Ngasekuqaleni kweminyaka yama-1990s Umbono owavela emgomweni wokuxhasa ongaphansi komhlaba "ocwilayo" eSouth Texas, e-USA, okungukuthi, ngokudonsa ngocingo lwensimbi engaphansi komhlaba endaweni, isakhiwo esingaphansi komhlaba simiswe ngokuqinile e- "WICKING OWRAME" ngakolunye uhlangothi lwe-wire yensimbi.
Umuthi wezemidlalo owasuke e-Orthopedic Traumatology. Kuyinto isicelo esiphelele neyomtholampilo esiphelele somuthi kanye nemidlalo. Umgomo ukufezekisa ukulungiswa okuphezulu okusebenzayo nge-trauma encane enobuhlungu obuncane, kufaka phakathi ukulimala kwe-meniscus, ukulimala kwe-ligament, ukucekelwa phansi kwe-cutther, ukulimala kwe-ehlombe, ukulimala kwempama, njll. Konke kuphakathi kwezemidlalo yokwelashwa kwemithi yezemidlalo
I-Anchor yithuluzi lezokwelapha elivame ukusetshenziswa emithini yezemidlalo kanye nokuhlinzwa kwamathambo ama-orthopedic. Isetshenziselwa ikakhulukazi ukulungisa izicubu ezithambile (njenge-tendons, ama-ligaments, njll.) Kumathambo ukukhuthaza ukuphulukiswa kwezicubu nokululama. Izikhonkwane zivame ukwenziwa ngezinto ezihambelana ne-biocompeate ukuqinisekisa ukuphepha nokuqina emzimbeni.
Ngokwehlukaniswa kwezinto ezibonakalayo zamahange, kunezigaba ezimbili eziphambili: ama-anchors angewona ama-biodegradable kanye nama-anchor angama-bioderbradable.
Izinto eziphambili zezikhonkwane ezingezona eze-biodegradable yi-titanium, nickel-titanium alloy, insimbi engagqwali, titanium ne-poly-l-lactic-l-lactic acid; Iningi lezikhonkwane ezisetshenziswayo ezisetshenziswa ekusebenzeni kwemitholampilo zenziwa ngezinto zensimbi, ezinezinzuzo zokubamba okuhle, ukufakwa okulula kanye nokuhlolwa okulula kwe-x-ray.
Izinto eziphambili ze-biodegradable ama-anchors yi-poly-d-lactic acid, e-poly-l-lactic acid, i-polyglycolic acid, njll. Uma kuqhathaniswa nama-anchor angewona ama-biodegradable, anchoreble alula alula ukubuyekeza, futhi anokuphazanyiswa okuncane ngezithombe, futhi amunwa. Zingasetshenziselwa izingane.
Izinto eziphambili ze-anchors
1. I-Anchors Yensimbi
• Izinto zokwakha: ikakhulukazi izinto zensimbi ezifana ne-titanium alloy.
• Izici: Iqinile futhi iqinile, ekwazi ukuhlinzeka ngethonya lokuhleleka elizinzile. Kodwa-ke, ubuciko bokucabanga bungenzeka futhi kube nengozi yokuwa.
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• Izinto zokwakha: Izinto ezibonakalayo ezinjenge-polylactic acid (PLLA).
• Izici: Ukonakaliswa kancane kancane emzimbeni, akukho ukuhlinzwa kwesibili okudingekayo ukuze kususwe. Kodwa-ke, izinga lokuwohloka kungenzeka lingazinzi, futhi amandla okulungiswa angancipha ngokuhamba kwesikhathi.
I-3
• Izinto zokwakha: Ama-polmer asebenza kakhulu njenge-polytheketone.
• Izici: Inikeza amandla omzimba aphezulu kanye nezakhiwo zemishini, ngenkathi ene-biocomtic enhle kanye nemiphumela efanelekile yokucabanga ye-postoperative postoperative.
4. Zonke izikhonkwane
• Ukwakheka: Ngokuyinhloko kwakhiwa inserter, i-anchor ne-suture.
• Izici: zincane kakhulu ngosayizi, zithambile ekuthukeni, zilungele izimo lapho isisindo sendabuko sethambo silahlekile noma isayithi elibekiwe lilinganiselwe.
