I-Knee Ligament Fixation Devices Ishintsha Kanjani Ukulungiswa kwe-ACL?

Umuthi wezemidlalo · Umhlahlandlela wokwakha kabusha we-ACL

Amadivayisi okulungisa i-ACL graft avikela ukuxhunyelelwa kokwakhiwa kabusha ku-femur kanye ne-tibia kuyilapho ukuhlanganiswa kwezinto eziphilayo kukhula. Izikulufu zokugxambukela, izinkinobho zekholamu, okuyisisekelo, amaposi, amahange, nezakhi eziyingxubevange kudala ukulungiswa ezindaweni ezihlukene nangezindlela ezihlukene. Ayikho idivayisi eyodwa elungele sonke isiguli, ukuxhunyelelwa, umhubhe, noma isimo sokubuyekeza.

Ukuzinza kwasekuqaleni Ukulungiswa kuvikela isimo sokuxhunyelelwa kanye nokungezwani phakathi nesikhathi sokuqala ngaphambi kokuhlanganiswa kwe-graft-to-bone.

Ukukhetha okukhethekile kobuchwepheshe Uhlobo lokuxhunyelelwa, ikhwalithi yamathambo, idizayini yomhubhe, i-anatomy yokubuyekeza, kanye nokukhetha idivayisi yomhlahlandlela wokuhlangenwe nakho kodokotela abahlinzayo.

Akekho owinile jikelele Izindlela zokulungisa ezivamile ezingaveza imiphumela emihle uma zifaniswe kahle futhi zisetshenziswa ngokunembile.

I-anatomy ehlangene yedolo kanye nomqondo wokulungisa i-ACL graft — Ukwakhiwa kabusha kwe-ACL kudinga ukuxhunyelelwa okubekwe kahle kanye nokulungiswa okuvikelekile kuzo zombili izinhlangothi ze-femoral ne-tibial.

Ukulungisa I-ACL kanye Nokwakhiwa Kabusha kwe-ACL Akuyona Inqubo Efanayo

Amagama okukhanda kwe-ACL kanye nokwakhiwa kabusha kwe-ACL akufanele kusetshenziswe ngokushintshana.

Inqubo	Yini ephathwayo	Indlela yokulungisa isetshenziswa
Ukulungiswa kwe-ACL okuyisisekelo	Izinyembezi ezikhethiwe zilinganiselwa kabusha ngomzamo wokulondoloza umsipha wendabuko wesiguli.	Ama-Sutures, amahange, izinkinobho, noma i-augmentation construct ingase isekele i-ligament elungisiwe, kuye ngokuthi isu.
Ukwakhiwa kabusha kwe-ACL	I-ACL edabukile ishintshwa ngokusebenza ngokufakwa okuzenzakalelayo noma i-allograft.	I-graft ivikelwe emigodini ye-femoral kanye ne-tibial noma amasokhethi kusetshenziswa i-aperture, i-suspensory, noma ukulungiswa kwe-hybrid.

Lesi sihloko sigxile kakhulu ekulungiseni ukuxhunyelelwa phakathi nokwakhiwa kabusha kwe-ACL . Ukulungisa okuyinhloko kutholakala kuphela kumaphethini okulimala akhethiwe futhi kunezinkomba ezihlukene, ibhayoloji, izinsimbi, nokucatshangelwa kokubuyisela.

Amadivayisi okulungisa awenzi inqubo ye-ACL ukuthi ihlasele ngokwawo. Ukufinyelela kwe-arthroscopic, umhubhe noma ukulungiswa kwesokhethi, ukukhetha kokuxhunyelelwa, ukwelashwa okuhlobene ne-meniscal noma uqwanga, kanye nendlela yokuhlinza iyonke inquma ukuphazamiseka nokululama kwezicubu.

Kungani I-Graft Fixation Ibalulekile Ekwakhiweni Kabusha kwe-ACL?

