Mukutanga kwa1990, nyanzvi dzekunze, dzidziso dzekunze dzakatungamira mukushandisa zvimisikidzwa zvekugadzira kuti zvigadziriswe senge rotor cuff pasi peArthroscopy. Iyo dzidziso yakatanga kubva pasi pevhu
Mushonga wemitambo wakatanga kubva kuOrthopedic Traumatology. Iyo yakakosha uye kliniki multidisciplinary yakazara application yemushonga nemitambo. Chinangwa ndechekuti uwane huwandu hwepamusoro hwekugadziriswa neyekukuvara kwesimba, kusanganisira kukuvara kwevarume, rotor cuff kubvaruka, mafudzi anokanganisa, etc. zvese zviri mukati memushonga wemitambo kurapwa kwemitambo
Anchor ndiye mudziyo wekurapa unowanzoshandiswa mumishonga yemitambo uye yekuvhiya kwemitambo. Izvo zvinonyanya kushandiswa kugadzirisa zvinyoro nyoro (senge tendon, ligaments, nezvimwewo) kumapfupa kusimudzira kupora uye kupora. Anchors anowanzogadzirwa nezvinhu zvisina kujairika kuti uve nechokwadi chekuchengetedza uye kugadzikana mumuviri.
Maererano nekumusoro kwezvinhu zvemaitiro, pane maviri main mapoka: isina-biodeganable chrors uye biodegradable chrors.
Zvinyorwa zvikuru zvevasina-biodelable zvimbudzi, Nickel - Titanium Alloy, Simbi isina Simbi, Titanium uye Poly-L-LACTH-L-LACTH-L-LACTH-L-LACTH-L-LACTH-L-LACTH-L-LACTH-L-LACTH-L-LACTH-L-LACTIC ACID; Zvizhinji zveSuture Anchors anoshandiswa muCliniki maitiro akagadzirwa nezvinhu zvemasimbi, izvo zvine zvakanakira zvekuita zvakanaka kuita simba rekuita, nyore kusimudzwa uye nyore x-ray ongorora.
Zvikuru zveBiodegradable Anchors poly-D-L-D-Luctic acid, Polyglycolic Anchors, Polyglycolic Anchors ari nyore kudzokorora, isa mbiru dzine mifananidzo, uye inokatyamadzwa. Ivo vanogona zvakare kushandiswa kuvana.
Zvikuru Zvekunyora
1. Metal Anchors
• Zvigadzirwa: Kunyanya zvinhu zvesimbi senge titanium acoloy.
• Zvimiro: yakasimba uye yakasimba, inokwanisa kupa yakagadzikana maitiro maitiro. Nekudaro, kufungidzira zvigadzirwa zvinogona kuitika uye kune njodzi yekudonha.
2. Anoshamisika anchors
• Zvigadzirwa: Zvishandiso zvinowanzoita sePolylactic acid (PLLA).
• Zvimiro zviviri: Zvakasvibiswa zvishoma nezvishoma mumuviri, hapana cheseku kuvhiya kunodiwa kubviswa. Nekudaro, chiyero chinosvibiswa chinogona kunge chisina kugadzikana, uye simba rekugadzirisa rinogona kuderera nekufamba kwenguva.
3. Polyeethetherone (Peek) Anchors
• Zvigadzirwa: Yakanyanya-performance polymers yakadai sePolyetherhertone.
• Zvimiro: Inopa yakakwira zvipikiri zvipikiri zviumbwa muviri uye michina yezvivakwa, nepo uine yakanaka biocompulibility uye yakanaka postoperative kufungidzira mhedzisiro.
4. All-suture anchors
• Kuumbwa: Kunyanya kuumbwa nekuisa, anchor uye suture.
• Zvimiro: zvidiki zvidiki muhukuru, zvakapfava muzvinyorwa, zvakakodzera mamiriro ezvinhu apo mafuro emapfupa akapererwa kana nzvimbo yekuisa isiriyo.
Zvinoenderana neyekugadzira maitiro ezvimisikidzwa, ivo vanogona kukamurwa kuita mapoka maviri: vakaparadzaniswa marara uye vakarukwa (sekurukure) zvimisikidzwa:
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Akakombama makatsikiro marudzi echinyakare anchors, anoratidzwa nechikamu chehurongwa hwakabatana nemuswe wechibatiso. Chiremba anofanirwa kupfuudza suture kuburikidza neye nyoro nyoro nejecha uye sunga banga kuti agadzirise mitezo yakapfava kuenda kuAnchor, iyo, iyo pfupa.
• Zvinyorwa: Mbirnted Anchors anowanzogadzirwa nezvinhu zvisina kujairika (senge titanium aganium aganiy) kana zvisingaiti zvinhu (zvakadai sePolylactic acid).
• Chishamiso chechiitiko: Iyo Anchor inogadziriswa mufuma kuburikidza neshinda kana mapapiro ekuwedzera, nepo iyo suture ichishandiswa kubatanidza mitezo yakanangana, uye yakagadzikana maitiro anoumbwa mushure mekusunga banga.
• Zvakanakira uye Zvakashata: Iko kusununguka kwemakonzo ndewekuti maitiro ekugadzirisa akavimbika uye akakodzera kune akasiyana emhando dzakapfava. Nekudaro, maitiro ekutarisa anogona kuwedzera kuoma uye nguva yekuvhiya, uye kuvapo kweiyo banga kunogona kutungamira kune yemunharaunda kushushikana kwekushushikana, kuwedzera njodzi yekuputsa kana kusunungura kusasunungurwa.
