Suture Anchor si mexɔa tsi o

Nukae nye seke si wotsɔna blaa nu?

seke siwo wotsɔ blaa ƒua zi geɖe tsɔ blaa lãkusi falɛfalɛwo (le kpɔɖeŋu me, lãkusiwo, lãkusiwo, kple ƒumeŋuɖui) ɖe ƒua ŋu eye wova zu dɔwɔnu veviwo le kamedefefewo ƒe atikewɔwɔ me kple le ƒunukpeƒetetedɔ ƒe amekoko me. Wozãa Abe alesi wozãnɛ ene suture anchors dzi ɖe edzi, wogblɔ viɖe kple kuxi vovovo siwo le nu tɔxɛ aɖewo ŋu. Esia wɔe be seke siwo wotsɔ blaa nu la le tɔtrɔm ɣesiaɣi be woanɔ dedie wu eye woawɔ dɔ nyuie wu. Le nɔnɔme sia si le tɔtrɔm ɣesiaɣi me la, ele vevie le atikewɔwɔ me be amekolaa nase seke siwo li xoxo ƒe nɔnɔme veviwo gɔme nyuie.

Alesi wozãa... suture anchors trɔ asi le ƒumeŋutinunya ŋu elabena enaa woate ŋu atsɔ lãmeka falɛfalɛwo (le kpɔɖeŋu me, lãkusiwo kple lãkusiwo) aɖo ƒua ŋu bɔbɔe eye wòawɔ dɔ nyuie le amekoko si le ʋuʋu ɖi kple esi wowɔna le ƒunukpeƒewo siaa me le abɔta, abɔta, asibidɛ, kple abɔta ƒe ƒunukpeƒewo siaa me.) Abɔtadɔdada vevietɔ na tɔtrɔ gã aɖe va le aɖaŋu ƒomevi siwo wozãna tso rotator cuff kple labrum dzadzraɖo le gaglãgbe me zã gavi, washers, transosseous sutures, kple staples tsɔ ƒunukpeƒetetedɔ ɖɔɖɔɖo zazã suture ƒe sekewo.

Dɔ vevitɔ si wowɔna le... suture anchor nye be woatsɔ lãmekawo abla ɖe teƒe si sɔ eye wòalé eƒe nɔƒe me ɖe asi evɔ womaɖe asi le wo ŋu alo agate ɖe wo ŋu fũ o vaseɖe esime woawu ŋutilã ƒe dɔyɔyɔ nu. Nu nyuitɔ kekeake suture anchor la zazã le bɔbɔe, eléa ŋusẽ si sɔ si woate ŋu ahe ɖe eme la me ɖe asi, xea mɔ na suture ƒe ʋuʋu, eye woate ŋu axɔe evɔ mehea nuwɔna aɖeke vɛ ne nusi wotsɔ wɔe la le ƒoƒom o.) Woto anchor ƒomevi vovovowo vɛ, eye woto sekewo ƒe nɔnɔmewo vɛ le ƒe ewo siwo va yi nyitsɔ laa me be woawɔ dɔ nyuie wu le lãkusi kple ƒu me ɖɔɖɔɖo sesẽ aɖe wɔwɔ me.

METALLIC SUTURE ƑE NUÐEÐEŊUTI

Suture anchor ƒe nɔnɔme gbãtɔwo nye esiwo womate ŋu axɔ o eye wotsɔ ga wɔe. Woate ŋu azã ga aɖe koŋ atsɔ aƒo ƒu kple ga bubuwo atsɔ awɔ gaku alo woawo ɖeɖeko. Ga seke eve siwo wozãna wue nye titanium kple gakpo si mexɔ dzo o. Wozãa titanium geɖe hena ƒumeŋuɖui, eye wònye nusi sesẽ, si le bɔbɔe le eɖokui si, gake woate ŋu atsɔe akpe ɖe gayibɔ alo aluminum hã ŋu (Fig. 1).5) Ga si mexɔ dzo o nye carbon, chromium, kple gayibɔ ƒe ƒuƒoƒo. Ete ŋu nɔa te ɖe xɔxlɔ̃ nu wu gakpo si wozãna ɖaa eye wòsẽna wu gayibɔ dzadzɛ.5) Ga si mexɔ dzo o ƒe sekewo va zua ka si me ka si me lãmenugbagbevi siwo me dɔlékui le sɔ gbɔ ɖo, gake titanium ya wɔa calcium kple phosphate ƒe akpa si le etame, si doa ka kple ƒua tẽe evɔ kpeɖodzi aɖeke mele eŋu be ka sia le eme o eye dzoxɔxɔ ƒe ŋuɖoɖo sue aɖe koe nɔa eŋu. Oxide ƒe ƒuƒoƒo aɖe dzɔna le eɖokui si, eye calcium kple phosphate ƒoa ƒu ɖe ƒuƒoƒo sia dzi. Emegbe ƒumeŋuɖuiwo blana ɖe ƒua ƒe gowo ŋu eye woɖea ƒumeŋuɖui ƒe ƒuƒoƒo doa goe vevie

