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Isesengura ryuzuye ryibiti bya femoral hamwe nabacuruzi 5 ba Plamoral Stem

Reba: 0 Umwanditsi: Muhinduzi bwa Sings Gutanga Igihe: 2025--18 Inkomoko: Urubuga

1.Ibiti bya femoral

Intangiriro:

Uruti rwumuyoboro (uruti rwumunyabwenge) nigice cyicyuma gikoreshwa mugusimbuza igice cyo hejuru cya Femur yumurwayi (amagufwa yubukorikori) mu kubagwa ikibuno cy'ubukorikori. Nimwe mubice byingenzi bya sisitemu ya hip yubukorikori kandi ishinzwe guhuza umutwe wumunya femoral hanyuma ufate imitwaro ningendo ryibibuno. Uruhare nyamukuru rwuruti rwumunyabwenge ni ugushiraho urujya n'uruza rw'ibibuno hamwe n'igitambaro cyo hepfo hamwe n'ibindi bikoresho byo mu bubiko.

股骨柄使用图

Imiterere n'imikorere ya Stemral Stem

Imiterere:

Uruti rwumuyoboro mubisanzwe rukandagiye cyangwa rwakozwe kugirango duhuze imiterere ya anatomical ya femur yabantu. Igarura imikorere yikibuno iterwa hagati ya femur kandi ihuza umutwe wumunya femoral (ikindi gice cyikibuno cya artificiel).

Uruhare:

Uruti rwumuyoboro rutwara ubwiganze ubwinshi bwumubiri wo hejuru bwumubiri, niko bisaba kugira ubushobozi bukomeye bwo gutwara imitwaro kandi buhamye. Igomba kandi kuri biokusatible kugirango ostergration ossegration mugihe kirekire.

Ubwoko n'ibishushanyo by'ibiti by'imyenda

Ubwoko bw'igiti cy'umunya femoral

Hariho ubwoko butandukanye bwa shanki ya femoral hamwe nibisanzwe harimo:

Round Shank:

Birakwiye kubarwayi bafite anatomy yuzuye ibitsina, biroroshye kwishyiriraho, ariko ntibishobora gufatirwa neza mubarwayi bamwe bafite Osteoporose.
Byongeye kandi, ibyiza byo kuzenguruka shanki birimo uburyo bworoshye bwo kubaga no mubihe bigufi. Ariko, twakagombye kumenya ko abarwayi bafite amagufwa make cyangwa osteopose, ibindi bintu bitandukanye byuruti rwindabyo bishobora gufatwa kugirango habeho gushikama mugihe kirekire.

SHAKA SHATK:

Mubisanzwe bikoreshwa mubarwayi hamwe na anatoral ya anatorale yakandamiwe hamwe nigiti cyaka cyangwa kigufi kugirango gifashe kurinda uruti rwumuyoboro.

Ingaruka Zanki:

Shanks zimwe na zimwe zagenewe ibintu bifatika zishobora guhuzwa na anatomiya yumurwayi.

Iterambere rya Shank:

Ibi bikoresho byateguwe kugirango bitange impamyabumenyi itandukanye yo gutuza no kugabana umutwaro kugirango hamenyekane imico itandukanye kandi ikeneye kwihangana.

Shanks ifite ibinyabuzima bifite amakandi:

Nkibyo byashima cyangwa sinamennye (ni ukuvuga, Osseointegrated), bitewe nububiko bwimiterere yumurwayi nu miterere yubusa. Inyandiko yabaye irakwiriye kubarwayi bakuru, mugihe verisiyo ya Osseointraft irakwiriye abarwayi bafite amagufwa meza.

Igishushanyo mbonera cya femoral kirimo:

Gusuzuma imihindagurikire y'ikinyana, nk'inguni, uburebure, na curvature y'igiti cy'umunya femoral. Guhitamo bikorwa kugirango tumenye neza ko uruti rwumunyabwenge rukora neza hamwe na femur kandi zigakomeza guhagarara.
Igishushanyo mbonera: Ibiti bimwe na bimwe byashizweho nibintu bifatika byemerera ibyahinduwe mugihe cyo kubagwa kugirango ubamenyesheje muburyo butandukanye bwo guhuza anatomicab.

