PEEK Seke ƒe ʋuƒo

Nukae nye seke si wotsɔna blaa nu?

Wozãa seke siwo wotsɔ blaa ƒuae zi geɖe tsɔ blaa lãkusi falɛfalɛwo (le kpɔɖeŋu me, lãkusiwo, lãkusiwo, kple ƒumeŋuɖui) ɖe ƒua ŋu eye wova zu mɔ̃ veviwo le kamedefefewo ƒe atikewɔwɔ me kple le ƒunukpeƒetetedɔ ƒe amekoko me. Esi seke siwo wotsɔ blaa nue zazã le dzidzim ɖe edzi la, 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.

Suture anchors zazã trɔ asi le ƒumeŋutinunya ŋu elabena enaa woate ŋu atsɔ lãkusi falɛfalɛwo (le kpɔɖeŋu me, lãkusiwo kple lãkusiwo) abla ƒua bɔbɔe eye wòwɔa dɔ nyuie le amekoko si woʋu kple ƒunukpeƒetetedɔ siaa me ƒo xlã abɔta, abɔta, asibidɛ, kple abɔ kple afɔ ƒe ƒunukpeƒewo.) Abɔtadɔwɔwɔ vevietɔ na tɔtrɔ gã aɖe va le aɖaŋu ƒomevi siwo wozãna tso rotator cuff kple labrum zãa gavi, washers, transosseous sutures, kple staples tsɔ dzraa ƒunukpeƒewo ɖo to ƒunukpeƒetetedɔ ƒe sekewo zazã me.

Dɔ vevitɔ si suture anchor wɔnae nye be wòatsɔ lãkusiwo abla ɖe teƒe si sɔ eye wòalé eƒe nɔƒe me ɖe asi evɔ maɖe asi le eŋu alo aƒoe fũu akpa o vaseɖe esime ŋutilã ƒe dɔyɔyɔ nava. Seke si sɔ nyuie si wotsɔ blaa nu la ŋudɔwɔwɔ le bɔbɔe, eléa ŋusẽ si sɔ si woate ŋu ahe ɖe eme la me ɖe asi, xea mɔ na sekea ƒe ʋuʋu, eye woate ŋu axɔe evɔ mehea nuwɔna aɖeke vɛ ne nusi wotsɔ wɔe la le ƒoƒom o.) Woto seke 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 me yi ƒu me ɖɔɖɔɖo sesẽ aɖe wɔwɔ me.

Polyetheretherketone si wotsɔna ƒoa ƒui

Esi wònye be woate ŋu axɔ seke aɖewo siwo gblẽna le nugbagbeviwo ŋu kabakaba akpa ta la, woti seke siwo me nugbagbeviwo te ŋu nɔa te ɖo la toto vɛ. Wokpɔa seke si me nugbagbeviwo nɔa te alea—si nye polyetheretherketone ( PEEK ) polymer—to bisphenol dzewo ƒe dialkylation me ) .

PEEK le zazãm geɖe wu le tribological components me le eƒe dɔwɔwɔ nyuie ta. PEEK nuwo ɖe ŋusẽ gã, mɔ̃ɖaŋununya ƒe nɔnɔme sesẽwo fia, wote ŋu nɔa te ɖe vuvu kple dzoxɔxɔ nu nyuie, eye wotsia tre ɖe atikewo kple nugbagbewo ŋu nyuie ŋutɔ. Eyata, dɔwɔwɔ bubu geɖewo le eŋu le mɔ̃ɖaŋudɔwo kple atikewɔwɔ me.) PEEK hã naa viɖewo, abe dɔwɔwɔ vɔ megbe nɔnɔmetata nyuiwo kple nusiwo li ke ƒe tsɔtsɔke ene, eye kuxi aɖeke meli si do ƒome kple polymer ƒe gbegblẽ o. Vevietɔ la, woɖee fia be kuxi gãtɔ si le PEEK ŋue nye ƒu ƒe ƒoƒo ɖekae nyuie o. Gake le nusianu me la, PEEK anchor ƒe ŋgɔyiyi na wova xɔ biocomposite materials siwo ate ŋu ado alɔ osteoconductive inggroth.)