Ngokusho kwezici zokuklama zama-anchors, zingahlukaniswa ngezigaba ezimbili: ama-onchors anamachashazi (afana nama-anchors agcwele:
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Ama-knotted ama-anchors yizinhlobo zendabuko ze-anchor, ezibonakala ngesigaba se-suture exhunywe emsileni wehange. Udokotela udinga ukudlulisa i-suture ngokusebenzisa izicubu ezithambile ngenaliti futhi abopha ifindo ukulungisa izicubu ezithambile kwihange, okungukuthi, indawo yamathambo.
• Izinto ezibonakalayo: Izikhonkwane ezinamakhonkwa zivame ukwenziwa ngezinto ezingenakubonwa (njenge-titanium alloy) noma izinto ezingenamsoco (njenge-polylactic acid).
• Indlela Yokusebenza: Ihange lihlelwe ethanjeni ngokusebenzisa imicu noma amaphiko okunwebeka, ngenkathi ukuthukuthela kusetshenziselwa ukuxhuma izicubu ezithambile ku-anchor, futhi kwakhiwa umphumela oqinile wokuzibophezela ngemuva kokubopha ifindo.
• Izinzuzo nobubi: inzuzo yama-anchors anamakhompiyutha ukuthi umphumela wokulungiswa uthembekile futhi ulungele ukulimala kwezicubu ezithambile. Kodwa-ke, inqubo yamakani ingakhulisa ubunzima nesikhathi sokuhlinzwa, futhi ukuba khona kwefindo kungaholela ekugxilisweni kwengxabano yasendaweni, okwandisa ubungozi bokuqhekeka kwe-suture noma i-anchor reaning.
2. Amahange angenazimpawu
Izikhonkwane ezingenazindungu, ikakhulukazi amahange agcwele agcwele, ziwuhlobo olusha lwe-anchor elakhiwe eminyakeni yamuva. Isimo saso ukuthi lonke ihange lihlanganiswa ama-suture, futhi ukulungisa izicubu ezithambile ngaphandle kokubopha amafindo.
• Izinto ezisetshenziswayo: Izikhonkwane ezigcwele ezigcwele zivame ukusebenzisa izinto zokwenziwa ezithambile neziqinile, ezinjengemicu ye-polyethylene ephakeme (UHMWWE).
• I-Mechanism of Action: Ama-anchors agcwele agcwele angafakwa afakwe ngokuqondile ezicubu zamathambo ngesakhiwo sazo esikhethekile kanye nendlela yokufakelwa, ngenkathi usebenzisa ukungezwani kwe-suture ukuze ulungise izicubu ezithambile endaweni ethambile. Njengoba asikho isidingo sokubopha amafindo, ubunzima kanye nesikhathi sokuhlinzwa kuncishisiwe, futhi ingozi yokuqhekeka kwe-suture kanye ne-anchor reaning nayo iyancishiswa.
• Izinzuzo nobubi: Izinzuzo zama-anchors ezigcwele agcwele ukuhlinzwa okulula, umphumela onokwethenjelwa wokulungisa kanye nomonakalo omncane kwezicubu ezithambile. Kodwa-ke, ngenxa yesakhiwo sayo esikhethekile, inezidingo eziphakeme zamasu okuhlinza nendawo yokufaka. Ngaphezu kwalokho, intengo yezikhonkwane ezigcwele ze-suture ingahle ibe phezulu kakhulu, okukhulisa umthwalo wezezimali ezigulini.
Ama-anchors asetshenziswa kabanzi ekuhlinzekeni kwemithi yemithi ehlukahlukene, njengokulungiswa kwe-rotator cuff, ukwakhiwa kabusha kwe-tendon, ukwakhiwa kabusha kwe-tendon, njll. Okulandelayo ukungeniswa kwesingeniso kwesicelo se-anchors usebenzisa i-rotator cuff ukulungisa njengesibonelo:
• Izinyathelo zokuhlinza: Okokuqala, udokotela uzohlanza futhi alungiselele indawo yokulimala kwe-rotator cuff; Ngemuva kwalokho, faka i-anchor endaweni efanele; Ngemuva kwalokho, sebenzisa ama-suture ukulungisa i-rotator cuff izicubu kuhange; Ekugcineni, i-suture ne-bandage.