2.Itandukaniro riri hagati yibikoresho bitandukanye byuruti rwumunyabwenge

股骨柄类型图

2.1. Titanium Alloy (Titanium Aveloy)

Ibiranga:

Titanium Acloy ni kimwe mubikoresho bikoreshwa cyane byo kumena femoral bikunze kugaragara, kubera ibyiza byayo byibinyabuzima byiza, uburemere bworoshye hamwe no kurwanya ruswa. Modulus ya elastique ya Titanium Ally yegereye ima igufwa ryabantu, igabanya ibitekerezo byihungabana hagati yigiti cyakozwe na femoral hamwe namagufwa nyuma yo guterwa no kugabanya ibyago byo kuvunika.

Ibyiza:

Biocompdatible cyane kandi bidashoboka gutera umunyacyubahiro.
Kubora, gufasha kugabanya umutwaro nyuma yo kubagwa.
Kurwanya kwangirika kwangwa, bikwiriye gukubitwa igihe kirekire.

Ibibi:

Gake cyane kurenza izindi sitals (urugero: chromium-chromium), bityo ibikoresho bikomeye birashobora gusabwa kubarwayi bakorerwa imitwaro myinshi.

2.2. Cobalt-Chromium alloy

Ibiranga:

Codalt-Chromium Acyumis Nibikoresho bikomeye cyane kandi bikunze gukoreshwa mubice bihuriweho nibice bisabwa kugirango bihangane imitwaro yo hejuru. Ifite imbaraga nziza kandi irwanya ruswa kandi itanga imbaraga nyinshi nimbaga.

Ibyiza:

Birakomeye cyane, bikwiranye nabarwayi bafite imitwaro minini kandi bashoboye gukora ibiro mugihe kirekire.
Kurwanya kwangirika kwangwa, bikwiriye gukubitwa igihe kirekire.
Kurwanya Aburamu, birashoboka kugabanya kwambara no gutanyagura.

Ibibi:

Bioque bike bivuguruzanya kuruta titanium alloys, irashobora gutera ibintu bito mubarwayi bamwe.
Biremereye kuruta titanium alloys, zishobora kongera umutwaro kumurwayi nyuma yo kubagwa.

2.3. Ibyuma bidafite ishingiro (ibyuma bidafite ishingiro)

Ibiranga:

Icyuma kitagira ingaruka nibikoresho bisanzwe byicyuma mubisanzwe bikoreshwa kumutwaro muto cyangwa umusingi wambere. Birakomeye kandi birakomeye cyane.

Ibyiza:

Gukomera, bikwiriye abarwayi bafite imitwaro yoroshye.
Ugereranije bihendutse.
Byoroshye gutunganya no gukora.

Ibibi:

Icyuma kitagira ingaruka zirashobora gutera ibibazo byingenzi byingenzi cyangwa ibibazo bya ruswa kubera bioquatility.
Gurwanya kwangiza ibiryo ugereranije na titanium alloys kandi birashobora guteza akaga gakorwa igihe kirekire.

2.4. Chromium-Cobalt Acloy (Chromium-Coballat ALYLY)

Ibiranga:

Ibi bikoresho bigizwe ahanini nibintu bya chromium na coalt kandi bifite imbaraga nyinshi kandi bambara ihohoterwa. Bisa na codalt-chromium alloys, Chrome-Cobalt Alloys isanzwe ikoreshwa mubikeri byimbuto byakorewe imitwaro minini.

Ibyiza:

Birakomeye cyane kandi wambarwa, ushoboye kwihanganira imitwaro minini mugihe kirekire.
Kurwanya cyane kuri ruswa kandi bikwiranye no gukoresha igihe kirekire.

Ibibi:

Ugereranije biocompaget, birashobora gutera allergie reaction.
Uburemere Bwinshi, birashobora gutera ikibazo kubarwayi bamwe.

2.5. Ceramic

Ibiranga:

Ibikoresho ceramic rimwe na rimwe bikoreshwa nk'ubuso bwo hejuru ku nkombe z'umunya femoral cyangwa nk'ibikoresho by'umutwe wa femur bitewe no gukomera kwabo no kwambara. Ceramics ifite serivisi nkeya yo guterana amagambo, kugabanya kwambara.

Ibyiza:

Gukomera kwinshi, kwambara cyane, bigabanya guterana amagambo.
Koseke gake cyane yo guterana kwambara no kuvunika igihe kirekire.

