1.Igiti cyigitsina gore niki
Iriburiro:
Uruti rwigitsina gore (Femoral Stem) nigice cyicyuma gikoreshwa mugusimbuza igice cyo hejuru cyigitereko cyumurwayi (igufwa ryibibero) mugikorwa cyo kubaga ikibuno. Nibimwe mubice byingenzi bigize sisitemu yibibuno kandi ifite inshingano zo guhuza umutwe wigitsina gore no gufata imitwaro nigikorwa cyikibuno. Uruhare runini rwuruti rwigitsina gore ni uguhindura urujya n'uruza rw'ibibuno hamwe no mu gihimba cyo hepfo ahasigaye h’ibihimba bya artile, byemeza ko ingingo ihagaze neza, neza kandi ikora neza.
Imiterere n'imikorere y'uruti rw'umugore
Imiterere:
Uruti rwigitsina gore rusanzwe rushyizweho cyangwa rufite silindrike kandi rwarakozwe kugirango ruhuze imiterere ya anatomique yumuntu wumugabo. Igarura imikorere yibibuno byatewe mu gitsina gore no guhuza umutwe wigitsina gore (ikindi gice cyikibuno cyibihimbano).
Uruhare:
Uruti rwigitsina gore rutwara igice kinini cyuburemere bwumubiri wo hejuru, bityo rukeneye kugira imbaraga zikomeye zo kwikorera imitwaro no gutuza. Igomba kandi kuba biocompatable kugirango yemeze osseointegration mugihe cyo gukoresha igihe kirekire.
Ubwoko nigishushanyo cyibiti byigitsina gore
![Ubwoko bwuruti rwumugore]( "Types of femoral stem")
Hariho ubwoko butandukanye bwigitsina gore kandi ibisanzwe birimo:
Uruziga:
Birakwiye kubarwayi bafite anatomiya hafi ya femorale, biroroshye kuyishyiraho, ariko ntibishobora gufatirwa neza mubarwayi bamwe barwaye osteoporose.
Mubyongeyeho, ibyiza bya shanks bizenguruka birimo uburyo bworoshye bwo kubaga hamwe nigihe gito cyo gutera. Icyakora, twakagombye kumenya ko kubarwayi bafite amagufwa make yubunini bwamagufwa cyangwa osteoporose, ubundi bwoko bwigitsina gore bukwiye bushobora gutekerezwa kugirango umutekano urambye.
Tapered shank:
Shanks ishobora guhindurwa:
Shanks itera imbere:
Shanks femorale hamwe na coatings:
Nka sima cyangwa sima idafite (ni ukuvuga osseointegrated), bitewe nubwiza bwamagufwa yumurwayi nuburyo imiterere yabagore. Verisiyo ya sima irakwiriye kubarwayi bakuze, mugihe verisiyo ya osseointegrated ibereye abarwayi bafite amagufwa meza.
Igishushanyo cyuruti rwigitsina gore gikubiyemo:
Gutekereza ku guhuza n'imiterere ya anatomique, nk'inguni, uburebure, hamwe no kugabanuka kw'uruti rw'umugore. Ihitamo ryakozwe kugirango tumenye neza ko igiti cyigitsina gore gikora neza nigitsina gore kandi kigakomeza guhagarara neza.
Igishushanyo mbonera: Ibiti bimwe byigitsina gore byateguwe hamwe nibintu bishobora guhinduka bituma bamwe bahindura mugihe cyo kubagwa kugirango babihuze nuburyo butandukanye.
2.Itandukaniro riri hagati yibikoresho bitandukanye byuruti rwigitsina gore
![股骨柄类型图]( "股骨柄类型图")
2.1. Umuti wa Titanium (Titanium Alloy)
Ibiranga:
Titanium alloy ni kimwe mu bikoresho bikoreshwa cyane ku gitsina gore muri iki gihe, kubera ibyiza byacyo biocompatibilité nziza, uburemere bworoshye no kurwanya ruswa. Modulus ya elastique ya titanium alloy yegereye iy'amagufa yumuntu, bigabanya guhangayikishwa cyane nigiti cyigitsina gore nigufwa nyuma yo guterwa kandi bikagabanya ibyago byo kuvunika.
