Kubikwa ukuthi umnyango we-Orthopedics kanye noMnyango Wezithuthuthu waseWuhan Union Hospital uqedele "ukuphrinta okubhalwe ngohlobo lwe-3D ophrintiwe uqobo lwehlombe nge-hemi-scapula kabusha kabusha kabusha" ukuhlinzwa ". Ukusebenza okuphumelelayo kuphawula ukuphakama okusha ekwakheni kwesimilo sehlombe lesibhedlela kanye nobuchwepheshe kabusha, kuletha izindaba ezinhle ezigulini ezinamacala anzima.
U-Aunt Liu, oneminyaka engama-56 kulo nyaka, wayenehlombe elifanele eminyakeni eminingana eyedlule. Kukhuliswe kakhulu kulezi zinyanga ezi-4 ezedlule, ikakhulukazi ebusuku. Isibhedlela sendawo sathola "okulungile ama-cortical horteral sous tumor izilonda" kwifilimu. Wafika eMnyangweni we-Orthopedics kanye noMnyango Wezithuthuthu waseWuhan Union Hospital ukuthola ukwelashwa. Ngemuva kweqembu likaSolwazi Liu Jianxiang Team lithole isiguli, i-CT ehlanganyelwe ye-CT kanye nezivivinyo ze-MR zenziwa, futhi isimila sasihilela i-humerus ye-sumxilal kanye ne-scapula, ngobubanzi. Okokuqala, i-biopsy yokubhoboza yasendaweni yenziwa isiguli, futhi ukuxilongwa kwe-pathological kwaqinisekiswa ngokuthi "i-biphasic synovial sarcoma yehlombe elifanele". Uma kucatshangelwa ukuthi lesi simithi siyisimila esihlasela futhi isiguli njengamanje sigxile kuwo wonke umzimba, iqembu lahlamba ngohlelo lokususwa okuphelele lokususwa okuphelele kwe-humerus kanye nengxenye ye-scapula ehlanganisiwe. Inhloso ukufezekisa kabusha isimila nokwakheka kwesimila, ngaleyo ndlela sibuyisele ukwakheka okuhlangene kwesiguli kanye nomsebenzi.
Ngemuva kokuxhumana ngesimo sesiguli, uhlelo lokwelashwa, kanye nemiphumela yokwelashwa elindelekile kanye nesiguli nomndeni wabo, kanye nokuthola imvume yabo, iqembu laqala ukulungiselela ukuhlinzwa kweziguli kakhulu. Ukuze uqinisekise ukusulwa kwesimila okuphelele, ingxenye ye-scapula idinga ukususwa kulo msebenzi, futhi kwakhiwa kabusha kwehlombe elihlanganyelwe iphuzu elinzima. Ngemuva kokubuyekezwa ngokucophelela kwamafilimu, ukuhlolwa ngokomzimba, kanye nengxoxo, uSolwazi Liu Jianixiang, uDkt Zhao Lei, noDkt Zhoong Binlong bakha uhlelo lokuhlinzwa olunemininingwane futhi baxoxe ngonjiniyela nonjiniyela nonjiniyela amahlandla amaningi. Basebenze kabusha isimilo se-bosteotomy kanye nokufakwa kwe-prosthesis kumodeli ephrintiwe ye-3D, bakha "ukusebenziseka ngokwezifiso" kwesiguli - isiguli esihlangene sehlombe ehlombe esifana namathambo abo afundwayo esilinganisweni esingu-1: 1.
A.may Uhla lwe-osteotomy. B. Dala i-3D prosthesis. C. 3D Phrinta i-prosthesis. D. Faka kuqala i-prosthesis.
I-Reverse ehlombe ehlanganisiwe ihlukile ku-Internet ye-Neartifial Pordialial ehlombe, ngenhlanganisela ehlanganisiwe ehlanganisiwe ebekwe ohlangothini lwe-gelnoid nenkomishi ebekwe kwi-humerus ekhawulelwe ye-sumber enomkhawulo we-auter-stender endergen ende ephelele ebhertha elihlanganisiwe. Lokhu kuhlinzwa kunezinzuzo ezilandelayo: 1 2. Izimbobo zokwakheka zangaphambi kokwakheka ze-ligamement zingalungisa izicubu ezithambile ezizungezile futhi zigweme ukungaziphathi okuhlanganisiwe okubangelwa ukulungiswa kabusha kwe-rotator cuff; 3. Isakhiwo se-bio-mimecular firecular ebusweni se-prosthesis singakhuthaza i-ingrowth yethambo elizungezile nezicubu ezithambile; I-4. Ukuhlangana kwehlombe elenzelwe umuntu uqobo kunganciphisa ngempumelelo isilinganiso sokungasebenzi se-postoperative of the prosthesis. Ngokungafani nokushintshwa kwehlombe okujwayelekile kwehlombe, lokhu kuhlinzwa kudinga nokususwa kwalo lonke ikhanda lezinkomishi nengxenye yekhanda le-scapular, kanye nokwakhiwa kabusha kwekhanda elimthethelelo necebo eliqondile le-super.
Ngemuva kokuhlela ngokucophelela nokulungiselela ngesikhathi se-perioperative, ukuhlinzwa kwenziwa ngempumelelo esigulini muva nje, ngaphansi kokuqondisa kukaProfessor Liu jianxiang. Iqembu lasebenza ngokubambisana futhi lenziwa imisebenzi eqondile ukuqedela ukususwa okuphelele kwesimila, ama-osteotomy anembile we-humerus kanye ne-scapula, ukufakwa kanye nomhlangano we-prosthesis okufakelwa, okwathatha amahora ama-2 ukuqeda.
D: Sinqume ngokunembile yonke i-humerus ne-scapula nge-bone-cutting plate Plate ukususa isimila (H: Fluoroscopyckoptopcopy zokususwa kwezimila)
Ngokuzenzakalelayo, isimo sesiguli sasihle, futhi bakwazile ukuhambisa ngosizo lwe-brace emlenzeni othintekile ngosuku lwesibili futhi benza ukunyakaza okuhlangene kwamahlombe. Ama-X-up X-Rays akhombise ukuma okuhle kwehlombe elihlanganyelwe kanye nokubuyiselwa okuhle.
Ukuhlinzwa okukhona kuyicala lokuqala eMnyangweni wama-Orthopedics we-Wuhan Union akwamukela umhlahlandlela wokusika ophrintiwe we-3D kanye nezifo ezenziwe ngezifiso zokuhlangana kwehlombe elihlanganisiwe lokuhlangana ne-hemi-scapula. Ukuqaliswa ngempumelelo kwalobu buchwepheshe kuzoletha ithemba lokonga uLirb-osindisa iziguli ngamathumbu ehlombe, futhi kusizakale inani elikhulu leziguli.
Isikhathi sePosi: APR-28-2023