Ibibi:

Ubutoni bukabije, bukunze guturika cyangwa gusenya, ubusanzwe bikoreshwa mubyoroheje cyangwa ibice igice aho kuba uruti rwose.

2.6. Ibikoresho byo gutwika hejuru (urugero: Titanium Nitride, nibindi)

Ibiranga:

Amabati adasanzwe nka calcium aminophosphate (ha) gukinisha cyangwa titanium Nitride ya Nitrium akenshi yongerewe hejuru yuruti rwumuyoboro. Intego nyamukuru yibi biregure ni uguteza imbere kwishyira hamwe kw'ibiti by'imiyoboro mu magufa, kunoza biocompatisguble n'imfashanyo mu mikurire y'amagufwa.

Ibyiza:

Guteza imbere Osseointegragration kandi bigira uruhare mu itumanaho rirerure ryitirirwa femoral.
Bitezimbere biofomputions no kugabanya imitekerereze yubuntu.

Ibibi:

Itumanaho rishobora kwambara igihe, rigabanya imikorere yabo.
Ikiranga zimwe na bimwe gishobora kongera ibintu bigoye kandi bigura inzira.

Ibyifuzo:

Guhitamo ibikoresho kugirango uruti rwumuyoboro rugaragaze ahanini numurwayi wa buri muntu (urugero, ubuziranenge bwamagufwa, imyaka, urwego rwo kubaga, hamwe nubunararibonye bwo kubaga. Titanium alloys na coromium ya coromium nibikoresho byakoreshejwe cyane kubera imbaraga zabo zisumba izindi, kuramba, na biocompat. Bamwe mu barwayi bafite imitwaro myinshi barashobora guhitamo coromium phromium ibikoresho, mugihe titanium ishobora guhitamo neza kubarwayi bato bafite amagufwa meza. Utitaye kubikoresho, ubwiza bwigishushanyo nubushobozi bwamagufwa kugirango ihuze nyuma yo kubagwa ni urufunguzo rwo guharanira umutekano no gusana imikorere ya kilmo.

3.Ni ibihe bintu byakoresha uruti rwumuyoboro

Aho UKORESHEJE

3.1. Osteoarthritis yikibuno (osteoarthritis)

Ibisobanuro Ibisobanuro:

Nibintu bikunze kugaragara aho uruti rwumuyoboro rukoreshwa. Ikibero cy'umurwayi Cartilage cyangirika, kikavamo ububabare buhuriweho, kugenda mu buryo buke, na dyskinesia. Mugihe ibintu bitera imbere, ubuso bwa femur na acetabulum bashizwemo no gutanyagura bikabije kandi bikavamo igihombo gikomeye cyimikorere ihuriweho.

Intego yo kubaga:

Binyuze mu kubaga ibinyabuzima byo gusimbuza ibinyabuzima, igiti cy'umunya femoral gisimburwa igice cyangiritse cya femu, bityo ugarure imikorere y'ibibuno, kugabanya ububabare, no kuzamura imibereho y'umurwayi.

3.2. Umutwe wa femoral necrosis (avascular necrosis, AVN)

Ibisobanuro Ibisobanuro:

Umutwe wa femoral necroses nurupfu rwamagufwa yamagufwa mumutwe wambaye imyenda kubera guhagarika amaraso. Ibi mubisanzwe bivamo ububabare bukabije no gutakaza imikorere. Necrosis yumutwe wimbuto irashobora guterwa n'impamvu zitandukanye, nk'ibipimo birebire by'imiti ya rutare, ihahamuka, no kunywa inzoga.

Intego yo kubaga:

Iyo umuyobozi mukuru udashobora kugarurwa binyuze mu kuvura ibihakanyi, kubaga ibinyabuzima byo gusimbuza ikibuno bihinduka uburyo bwo kuvura. Uruti rwumuyoboro rukoreshwa mugusimbuza igice cya Necrotic igice cyumutwe no kugarura imikorere ihuriweho.

3.3. Kuvunika femoral

Ibisobanuro Ibisobanuro:

Cyane cyane kubarwayi bageze mu zabukuru, kuvunika ijosi cyangwa guhagarika femoral stem bivunika ibijumba. By'umwihariko, kuvunika kw'ijosi ry'umunyabwenge birashobora gusaba gusimbuza ikibuno cy'ubukorikori niba kuvunika byananiwe gukira cyangwa niba hari ibibazo nka Osteoporose.

