ʻAʻole hiki ke komo Heleuma humuhumu

He aha ka humuhumu heleuma?

Hoʻohana nui ʻia nā heleuma suture no ka hoʻopili ʻana i nā ʻiʻo palupalu (e laʻa, nā tendons, ligaments, meniscus) i ka iwi a ua lilo i mau mea pono i ka lāʻau lapaʻau haʻuki a i ka wā o ke kaʻina arthroscopic. E like me ka hoʻohana ʻana o Ua hoʻonui ʻia nā heleuma suture , ua hōʻike ʻia nā pono pono a me nā pilikia. ʻO ka hopena, ke hoʻololi mau nei nā heleuma suture e lilo i mea palekana a ʻoi aku ka maikaʻi. I loko o kēia kaiapuni e loli mau nei, he mea pono i ke kauka lapaʻau ke hoʻomaopopo pono i nā hiʻohiʻona nui o nā heleuma e kū nei.

Ka hoohana ana o Ua hoʻololi nā heleuma suture i ke kaʻina orthopedic no ka mea hiki iā ia ke hoʻopaʻa maʻalahi a maikaʻi hoʻi o nā ʻiʻo palupalu (e laʻa, nā tendons a me nā ligaments) i ka iwi ma ka wehe ʻana a me ke ʻoki arthroscopic a puni ka poʻohiwi, kuʻekuʻe lima, a me nā ami o lalo.) staples i ka hoʻoponopono arthroscopic me ka hoʻohana ʻana heleuma humuhumu.

ʻO ka hana mua o ka ʻO ka heleuma suture e hoʻopili i ka ʻiʻo ma ke kahua kūpono a mālama i kona kūlana me ka ʻole o ka wehe ʻana a i ʻole ka haʻalulu nui a hiki i ka hoʻōla ʻana o ke kino. ʻO kahi kūpono He maʻalahi ke lawelawe ʻana i ka heleuma suture , mālama i ka ikaika huki huki, pale i ka abrasion suture, a hiki ke hoʻopaʻa ʻia me ka ʻole o ka hopena i ka hemo ʻana o ka mea.)

ANCHOR SUTURE METALIC

ʻO nā hoʻolālā heleuma suture mua he nonabsorbable a metala. Hiki ke hoʻohana ʻia kahi metala kikoʻī i hui pū ʻia me nā metala ʻē aʻe e hana ai i kahi huila a i ʻole wale nō. ʻO nā heleuma metala ʻelua i hoʻohana pinepine ʻia he titanium a me ke kila kila. Hoʻohana nui ʻia ʻo Titanium no nā noi orthopedic, a he mea ikaika a māmā wale nō ia, akā hiki ke hui pū ʻia me ka hao a i ʻole alumini (Fig. 1).5) ʻO ke kila kila he huila o ke kalapona, chromium, a me ka hao. ʻOi aku ka pale ʻana i ka corrosion ma mua o ke kila maʻamau a ʻoi aku ka ikaika ma mua o ka hao maʻemaʻe.5) Ua hoʻopili ʻia nā heleuma stainless steel e kahi membrane fibrous waiwai i loko o nā cell inflammatory, ʻoiai ʻo titanium e hana i kahi papa o ka calcium a me ka phosphate, e pili pono ana i ka iwi me ka ʻole o ka hōʻike ʻana o kēia papa fibrous a me ka pane liʻiliʻi. Hoʻokumu koke ʻia kahi papa ʻokikene, a hoʻoheheʻe ka calcium a me ka phosphate ma kēia papa. A laila, paʻa nā osteoblasts i ka ʻili a hūnā ikaika i ka matrix osteoid

Non-absorbable Heleuma humuhumu : He alakai piha

ʻO nā heleuma suture nā mea hana pono i hoʻohana ʻia i nā ʻano orthopedic a me nā kaʻina hana. ʻO nā heleuma suture non-absorbable, ʻoi aku ka nui o ka nānā ʻana ma muli o ko lākou lōʻihi a me ka lōʻihi. Ma kēia ʻatikala, e kūkākūkā mākou i nā heleuma suture non-absorbable, kā lākou noi, a me nā pono a lākou e hāʻawi ai i nā kaʻina hana.