I-graft yokwakha kabusha kufanele ikhiqize kabusha umsebenzi wokuzinzisa we-ACL yomdabu. Ngaphambi kokuthi kusungulwe ukuhlanganiswa kwebhayoloji, ukwakhiwa kokulungiswa kuthwala umthwalo futhi kukhawulele ukususwa kwegraft. Umgomo uwukugcina isimo sokuxhunyelelwa okuhlosiwe kanye nokungezwani ngaphandle kokulimaza i-graft noma ukuphazamisa umhubhe wamathambo.

I-Graft elungiselelwe Uhlobo, usayizi, ubude, neziphetho zokulungisa ziyaqinisekiswa.

Amahubhu noma amasokhethi adaliwe Isikhundla, ububanzi, ubude, kanye ne-cortex kuyahlolwa.

I-Graft pass futhi i-Tensioned Orientation nokuhlala kuyahlolwa.

Ukulungiswa kuqinisekisiwe Indawo yedivayisi, ukushuba kwesixhumi, ukunyakaza, nokuzinza kuyahlolwa.

Ukulungiswa kuyingxenye eyodwa kuphela yokwakha kabusha. Ukubekwa komhubhe, ukukhethwa nokulungiswa kwe-graft, ukuzenza, ukuma kwamadolo ngesikhathi sokulungiswa, ukwelashwa kokulimala okuhlobene, ukuvuselelwa, kanye nezici zesiguli nakho kuthinta umphumela.

Imbobo, iSuspensory, kanye nokulungiswa okungeziwe

Ukulungiswa kwe-aperture

Ukulungiswa kwembobo kuvikela i-graft eduze nokuvuleka komugqa ohlangene womhubhe wamathambo. Isikulufu sokuphazanyiswa yisibonelo esijwayeleke kakhulu. Isikulufu sicindezela i-graft yezicubu ezithambile noma ibhulokhi yethambo odongeni lomhubhe. Lokhu kungakhawulela ukunyakaza komhubhe, kodwa ukubekwa kufanele kugweme ukusikeka kwegraft, ukwehlukana, ukungena ngokuhlanganyela, nokulahlekelwa ukulungiswa.

Ukulungiswa kwe-Suspensor

Ukulungiswa kwe-Suspensory kudlulisa umthwalo wegraft ku-cortex yangaphandle. Inkinobho ye-cortical eneluphu engashintshi noma elungisekayo ivamise ukusetshenziswa ohlangothini lwesifazane futhi ingasetshenziswa namasu angaphakathi konke. Ubude obunembile bomhubhe, ukudlula kwezinkinobho, ukuthunyelwa kwe-cortical, ukuphathwa kwe-loop, kanye nezihlalo zokuxhunyelelwa kubalulekile.

Ukulungiswa okungeziwe noma okuhlanganisiwe

I-hybrid construct ihlanganisa izindlela zokulungisa, noma yengeza isisekelo, i-post-and-washer, ihange, noma enye idivayisi eyisipele lapho udokotela ohlinzayo enokukhathazeka mayelana nokulungisa okuyisisekelo. Ukulungiswa okungeziwe kunezela ukuxhumana ne-hardware, ngakho inzuzo yakho kanye nezimpawu ezingaba khona kufanele kucatshangelwe icala ngalinye.

Izinhlobo ze-Knee Ligament Fixation Devices

Izikulufu zokuphazanyiswa

Ukulungiswa kwe-aperture Femoral noma i-tibial

Ibekwe ngaphakathi komhubhe ukuze ucindezele i-graft noma i-bone block. Izinketho zifaka i-metallic, i-PEEK, ne-bioabsorbable noma i-biocomposite materials. Ububanzi, ubude, idizayini yochungechunge, indlela yokufaka, nodaba lokuvikela ukuxhunyelelwa.

Izinkinobho zeCortical

Ukulungiswa kwe-Suspensory Fixed noma iluphu elungisekayo

Inkinobho izihlalo ku-cortex yangaphandle kuyilapho iluphu isekela igraft. Isu lingakwazi ukwamukela ukuxhunyelelwa kwezicubu ezithambile kanye nokwakhiwa kabusha okusekelwe esokhethi, kodwa kudinga ukuthunyelwa okuqinisekisiwe nokuhlala.