Intego yo kubaga:

Gusimbuza igice cyangiritse cya femur binyuze mu mwanya wa femorale kugirango ugarure imikorere ya hip yumurwayi, gabanya ububabare, no kunoza umuvuduko. Uruti rwumuyoboro ni amahitamo akenewe kubarwayi bafite ibipimo bigoye cyangwa gukira bigoye.

3.4. Kwandura amavuta (HJI)

Ibisobanuro Ibisobanuro:

Rimwe na rimwe, ihuriro ry'ibibi rishobora kwangirika kubera kwandura bagiteri, cyane cyane kwandura kurwara nyuma yo kubaga ibijumba (urugero: kwandura prostrasi). Indwara irashobora kuganisha ku byangiritse cyane kuri tissue yoroshye n'amagufwa, cyangwa no gutakaza kurangiza imikorere ihuriweho.

Intego yo kubaga:

Nyuma yo kwandura nyuma yo kugenzurwa, gusimbuza ibinyabuzima byo gusimburwa birashobora gusabwa kugarura imikorere ihuriweho. Muri iki gihe, uruti rwumunyabwenge ruzakoreshwa mugusimbuza igice cyangiritse cyangwa cyanduye femur.

Scenarios yo gukoresha ibiti bya femoral

3.5. Ubumuga bwa Hip cyangwa Dysplasia yikibuno (DDH)

Ibisobanuro Ibisobanuro:

Bamwe mu barwayi barashobora kuvuka bafite ibibuno byiterambere ryibibuno (urugero, imyigaragambyo yiki.

Intego zo kubaga:

Mugihe cyo kwimyabamari yiterambere cyangwa ubundi buryo bwo guhinduranya hip bugira ingaruka zikomeye mubuzima bwubuzima, hashobora kubagwa ibinyabuzima byo gusimbuza ibihimbano birashobora gukoreshwa mugusimbuza igice cyangiritse cya femur no kugarura imikorere ihuriweho na femur.

3.6. Rheumbatoid Arthritis (Rheumbatoid Arthritis)

Ibisobanuro Ibisobanuro:

Rheumotioid Arthritis nindwara idagirwangingo igabanya ubudahangarwa bukunze kuganisha ku gutwika karande na karitsiye mu ngingo. Iyo ikibuno kigira ingaruka, kugenda kwingingo ni bike kandi ububabare kandi budakora kandi budakora buhoro buhoro buhoro.

Intego yo kubaga:

Gusimbuza ikibuno ni ubuvuzi bwiza bwangiza cyane ikigega cyatewe na rubagimpande ya rubagimpande. Uruti rwumuyoboro rukoreshwa mukugwa kugirango usimbuze igice cyangiritse cya femur, bityo bigabanya ububabare no kugarura ubumuga buhuriweho.

3.7 Igishoro cya Epiphysis cya Epiphysis (scice)

Ibisobanuro Ibisobanuro:

Igishoro cya Spiphel Epiphysis (scipyssis (scice) bibaho mugihe cyimbere yingimbi niterambere, cyane cyane mugihe cyubwangavu, kandi bishobora kuvamo nabi cyangwa kunyerera hagati yumutwe wumunyambaraga hamwe nigiti cyuzuye. Iyi miterere, iyo itavuwe, irashobora kuganisha ku kwangirika cyangwa gutakaza imikorere.

Intego yo kubaga:

Rimwe na rimwe, imitwe ya femoral inyerera ntishobora kugarurwa no kubaga ibidukikije kandi birashobora kubaga ibinyabuzima byo gusimbuza ikibuno. Uruti rwumuyoboro rushobora gukoreshwa mugusimbuza igice cyangiritse cya femur no kugarura imikorere isanzwe.

3.8. Gusubiramo cyangwa gusimbuza nyuma yo gusiba arthroplasty (gusubiramo hip arthroplasty)

Ibisobanuro Ibisobanuro:

Kubaga ibinyabuzima byo gusimbuza ibihimbano birashobora gutsinda cyane, ariko mugihe prostrasi birashobora gushira, kurekura, cyangwa kunanirwa, bikagoshe gutakaza imikorere ihuriweho cyangwa ububabare budacogora. Gusana HIP cyangwa kubaga bisimburwa birashobora kuba ngombwa muriki gihe.