Non-absorbable Suture Anchor: Mɔfiame si me kɔ

Suture anchors nye dɔwɔnu vevi siwo wozãna le ƒumeŋuɖui kple amekoko vovovowo me. Vevietɔ suture anchors siwo mexɔa tsi o koŋue wolé ŋku ɖe wo ŋu vevie le woƒe anyinɔnɔ didi kple woƒe agbenɔƒe didi ta. Le nyati sia me la, míaƒo nu tso seke siwo wotsɔa aŋe wɔe siwo mexɔa tsi o, wo zazã, kple viɖe siwo wokpɔna le amekoko me ŋu.

Nukae nye Non-absorbable Suture Anchors?

Suture anchors siwo mexɔa tsi o nye atikewɔmɔ̃ siwo wowɔ be woatsɔ abla sekewo ɖe ƒuwo alo lãkusi falɛfalɛwo me. Zi geɖe la, wotsɔa nusiwo le abe titanium, gakpo si mexɔ dzo o, alo ga bubu siwo te ŋu wɔa dɔ le nugbagbewo me siwo naa ŋusẽ nɔa wo ŋu eye wonɔa anyi didina ene wɔa woe. Wometrɔ asi le seke siwo wotsɔ blaa nu siwo mexɔa tsi o ŋu be woaʋuʋu le ɣeyiɣi aɖe megbe o, eye wonɔa ŋutilãa me tegbee.

Suture Anchors siwo mexɔa tsi o ƒe ƒomeviwo

Wole ƒomevi vevi eve me non-absorbable suture anchors : nudede nu me kple cortical.

Nusiwo Doa Kpena Ðe Ame Ŋu Suture Anchors

Wotrɔ asi le interference suture anchors ŋu be woatsɔ aƒo ƒu si ƒo xlã suture la nu ƒu. Zi geɖe la, wozãa seke siawo ƒomevi le teƒe siwo ƒu ƒe lolome alo nyonyome mele o, abe glenoid labrum, si nye ƒunukpeƒetetedɔ ƒe asigɛ si ƒo xlã abɔta ene. Interference suture anchors naa ŋusẽ nyui aɖe si woate ŋu ahe ado goe eye wòli ke, si wɔe be wosɔ nyuie na teƒe siwo nuteɖeamedzi le ŋutɔ.

Cortical Suture ƒe Sekewo

Wotrɔ asi le cortical suture anchors ŋu be woazã le cortical ƒu si le ʋeʋẽm me. Zi geɖe la, wozãa seke siawo le teƒe siwo ƒu ƒe lolome sɔ gbɔ ɖo, abe akɔta ƒe tuberosity si lolo wu ene. Cortical suture anchors nyo na teƒe siwo teƒe sue aɖe koe le eye wòhiã be ŋusẽ gã aɖe nate ŋu ahee ado goe.

Non-absorbable Suture Anchors ƒe dɔwɔwɔ

seke siwo wotsɔ blaa nu siwo mexɔa tsi o le amekoko vovovowo me, siwo dometɔ aɖewoe nye: Wozãa

Rotator Cuff Dzadzraɖo

seke siwo me womate ŋu axɔ nu le o zi geɖe le amekoko siwo wowɔna tsɔ dzraa rotator cuff ɖo. Wozãa Rotator cuff ƒe abixɔxɔ bɔ ɖe kamedefefewɔlawo kple amesiwo wɔa ta dzi ʋuʋu enuenu la me. Suture anchor siwo mexɔa tsi o naa seke si nɔa anyi didina eye kakaɖedzi le eŋu na seke siwo wozãna tsɔ dzraa rotator cuff la ɖo.

Labral Dzadzraɖo

Labrum nye ƒunukpeƒetetedɔ ƒe asigɛ si le fli me le abɔta ƒe afɔti ƒe go ŋu. Labral tears nye abi si bɔ si woate ŋu azã atsɔ aɖɔe ɖo seke siwo wotsɔa aŋe wɔe siwo mexɔa tsi o . Seke siawo nyea seke nyui aɖe na aŋe siwo wozãna tsɔ dzraa labrum la ɖo, si wɔnɛ be wokpɔa dzidzedze eye wònɔa anyi didi.