Ibyiza:
Biocompatible cyane kandi ntibishobora gutera ubudahangarwa bw'umubiri.
Yoroheje, ifasha kugabanya umutwaro nyuma yo kubagwa.
Kurwanya ruswa nyinshi, bikwiranye no guterwa igihe kirekire.
Ibibi:
2.2. Cobalt-Chromium Yumuti
Ibiranga:
Cobalt-Chromium Alloy ni ibikoresho bikomeye cyane byuma kandi bikoreshwa muburyo bwibihimbano bisabwa kugirango bihangane imitwaro iremereye. Ifite imyambarire myiza no kwangirika kandi itanga imbaraga nyinshi kandi ziramba.
Ibyiza:
Birakomeye cyane, bibereye abarwayi bafite imitwaro myinshi kandi bashoboye kugumana ibiro bihamye mugihe kirekire.
Kurwanya ruswa nyinshi, bikwiranye no guterwa igihe kirekire.
Kurwanya cyane abrasion, gushobora kugabanya kwambara no kurira.
Ibibi:
Hafi ya biocompatible ugereranije na titanium alloys, irashobora gutera ikibazo gito kubarwayi bamwe.
Biremereye kuruta titanium, bishobora kongera umutwaro umurwayi nyuma yo kubagwa.
2.3. Ibyuma bitagira umwanda (Icyuma)
Ibiranga:
Ibyiza:
Ibibi:
Icyuma kitagira umwanda gishobora gutera ubudahangarwa bw'umubiri cyangwa ibibazo bya ruswa bitewe na biocompatibilité mbi.
Kurwanya ruswa nabi ugereranije na titanium alloys kandi birashobora guteza akaga igihe kirekire.
2.4. Chromium-Cobalt Alloy (Chromium-Cobalt Alloy)
Ibiranga:
Ibi bikoresho bigizwe ahanini nibintu chromium na cobalt kandi bifite imbaraga nyinshi kandi birwanya kwambara. Bisa na cobalt-chromium alloys, chrome-cobalt alloys ikoreshwa mubisanzwe muri femorale femorale ikorerwa imitwaro myinshi.
Ibyiza:
Birakomeye cyane kandi birwanya kwambara, birashobora kwihanganira imitwaro myinshi mugihe kirekire.
Kurwanya cyane kwangirika kandi bikwiriye gukoreshwa igihe kirekire.
Ibibi:
Ugereranije biocompatibilité, irashobora gutera allergique.
Ibiro byinshi, birashobora gutera ikibazo kubarwayi bamwe.
2.5. Ceramic
Ibiranga:
Ibyiza:
Gukomera cyane, kutihanganira kwambara cyane, kugabanya guterana hejuru.
Coefficient nkeya cyane yo guterana igabanya kwambara no kuvunika igihe kirekire.
Ibibi:
2.6. Ibikoresho byo gutwikira hejuru (urugero HA gutwikira, nitride ya titanium, nibindi)
Ibiranga:
Ibyiza:
Ibibi:
Impuzu zirashobora gushira igihe, bikagabanya imikorere yazo.
Imyenda imwe irashobora kongera ubunini nigiciro cyibikorwa.
Ibyifuzo:
Guhitamo ibikoresho kubigore byigitsina gore biterwa ahanini numurwayi kugiti cye (urugero, ubwiza bwamagufwa, imyaka, urwego rwibikorwa, nibindi), ubwoko bwokubaga, ibisabwa kubishushanyo, hamwe nuburambe bwa muganga ubaga. Titanium alloys na cobalt chromium alloys nibikoresho bikoreshwa cyane kubera imbaraga zisumba izindi, kuramba, hamwe na biocompatibilité. Bamwe mu barwayi bafite imitwaro myinshi barashobora guhitamo cobalt chromium alloy ibikoresho, mugihe titanium ishobora kuba amahitamo meza kubarwayi bakiri bato bafite amagufwa meza. Hatitawe ku bikoresho, ubwiza bw'igishushanyo n'ubushobozi bw'amagufwa yo kwishyira hamwe nyuma yo kubagwa ni urufunguzo rwo kwemeza ituze ry'igitsina gore no kugarura imikorere y'ibibuno.