Okuyisisekelo nokuthunyelwe

yasenqolobaneni yokulungiswa okwengeziwe Inketho yokwenza ikhophi

Ama-ligament staples noma ama-screw-and-washer constructs angase avikele ama-sutures noma aqinise ukulungiswa kwe-tibial ezimweni ezikhethiwe. Ukugqama kwezingxenyekazi zekhompuyutha nokucasuka kwendawo kuyizinto ezifanele.

Amahange e-Suture nokwengeza

Ukulungisa noma ukuqinisa Technique kuncike

Amahange angakwazi ukuvikela izicubu ezithambile noma ama-sutures kumasu okukhanda akhethiwe kanye nokwengeza. I-Suture-tape augmentation ayithathi indawo yenkomba efanele, ukubekwa kwe-anatomic, ukucindezeleka okufanele, noma ukuphulukiswa kwebhayoloji.

Izibonelo zamadivayisi okulungisa i-ACL ligament ukuze kwakhiwe kabusha i-graft — Izinhlelo zokulungisa ze-ACL zingabandakanya izikulufu zokuphazanyiswa, izinkinobho, izisekelo, amahange, namathuluzi okufaka enqubo ethile.

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

Iqembu lezinto ezibonakalayo	Izinzuzo ezingaba	khona Ukucatshangelwa okubalulekile
I-Titanium noma amanye amadivaysi ensimbi	Amandla aphezulu, ukusetshenziswa okumisiwe, okubonakalayo kuma-radiographs, futhi akukho mpendulo yokwehliswa.	I-artifact yokufanekisa, izimpawu ezingaba khona zehadiwe, kanye nokuphazamiseka okungaba khona emsebenzini wokubuyekeza womhubhe.
I-PEEK	I-polymer ene-radiolucent, ayikho i-bioabsorption, nokubonakala kalula komhubhe ozungezile kwezinye izithombe.	Idivayisi ihlala emzimbeni; isikhundla singadinga omaka be-radiopaque noma okunye ukuqinisekiswa.
I-bioabsorbable noma i-biocomposite polymers	Idizayinelwe ukwehlisa isithunzi ngokuhamba kwesikhathi futhi ingase yehlise izinto ezifakwa unomphela.	Ukuwohloka kuncike ezintweni ezibonakalayo; i-cyst, impendulo yokuvuvukala, ukuphuka, ukufuduka, noma izinguquko zomhubhe kuye kwabikwa.

Ukuhlaziywa kwe-meta yokuhlola okungahleliwe okungu-14 akutholanga mehluko obalulekile ekusebenzeni kwamadolo okuzithoba noma ukuxega phakathi kwezikulufu zokuphazanyiswa ze-bioabsorbable nezensimbi, kuyilapho iqembu le-bioabsorbable libe nengozi ehlanganisiwe ephezulu yezinkinga. Lokhu akusho ukuthi zonke izikulufa zensimbi ziyakhethwa; impahla, idizayini, ukuxhunyelelwa, amasu, kanye nesimo sesiguli kusebalulekile.

Indlela Odokotela Abahlinzayo Abakhetha Ngayo I-ACL Fixation Construct

Ukukhethwa kwenzelwa izinhlangothi zombili zokuxhunyelelwa. Amadivayisi we-femoral kanye ne-tibial akudingeki asebenzise indlela efanayo. Izici ezibalulekile zifaka:

I-Graft: ithambo-patellar tendon-bone, i-hamstring, i-quadriceps tendon, i-autograft noma i-allograft, i-soft-tissue-only noma i-bone-block end.
Idizayini yomhubhe: umhubhe ogcwele noma isokhethi, ububanzi, ubude, ubuqotho be-cortical, isiqondiso somhubhe, nesitoko samathambo esitholakalayo.
Izici zesiguli: ikhwalithi yamathambo, ubudala, imigomo yomsebenzi, ukuvuthwa kwamathambo, ukuhlinzwa kwangaphambili, nokulimala okuhlobene.
Ukuhlinzwa okuyisisekelo noma okubuyekeziwe: ukunwetshwa okukhona komhubhe, izingxenyekazi zekhompyutha ezigciniwe, ukukhubazeka kwamathambo, kanye nesidingo sokwakhiwa kabusha kwesiteji.
Izidingo zokwakha: ukulandelana okuqinile okuhleliwe, indawo yokulungisa, ukulungiswa kwekhophi yasenqolobaneni, izidingo zesithombe, nokubuyekeza okulindelekile.
Ukuhambelana kwesistimu: usayizi wokuxhunyelelwa, ubukhulu bokubhoboza kanye nomhlahlandlela, izifakeli zokufakelwa, ubude beluphu, ubukhulu bezikulufu, nokuxhumana okuqinisekisiwe kwedivayisi.
Okuhlangenwe nakho kodokotela abahlinzayo: ukujwayela ukuthunyelwa, izindlela zokwehluleka, izinketho zokuhlenga, nokuqinisekiswa kwangaphakathi.

