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Ukuqinisekisa ukuphepha nokuhambisana, izimila zemithi yezemidlalo kufanele zigunyazwe ngamazinga omhlaba afana ne-FDA (USA), i-CE Mark (i-Europe), ne-ISO 13485 (izinhlelo zokuphatha ikhwalithi). Lezi zitifiketi zibonisa ukugunyazwa ngokomthetho nokuthembeka komkhiqizo.
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Odokotela abahlinzayo bacabangela izici ezifana nohlobo lokulimala, izinga lomsebenzi wesiguli, ikhwalithi yamathambo, izinto zokufakelwa, nendlela yokuhlinzwa. Ngokuvamile bathembele kokuhlangenwe nakho komtholampilo kanye nocwaningo lwamanje ukuze bakhethe amathuluzi okulungisa alungile e-ACL, i-meniscus, noma ukulungisa amahlombe.
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I-arthroscopy ehlasela kancane inciphisa ukuhlukumezeka kokuhlinzwa, ifinyeze isikhathi sokululama, yehlisa ubungozi bokutheleleka, futhi inikeza ukubonakala okuhle kakhulu ngokuhlanganyela. Sekuyiyona ndlela ejwayelekile yokuxilonga nokwelapha ukulimala kwamalunga okuhlobene nezemidlalo.
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Ukuphrinta kwe-3D kunika amandla i-prototyping esheshayo nokwenza ngokwezifiso okunembile kwezimila kanye nemihlahlandlela yokuhlinzwa. Ivumela izinkampani zamathambo ukuthi zenze amathuluzi aqondene nesiguli, ukufanisa ukuhlukahluka kwe-anatomical, nokuhlola ukusebenza kwe-biomechanical ngaphambi kokukhiqiza.
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Okuqanjwe kabusha kufaka phakathi amahange ahlanganisa wonke ama-suture, amahange azishayayo, ama-cannulated reamers, i-arthroscopy esizwa ukuzulazula, namathuluzi angokwezifiso aphrintwe nge-3D. Lawa mathuluzi athuthukisa ukusebenza kahle, anciphise ukulimala kwezicubu, futhi anikeze imiphumela engcono yokulungisa.
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Amathuluzi angokwezifiso athuthukisa ukunemba kokuhlinzwa, anciphisa isikhathi sokuhlinza, futhi athuthukise imiphumela yesiguli. Kuma-anatomies ayinkimbinkimbi noma okuncanyelwayo kodokotela abahlinzayo, imihlahlandlela yomuntu siqu noma amathuluzi aqinisekisa ukubekwa nokulingana kwezimila.
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Odokotela abahlinzayo basebenzisa amahange e-suture enziwe ngezinto ezifana ne-titanium, i-PEEK, noma ama-bioabsorbables. Lawa mahange afakwa ethanjeni futhi asetshenziselwa ukunamathisela kabusha i-tendon edabukile kusetshenziswa ama-suture aqinile. Izikhonkwane ezinemigqa ephindwe kabili noma i-all-suture zijwayelekile kuye ngesu lokulungisa.
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Izimila ze-PEEK zicwebezelayo futhi zinezici zomshini ezifana nethambo, okuzenza zilungele izinhlelo zokusebenza njengezikulufu eziphazamisayo, amahange we-suture, nezinkinobho zokulungisa. Zivame ukusetshenziswa ekwakhiweni kabusha kwe-ACL/PCL nokulungiswa kwamahlombe.
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Izimila ze-Bioabsorbable ziwohloka ngokuhamba kwesikhathi futhi ekugcineni zithathelwa indawo izicubu zemvelo, ziqede isidingo sokuhlinzwa kokususwa. Izimila ze-Titanium, ngakolunye uhlangothi, zingunaphakade, ziqinile, futhi ziyahambisana, kodwa zingadinga ukususwa uma kwenzeka kuba nokucasuka noma izinkinga.
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Izikulufu zokuphazanyiswa ze-ACL zisetshenziswa ngesikhathi sokwakhiwa kabusha komsipha ukuze kuvikeleke ukuxhunyelelwa (okungaba yi-autograft noma i-allograft) ngaphakathi komhubhe we-femoral noma we-tibial. Baqinisekisa ukulungiswa ngokushesha futhi basize ukwenza lula ukuphulukiswa kwezinto eziphilayo phakathi kwe-graft nethambo.