3.Ni ubuhe buryo bwakoresha uruti rw'umugore
![Aho wakoresha ikiganza cyumugore]( "Where to use the femoral handle")
3.1. Osteoarthritis yo mu kibuno (Osteoarthritis)
Ibisobanuro:
Nibisanzwe bikunze gukoreshwa murwego rwigitsina gore. Ikibuno cy'umurwayi cy'umurwayi cyangirika, bikaviramo kubabara ingingo, kugenda gake, na dyskinesia. Mugihe ibintu bigenda bitera imbere, ubuso bwigitsina gore na acetabulum burashobora kwangirika cyane, bikaviramo gutakaza cyane imikorere ihuriweho.
Intego yo kubaga:
Binyuze mu kubaga ibibuno byimbaraga, uruti rwigitsina gore rukoreshwa mugusimbuza igice cyangiritse cyigitsina gore, bityo kugarura imikorere yibibuno, kugabanya ububabare, no kuzamura imibereho yumurwayi.
3.2. Femoral head necrosis (Avascular Necrosis, AVN)
Ibisobanuro:
Femoral head necrosis nurupfu rwumubiri wamagufwa mumutwe wigitsina gore kubera guhagarika amaraso. Ibi mubisanzwe bivamo ububabare bukabije hamwe no gutakaza imikorere. Necrosis yumutwe wigitsina gore irashobora guterwa nimpamvu zitandukanye, nko gukoresha igihe kirekire imiti ya steroid, ihahamuka, no kunywa inzoga nyinshi.
Intego yo kubaga:
Iyo umutwe wa femorale necrosis udashobora gukira binyuze mubuvuzi bwa conservateur, kubaga ibibuno byimbaraga bihinduka uburyo bwo kuvura. Uruti rwigitsina gore rukoreshwa mugusimbuza igice cya nekrotic cyumutwe wigitsina gore no kugarura imikorere ihuriweho.
3.3. Kuvunika kw'abagore
Ibisobanuro:
By'umwihariko ku barwayi bageze mu zabukuru, kuvunika ijosi ry'umugore cyangwa kuvunika kw'igitsina gore ni kuvunika ikibuno. By'umwihariko, kuvunika kw'ijosi kw'igitsina gore birashobora gusaba gusimbuza ikibuno cyimbaraga niba kuvunika kunanirwa gukira cyangwa niba hari ibibazo nka osteoporose.
Intego yo kubaga:
Gusimbuza igice cyangiritse cyigitsina gore ukoresheje igiti cyigitsina gore kugirango ugarure imikorere yibibuno byumurwayi, kugabanya ububabare, no kunoza umuvuduko. Uruti rwigitsina gore nuburyo bukenewe kubarwayi bafite imvune zikomeye cyangwa gukira bigoye.
3.4. Kwandura Ikibuno (HJI)
Ibisobanuro:
Rimwe na rimwe, ikibuno gishobora kwangirika hamwe bitewe na virusi ya bagiteri, cyane cyane iyanduye nyuma yo kubagwa ikibuno (urugero: kwandura ikibuno). Iyi ndwara irashobora gukurura kwangirika gukabije kwinyama zoroheje n'amagufwa, cyangwa no gutakaza burundu imikorere ihuriweho.
Intego yo kubaga:
Ubwandu bumaze kugenzurwa, gusimbuza ikibuno cyimbaraga birashobora gusabwa kugarura imikorere ihuriweho. Muri iki gihe, uruti rwigitsina gore ruzakoreshwa mugusimbuza igice cyangiritse cyangwa cyanduye.