Ligament Dzadzraɖo

seke siwo wotsɔ blaa nu siwo mexɔa tsi o le amekoko vovovo siwo wowɔna tsɔ ɖɔa lãkusiwo ɖo, siwo dometɔ aɖewoe nye afɔkpodzi kple klo ƒe lãkusiwo ɖɔɖɔɖo. Wozãa Seke siawo nyea seke nyui aɖe na aŋe siwo wozãna tsɔ dzraa lãkusi siwo vuvu alo esiwo gblẽ ɖo, si wɔnɛ be ƒunukpeƒea li ke eye wòwɔa dɔ nyuie.

Viɖe siwo le Non-absorbable Suture Anchors ŋu

Suture anchors siwo mexɔa tsi o la ɖea vi geɖe wu suture anchors siwo mexɔa tsi o, siwo dometɔ aɖewoe nye:

Nusiwo nɔa anyi didina

Wotrɔ asi le seke siwo me womate ŋu axɔ nu le o ŋu be woanye nusiwo woatsɔ ablae ɖaa le ŋutilãa me, si ana seke si nɔa anyi didi eye wònɔa anyi didina na sekewo.

Ŋusẽ

Suture-seke siwo mexɔa tsi o naa ŋusẽ nyui aɖe si woate ŋu ahe ado goe, si wɔnɛ be sekeawo gakpɔtɔ le wo nɔƒe nyuie.

Dzoxɔxɔ Dzi Ðeɖe Akpɔtɔ

To vovo na seke siwo wotsɔa aŋe si woate ŋu axɔ la, . suture anchors siwo mexɔa tsi o melɔ̃na le ɣeyiɣi aɖe megbe o, si wɔnɛ be afɔku si le dɔdzẽ kple dɔlékuiwo xɔxɔ me dzi ɖena kpɔtɔna.

Nyanuwuwuw

Suture anchors siwo mexɔa tsi o nye dɔwɔnu vevi siwo wozãna le ƒumeŋuɖui kple amekoko vovovowo me. Viɖe geɖe le wo ŋu wu seke siwo woate ŋu axɔ, siwo dometɔ aɖewoe nye woƒe anyinɔnɔ, ŋusẽ, kple dɔdzẽ dzi ɖeɖe kpɔtɔ. Esi wozãa wo le rotator cuff dzadzraɖo, labral dzadzraɖo, kple ligament dzadzraɖo me ta la, . seke siwo wotsɔna blaa nu siwo mexɔa tsi o nye egbegbe amekokomɔnu ƒe akpa vevi aɖe. Ne amekolawo kple atikewɔlawo nakpɔ dɔnɔwo dzi nyuie wu eye woana amekokoa me tsonu nanyo ɖe edzi.

Nya siwo wobiaa nya tso ame ŋu

1. Nukae nye nusiwo wozãna tsɔ wɔa nu suture anchors siwo womate ŋu axɔ o?

Zi geɖe la, wotsɔa nusiwo le abe titanium, gakpo si mexɔ dzo o, alo ga bubu siwo sɔ kple nugbagbewoe siwo naa ŋusẽ kple wonɔa anyi didina wɔa seke siwo mexɔa tsi o.

2. Wole non-absorbable suture anchors tegbee fixtures le ŋutilãa me?

Ẽ, wotrɔ asi le seke siwo me wotsɔa aŋe wɔe siwo mexɔa tsi o ŋu be woanye nusiwo woatsɔ ablae ɖaa le ŋutilãa me, si ana seke si nɔa anyi didi eye wònɔa anyi didina na sekewo.

3. Viɖe kawoe le eme suture anchors siwo mexɔa tsi o ɖe suture anchors siwo woate ŋu axɔ dzia?

Viɖe geɖe le suture anchor siwo mexɔa tsi o ŋu wu suture anchors siwo mexɔa tsi o, siwo dometɔ aɖewoe nye woƒe anyinɔnɔ, ŋusẽ, kple dɔdzẽ dzi ɖeɖe kpɔtɔ.

4. Amekoko kawo mee wozãa seke siwo wotsɔa aŋe wɔe siwo mexɔa tsi o zi geɖe?

seke siwo me womate ŋu axɔ nu le o zi geɖe le rotator cuff dzadzraɖo, labral dzadzraɖo, kple ligament dzadzraɖo ƒe amekokowo me. Wozãa

5. Nukae nye interference kple cortical suture anchors?

Interference suture anchors tea ƒua ƒo xlã suture la eye zi geɖe la, wozãa wo le teƒe siwo ƒu ƒe lolome alo nyonyome mele o, gake wotrɔ asi le cortical suture anchors ŋu be woazãe le cortical bone si me ʋuʋudedi le me eye wosɔ nyuie na teƒe siwo teƒe sue aɖe koe le eye wòhiã be woahe ŋusẽ gã aɖe.