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Izinto ezivamile zifaka ingxubevange ye-titanium, i-PEEK (i-polyether ether ketone), insimbi engagqwali, nama-polymers atholakala nge-bioabsorbable njenge-PLLA noma i-PGA. Inketho incike ezintweni ezifana namandla, ukuhambelana kwe-biocompatibility, kanye nokuthi ukufakelwa kwakhelwe ukuhlala emzimbeni noma kuncibilike ngokuhamba kwesikhathi.
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Isikhathi sokululama siyahlukahluka ngobukhulu besiguli nokulimala, kodwa iziguli eziningi zibuyela emsebenzini okhanyayo phakathi nezinyanga ezingu-3-6. Ukuthola kabusha okuphelele kwemidlalo yokuncintisana kungase kuthathe izinyanga ezingu-6-9 noma ngaphezulu, kuye ngenqubekelaphambili yokubuyisela.
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Ukulimala okuvame kakhulu kuhlanganisa izinyembezi ze-anterior cruciate ligament (ACL), izinyembezi ze-meniscal, ukulimala kwe-rotator cuff, izinyembezi ze-labral, nezilonda ze-cartilage. I-arthroscopy ivumela odokotela abahlinzayo ukuthi balungise noma bakhe kabusha izicubu ezilimele ngokuphazamiseka okuncane kanye nezikhathi zokululama ngokushesha.
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Ukuhlinzwa kwe-arthroscopic kuyinqubo ehlasela kancane lapho ikhamera encane (i-arthroscope) nezinsimbi kufakwa ngezisindo ezincane ukuze kuhlonzwe nokwelapha izinkinga ezihlanganyelwe. Ngokuvamile kunconywa ngezinyembezi ze-ligament, ukulimala kwe-meniscus, ukulimala koqwanga, nokungaqini kwamalunga, ikakhulukazi edolweni, ehlombe, naseqakaleni.
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Umuthi wezemidlalo igatsha elikhethekile le-orthopedics eligxile ekuvimbeleni, ekuxilongeni, nasekwelapheni ukulimala kwamathambo okuhlobene nokusebenza komzimba. Idlala indima ebalulekile ekusizeni abasubathi kanye nabantu abakhuthele ukuthi balulame ngokwelashwa okuhlinzayo nokungahlinzeki, okuhlanganisa ukwelapha ngokomzimba, izinqubo ze-arthroscopic, nokwakhiwa kabusha okusekelwe ekufakweni okufana ne-ACL noma ukulungiswa kwekhafu ye-rotator.
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Siphendula yonke imibuzo emahoreni ayi-12.
Sihlala sinikeza isevisi esheshayo nephrofeshinali.
Njengomphakeli onomthwalo wemfanelo, sizibophezele ngokugcwele kuwo wonke ama-oda avela kumakhasimende ethu.
Uma izinkinga zenzeka ngenxa yephutha lethu (njengezinkinga zekhwalithi noma ukubambezeleka kokulethwa), sizozixazulula ngaphandle kokungabaza!
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Sinikeza izinsizakalo ezilandelayo ngokwezifiso:
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Ukubhrenda ilogo yakho emikhiqizweni yethu ekhona
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Ukukhiqiza ngokwemidwebo yakho
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Ukuklama ngokusekelwe kusampula yakho nokudala imidwebo yobuchwepheshe
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Sinempahla enkulu futhi ngokuvamile singathunyelwa lingakapheli iviki elilodwa.
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Yebo, singahlinzeka ngamasampula wamahhala wokuhlolwa kwekhwalithi. Sicela usazise izidingo zakho ezithile.
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Singabakhi bezimila zamathambo nezinsimbi zokuhlinza. Imikhiqizo yethu eyinhloko ihlanganisa:
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Izimila zomgogodla
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Izinzipho ze-Intramedullary
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Amapuleti e-Trauma (ukukhiya nokungakhiyi)
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Amapuleti e-Craniomaxillofacial
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Amathuluzi amandla okuhlinza
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Izilungisi zangaphandle
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Ama-prostheses ahlangene e-hip namadolo
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Imikhiqizo yemithi yezemidlalo
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Izinsimbi ze-Laparoscopic
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Izinsimbi ezijwayelekile zamathambo
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Imikhiqizo yamathambo ezilwane
