Non-Absorbable Suture Anchor

Kodi anchoring suture ndi chiyani?

Nangula wa suture amagwiritsidwa ntchito kwambiri kulumikiza minofu yofewa (mwachitsanzo, ma tendon, ligaments, ndi meniscus) ku fupa ndipo zakhala zida zofunika kwambiri pamankhwala amasewera komanso panthawi ya opaleshoni ya arthroscopic. Monga kugwiritsa ntchito anangula a suture awonjezeka, ubwino wosiyanasiyana wazinthu ndi zovuta zanenedwa. Zotsatira zake, anangula a suture akusintha mosalekeza kuti akhale otetezeka komanso ogwira mtima. M'malo omwe akusintha nthawi zonse, ndikofunikira kuti dokotala wa opaleshoni amvetsetse zofunikira za nangula zomwe zilipo mokwanira.

Kugwiritsa ntchito Suture anchors asintha opaleshoni ya mafupa chifukwa amalola kukonza kosavuta komanso kothandiza kwa minofu yofewa (mwachitsanzo, tendons ndi ligaments) ku fupa pa opaleshoni yotseguka ndi ya arthroscopic kuzungulira phewa, chigongono, dzanja, ndi ziwalo za m'munsi.) Opaleshoni yapaphewa makamaka yakhala ndi kusintha kwakukulu kwa mtundu wa njira zomwe zimagwiritsidwa ntchito kuchokera ku kukonza kotseguka kwa pulasitiki, warotator transpator, warotator rotator, ndi mawotchi ozungulira. sutures, ndi zofunika kukonza arthroscopic ntchito nangula wa suture.

Ntchito yoyambirira ya Nangula wa suture ndikumangirira minofu pamalo oyenera ndikusunga malo ake popanda kumasula kapena kupsinjika kwambiri mpaka machiritso a physiologic akwaniritsidwa. Zabwino nangula wa suture ndi wosavuta kugwiritsira ntchito, amakhala ndi mphamvu zokwanira zokoka, amateteza suture abrasion, ndipo amatha kuyamwa popanda kuchititsa zochitika zilizonse pamene zinthuzo zimasungunuka.) Mitundu yosiyanasiyana ya nangula yapangidwa, ndipo mapangidwe a nangula asintha m'zaka khumi zapitazi kuti awonjezere mphamvu zawo popanga kukonzanso kolimba kwa tendon-to-fupa.

METALLIC SUTURE ANCHOR

Mapangidwe oyambirira a suture nangula anali osasunthika komanso achitsulo. Chitsulo chenicheni chingagwiritsidwe ntchito pamodzi ndi zitsulo zina kuti apange alloy kapena yekha. Nangula ziwiri zachitsulo zomwe zimagwiritsidwa ntchito kwambiri ndi titaniyamu ndi zitsulo zosapanga dzimbiri. Titaniyamu imagwiritsidwa ntchito kwambiri popanga mafupa, ndipo imakhala yolimba, yopepuka yokha, koma imatha kuphatikizidwa ndi chitsulo kapena aluminiyamu (mkuyu 1) .5) Chitsulo chosapanga dzimbiri ndi alloy ya carbon, chromium, ndi chitsulo. Zimakhala zosagwirizana ndi dzimbiri kuposa zitsulo zokhazikika komanso zamphamvu kuposa chitsulo choyera.5) Nangula zachitsulo zosapanga dzimbiri zimazunguliridwa ndi nembanemba ya ulusi wolemera mu maselo otupa, pamene titaniyamu imapanga pamwamba pa calcium ndi phosphate, yomwe imagwirizanitsa mwachindunji ku fupa popanda umboni wa ulusi wa fibrous uwu ndi kuyankha kochepa kotupa. Chosanjikiza cha oxide chimangopanga zokha, ndipo calcium ndi phosphate zimagwera pagawoli. Kenako, ma osteoblasts amamangirira kumtunda ndikutulutsa matrix osteoid mwachangu

Non-Absorbable Suture Anchor: A Comprehensive Guide

Suture anchors ndi zida zofunika zomwe zimagwiritsidwa ntchito m'njira zosiyanasiyana za mafupa ndi opaleshoni. Non-absorbable suture anchors, makamaka, apeza chidwi chachikulu chifukwa cha kulimba kwawo komanso moyo wautali. M'nkhaniyi, tikambirana za nangula za suture zomwe sizingatengeke, ntchito zawo, ndi ubwino womwe amapereka popanga opaleshoni.

Kodi Non-absorbable Suture Anchors ndi chiyani?

Non-absorbable suture anchors ndi zida zamankhwala zomwe zimapangidwira kuti zikhazikike m'mafupa kapena minofu yofewa. Nthawi zambiri amapangidwa ndi zinthu monga titaniyamu, chitsulo chosapanga dzimbiri, kapena zitsulo zina zofananira ndi biocompatible zomwe zimapereka mphamvu komanso kulimba. Non-absorbable suture anchors sanapangidwe kuti asungunuke pakapita nthawi, ndipo amakhalabe m'thupi mpaka kalekale.

Mitundu ya Non-Absorbable Suture Anchors

Pali mitundu iwiri ikuluikulu ya non-absorbable suture anchors : kusokoneza ndi cortical.

Kusokoneza Suture Anchors

Nangula zosokoneza za suture zimapangidwa kuti zipanikizike fupa mozungulira msuti. Nangula wamtunduwu nthawi zambiri amagwiritsidwa ntchito m'malo omwe mulibe fupa la fupa kapena mtundu, monga glenoid labrum, yomwe ndi mphete ya cartilage kuzungulira mapewa. Nangula zosokoneza za suture zimapereka mphamvu zabwino zokoka komanso kukhazikika, zomwe zimawapangitsa kukhala abwino kumadera omwe ali ndi nkhawa kwambiri.

