izinkinobho zekhorotiki zihlala ziphephile, zizinzile noma zingcono kakhulu ukuze zelashwe kuzo zonke izinqubo ezingahlobene.

Ukuthi Izinkinobho Ze-Cortical Zisekela Kanjani Ukuphulukiswa Kwe-Tendon-to-Bone

Inkinobho ye-cortical inikeza ukulungiswa komshini okuhloswe ukugcina indawo ehleliwe ye-graft noma i-tendon ngenkathi ukuphulukiswa kwezinto eziphilayo kukhula. Ayidali ukuphulukiswa ngokwayo. Ukuhlanganiswa kwe-tendon-to-bone kuthonywa ukuxhumana kwe-graft, ukunyakaza esibonakalayo, ikhwalithi yamathambo nezicubu, ukulungiswa komhubhe, ukwakha ukuzinza, ukuvuselelwa kanye ne-biology yesiguli.

Igcina indawo yokuxhunyelelwa Ukwakhiwa kuhloselwe ukugcina i-graft noma i-tendon emhubheni ohleliwe, isokhethi noma indawo yokunamathisela.

Umthwalo wokudlulisa Inkinobho kanye neluphu kudlulisa amandla ngethambo lekholamu ngokuya ngejometri yesakhiwo esiphelele.

Isekela isikhawu sokuphulukisa Ukulungiswa kwemishini kuvikela ukwakhiwa kabusha kuyilapho ukuhlanganiswa kwezinto eziphilayo kuqhubeka ngaphansi kohlelo olumisiwe lokuvuselela.

I-Mechanics ne-biology ihlukile: ukulungiswa okuqinile kokuqala kuyinhloso ebalulekile yobunjiniyela, kodwa akuqinisekisi ukufakwa kwe-graft, ukukhululeka kobuhlungu, ukuzinza kwamalunga, ukubuyela kwezemidlalo noma ukukhululeka ekuhlinzweni kokubuyekezwa.

Ukuhamba Kokuhlinza Okujwayelekile

Ukuhamba komsebenzi wokuhlinza kuyehluka ngenqubo nohlelo. Okulandelayo incazelo yezinga eliphezulu ye-cortical suspensory graft fixation, hhayi indlela yokuhlinza noma imiyalelo yesiguli.

Hlela ukwakha Udokotela ohlinzayo ukhetha i-graft, inkinobho, iluphu, umhubhe noma ubukhulu besokhethi kanye nesu lokulungisa elihambisanayo.

Lungiselela ukuxhunyelelwa kanye nethambo Umhubhe wokuxhunyelelwa kanye nethambo kulungiswa kusetshenziswa amathuluzi nezilinganiso ezishiwo ohlelweni olukhethiwe.

Dlula bese usebenzisa Inkinobho idluliswa emhubheni ohleliwe futhi ihlaliswe endaweni ehlosiwe yekholamu.

Qinisekisa kanye nokuqina Ukuthunyelwa, ukuhlangana kwezicubu, indawo yokuxhunyelelwa kanye nokushuba kuyahlolwa ngokuya ngenqubo kanye namasu omshini.

Ukuma kwenkinobho okungalungile noma ukuhlangana kwezicubu ezithambile phakathi kwenkinobho ne-cortex kungase kuphazamise ukulungiswa. Ukubonwa kwe-intraoperative, imaging noma ezinye izindlela zokuqinisekisa zincike kumasu. Inkinobho akufanele kuthathwe ngokuthi isetshenziswe ngendlela efanele ngokusekelwe kuphela kumpendulo ethintekayo.

Ukubekwa kwenkinobho ye-Cortical ngesikhathi sokulungiswa kwe-graft ye-ligament — Ukuthunyelwa kwezinkinobho, indawo yokuhlala ekhohlo, indawo yokuxhunyelelwa kanye ne-loop tension kudinga ukuqinisekiswa kusetshenziswa inqubo eqondene nenqubo.

Inkinobho YeCortical vs Ezinye Izindlela Zokulungisa

Ukuqhathanisa kokulungisa kunengqondo kuphela uma kubandakanya inqubo efanayo, ukuxhunyelelwa, indawo ye-anatomical kanye nomphumela. Kuyadukisa ukuqhathanisa inkinobho yekhorotiki ye-femoral ACL ne-distal biceps suture anchor noma isikulufu se-Latarjet bese wethula umphumela njengezinga lendawo yonke.