He aha nā Heleuma humuhumu hiki ʻole ke komo?

ʻO nā heleuma suture non-absorbable he mau lāʻau lapaʻau i hoʻolālā ʻia e heleuma i nā humuhumu i loko o nā iwi a i ʻole nā ​​​​mea palupalu. Hana ʻia lākou i nā mea e like me ka titanium, ke kila kila, a i ʻole nā ​​metala biocompatible ʻē aʻe e hāʻawi i ka ikaika a me ka lōʻihi. ʻAʻole i hoʻolālā ʻia nā heleuma suture non-absorbable e hoʻoheheʻe i ka manawa, a noho mau lākou i ke kino no ka manawa pau ʻole.

Nā ʻano o nā mea hiki ʻole ke hoʻopaʻa ʻia Heleuma humuhumu s

Elua ano nui o nā heleuma suture non-absorbable : keakea a me ka cortical.

Keakea Heleuma humuhumu s

Hoʻolālā ʻia nā heleuma humuhumu hoʻopilikia e hoʻopaʻa i ka iwi a puni ka suture. Hoʻohana mau ʻia kēia mau ʻano heleuma ma nā wahi i nele ka nui o ka iwi a maikaʻi paha, e like me ka glenoid labrum, ʻo ia ke apo o ka cartilage a puni ka poʻohiwi. ʻO nā heleuma suture interference e hāʻawi i ka ikaika huki a me ka paʻa, kahi e kūpono ai ia no nā wahi koʻikoʻi.

Cortical Heleuma humuhumu s

Hoʻohana ʻia nā heleuma humuhumu cortical no ka hoʻohana ʻana i ka iwi cortical paʻa. Hoʻohana mau ʻia kēia mau heleuma ma nā wahi i nui ka nui o ka iwi iwi, e like me ka nui o ka tuberosity o ka humerus. He kūpono nā heleuma cortical suture no nā wahi i kaupalena ʻia a koi ʻia ka ikaika huki kiʻekiʻe.

Noi no ka non-absorbable Heleuma humuhumu s

Hoʻohana ʻia nā heleuma suture non-absorbable i nā kaʻina hana ʻokoʻa, e like me:

Hoʻoponopono ʻia ʻo Rotator Cuff

nā heleuma suture non-absorbable i nā hana hoʻoponopono rotator cuff. Hoʻohana maʻamau ʻia Loaʻa ka ʻeha o ka rotator cuff i ka poʻe haʻuki a me ka poʻe e hana hou ana i nā neʻe ma luna. Hāʻawi nā heleuma suture non-absorbable i kahi heleuma paʻa a hilinaʻi hoʻi no nā humuhumu i hoʻohana ʻia no ka hoʻoponopono ʻana i ka rotator cuff.

Hooponopono Labral

ʻO ka labrum he apo o ka cartilage e laina ana i ka lihi o ka poʻohiwi. ʻO nā waimaka Labral kahi hōʻeha maʻamau i hiki ke hoʻoponopono ʻia me ka hoʻohana ʻana nā heleuma suture hiki ʻole ke komo . Hāʻawi kēia mau heleuma i kahi heleuma maikaʻi loa no nā sutures i hoʻohana ʻia no ka hoʻoponopono ʻana i ka labrum, e hōʻoiaʻiʻo ana i ka hopena kūleʻa a lōʻihi.

Hoʻoponopono Ligament

nā heleuma suture non-absorbable i nā ʻoihana hoʻoponopono ligament like ʻole, me ka hoʻoponopono ʻana i nā kuʻekuʻe wāwae a me nā kuli. Hoʻohana ʻia Hāʻawi kēia mau heleuma i kahi heleuma maikaʻi loa no nā sutures i hoʻohana ʻia no ka hoʻoponopono ʻana i nā ligaments i haehae ʻia a ʻeha paha, e hōʻoia ana i ka paʻa a me ka hana o ka hui.