Cortical Suture Anchors

Nangula wa Cortical suture adapangidwa kuti azigwiritsidwa ntchito mu fupa la cortical. Nangulawa nthawi zambiri amagwiritsidwa ntchito m'malo omwe mafupa amakhala ochuluka kwambiri, monga momwe timachubu tomwe timatulutsa timadzi tambirimbiri. Cortical suture anchors ndi abwino kumadera omwe ali ndi malo ochepa ndipo amafuna mphamvu zokoka kwambiri.

Kugwiritsa Ntchito Non-Absorbable Suture Anchors

Non-absorbable suture anchors amagwiritsidwa ntchito popanga maopaleshoni osiyanasiyana, kuphatikiza:

Kukonzekera kwa Rotator Cuff

Non-absorbable suture anchors amagwiritsidwa ntchito popanga ma rotator cuff kukonza maopaleshoni. Kuvulala kwa ma rotator cuff kumachitika mwa othamanga komanso anthu omwe amachita mayendedwe obwerezabwereza. Nangula wa suture wosasunthika amapereka malo okhazikika komanso odalirika a nangula omwe amagwiritsidwa ntchito pokonza chikhomo cha rotator.

Kukonza Labral

Labrum ndi mphete ya cartilage yomwe imazungulira m'mphepete mwa zitsulo za mapewa. Misozi ya Labral ndi kuvulala kofala komwe kumatha kukonzedwa pogwiritsa ntchito nangula za suture zosayamwa . Nangulawa amapereka malo abwino kwambiri a nangula a sutures omwe amagwiritsidwa ntchito kukonzanso labrum, kuonetsetsa kuti zotsatira zabwino ndi zokhalitsa.

Kukonza Ligament

Nangula wa suture wosasunthika amagwiritsidwa ntchito pochita maopaleshoni osiyanasiyana okonza minyewa, kuphatikiza kukonzanso kwa bondo ndi mawondo. Nangulawa amapereka malo abwino kwambiri a nangula a sutures omwe amagwiritsidwa ntchito kukonzanso mitsempha yong'ambika kapena yowonongeka, kuonetsetsa kukhazikika ndi kugwira ntchito kwa mgwirizano.

Ubwino wa Non-absorbable Suture Anchors

Non-absorbable suture anchors amapereka maubwino angapo pa nangula wa suture, kuphatikiza:

Kukhalitsa

Non-absorbable suture anchors amapangidwa kuti azikhala okhazikika m'thupi, kupereka nangula wokhalitsa komanso wokhazikika wa ma sutures.

Mphamvu

Non-absorbable suture anchors amapereka mphamvu zabwino kwambiri zokoka, kuonetsetsa kuti ma sutures amakhalabe otetezedwa bwino.

Kuchepetsa Kutupa

Mosiyana ndi nangula wa suture wa absorbable, nangula za suture zosagwiritsidwa ntchito sizimasungunuka pakapita nthawi, kuchepetsa chiopsezo cha kutupa ndi matenda.

Mapeto

Non-absorbable suture anchors ndi zida zofunika zomwe zimagwiritsidwa ntchito m'njira zosiyanasiyana za mafupa ndi opaleshoni. Amapereka maubwino angapo pa anangula osunthika a suture, kuphatikiza kulimba, mphamvu, komanso kuchepa kwa kutupa. Ndi ntchito zawo mu kukonza makapu a rotator, kukonza labral, ndi kukonza ligament, non-absorbable suture anchors ndi gawo lofunikira la njira zamakono zopangira opaleshoni. Kumvetsetsa mitundu yosiyanasiyana ya nangula ya suture yosasunthika ndi ntchito zawo kungathandize madokotala opaleshoni ndi akatswiri a zachipatala kupereka chithandizo choyenera cha odwala komanso kusintha zotsatira za opaleshoni.

FAQs

1. Ndi zinthu ziti zomwe zimagwiritsidwa ntchito popanga? nangula za suture zosayamwa?

Nangula za suture zomwe sizimayamwa nthawi zambiri zimapangidwa ndi zinthu monga titaniyamu, chitsulo chosapanga dzimbiri, kapena zitsulo zina zomwe zimapatsa mphamvu komanso kulimba.

2. Ndi non-absorbable suture nangula zokhazikika okhazikika mu thupi?

Inde, anangula osasunthika opangidwa ndi suture amapangidwa kuti azikhala okhazikika m'thupi, kupereka nangula wokhalitsa komanso wokhazikika wa ma sutures.

3. Ubwino wake ndi chiyani non-absorbable suture nangula pa absorbable suture nangula?

Non-absorbable suture anchors amapereka maubwino angapo pa nangula wa suture, kuphatikiza kulimba, mphamvu, ndi kuchepa kwa kutupa.

4. Ndi maopaleshoni otani omwe ma nangula osayamwa omwe amagwiritsidwa ntchito kwambiri?

Non-absorbable suture anchors amagwiritsidwa ntchito pokonza ma rotator cuff, kukonza labral, ndi maopaleshoni okonza ligament.

5. Kodi kusokoneza ndi cortical suture nangula ndi chiyani?

Kusokoneza anchors suture compress fupa mozungulira suture ndipo kawirikawiri amagwiritsidwa ntchito m'madera omwe mulibe fupa la fupa kapena khalidwe, pamene cortical suture anchors amapangidwa kuti azigwiritsidwa ntchito mu fupa lakuda la cortical ndipo ndi abwino kwa madera omwe ali ndi malo ochepa ndipo amafuna mphamvu zokoka kwambiri.