I-XC Medico Isistimu yokulungisa imigqa ye-ACL/PCL ibonisa izibonelo zokufakelwa kanye nokucushwa kwezinsimbi. Ulwazi lomkhiqizo kufanele luhlale lubuyekezwa ngokumelene nokusetshenziswa okuhlosiwe okugunyaziwe kwedivayisi kanye nezindlela ezihleliwe zikadokotela ohlinzayo.

Ingabe Izinkinobho Noma Izikulufa Zokugxambukela Zikhiqiza Imiphumela Engcono?

Ubufakazi bamanje abusekeli izinga elilula lamazwe ngamazwe. Ukuhlaziywa kwe-meta yenethiwekhi okuqhathanisa isikulufu sokuphazamisa, inkinobho yekhohlo, kanye nokulungiswa kwe-femoral okuphina-phina kwama-hamstring autografts akutholanga umehluko ophawulekayo wezibalo kuyo yonke imiphumela eyinhloko yomtholampilo efundwayo. Okunye ukubuyekezwa okuhlelekile kwathola ukusebenza okufanayo, ukuxega, kanye nemiphumela yokuhlehla phakathi kokulungiswa okumisiwe okungaphakathi kwakho konke kanye nokwakhiwa kabusha komhubhe ogcwele, kuyilapho okunye okutholwe komhubhe we-radiographic kuhluka.

Umbuzo wokuqhathanisa	Ukutolika okunokulinganisela
Ingabe ukulungiswa kwembobo kune-anatomic?	Ivikela ukuxhunyelelwa eduze nokuvuleka komugqa womugqa ohlanganyelwe, kodwa impumelelo ye-anatomic iphinde incike endaweni efanele yomhubhe, usayizi wokuxhunyelelwa, ukushuba, kanye nokubekwa.
Ingabe ukulungiswa kwe-suspensor kunamandla?	Ukumiswa kwe-Cortical kunganikeza amandla anele okuqala, kodwa ukusebenza kokwakha kuncike endaweni yezinkinobho, ukuziphatha kwe-loop, i-cortex, umhubhe, nokuxhunyelelwa.
Ingabe isikulufu se-bioabsorbable siyayithuthukisa imiphumela?	Yehlisa izinto ezisansimbi ezihlala unomphela, kodwa ukuphakama komtholampilo akukakasungulwa futhi izinkinga eziqondene nezinto ezithize zidinga ukucatshangelwa.
Ingabe ukulungiswa kwekhophi kuhlale kusiza?	Kungase kube usizo lapho ukulungisa okuyinhloko kuwukukhathazeka, kodwa kungeza izingxenyekazi zekhompuyutha futhi kungase kungayithuthukisi imiphumela enengqondo kukho konke ukwakhiwa kabusha kwesimiso.

Isiphetho esisebenzayo siwukuthi ukulungiswa okuvikelekile, okusetshenziswe ngokunembile okufaniswa ne-graft nomhubhe kubaluleke kakhulu kunokukhetha idivayisi ngesigaba sokumaketha sodwa.

