Zvinonzi Orthopedics uye Tumor Dhipatimendi reWuhan Union Hospital yapedza yekutanga "3D-yakadhindwa yakasarudzika reverse arthroplasty nehemi-scapula reconstruction" kuvhiyiwa.Kuvhiya kwakabudirira kunoratidza hurefu hutsva muchipatara chepafudzi rejoint tumor resection uye tekinoroji yekuvakazve, kuunza nhau dzakanaka kuvarwere vane nyaya dzakaoma.
Tete Liu, ane makore makumi mashanu nematanhatu gore rino, vakarwadziwa nebendekete rekurudyi makore akati wandei apfuura.Yakanyanya kuipa mumwedzi mina yapfuura, kunyanya husiku.Chipatara chemuno chakawana "kurudyi humeral cortical side tumor maronda" pafirimu.Akauya kuDhipatimendi reOrthopedics uye Tumor reWuhan Union Hospital kuzorapwa.Mushure mekunge timu yaProfessor Liu Jianxiang yagamuchira murwere, bvunzo dzepafudzi dzeCT uye MR dzakaitwa, uye bundu racho raisanganisira proximal humerus uye scapula, ine huwandu hwakawanda.Kutanga, nzvimbo yepuncture biopsy yakaitwa kumurwere, uye chirwere chechirwere chakasimbiswa se "biphasic synovial sarcoma yefudzi rekurudyi".Tichifunga kuti bundu ibundu rakashata uye murwere parizvino ane chinangwa chimwe chete mumuviri wese, timu yakagadzira hurongwa hwekurapa hwemunhu hwemurwere-kubviswa kwakazara kwemagumo ehumerus nehafu yescapula, uye 3D- akadhindwa artificial reverse shoulder joint replacement.Chinangwa ndechekuzadzisa tumor resection uye prosthesis kuvakazve, nekudaro kudzoreredza yemurwere yakajairwa mapendekete majoini chimiro uye basa.
Mushure mekutaura mamiriro emurwere, chirongwa chekurapa, uye zvinotarisirwa kurapwa nemurwere nemhuri yavo, uye kuwana mvumo yavo, boka rakatanga kugadzirira kuvhiyiwa kwemurwere zvakanyanya.Kuti uve nechokwadi chekugadzirisa bundu rakakwana, hafu ye scapula inoda kubviswa mukushanda uku, uye kuvakwazve kwekubatana kwepafudzi chinhu chakaoma.Mushure mokunyatsoongorora mafirimu, kuongorora muviri, uye kukurukurirana, Purofesa Liu Jianxiang, Dr. Zhao Lei, uye Dr. Zhong Binlong vakagadzira hurongwa hwekuvhiya hwakadzama uye vakakurukura magadzirirwo uye kugadziriswa kweprosthesis nejinjiniya kakawanda.Vakatevedzera tumor osteotomy uye kuiswa kweprosthesis pane yakadhindwa 3D modhi, vachigadzira "yakavanzika customization" yemurwere - yekugadzira reverse pfudzi yejoint prosthesis inoenderana nemapfupa avo autologous muchiyero che1: 1.
A.Yera huwandu hweosteotomy.B. Gadzira 3D prosthesis.C. 3D dhinda prosthesis.D. Pre-kuisa prosthesis.
Rondedzero yepfudzi yakadzokera kumashure yakasiyana neyechinyakare artificial shoulder joint, ine spherical joint surface yakaiswa pa scapular side ye glenoid uye kapu yakaiswa pa proximal half-restricted humerus mu semi-restritrictive total shoulder joint prosthesis.Kuvhiya uku kune zvakanakira zvinotevera: 1. Inogona kunyatsoenderana nehombe yemapfupa akaremara anokonzerwa nebundu resection;2. Mabhomba ekugadzirisa ligament asati agadzirwa anogona kugadzirisa zvinyoro zvakapoteredza uye kudzivisa kusagadzikana kwekubatana kunokonzerwa ne rotator cuff resection;3. Iyo bio-mimetic trabecular chimiro pamusoro peiyo prosthesis inogona kukurudzira ingrowth yefupa rakapoteredza uye nyoro;4. The personalized reverse shoulder joint inogona kunyatso deredza postoperative dislocation rate ye prosthesis.Kusiyana neyakajairwa reverse pfudzi kutsiva, kuvhiyiwa uku kunodawo kubviswa kweiyo humeral musoro uye hafu yekapu yekapu, uye kuvakwazve kwehumeral musoro uye scapular mukombe sechivharo chese, izvo zvinoda kunyatso dhizaini uye superb yekuvhiya nzira.
Mushure mekunyatsoronga uye kugadzirira panguva yekuvhiya, kuvhiyiwa kwakaitwa zvakabudirira kumurwere nguva pfupi yadarika, pasi pekutungamirwa naProfessor Liu Jianxiang.Chikwata chakashanda pamwe chete uye chakaita maoparesheni chaiwo kuti apedze kubviswa zvachose kwebundu, osteotomy chaiyo yehumerus uye scapula, kuiswa uye kusangana kweiyo artificial prosthesis, iyo yakatora maawa maviri kuti ipere.
D: Kunyatso cheka humerus yese uye scapula ine bhonzo-yekucheka gwara rekutungamira kuti ubvise bundu (H: Intraoperative fluoroscopy yekubvisa bundu)
Mushure mekuvhiyiwa, mamiriro emurwere aive akanaka, uye vaikwanisa kufamba nerubatsiro rwebhureshi panhengo yakakanganisika pazuva rechipiri uye kuita mapendekete epafudzi.Kutevera X-rays kwakaratidza kumira kwakanaka kwepfudzi yejoint prosthesis uye kushanda zvakanaka kupora.
Kuvhiyiwa kwazvino ndiyo nyaya yekutanga muWuhan Union Hospital Dhipatimendi reOrthopedics iyo inotora 3D yakadhindwa yekucheka gwara uye yakasarudzika mapurostheses eakagadziridzwa reverse fudzi rejoint uye hemi-scapula kutsiva.Kuitwa kwakabudirira kwehunyanzvi uhu kuchaunza tariro yekuchengetedza mitezo kune vakawanda varwere vane mapfudzi emapfudzi, uye kubatsira nhamba huru yevarwere.
Nguva yekutumira: Kubvumbi-28-2023