BIOCOMPOSITE ƑE NUÐEÐEŊUTI ƑE NUÐEÐEŊUTI

Biocomposite suture anchors nye polymer nusi gblẽna kple bioceramic nusi doa ƒu ƒe wɔwɔ ɖe ŋgɔ siaa. Bioceramic si wozãna wue nye beta-tricalcium phosphate (β-TCP); bubuwoe nye hydroxyapatite, calcium sulfate, kple calcium carbonate.) Wozãa TCP geɖe le ƒumeŋutinunya me tsɔ yɔa ƒu ƒe gbɔdzɔgbɔdzɔwo me elabena (1) mineral si le eme sɔ kple amegbetɔ ƒe ƒu tɔ, (2) eƒe macro-porosity kple micro-porosity nye ƒumeŋuɖui, eye (3) eƒe biocompatibility kple mechanical resistance nyo ŋutɔ. To vovo na β-TCP la, hydroxyapatite nye dzɔdzɔme mineral si do ƒome kple ƒuwo eye wòwɔa dɔ kple nugbagbewo ŋutɔ elabena eɖi mineral ƒe akpa aɖe si le aɖuwo kple ƒuwo me le lã siwo naa no wo viwo me.) Zi geɖe la, wobua ƒu teƒenɔla siwo wotu ɖe hydroxyapatite dzi be womate ŋu axɔ wo o alo woƒe gbegblẽ ƒe agbɔsɔsɔme le ʋɛ wu β-TCP (Fig. 3))

KATÃ-FAFA SUTURE ANCHOR

Wosrɔ̃ nu tso solid type suture anchors (le kpɔɖeŋu me, ga kple polymer) ŋu geɖe eye wokpɔe be wosɔ gbɔ na ŋutilã ƒe agbawo léle ɖe te le lãmeka falɛfalɛwo kple ƒu ƒe kadodowo me. Zi geɖe la, seke sesẽ siawo hiãa amekoko ƒe dzadzraɖo ɖe ƒu ƒe afɔɖoƒea ŋu (woaɖe ƒu ƒe afɔtiwo ɖa, woaƒoe, alo woaku) si ate ŋu ana ƒu nabu le anyigba ƒe akpa si wotsɔ ɖo anyigbae ƒe lolome ta.)

Woto seke siwo katã fa miamiamia (ASA) vɛ be woatsɔ aɖe kuxi siwo dona tso seke siwo ƒe ƒomevi sesẽ zazã me kple nusiwo xɔa ame me dzi akpɔtɔ. ASA siawo nyea aŋe si me polyethylene si ƒe molecule lolo ŋutɔ (UHMWPE) le ɖeka alo esi wu nenema.

Zi geɖe la, ASA-awo nyea abɔta alo kasɛt si wotsɔa aŋenu si wotsɔ lãa aŋe si me UHMWPE le la. Mɔnu sia si wotsɔ léa nu ɖe ​​te la to vovo ne wotsɔe sɔ kple seke siwo wotsɔa aŋe wɔe siwo le abe gavi ene. Ne wotsɔ ASA de ƒua me eye wohe ka gbãtɔa la, wotsɔa asibide alo kaƒomɔ̃a ƒoa ƒui be wòate ɖe ƒu si le edzi la ŋu si awɔ 'bɔl' si wɔa dɔ abe seke ene. Enaa woate ŋu atsɔ aŋe si wotsɔ blae la ade mɔ si ƒe didime le sue wu (milimeta 1–3) me, si wɔnɛ be ƒu kpɔa ƒu ta eye le susu me la, enaa woate ŋu akpɔ ƒu geɖe ta, si ate ŋu aɖe vi ŋutɔ le ƒu ƒe agbɔsɔsɔ si le glenoid rim alo acetabulum la ƒe ʋɛnyenye ta. Azɔ hã, ne sekea gblẽ gɔ̃ hã la, ƒunukpeƒea ƒe gbegblẽ ate ŋu aɖe akpɔtɔ le sekea ƒe ŋutilã falɛfalɛa ta.)

Mɔfiame Mamlɛtɔ na PEEK Anchors: Nɔnɔmewo, Dɔwɔwɔwo, Kple Viɖewo

Ne èle nusi ate ŋu ana ŋusẽ, sesẽ, kple atikewo ƒe tsitretsitsi si de ŋgɔ wu dim la, PEEK (polyetheretherketone) ye nye tiatia nyuitɔ. PEEK nye polymer si wɔa dɔ nyuie si va xɔ ŋkɔ le dɔwɔƒe geɖe me le eƒe mɔ̃ɖaŋununya ƒe nɔnɔme ɖedzesiwo, biocompatibility, kple dzoxɔxɔ ƒe liƒo ta. Le nyati sia me la, míaƒo nu tso PEEK sekewo, woƒe nɔnɔmewo, dɔwɔwɔwo, kple viɖewo ŋu.

Nukae nye PEEK Sekewo?