Indlela Instrument Setha ngayo Ukusekela Ukwakhiwa Kabusha kwe-ACL

I-implant isebenza njengengxenye yesistimu ephelele. Imihlahlandlela yomhubhe, amabhlokhi osayizi, ama-suture adlulayo, ama-reamers, izikali zokujula, izinkinobho ezifaka izinkinobho, izikrudrayivu, ompompi, amathuluzi okulungiselela i-graft, kanye nokuhlelwa kwethreyi konke kuthinta ukuhamba komsebenzi. Igayidi engafani, umshayeli owonakele, usayizi wokubhoboza ongalungile, noma ithuluzi elidlulayo elingekho lingaphazamisa uhlelo lokulungisa olufanele.

Ithuluzi lokwakha kabusha imisipha ye-cruciate lisethelwe ukuhlinzwa kwe-ACL ne-PCL — Isethi yensimbi efaniswe nenqubo ingahlela ukulungiswa komhubhe, indawo yokuxhunyelelwa, nezinyathelo zokulungisa zokwakhiwa kabusha kwe-ACL noma i-PCL.

Hlola i- isethi yethuluzi lokwakha kabusha i-ligament e-in cruciate noma ebanzi I-arthroscopic ithuluzi-set range . Ngaphambi kokusebenzisa, qinisekisa okuqukethwe kwethreyi, ukuhambisana, imiyalelo yokuhlanza nokuvala inzalo, indlela yokuhlola, nokutholakala kokushintshwa.

Izinkinga Ezingenzeka Ezihlobene Nokulungiswa

Izinkinga zingavela kusukela kudivayisi, ukuxhunyelelwa, umhubhe, indlela yokwenza, ibhayoloji, ukutheleleka, ukuvuselelwa, noma ukulimala kabusha. Izinkinga ezihlobene nokulungiswa zingabandakanya:

ukulahlekelwa ukulungiswa, ukushelela, ukunwetshwa, noma ukuxega kokwakha;
ukufuduka kwenkinobho, ukufakwa kwe-cortical okungaphelele, ukuhlangana kwezicubu ezithambile, noma izinkinga ezihlobene ne-loop;
ukuhlukana ngezikulufu, ukuphuka, ukufuduka, ukungena ngokuhlanganyela, noma ukulimala kokuxhunyelelwa ngesikhathi sokufakwa;
okuyisisekelo okuvelele, okuthunyelwe, iwasha, noma inkinobho ebangela ukucasuka kwendawo;
ukunwetshwa komhubhe, ukwakheka kwesimila, noma impendulo yokuvuvukala ehlobene nezinto ezibonakalayo;
ubunzima bokuhumusha izithombe noma ukulungiswa komhubhe wokubuyekeza esikhathini esizayo;
ukutheleleka, ukuqina, i-arthrofibrosis, ukungazinzi okuqhubekayo, ukwehluleka kwe-graft, noma ukulimala kabusha.

Izimpawu nokululama akukwazi ukubikezelwa kusuka kudivayisi yokulungisa kuphela. Ukungazinzi okusha, imfiva, ukugeleza kwenxeba, ukuvuvukala okukhulayo, ubuhlungu bethole, ukulahlekelwa ukunyakaza, noma ubuhlungu obuqhubekayo obungalindelekile kudinga ukuhlolwa yithimba lezokwelapha.

Ingabe Ukulungiswa Okuqinile Kusho Ukuvuselelwa Okusheshayo?

Ukulungiswa kwasekuqaleni okuvikelekile kusiza ukusekela uhlelo lokubuyisela esimweni esihleliwe, kodwa akufinyezisi ukutakula ngokuzenzakalelayo. Ukuthwala isisindo, ukuqiniswa, ukunyakaza okuhlukahlukene, ukuqinisa, ukugijima, ukuzulazula, nokuqhubekela phambili kokubuyela emdlalweni kuncike ekuxhunyweni, izinqubo ezihambisana ne-meniscal noma uqwanga, ukulungiswa, ukuvuvukala, amandla, ukulawula kwe-neuromuscular, ukuhlolwa komtholampilo, kanye nephrothokholi yodokotela ohlinzayo kanye nomelaphi womzimba.