Pono o Non-absorbable Heleuma humuhumu s

Hāʻawi nā heleuma suture non-absorbable i nā mea maikaʻi ma mua o nā heleuma suture absorbable, e like me:

Ka lōʻihi

Hoʻolālā ʻia nā heleuma suture non-absorbable e lilo i mea paʻa mau i ke kino, e hāʻawi ana i kahi heleuma lōʻihi a paʻa no nā hiku.

Ka ikaika

Hāʻawi nā heleuma suture non-absorbable i ka ikaika huki-waho maikaʻi loa, e hōʻoia ana i ka paʻa ʻana o nā humuhumu ma kahi paʻa.

Hoʻemi ʻia ka hū

ʻAʻole like me nā heleuma suture absorbable, suture non-absorbable i ka manawa, e hōʻemi ana i ka pilikia o ka ʻāʻī a me ka maʻi. ʻaʻole e hoʻoheheʻe nā heleuma

Ka hopena

ʻO nā heleuma suture non-absorbable nā ​​mea hana pono i hoʻohana ʻia i nā ʻano orthopedic a me nā kaʻina hana. Hāʻawi lākou i nā pono he nui ma mua o nā heleuma suture absorbable, me ka lōʻihi, ka ikaika, a me ka hoʻemi ʻana i ka mumū. Me kā lākou mau noi i ka hoʻoponopono rotator cuff, hoʻoponopono labral, a me ka hoʻoponopono ligament, ʻO nā heleuma suture non-absorbable he mea koʻikoʻi o nā kaʻina hana ʻoki hou. ʻO ka hoʻomaopopo ʻana i nā ʻano like ʻole o nā heleuma suture non-absorbable a me kā lākou mau noi hiki ke kōkua i nā kauka lapaʻau a me nā ʻoihana lapaʻau e hāʻawi i ka mālama maʻi maikaʻi loa a hoʻomaikaʻi i nā hopena o ke kaʻina.

FAQs

1. He aha nā mea hana i hana ʻia nā heleuma humuhumu ʻole?

ʻO nā heleuma suture non-absorbable i hana maʻamau i nā mea e like me ka titanium, stainless steel, a i ʻole nā ​​metala biocompatible ʻē aʻe e hāʻawi ai i ka ikaika a me ka lōʻihi.

2. He non-absorbable suture heleuma paa mau i loko o ke kino?

ʻAe, ua hoʻolālāʻia nā heleuma suture non-absorbable e lilo i mau mea paʻa mau i ke kino, e hāʻawi ana i kahi heleuma lōʻihi a paʻa no nā humuhumu.

3. He aha nā pōmaikaʻi o nā heleuma suture hiki ʻole ke komo ma luna o nā heleuma suture absorbable?

Hāʻawi nā heleuma suture non-absorbable i nā mea maikaʻi ma mua o nā heleuma suture absorbable, me ka lōʻihi, ka ikaika, a me ka hoʻemi ʻana i ka mumū.

4. He aha nā kaʻina hana e hoʻohana mau ʻia ai nā heleuma suture non-absorbable?

nā heleuma suture non-absorbable i ka hoʻoponopono ʻana i ka rotator cuff, hoʻoponopono labral, a me nā hana hoʻoponopono ligament. Hoʻohana mau ʻia

5. He aha ke ano o ke keakea a me na heleuma suture cortical?

Hoʻopiʻi nā heleuma suture interference i ka iwi a puni ka suture a hoʻohana maʻamau i nā wahi i nele ka nui o ka iwi a i ʻole ka maikaʻi, ʻoiai ua hoʻolālā ʻia nā heleuma suture cortical e hoʻohana ʻia i loko o ka iwi cortical paʻa a kūpono no nā wahi i kaupalena ʻia a koi i ka ikaika huki kiʻekiʻe.