PEEK sekewo nye nusiwo wotsɔ blaa nu siwo wotsɔ PEEK nusiwo wowɔ be woana seke sesẽ eye kakaɖedzi le eŋu le dɔwɔwɔ vovovowo me. Wozãa wo zi geɖe le atikewɔnyawo, yamenutomeyimɔ̃wo, ʋuwo, kple ami kple gas dɔwɔƒewo, kpakple bubuwo me. Wonya PEEK sekewo ɖe woƒe ŋutete be woate ŋu anɔ te ɖe agba gãwo, dzoxɔxɔ ƒe tɔtrɔ, kple nɔnɔme sesẽwo nu ta.

PEEK Sekewo ƒe nɔnɔmewo

PEEK sekewo ƒe nɔnɔme geɖewo le wo si si na wo de ŋgɔ wu nu bubuwo. PEEK sekewo ƒe nɔnɔme siwo ɖe dzesi wu dometɔ aɖewoe nye:

Ŋusẽ Kple Sesẽme Kɔkɔ

PEEK sekewo ƒe tensile ŋusẽ kple sesẽme lolo, si wɔe be wosɔ nyuie na dɔwɔwɔ siwo hiã seke sesẽ kple kakaɖedzi. Woate ŋu anɔ te ɖe agba gãwo kple woƒe ƒoƒo nu evɔ womagbã alo atrɔ o.

Atikewo ƒe Tsitretsitsi

PEEK sekewo te ŋu nɔa te ɖe atike geɖe nu ŋutɔ, siwo dometɔ aɖewoe nye acid, base, kple organic solvents. Esia na wosɔ nyuie na dɔwɔwɔ siwo me wokpɔa mɔ be atike sesẽwo nadze ame dzi le.

Dzoxɔxɔ ƒe Liƒolili

PEEK sekewo ƒe dzoxɔxɔ ƒe liƒo nyo ŋutɔ, wote ŋu nɔa te ɖe dzoxɔxɔ gã si ade 300°C nu evɔ womeƒuna alo gblẽna o. Wote ŋu nɔa te ɖe dzoxɔxɔ si fa miamiamia hã nu, si wɔe be wosɔ nyuie na zazã le cryogenic dɔwɔwɔwo me.

Nu gbagbewo ƒe dɔwɔwɔ ɖekae

PEEK sekewo nye biocompatible, si wɔe be wole dedie be woazã le atikewɔwɔ kple aɖudɔwo me. Womenye aɖi o eye womehea kansa vɛ hã o, si wɔe be wonye tiatia si me gblẽa nu le nutome ŋu o.

PEEK Sekewo ƒe dɔwɔwɔ

PEEK sekewo ƒe dɔwɔwɔ le mɔ vovovowo nu, siwo dometɔ aɖewoe nye:

Atikewɔwɔ Kple Aɖudɔdada Ŋuti Dɔwɔnawo

Wozãa PEEK sekewo zi geɖe le atikewɔwɔ kple aɖudɔwo me, abe Ortopedik implantwo , aɖudede, kple aklã dede ame me ene. Woƒe nugbagbewo ƒe dɔwɔwɔ ɖekae kple alesi wote ŋu nɔa te ɖe xɔxlɔ̃ kple woƒe vuvu nu na wosɔ nyuie be woazã le amegbetɔ ƒe ŋutilã me.

Yamenutome Dɔwɔnawo

Wozãa PEEK sekewo le yamenutomeyimɔ̃dɔwɔƒewo le woƒe ŋusẽ gã kple tsitretsitsi ɖe dzoxɔxɔ ƒe tɔtrɔ kple atikewo ŋu ta. Wozãa wo zi geɖe le yameʋuwo ƒe mɔ̃wo, yameʋuwo ƒe mɔ̃wo, kple xɔtunuwo ƒe akpa aɖewo me.

Ʋuwo ƒe Dɔwɔwɔwo

Wozãa PEEK sekewo le ʋuwɔƒewo le woƒe tsitretsitsi ɖe woƒe vuvu ŋu, dzoxɔxɔ ƒe tɔtrɔ, kple atikewo ta. Wozãa wo zi geɖe le mɔ̃wo, mɔ̃memimɔ̃wo, kple mɔ̃memimɔ̃wo me.

Ami Kple Gas Zazã

Wozãa PEEK sekewo le ami kple gas dɔwɔƒewo le woƒe tsitretsitsi ɖe nyaƒoɖeamenu sesẽ, dzoxɔxɔ ƒe tɔtrɔ, kple atikewo ŋu ta. Wozãa wo zi geɖe le do siwo le doa te ƒe dɔwɔnuwo, ʋuƒo, kple pɔmpiwo me.