![Scenarios yo gukoresha uruti rwigitsina gore]( "Scenarios for use of the femoral stem")
3.5. Guhindura Ikibuno cyangwa Dysplasia Yiterambere Yikibuno (DDH)
Ibisobanuro:
Bamwe mu barwayi barashobora kuvukana indwara ya dysplasia ikura yibibuno (urugero, disiplokasiyo ya hip cyangwa asimmetrie ya acetabular), kandi ubwo bumuga bushobora gutuma habaho imikoranire mibi hagati yigitsina gore na acetabulum, bikaviramo kwangirika hakiri kare ingingo, ububabare, cyangwa imikorere mibi.
Intego zo kubaga:
Mugihe cyo gukura ikibuno cyiterambere cyangwa ubundi bumuga bwibibuno bigira ingaruka zikomeye kubuzima, hashobora gukenerwa kubagwa gusimbuza ikibuno, aho uruti rwigitsina gore rukoreshwa mugusimbuza igice cyangiritse cyigitsina gore no kugarura imikorere ihuriweho.
3.6. Indwara ya rubagimpande (Rheumatoide Arthritis)
Ibisobanuro:
Rheumatoide arthritis ni indwara yumubiri ikunze gutera indwara zidakira ndetse no kwangirika kwa karitsiye mu ngingo. Iyo ikibuno kigize ingaruka, kugenda kwingingo bigarukira kandi ububabare no kudakora neza bigenda byiyongera.
Intego yo kubaga:
Gusimbuza ikibuno cyimbaraga nubuvuzi bwiza bwo kwangirika gukabije kwibibuno biterwa na rubagimpande ya rubagimpande. Uruti rwigitsina gore rukoreshwa mububaga kugirango rusimbuze igice cyangiritse cyigitsina gore, bityo bigabanye ububabare no kugarura urujya n'uruza.
3.7 Yanyerera Umurwa mukuru Femoral Epiphysis (SCFE)
Ibisobanuro:
Epiphysis Yanyerera (SCFE) isanzwe ibaho mugihe cyo gukura no gukura kwingimbi, cyane cyane mugihe cyubwangavu, kandi bishobora kuvamo kudahuza cyangwa kunyerera hagati yumutwe wigitsina gore nigiti cyumugore. Iyi miterere, iyo itavuwe, irashobora gutuma habaho kwangirika cyangwa gutakaza imikorere.
Intego yo kubaga:
Rimwe na rimwe, imitwe y’igitsina gore iranyerera ntishobora gukira hifashishijwe uburyo bwo kuvura ibintu kandi birashobora kubagwa gusimbuza ikibuno. Uruti rwigitsina gore rushobora gukoreshwa mugusimbuza igice cyangiritse cyigitsina gore no kugarura imikorere isanzwe.
3.8. Kuvugurura cyangwa gusimburwa nyuma ya Hip Arthroplasty (Kuvugurura Hip Arthroplasty)
Ibisobanuro:
Kubaga ikibuno cyibihimbano birashobora kugerwaho cyane, ariko igihe kirenze prothèse irashobora gushira, kurekura, cyangwa kunanirwa, bikaviramo gutakaza imikorere ihuriweho cyangwa ububabare buhoraho. Kubaga ikibuno cyangwa gusimburwa birashobora gukenerwa muriki gihe.
Intego yo kubaga:
Mugihe cyo kubaga cyangwa gusimbuza, uruti rwigitsina gore rushobora gukenera gusimburwa cyangwa kwimurwa kugirango uhuze ibyo umurwayi akeneye. Akenshi, uruti rwigitsina gore ruzatoranywa hamwe nigishushanyo gishya cyangwa ibikoresho bishingiye ku kwambara no kwidagadura kwa prostate.
![Ikibuno cya necrosis]( "Hip necrosis process")
4.Ni gute wahitamo ikirango
4.1. Stryker (Stryker)
![史赛克]( "史赛克")
Intangiriro muri make:
Stryker ni imwe mu masosiyete akomeye ku bikoresho by’ubuvuzi ku isi, atanga urutonde rw’imiti yo mu rwego rwo hejuru yatewe cyane cyane mu bijyanye n’ibihimba by’ibihimbano. Ibiti byigitsina gore bya Stryker byakozwe muburyo bushya hamwe nuburyo butandukanye bwo gukenera amavuriro atandukanye.