Isigaba sokulungisa	Indlela ejwayelekile	Ukucatshangelwa okuqondene nenqubo
Inkinobho yeCortical	Imisa okwesikhashana i-graft noma izicubu ezithambile enkinobho esekelwe ithambo le-cortical	Ukuhlala kwezinkinobho, ukuziphatha kwe-loop, ubuqotho be-cortical, i-tunnel geometry ne-soft-tissue interposition
Isikulufu sokuphazanyiswa	Ihlinzeka ngokulungiswa kokuvula ngokucindezela i-graft ngaphakathi komhubhe	Isikulufu nosayizi, umonakalo wokuxhunyelelwa, ukulingana komhubhe, ikhwalithi yamathambo nokususwa noma ukucatshangelwa kokubuyekeza
Ihange le-Suture	Ixhuma izicubu ezithambile ethanjeni ngokusebenzisa i-anchor-and-suture construct	Impahla yehange, i-engeli yokufaka, ikhwalithi yamathambo, idizayini engenafindo noma yamafindo kanye nephethini yethishu
Ukulungiswa okuyisisekelo noma okuyisipele	Ihlinzeka ngokulungiswa okungeziwe noma okungaphezulu ngokuya ngomklamo wokufakelwa	I-anatomy yendawo, indawo yokuxhunyelelwa, ukuvelela, ukulandelana kokulungisa kanye nokuthi iwukulungisa okuyisisekelo noma okuyisipele

Inkinobho YeCortical vs Ukuphazanyiswa Isikulufu ekwakhiweni Kabusha kwe-ACL

Lezi zindlela zilungisa ukuxhunyelelwa ngezindlela ezihlukene futhi zingasetshenziswa ezinhlangothini ezihlukene zokwakhiwa kabusha okufanayo. Inkinobho ye-cortical inikeza ukulungiswa okulengayo, kuyilapho isikulufu sokuphazanyiswa sihlinzeka ngokulungiswa eduze nendawo yokuvula umhubhe. Ukuqhathanisa komtholampilo kuncike kuyo yonke inqubo ye-ACL esikhundleni sokufakelwa okukodwa.

I-Cortical Button vs I-Suture Anchor ekulungiseni i-Tendon

Izifundo ze-biomechanical zingase ziqhathanise umthwalo nokwehluleka noma ukugudluzwa, kodwa ukukhethwa komtholampilo nakho kuncike ekuchayekeni kokuhlinzwa, i-anatomical footprint, amathambo, ingozi yemizwa eseduze, ukuvuselelwa kanye nenkomba yedivayisi etholakalayo. Amaqembu e-XC Medico ahlukene i-suture anchor systems ngoba ihange akulona nje elinye igama lenkinobho yekhorotiki.

Okuyisisekelo vs Ukulungiswa Kwesipele

Inkinobho ekhohlokhohlo ingase ibe indlela eyinhloko yokulungisa i-suspensor enqubweni eyodwa, kuyilapho isisekelo, isikulufu noma okunye okufakwayo kungase kusebenze njengendlela yokulungisa ikhophi yasenqolobaneni kwenye. I Ngakho-ke uhlelo oluyisisekelo lokulungiswa kwe-ligament luyisigaba somkhiqizo esihlukile kunengxenye yenkinobho ye-cortical.

Izingozi Nemikhawulo Yezobuchwepheshe

Alukho uhlelo lwenkinobho ye-cortical olungenayo ingozi. Izinkinga ezifanele zincike ku-anatomy nenqubo, kodwa lezi zinkinga ezilandelayo zingadinga ukucatshangelwa:

Ukonakala kwenkinobho: isigxivizo singase singahlali endaweni ehloselwe ikhohlo.
I-soft-tissue interposition: izicubu zingavaleleka phakathi kwenkinobho nethambo.
Ukufuduka noma ukunqanyulwa: ukulahlekelwa indawo yenkinobho ehlosiwe kungafaka ukwakhiwa engozini.
Ukwelulwa kweluphu noma ukunyakaza kokuxhunyelelwa: ukususwa ngaphansi kokulayisha okujikelezayo kungase kuthinte indawo yokulungisa.
Ukunwetshwa komhubhe: izinguquko zomhubhe ziyizinto eziningi futhi zingase zihlotshaniswe nokunyakaza kokuxhunyelelwa, isayensi yezinto eziphilayo kanye namasu.
I-Cortical compromise: ukuphuma emhubheni okunganele, ukuphuma kwe-cortical noma ikhwalithi yamathambo ephansi kungase kuthinte ukusekela.
Ukulimala kwe-Neurovascular: ingozi incike endleleni yokuhlinzwa, isiqondiso sokumba, i-anatomy kanye nenqubo.
Ukutheleleka, ukuqina noma ukwehluleka kwezicubu: izinkinga zokuhlinzwa ezijwayelekile kanye nenqubo ethile zihlala zingenzeka.