• Ukuvikeleka kwethonya: Ngokulungiswa kwehange, ukuqina kanye nokusebenza kwezicubu ze-catator cuff kungabuyiselwa, kukhuthaze ukululama kwesiguli.
Izinzuzo, Okubi kanye Nezinyathelo Zokuqapha Kwezinhlansi
Izinzuzo
• Inikeza ukulungiswa okuzinzile.
• Kusebenza ezinhlobonhlobo zokulimala kwezicubu ezithambile.
• Amanye ama-anchor ayamangala futhi awadingi ukuhlinzwa kwesibili ukuze kususwe.
Okubi
• Izingwegwe zensimbi zingakhiqiza ubuciko bokucabanga.
• Izinga lokuwohloka kwezitha ezingenakutholwa kungenzeka lingazinzile.
• Kunobungozi bokukhishwa kwe-anchor noma ukuqhekeka kwe-suture.
Izintela zemithi yezemidlalo zingasetshenziselwa ukuhlinzwa okulandelayo:
1. I-Epicondylitis evamile ephindaphindwayo
2 Amahange amabili angcwatshwa nge-radial tubember, futhi intambo yomsila itholwa esiqwini se-tendon se-biceps.
I-3. I-Elbow Collateral Ligameture Qupture: Ukususwa kwangemuva kwe-elbow kuvame ukuhambisana nokulimala kwe-ulnar collateral ligament, ikakhulukazi ukulimala kwe-anterior shutter. Ngokulimala kwe-elbow collateral ligament, izazi eziningi zivame ukukhetha ukwelashwa kokuhlinzwa kusenesikhathi. Indlela ye-wire anchor isetshenziselwa ukuhlanganisa indawo yamathambo lapho kufakwe khona i-ligament. Ngemuva kokopha okusha, i-anchor ifakwe emgqeni wamathambo lapho i-ligament inamathiselwe khona, futhi ucingo olwenziwe ekugcineni kwesipikili lusetshenziselwa ukuvala isiqu se-ligament bese usiqinisa noma ulungise i-ligament ngenaliti.
4 Ukusetshenziswa kwensiza ye-wire anchor kunezinkomba ezahlukahlukene futhi akunqunyelwe ngosayizi we-Fracture Fragment. Akudingi i-fluoroscopy ye-intraperative ukuguqula ukuqondiswa kwesikulufa. Ukusebenza kulula kakhulu futhi isikhathi sokusebenza sifinyezwa ngokufanayo.
Ukungazinzi kwe-5.Patellar: okubangelwa ukungahambi kahle kwama-bony anatomical nokuvinjwa kwezicubu ezinganele. Iningi labafundi ligqugquzela ukwelashwa okucindezelayo okusebenzayo kusetshenziswa ama-wire anchors.
I-6. I-Patellar Inderior Pole Fracture: I-Wire Anchor Technology ingasetshenziselwa ukwelapha i-Patellar Inderior Pole Fracture. Ngokulungisa i-Patellar ephansi yePole Fracture futhi uluka futhi uvikele i-Patellar Ligament, ubuqotho bendlela yokwabiwa kwamadolo bungabuyiselwa kanye nobude obusebenzayo bokuqonda kwe-knee extensor mechanism bangagcinwa.
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Izinyathelo zokuzivikela
• Isimo sethambo lesiguli kanye nokwakheka kwe-anatomical kwesayithi lokuhlinzwa kufanele kuhlolwe ngokuphelele ngaphambi kokuhlinzwa.
• Khetha uhlobo lwe-anchor efanelekile kanye nemininingwane yokuqinisekisa umphumela wokuhlinzwa.
• Izindlela zokuvuselela ezifanele kufanele zenziwe ngemuva kokuhlinzwa ukukhuthaza ukwelashwa kwezicubu nokubuyisela umsebenzi.
Ngamafuphi, ama-anchors adlala indima ebalulekile kwezokwelapha ezemidlalo. Ngokukhetha uhlobo lwe-anchor efanelekile kanye nokucaciswa kanye nokulandela izinyathelo ezifanele zokuhlinzwa kanye nokuvikela, umphumela wokuhlinza ungaqinisekiswa futhi ukululama kwesiguli kungakhushulwa.
Isikhathi sePosi: Dec-17-2024