Viɖe siwo le PEEK Sekewo ŋu

PEEK sekewo naa viɖe geɖe wu nu bubuwo, siwo dometɔ aɖewoe nye:

Eƒe kpekpeme le bɔbɔe

PEEK sekewo ƒe kpekpeme le bɔbɔe ne wotsɔe sɔ kple ga bubuwo, si wɔe be wosɔ nyuie na dɔwɔwɔ siwo me kpekpeme nye nusi ŋu wotsi dzi ɖo.

Ŋusẽ Kple Kpekpeme ƒe Sɔsɔme Kɔkɔ

PEEK sekewo ƒe ŋusẽ kple kpekpeme ƒe sɔsɔme lolo, si wɔe be wosɔ nyuie na dɔwɔwɔ siwo me ŋusẽ geɖe hiã le gake ele be woana kpekpeme nanɔ sue wu.

Tsitretsitsi ɖe xɔxlɔ̃ ŋu

PEEK sekewo te ŋu nɔa te ɖe xɔxlɔ̃ nu ŋutɔ, si wɔe be wosɔ nyuie na zazã le nɔnɔme sesẽwo me.

Dodo ƒe Tsitretsitsi

PEEK sekewo te ŋu nɔa te ɖe woƒe vuvu nu ŋutɔ, si wɔe be wosɔ nyuie na zazã le dɔwɔwɔ siwo me aŋɔ nye nusi ŋu wotsi dzi ɖo.

Mɔ̃ɖaŋudɔwɔwɔ Le bɔbɔe

PEEK sekewo ƒe mɔ̃ le bɔbɔe, si wɔe be wonye tiatia si me ga mele o na dɔ geɖe wɔwɔ.

Nyanuwuwuw

PEEK sekewo nye nusi woate ŋu azã le mɔ vovovowo nu eye wòwɔa dɔ nyuie be woatsɔ ablae na dɔ vovovowo wɔwɔ. Esi woƒe nɔnɔme tɔxɛwo, wo zazã, kple viɖe siwo le wo ŋu ta la, wova le xɔm ɖe edzi le dɔwɔƒe geɖe. Tso atikewɔwɔ kple aɖuɖɔtoewo dzi va ɖo yamenutome kple ʋu ƒe akpa aɖewo dzi la, PEEK sekewo naa seke si ŋu kakaɖedzi le eye wòsẽna kple nɔnɔme deŋgɔ siwo nana woto vovo tso nu bubuwo gbɔ.

Nya siwo wobiaa nya tso ame ŋu

1. Nukae nye PEEK ?

PEEK tsi tre ɖi na polyetheretherketone, si nye polymer si wɔa dɔ nyuie si wonya ɖe eƒe mɔ̃ɖaŋununya ƒe nɔnɔme nyuiwo, dzoxɔxɔ ƒe liƒo, kple biocompatibility ta.

1. Nukae wozãna na PEEK sekewo?

Wozãa PEEK sekewo hena seke siwo ŋu kakaɖedzi le eye wosẽna le dɔ vovovowo me, abe atikewɔwɔ me nusiwo wotsɔ dea ʋu me, yamenutome ƒe akpa aɖewo, ʋu ƒe akpa aɖewo, kple ami kple gas dɔwɔnuwo ene.

1. Viɖe kawoe le PEEK sekewo ŋu?

PEEK sekewo naa viɖewo abe ŋusẽ kple sesẽme gã, atike kple dzoxɔxɔ ƒe tsitretsitsi, nugbagbewo ƒe ɖekawɔwɔ, kpekpeme si le bɔbɔe, ŋusẽ kple kpekpeme ƒe sɔsɔme gã, tsitretsitsi ɖe xɔxlɔ̃ ŋu, tsitretsitsi ɖe vuvu ŋu, kple mɔ̃ bɔbɔe.

1. Nukae nye PEEK sekewo ƒe dɔwɔwɔ?

PEEK sekewo ƒe dɔwɔwɔ le atikewɔwɔ kple aɖuɖɔtoe, yamenutome ƒe akpa aɖewo, ʋu ƒe akpa aɖewo, kple ami kple gas dɔwɔnuwo me.

1. Ðe PEEK sekewo mewɔa nuvevi nutome oa?

Ẽ, PEEK sekewo mewɔa nuvevi nutome o elabena womenye aɖi o eye womehea kansa vɛ o, si wɔe be wonye tiatia si le dedie eye wònɔa anyi didi na dɔwɔwɔ vovovowo.