Ubufakazi kufanele buhlale bucacile benqubo: amanani ezinkinga ezivela ekulungiseni i-biceps e-distal akufanele anikezwe njengezilinganiso ze-ACL zezinkinga, futhi idatha ye-Latarjet yokuphindaphinda noma ukusebenza kabusha akufanele isetshenziselwe ukubikezela ukuphulukiswa kwe-tendon-to-bone emadolweni noma endololwaneni.

Odokotela Abahlinzayo Bayikhetha Kanjani Inkinobho Ye-Cortical?

Ukukhethwa kusekelwe ohlelweni oluphelele lokwakha kabusha esikhundleni sesimangalo sokumaketha mayelana namandla. Okucatshangelwayo okubalulekile kuhlanganisa:

inkomba egunyaziwe ye-anatomical kanye nokubhaliswa kwemakethe yendawo;
iluphu engaguquki noma ukuhamba komsebenzi okulungisekayo;
izilinganiso zezinkinobho kanye ne-cortical footprint;
impahla yeluphu, ubude bebanga kanye nendlela yokulungisa;
uhlobo lokuxhunyelelwa, ububanzi nobude obulungisiwe;
umhubhe noma ububanzi besokhethi, ukujula nobuqotho be-cortical;
izinga lamathambo kanye nesimo sokubuyekeza;
ama-drill ahambisanayo, iziqondiso, ama-sutures adlulayo kanye nezinsimbi ezicindezelayo;
ukulungiswa kuhlelwe ngakolunye uhlangothi lokwakhiwa kabusha;
ukuqeqeshwa kodokotela abahlinzayo kanye nenqubo eqondene nenqubo.

Amadokhumenti edivayisi ye-FDA yesistimu yokulungisa i-cortical ibala ikhwalithi enganele yethambo le-cortical noma ubuningi njengento engaba khona ukungqubuzana. Ngakho-ke ukuphikisana okuqondene nomkhiqizo kufanele kubuyekezwe kunokuthatha ngokuthi ukulungiswa kwe-cortical kulungele isiguli ngasinye.

I-Cortical Fixation Systems Yezibhedlela Nabasabalalisi

Izibhedlela, abasabalalisi kanye nozakwethu be-OEM/ODM kufanele bahlole iphothifoliyo yokulungisa i-ligament ephelele, hhayi inkinobho ebonakalayo ye-titanium kuphela. I-XC Medico izinhlelo zemithi yamathambo nezemidlalo zihlanganisa izigaba eziningi zokulungisa ukuze zisetshenziswe ngochwepheshe.

I i-ligament fixation titanium plate kanye nezigaba zezinkinobho kufanele zihlolwe ngenombolo yekhathalogi, ukusetshenziswa okuhlosiwe, izinto ezibonakalayo, ukucaciswa kweluphu namathuluzi ahambisanayo. Amaqembu okuthenga kufanele acele imibhalo yamanje yokucushwa okuqondile kanye nemakethe.

I-procurement checkpoint	Okufanele uqinisekise
Inkomba	Ukusetshenziswa okuqondile kwe-ligament, i-tendon, ukujoyina kanye nokulungisa okushiwo ekulebulani kwamanje komkhiqizo
Ukucushwa kwedivayisi	Ubukhulu bezinkinobho, uhlobo lweluphu, ububanzi beluphu, impahla ye-suture nokuhluka okutholakalayo
Izinsimbi	Izivivinyo ezihambisanayo, imihlahlandlela yomhubhe, izikali zokujula, abadlulayo namathuluzi okuqinisa amandla
Ubufakazi bemishini	Ukulayisha okusebenzayo komjikelezo, ukugudluzwa nokuhlolwa kokwehluleka ekucushweni kokugcina kwedivayisi
Amadokhumenti	Izitifiketi, imiyalelo yokusetshenziswa, ukulandeleka, isimo esiyinyumba kanye nolwazi lwempilo yeshelufu
Ukufinyelela emakethe	Ukubhaliswa nezimangalo ezivunyelwe zezwe noma isifunda okuyiwa kuso

Ukuze uthole ukuthengwa okuphrofeshinali: cela ikhathalogi yamanje yokulungisa imisipha, imininingwane yedivayisi, uhlu lwamathuluzi ahambisanayo namadokhumenti okulawula aqondene nemakethe ngaphambi kokukhetha isistimu yokulungisa ikhohlo.