Ibiranga:
Kuyobora ikoranabuhanga, igihe kirekire kirambye, amavuriro yagutse no kwemeza.
4.2. Elbo (Zimmer Biomet)
![爱尔博]( "爱尔博")
Umwirondoro:
Zimmer Biomet nisosiyete ikora ibikoresho byubuvuzi byambere ku isi byibanda ku magufwa n’ubuvuzi bwa siporo, hamwe n’ibicuruzwa bitwikiriye ibihimbano birimo ibiti by’umugore.
Ibiranga:
Isosiyete ikorana buhanga mu buhanga kandi yateguwe neza ituma itanga amahitamo menshi kugirango ihuze ibyifuzo bitandukanye by’abarwayi, kandi ifite izina ryiza ku isi.
4.3. Ikoranabuhanga rya Oslo (Ottobock)
![奥斯陆科技]( "奥斯陆科技")
Umwirondoro:
Oslo Technologies nisosiyete yo mubudage kabuhariwe mu gutera ubuziranenge bwo mu bwoko bwa orthopedic hamwe nibikoresho bifasha, bitanga ibisubizo byibibuno byimbaraga birimo ibiti byigitsina gore.
Ibiranga:
Ibikoresho byujuje ubuziranenge n'ibishushanyo mbonera, kwiyemeza guhanga ibicuruzwa no kunoza imiterere itandukanye yubuvuzi.
4.4.Ubuvuzi bwiburasirazuba bwiburasirazuba (Smith & Mwishywa)
![东南医疗]( "东南医疗")
Umwirondoro:
Ubuvuzi bwo mu majyepfo y’iburasirazuba n’isosiyete izwi cyane y’ibikoresho by’ubuvuzi bizobereye mu gutera amagufwa n’ibikoresho byo kubaga, hamwe n’ibicuruzwa byayo bifatanyiriza hamwe bikoreshwa ku isi.
Ibiranga:
Ifite izina ryinshi mubijyanye no guteranya ibihimbano, kandi ibicuruzwa byayo byibanda ku gukira abarwayi igihe kirekire no kugenda.
4.5.meditech (Czmeditech)
![迈玛瑞]( "迈玛瑞")
Umwirondoro:
Czmeditech nigikoresho cyubuvuzi cyibanda kumyitozo ngororamubiri hamwe nuwabikoze yatewe kandi yiyemeje cyane gutanga ibisubizo byujuje ubuziranenge, bishya bya orthopedic byatewe ibisubizo, byibanda cyane cyane kubibuno byimbaraga hamwe n ivi. Maimaritech itanga ibikoresho nibikoresho bifasha ibitaro naba chirurgie orthopedic mu turere twinshi twisi
Ibiranga:
Bikunze gukoreshwa mububiko bwo gusimbuza ikibuno cyibihimbano, ibiti byigitsina gore byakozwe na McMurry bikozwe mubikoresho bikomeye, birwanya ruswa nka titanium na cobalt-chromium bivanze kugirango bihamye kandi biramba. Uruti rwigitsina gore rwakozwe muburyo butandukanye kugirango ruhuze abarwayi batandukanye ndetse no kubagwa.
Umwanzuro
Hamwe nuburambe bwimyaka irenga 20, ikoranabuhanga rigezweho, no kwiyemeza ubuziranenge no kubahiriza, CZMEDITECH ihagaze nkumufatanyabikorwa wizewe kubashinzwe ubuzima ku isi. Ibyuma bya plaque ya maxillofacial biri mubyiza byo hejuru kumasoko, bitanga igihe kirekire, neza, nagaciro kubakiriya bacu.
Waba uri ibitaro, ivuriro, cyangwa umuganga ubaga, turatanga ibisubizo byizewe kandi bidahenze bikenewe kugirango abarwayi bawe bavurwe neza.