Intego yo kubaga:

Mugihe cyo gusana cyangwa kubaga bisimburwa, uruti rwumunyabwenge rushobora gukenera gusimburwa cyangwa gusubizwa mu kwakira ibyo umurwayi akeneye. Akenshi, uruti rwumunyabwenge ruzatorwa nigishushanyo cyangwa ibikoresho bishingiye ku kwambara no kurekura bya prostrasi.

Ibikorwa bya Hip Necrose

4.Ni gute guhitamo ikirango

4.1. Stryker (Stryker)

史赛克

Intangiriro ngufi:

Stryker nimwe mubigo bishinzwe ubuvuzi ku isi, bitanga uburyo butandukanye bwo ku mutima amagufwa, cyane cyane mu murima w'ikibuno cy'ubukorikori. Ibiti bya Stryker's byateguwe udushya dukoresheje uburyo butandukanye kubintu bitandukanye.

Ibiranga:

Ikoranabuhanga riyobora, gutuza cyane, gusaba ubuvuzi no kwemeza.

4.2. Elbo (zimmer biomet)

爱尔博

Umwirondoro:

Zimmer Biomet ni isosiyete ishinzwe ibikoresho byibikoresho byisi yose yibanda kuri orthopedictike hamwe nubuvuzi bwa siporo, nibicuruzwa bikubiyemo imbaraga zihuriweho zirimo ibiti bya artificiel birimo ibiti.

Ibiranga:

Isosiyete ishyari muri tekinoroji kandi yateguwe cyane ituma itanga amahitamo menshi kugirango yubahirize abarwayi batandukanye, kandi afite izina ryiza kwisi yose.

4.3. Oslo Technologies (Ottobock)

奥斯陆科技

Umwirondoro:

Ikoranabuhanga rya Oslo nisosiyete y'Ubudage izoboroga mu magufa yo mu rwego rwo hejuru hamwe n'ibikoresho bifasha, atanga ibisubizo by'ibibuno by'ubukorikori birimo ibiti by'ubugizi bwa femoral.

Ibiranga:

Ibikoresho byiza nibishushanyo, ubwitange bwo guhanga udushya no kunoza imiterere yubuvuzi butandukanye.

4.4.

东南医疗

Umwirondoro:

Ubuvuzi bwo mu majyepfo y'uburasirazuba bw'ubuvuzi bw'ibikoresho by'ibikoresho by'ibikoresho by'ibikoresho by'ibikoresho byatanzwe mu magufa n'ibikoresho byo kubaga, hamwe n'ibicuruzwa byaho by'ubukorikori bikoreshwa ku isi hose.

Ibiranga:

Ifite izina ryinshi mu rwego rwo gukubitwa ingingo zihuriweho, kandi igishushanyo mbonera cy'ibicuruzwa byibanda ku gukira no kugenda.

4.5.meditech (czmeditech)

迈玛瑞

Umwirondoro:

Czmeditech ni igikoresho cyubuvuzi bwamagufwa hamwe nuwabikoze utanga umusaruro mwinshi mugutanga ubuziranenge bwo gutanga ubuziranenge, udushya tw'ubusambanyi. Ibikoresho bya Maimaritech bitera kandi bifasha ibitaro no kubaga amagufwa mu turere twisi

Ibiranga:

Mubisanzwe bikoreshwa mu kubagwa ikibuno cy'ubukorikori, ibiti by'umunyabwenge byakozwe na McMurry bikozwe mu mbaraga nyinshi, ibikoresho byongereranyo nka titanium na coabanti-chromium-chromium-thromium iharanira umutekano no kuramba. Uruti rwumuyoboro rwateguwe muburyo butandukanye kugirango duhuze ibikenewe byabarwayi batandukanye ndetse nabaga.

Umwanzuro

Hamwe nimyaka irenga 20, guca ikoranabuhanga ryikoranabuhanga, no kwiyemeza ubuziranenge no kubahiriza, Czmelitech ihagaze nkumufatanyabikorwa wizewe kubatanga ubuzima kwisi. Amasahani yacu ya maxillofacial yicyuma iri mubwiza buhebuje ku isoko, gutanga iramba, gusobanuka, no guha agaciro abakiriya bacu.

Waba uri ibitaro, ivuriro, cyangwa umuganga ubaga, dutanga ibisubizo byizewe kandi bihatira ibiciro bikenewe kugirango tumenye neza abarwayi bawe.