Hlola Izimila Zokulungisa I-Ligament Buyekeza inkinobho etholakalayo ye-titanium, ipuleti nezigaba zokulungisa ezihambisanayo. Xhumana ne-XC Medico Team Qinisekisa imininingwane, imibhalo, ukuhambisana kwamathuluzi kanye nezidingo zemakethe yendawo.

Imibuzo Evame Ukubuzwa Mayelana Nokulungiswa Kwenkinobho Ye-Cortical

Kuyini ukulungiswa kwenkinobho ye-cortical?

Kuyindlela yokulungisa elengayo lapho inkinobho ehlala khona ngokumelene nethambo lekhohlo futhi ixhuma nge-loop noma ukwakhiwa kwe-suture ku-graft ye-tendon, i-ligament graft noma izicubu ezithambile ezilungisiwe.

Ingabe inkinobho ye-cortical iyafana nesikulufu se-cortical?

Cha. Inkinobho yekholamu ivamise ukusebenza njengengxenye yokwakhiwa kwenkinobho neluphu elengayo. Isikulufu se-cortical sisebenzisa imicu ukuze sibandakanye ithambo futhi siyingxenye yesigaba sokulungisa esihlukile.

Uyini umehluko phakathi kwezinkinobho ze-fixed-loop nezinkinobho ezilungisekayo?

Idivayisi yeluphu engaguquki inobude obunqunywe kusengaphambili. Idivayisi ye-loop elungisekayo ivumela ubude beluphu ukuthi bushintshwe ngokuya ngokusetshenziswa kwayo okukhethekile kanye nezindlela zokucindezela.

Ingabe ukulungiswa kwenkinobho ye-cortical kwenza i-graft ye-ACL ilulame ngokushesha?

Ihlinzeka ngokulungiswa komshini ngenkathi ukuphulukiswa kwebhayoloji kukhula, kodwa akuqinisekisi ukufakwa kwegraft ngokushesha. Ukuphulukiswa kuncike ekwakhiweni kabusha okuphelele, i-tissue biology, ukulungiswa komhubhe, ukuzinza, ukuvuselelwa kanye nezici zesiguli.

Ingabe inkinobho yeloop elungisekayo ingcono kunenkinobho yeluphu engaguquki?

Hhayi jikelele. Ucwaningo lwelabhorethri luye lwathola umehluko we-biomechanical, kuyilapho izifundo zomtholampilo azizange zibonise ukuphakama okucacile ekuzinzeni, amaphuzu amadolo noma ukwehluleka kwe-graft. Ukukhetha kufanele kube inqubo- kanye nohlelo oluthize.

Yiziphi izinkinga ezingenzeka?

Izinkinga ezingaba khona zihlanganisa ukungami kahle, ukuhlangana kwezicubu ezithambile, ukufuduka, ukunwetshwa kweluphu, ukunwetshwa komhubhe, ukwehluleka ukulungisa kanye nenzwa ethile yenqubo, imithambo, ukutheleleka noma ukuqina.

Izinkomba Zezokwelapha Nezokulawula

Umshwana wokuzikhipha emthwalweni wezempilo: Lo mbhalo ungowolwazi olujwayelekile lochwepheshe nolwezemfundo. Akusona iseluleko sezokwelapha, indlela yokuhlinzwa, inkomba yomkhiqizo noma esikhundleni sokulebula idivayisi yamanje kanye nokwahlulela okuqondene nesiguli ochwepheshe bezempilo abaqeqeshiwe. Ukutholakala komkhiqizo, ukusetshenziswa okuhlosiwe kanye nesimo sokulawula siyahlukahluka ngokwemakethe. I-XC Medico inikezela ngemikhiqizo ezinhlanganweni ezingochwepheshe futhi ayidayisi ngqo ezigulini.

Iyini I-Cortical Button Fixation? Ukusetshenziswa, Izinhlobo kanye Nezingozi