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Akapwanyika Anchors, kunyanya jekissi rakazara suture, rudzi rutsva rweschor rwakagadzirwa mumakore achangopfuura. Hunhu hwayo ndehwekuti hungori hwese hwakaumbwa nesutures, uye zvinyoro-nyoro tissue gadziriso inogona kuwanikwa pasina kusunga mapfundo.
• Zvigadzirwa: Yakazara Suture Anchors inowanzo shandisa zvakapfava uye yakasimba zvigadzirwa zvekushandisa, zvakadai se Ultra-yakakwira molecular uremu polyethylene (UHMWPE) FELS.
• Mechanism yekuita: Yakazara Suture Anchors inogona kuiswa zvakananga muBone tishu kuburikidza neyavo chaiyo suture chimiro, uku uchishandisa kusawirirana kweiyo suture kuti isimbe kujekesa zvinyoro nyoro kune pfupa. Sezvo pasina chikonzero chekusunga mapfundo, kuoma uye nguva yekuvhiya yakaderedzwa, uye njodzi yekushambadzira kuputsa uye kusunungura kusasunungurwa zvakare kwakaderedzwawo.
• Zvakanakira uye zvakashata: zvakanakira zvizere suture anchors ndeye nyore kuvhiya kushanda, akavimbika maitiro ekugadzirisa uye kushoma kukuvara kune zvinyoro nyoro. Nekudaro, nekuda kwechimiro chayo chakakosha, ine zvido zvepamusoro zvekuvhiya maitiro uye nzvimbo yekuisa. Uye zvakare, mutengo wehutsinye hwakazara hwemagetsi angave wakakwirira, unowedzera mutoro wemari pane varwere.
Anchors anoshandiswa zvakanyanya mumitambo yemitambo yekuvhiya, yakadai serotator cuff
• Matanho ekuvhiya: Kutanga, chiremba achachenesa uye gadzira rotator cuff kukuvara saiti; Zvadaro, kuisa iyo anchor munzvimbo yakakodzera; Ipapo, shandisa sutures kugadzirisa iyo rotator cuff tishu kune anchor; pakupedzisira, suture uye bandeji.
• Kuvhiya kwemabasa: kuburikidza nekugadziriswa kweiyo anchor, kusimba uye kushanda kweiyo rotator cuff tishu kunogona kudzoreredzwa, kusimudzira kupora kwemurwere.
Zvakanakira, zvakashata uye zvingangoita zvimisikidzwa
Zvakanakira
• Inopa kugadzikana kwakasimba.
• Inoshanda kune akasiyana-siyana ehunyoro hwemhando yekukuvara.
• Mamwe mashira anokatyamadza uye haadi kuvhiyiwa kwechipiri kwekubviswa.
Zvinokuvadza
• Metal anchors inogona kuburitsa mifananidzo yekufungidzira.
• Rwiyo rwekusvibiswa rwezvimisikidzwa zvinokatyamadza zvinogona kunge zvisina kugadzikana.
• Kune njodzi yeAnchor Dreachment kana kuputsa kwehuswa.
Mitambo yemitambo inoshandiswa inogona kushandiswa kune iyo inotevera kuvhiya:
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2.. Mbiri mbiri dzakavigwa muThebhu Radil, uye Waya yemuswe inoiswa kuBiceps Tendon Stump.
3. Elbow Colateral Ligment Rupture: Posterior dislocation yeiyo clbow inowanzo kuperekedzwa neUlnar Colateral Ligament yekukuvara, kunyanya yekukuvara kweanunde. Kune elbow collateral ligament kukuvara, nyanzvi zhinji dzinowanzoda kurapwa kwekutanga kwekuvhiya. Iyo Wire Anchor Nzira inoshandiswa ku roughen iyo pfupa pamusoro apo ligament rakasungirirwa. Mushure mekubuda mutsva
4 Iko kushandiswa kwe waya anchor nzira ine huwandu hwakawanda hwezviratidzo uye hauganhurwe nehukuru hwechidimbu chakaputsika. Izvo hazvitsvage intraoperative fluoroscopy kugadzirisa nzira yeiyo screw. Iko kuvhiya kwacho kuri nyore uye nguva yekuvhiya yakapfupikiswa.
5.petallar kusagadzikana: inokonzerwa neBony Anatomical ABNIRMALICE uye isina kukwana zvinyoro nyoro tishu. Vakawanda nyanzvi vanotsigira kurapwa kwekuvhiya vachishandisa Wire Arrs.
6. Patellar akaderera pole kupwanya: Iyo waya ancholor tekinoroji inogona kushandiswa kurapa patellar yakaderera pateh. Nekugadzirisa iyo patelar yakaderera patehwe uye kusvetuka uye kusimbisa iyo patelar lignament yekuwedzera inogona kudzoreredzwa uye urefu hwenyable yehurefu hwebvi hunogona kuchengetwa.
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Zvekungwaririra
• Mamiriro emurwere emurwere uye chimiro chechiratidzo cheiyo nzvimbo yekuvhiya inofanirwa kuongororwa zvizere isati yambovhiyiwa.
• Sarudza yakakodzera anchor mhando uye yakatarwa kuti ive nechokwadi chekuvhiya.
• Maitiro akakodzera ekugadzirisa anofanirwa kuitwa mushure mekuvhiyiwa kusimudzira kupora kwematehwe uye kudzorera basa.
Mukupfupikisa, anchors anotamba basa rakakosha mumishonga yemitambo. Nekusarudza yakakodzera anchor mhando uye kutevedzera matanho ekuvhiya ekuvhiya uye nzira dzekuzvidzivirira, iyo yekuvhiya inogona kuve yakavimbiswa uye kupora kwemurwere kunogona kusimudzirwa.
Kutumira Nguva: Dec-17-2024