Isiqondiso se-AAOS sigcizelela ukuhlola okusebenzayo ngaphambi kokubuyela kwezemidlalo futhi sincoma ukuvuselelwa komuntu ngamunye. Idivayisi yokulungisa akufanele isetshenziswe njengesona sizathu sokusheshisa ukulayisha noma ukususa i-brace. Ukwakhiwa kabusha okuningi kwe-ACL kwenziwa njengezinqubo zokulaliswa ngaphandle, kodwa isikhathi sokukhishwa sinqunywa isimo somtholampilo esiphelele kunesigaba sokufakelwa.

Yini Okufanele Ihlolwe Izibhedlela Nabasabalalisi?

Ukubuyekezwa kokuthengwa kwempahla kufanele kuxhume isigxivizo ngasinye kumathuluzi ako, ukulebula, imibhalo yokulawula, kanye nokulandeleka. Ikhathalogi ephucuziwe noma isimangalo esibanzi sokuthobela umthetho wamazwe ngamazwe akwanele.

Qinisekisa ukusetshenziswa okuhlosiwe nokugunyazwa kwemakethe Fanisa ngqo idivayisi, imodeli, impahla, umkhiqizi osemthethweni, ukuhlukaniswa, kanye nemakethe yendawo.
Buyekeza ukuhambisana kwezinsimbi zokufakelwa Hlola izixhumanisi zabashayeli, osayizi bokubhoboza nomhubhe, izifaki, amageji okujula, izinkinobho, amaluphu, izikulufu, izisekelo, nezinketho zokwenza ikhophi yasenqolobaneni.
Qinisekisa izinto ezisetshenziswayo kanye nobufakazi bemishini Cela imininingwane, izitifiketi ezixhumene kakhulu, izivivinyo ezifanele, izindlela zokuhlola, kanye nenqubo yokwamukela.
Hlola isimo sokupakisha nokuvala inzalo Cacisa ukunikezwa okungenanyumba noma okungabulali, impilo yeshalofu lapho kufanele khona, ukulebula, ukulandeleka, kanye nemiyalo eqinisekisiwe yokucubungula kabusha.
Hlola ithreyi eliphelele Sebenzisa ishidi lokubala elilawulwayo, qinisekisa izimpawu nesimo, nomsebenzi wethuluzi lokuhlola ngaphambi kokugunyazwa.
Buyekeza isilawuli soshintsho nokwesekwa kwesikhalazo Chaza isaziso sezinguquko kokokusebenza, idizayini, umphakeli, inqubo, ilebula, ukupakishwa, noma ukuvala inzalo.

Abathengi bangabuyekeza i-XC Medico's ukulawula izinga kanye nenqubo yokuhlola nokucela ubufakazi obuqondene nedivayisi ngesikhathi sokufaneleka.

Related XC Medico Sports Medicine Resources

I-Ligament Fixation System ACL/PCL izimila zokwakhiwa kabusha, izinketho zokulungisa, nezinsimbi ezihambisanayo. Ukucaciswa kwe-Ligament Fixation Staple Staple yezinhlelo zokusebenza ezikhethiwe zezicubu ezithambile nezingeziwe zokulungisa. I-Cruciate Ligament Instrument Set Guides nezinsimbi zomhubhe we-ACL/PCL kanye nokulungiselela isokhethi. Amasethi Amathuluzi E-Arthroscopy Phequlula inqubo eqondene ne-arthroscopy kanye namathuluzi okwakha kabusha umsipha. Ukucushwa kwe-Suture Anchor Anchor kwezinqubo ezikhethiwe zokulungisa izicubu ezithambile. I-Sports Medicine System Hlola imisipha, i-meniscal, i-arthroscopy, i-suture, kanye nemikhiqizo yemithi yezemidlalo ehlobene. Ukulawulwa Kwekhwalithi Buyekeza ukuhlolwa kokukhiqiza, ilabhorethri, nolwazi lokulandeleka. Ukucaciswa kwesicelo somkhiqizo wobuchwepheshe , imininingwane yokuhambisana, izitifiketi, noma imibhalo yomkhiqizo.

imibuzo ejwayelekile ukubuzwa

Yini ebambe i-graft ye-ACL endaweni?

