Zvinonzi Dhipatimendi reMabvi neMatumbu reWuhan Union Hospital rakapedza kuvhiyiwa kwekutanga kwe "3D-printed personalized reverse shoulder arthroplasty with hemi-scapula reconstruction". Kuvhiyiwa uku kwakabudirira kunoratidza kukwirira kutsva mukugadzirwa kwebundu repafudzi rechipatara uye tekinoroji yekuvakazve, zvichiunza mashoko akanaka kuvarwere vane zvirwere zvakaoma.
Tete Liu, vane makore makumi mashanu nematanhatu ekuberekwa gore rino, vairwadziwa nepfudzi rerudyi makore akati wandei apfuura. Zvakawedzera zvakanyanya mumwedzi mina yapfuura, kunyanya husiku. Chipatara chemunharaunda chakaona "maronda egomarara rerudyi" pafirimu. Vakauya kuDhipatimendi reMapfundo neTumor reWuhan Union Hospital kuti varapwe. Mushure mekunge chikwata chaProfessor Liu Jianxiang chagamuchira murwere, bvunzo dzeCT neMR dzepafudzi dzakaitwa, uye bundu racho raisanganisira proximal humerus nescapula, zvakasiyana-siyana. Kutanga, biopsy yemunzvimbo yakaitwa kumurwere, uye kuongororwa kwechirwere kwakasimbiswa se "biphasic synovial sarcoma yepfudzi rerudyi". Tichifunga kuti bundu iri bundu rinotyisa uye murwere parizvino ane chinangwa chimwe chete mumuviri wese, chikwata chakagadzira hurongwa hwekurapa hwakasiyana hwemurwere - kubviswa kwekupedzisira kweproximal yehumerus nehafu yescapula, uye kutsiva 3D-printed artificial reverse joint. Chinangwa ndechekubvisa bundu uye kugadzirazve nhengo dzemuviri, nokudaro zvichidzoreredza chimiro chepfudzi remurwere uye mashandiro aro.
Mushure mekutaura nezvemamiriro emurwere, hurongwa hwekurapa, uye mhedzisiro yekurapa inotarisirwa nemurwere nemhuri yake, uye kuwana mvumo yavo, timu yakatanga kugadzirira kuvhiyiwa kwemurwere zvakanyanya. Kuti ive nechokwadi chekuti bundu rese rese rese rese, hafu ye scapula inofanira kubviswa mukuvhiyiwa uku, uye kuvaka patsva kwepfudzi inyaya yakaoma. Mushure mekuongorora mafirimu, kuongororwa kwemuviri, uye kukurukura, Purofesa Liu Jianxiang, Dr. Zhao Lei, naDr. Zhong Binlong vakagadzira hurongwa hwakadzama hwekuvhiya uye vakakurukura dhizaini nekugadzirisa prosthesis neinjiniya kakawanda. Vakatevedzera kuiswa kwe tumor osteotomy uye prosthesis pamhando yakadhindwa ye3D, vachigadzira "maitiro emunhu" emurwere - prosthesis ye reverse shoulder joint inoenderana nemapfupa avo e autologous muchiyero che1:1.
A. Yera huwandu hweosteotomy. B. Gadzira 3D prosthesis. C. Dhinda 3D prosthesis. D. Isa 3D prosthesis.
Jointi yefudzi rekumashure yakasiyana nejointi yefudzi rekugadzira, ine pamusoro pejointi yakatenderera yakaiswa padivi rescapular reglenoid uye kapu yakaiswa pahumerus iri pedyo nehafu yakaderedzwa muprosthesis yefudzi rese re semi-restrictive total shoulder joint. Kuvhiya uku kune mabhenefiti anotevera: 1. Kunogona kuenzana zvakanyanya nezvikanganiso zvakakura zvemapfupa zvinokonzerwa nekubviswa kwebundu; 2. Maburi ekugadzirisa ligament akagadziriswa kare anogona kugadzirisa nyoro yakatenderedza uye kudzivirira kusagadzikana kwemajointi kunokonzerwa nekubviswa kwecuff yerotator; 3. Chimiro chetrabecular chebio-mimetic pamusoro peprosthesis chinogona kukurudzira kukura kwemapfupa nenyama yakapfava yakakomberedza; 4. Jointi yefudzi rekumashure yakagadzirwa neyakagadzirwa ...
Mushure mekuronga nekunyatsogadzirira panguva yekuvhiyiwa, kuvhiyiwa kwacho kwakabudirira munguva pfupi yapfuura, vachitungamirirwa naProfessor Liu Jianxiang. Chikwata ichi chakashanda pamwe chete uye chakaita maoparesheni chaiwo ekupedzisa kubviswa kwebundu, kuvhiyiwa kwemaosteotomy nemazvo kwehumerus nescapula, kuiswa nekuunganidzwa kweprosthesis yekugadzira, izvo zvakatora maawa maviri kuti zvipedzwe.
D: Cheka humerus yese ne scapula nemazvo uchishandisa plate yekubvisa mapfupa kuti ubvise bundu (H: Intraoperative fluoroscopy yekubvisa bundu)
Mushure mekuvhiyiwa, mamiriro emurwere aive akanaka, uye vakakwanisa kufamba nerubatsiro rwesimbi yesimbi pagumbo rakakuvara pazuva rechipiri uye kuita mafambiro epafudzi asina kubatwa. MaX-ray ekutevera akaratidza nzvimbo yakanaka yesimbi yepfudzi uye kupora kwakanaka.
Kuvhiyiwa uku ndiko kwekutanga muWuhan Union Hospital Department of Orthopedics iyo inoshandisa gwara rekucheka rakadhindwa re3D uye maprostheses akagadzirirwa iwe kuti agadziriswe reverse shoulder joint uye hemi-scapula. Kubudirira kwekushandiswa kwetekinoroji iyi kuchaunza tariro yekuchengetedza makumbo kune varwere vakawanda vane bundu repafudzi, uye kunobatsira varwere vakawanda.
Nguva yekutumira: Kubvumbi-28-2023