I-graft ngokuvamile ivikelwe ezinhlangothini ze-femoral kanye ne-tibial ngezikulufu zokuphazanyiswa, izinkinobho ze-cortical, izikhonkwane eziphambene, izigxobo, ama-staples, noma inhlanganisela. Ukwakhiwa kuncike ohlotsheni lokuxhunyelelwa, ukwakheka komhubhe, ikhwalithi yamathambo, kanye nezindlela.

Uyini umehluko phakathi kwesikulufu sokuphazanyiswa kanye nenkinobho yekhohlo?

Isikulufu sokuphazamisa sihlinzeka ngokulungiswa kokuvula ngokucindezela i-graft noma ibhulokhi yethambo ngaphakathi komhubhe. Inkinobho ye-cortical inikeza ukulungiswa okulengayo ngokuhlala ku-cortex yangaphandle nokusekela i-graft ngokusebenzisa iluphu.

Ingabe izikulufu ze-ACL ezitholakala nge-bioabsorbable zingcono kunezikulufu zensimbi?

Hhayi jikelele. Ubufakazi besivivinyo esingahleliwe buye bathola umsebenzi ofanayo wokuzicabangela kanye nokuxega, kuyilapho okunye ukuhlaziya okuhlanganisiwe kubika izinkinga eziningi ngezikulufu ezikwazi ukumuncwa. Impahla, idizayini, indlela yokwenza, ukuthwebula izithombe, nokucutshungulwa kokubuyekeza konke kubalulekile.

Ingabe idivayisi efanayo yokulungisa ingasetshenziswa kuwo wonke ama-graft?

Cha. Izixhumi zethambo nezicubu ezithambile zinezindawo zokusebenzelana ezihlukene, futhi ububanzi be-graft, ubude, ukwakheka komhubhe, nethambo lekholamu kuthinta ukuhambisana. Landela imiyalelo yedivayisi egunyaziwe kanye nezindlela zokuhlinza ezihleliwe.

Ingabe i-brace yangaphakathi ingena esikhundleni sokuxhunyelelwa kwe-ACL?

Hhayi ngokuzenzakalelayo. I-Suture-tape augmentation ingase iqinise ukulungiswa okukhethiwe noma ukwakha kabusha, kodwa indima yayo incike enkambisweni nasekuboniseni. Ayilungisi ikhwalithi yethishu empofu, ukubekwa kwe-nonanatomic, noma ukulungiswa okuyisisekelo okunganele.

Ingabe amadivayisi okulungisa i-ACL adinga ukususwa?

Ukususwa okujwayelekile akudingekile njalo. Ukususwa kungase kucatshangelwe njengezingxenyekazi zekhompuyutha ezinezimpawu noma ezivelele, ukutheleleka, ukufuduka, ukuhlinzwa okubukeziwe, noma esinye isizathu esithile somtholampilo.

Isiphetho

Imishini yokulungisa i-ACL yenza ukwakhiwa kabusha kwesimanje kwenzeke ngokuzinzisa ukuxhunyelelwa ngenkathi ukuhlanganiswa kwezinto eziphilayo kwenzeka. Inani labo livela ekuhlanganisweni kwenkomba elungile, ukubekwa komhubhe we-anatomic, izinsimbi ezihambisanayo, ukungezwani okufanele, ukuthunyelwa kwedivayisi okuqinisekisiwe, nokuvuselelwa okuhlelekile. Izikulufu zokugxambukela, izinkinobho zecortical, kanye nezakhi eziyingxube ngayinye inezindima eziwusizo; ukukhetha kufanele kube okomuntu ngamunye kunokuba kusekelwe esimangalweni 'sedivayisi engcono kakhulu'.

Izinkomba kanye Nesisekelo Sokuhlela

Umshwana wokuzikhipha emthwalweni wezokwelapha kanye nomthetho: Lesi sihloko semfundo evamile nezinjongo zereferensi yomkhiqizo wochwepheshe. Ayihloli ukulimala kwe-ACL, incoma ukuhlinzwa, ikhethe okokufakelwa, noma imiselele imiyalelo yedivayisi, imithetho yendawo, noma ukuhlolwa ochwepheshe bezempilo abaqeqeshiwe nabaqondisi. Ukutholakala komkhiqizo nezinkomba ezigunyaziwe ziyahlukahluka ngezwe.