Kudakurura Suture Anchor

Suture ni iki?

Inanga ya Suture ikoreshwa cyane muguhuza ingirangingo zoroshye (urugero, imitsi, ligaments, na meniscus) kumagufwa kandi byabaye ibikoresho byingenzi mubuvuzi bwa siporo no mugihe cyo kubaga arthroscopique. Nka ikoreshwa rya suture inanga yiyongereye, ibintu bitandukanye byihariye-byihariye nibibazo byavuzwe. Nkigisubizo, ibyuma bya suture bihora bihinduka kugirango bibe byiza kandi neza. Muri ibi bidukikije bigenda bihinduka, ni ngombwa mubuvuzi kubaga gusobanukirwa ibintu byingenzi biranga inanga zihagije.

Ikoreshwa rya suture anchors yahinduye uburyo bwo kubaga amagufwa kuko yemerera gukosora byoroshye kandi neza neza ingirangingo zoroshye (urugero, imitsi na ligaments) kumagufwa haba kubagwa kumugaragaro no kurwara arthroscopique ikikije urutugu, inkokora, ukuboko, hamwe nu rugingo rwo hepfo.) Kubaga ibitugu byumwihariko byahindutse muburyo bwubuhanga bwakoreshejwe kuva gusana kumugozi wa rot, cuff na labrum. gusana arthroscopique ukoresheje suture inanga.

Igikorwa cyibanze cya suture anchor ni uguhuza tissue kumwanya ukwiye kandi ugakomeza umwanya wacyo utagabanije cyangwa impagarara zikabije kugeza gukira physiologique birangiye. Icyiza icyuma cya suture kiroroshye kubyitwaramo, kigumana imbaraga zihagije zo gukuramo, kirinda gukuramo suture, kandi kirashobora gukururwa bitavuyemo ingaruka iyo ari yo yose nkuko ibikoresho bishonga.) Ubwoko butandukanye bwa ankeri bwatejwe imbere, kandi ibishushanyo bya ankeri byahindutse mumyaka icumi ishize kugirango bigaragaze imbaraga zabyo mugukora neza.

METALLIC SUTURE ANCHOR

Igishushanyo cya mbere cya suture cyashushanyaga nticyashobokaga kandi cyuma. Icyuma cyihariye gishobora gukoreshwa hamwe nibindi byuma kugirango bibe umusemburo cyangwa wenyine. Ibyuma bibiri bikunze gukoreshwa cyane ni titanium nicyuma. Titanium ikoreshwa cyane mubikorwa bya orthopedic, kandi ni ibikoresho bikomeye, byoroheje byonyine, ariko birashobora kandi guhuzwa nicyuma cyangwa aluminium (Ishusho 1) .5) Ibyuma bitagira umuyonga ni umusemburo wa karubone, chromium, nicyuma. Irwanya ruswa kuruta ibyuma bisanzwe kandi ikomera kuruta icyuma cyiza.5) Inanga zidafite ingese ziba zifunze hamwe na fibrous membrane ikungahaye ku ngirabuzimafatizo, mu gihe titanium ikora igipande cya calcium na fosifate, ihuza igufwa ridafite ibimenyetso byerekana iki gice cya fibrous kandi ntigishobora gukemurwa cyane. Igice cya oxyde gihita gikora, kandi calcium na fosifate bigwa kuri iki cyiciro. Hanyuma, osteoblasts ihuza hejuru kandi igasohora matrise ya osteoid

Kudakurura Suture Anchor: Ubuyobozi Bwuzuye

Inkono ya Suture nibikoresho byingenzi bikoreshwa muburyo butandukanye bwamagufwa no kubaga. Ibidodo bidashobora gukururwa, byumwihariko, byitabiriwe cyane kubera kuramba no kuramba. Muri iki kiganiro, tuzaganira ku byuma bya suture bidashobora gukururwa, ibyifuzo byabo, ninyungu batanga muburyo bwo kubaga.

Nibihe bidashobora gukururwa na Suture?

Ibidodo bidashobora kwinjizwa ni ibikoresho byubuvuzi byabugenewe gushikama mu magufa cyangwa mu ngingo zoroshye. Mubisanzwe bikozwe mubikoresho nka titanium, ibyuma bidafite ingese, cyangwa ibindi byuma biocompatible bitanga imbaraga nigihe kirekire. Amashanyarazi adashobora gukururwa ntabwo yagenewe gushonga mugihe, kandi aguma mumubiri ubuziraherezo.

Ubwoko bwa Non-absorbure Suture Anchors

Hariho ubwoko bubiri bwingenzi bwa suture idashobora kwangirika : kwivanga na cortical.

Kwivanga Kumurongo

Interfure suture inanga yagenewe guhuza amagufwa azengurutse suture. Ubu bwoko bwa ankeri bukoreshwa ahantu habuze kubura amagufwa cyangwa ubuziranenge, nka glenoid labrum, ni impeta ya karitsiye ikikije urutugu. Interfure suture inanga itanga imbaraga nziza zo gukuramo imbaraga no gutuza, bigatuma biba byiza ahantu hafite ibibazo byinshi.

Cortical Suture Anchors

Cortical suture inanga yagenewe gukoreshwa mumagufwa yuzuye cortical. Ubusanzwe inanga zikoreshwa ahantu usanga ubwinshi bwamagufwa yamagufwa, nkububyimba bunini bwigitereko. Cortical suture inanga nibyiza kubice bifite umwanya muto kandi bisaba imbaraga zo gukuramo.

Porogaramu ya Non-absorbure Suture Anchors

Imashini idoda idashobora gukoreshwa ikoreshwa muburyo butandukanye bwo kubaga, harimo:

Rotator Cuff Gusana

Ibidodo bidashobora kwakirwa byifashishwa mububiko bwa rotator cuff. Imvune ya rotator cuff yiganje mubakinnyi ndetse nabantu bakora inshuro nyinshi. Imashini idashobora gukururwa itanga icyuma kiramba kandi cyizewe cyumuti wogukoresha mugusana cuff rotateur.

Gusana Labral

Labrum ni impeta ya karitsiye itondekanya uruziga rw'igitugu. Amarira ya labral ni igikomere gisanzwe gishobora gusanwa ukoresheje suture idashobora gukururwa . Izi nkuge zitanga icyerekezo cyiza cya suture zikoreshwa mugusana labrum, zitanga umusaruro ushimishije kandi urambye.

Gusana Ligament

Imashini idashobora kwakirwa ikoreshwa muburyo butandukanye bwo gusana ligament, harimo no gusana amaguru n'amavi. Izi nkuge zitanga icyerekezo cyiza cya suture zikoreshwa mugusana imitsi yatanyaguwe cyangwa yangiritse, byemeza ko imikorere ihuriweho.

Ibyiza byo Kudakurura Suture Anchors

Ibidodo bidashobora gukururwa bitanga ibyiza byinshi kurenza ibishishwa bya suture, harimo:

Kuramba

Ibidodo bidashobora gukururwa byashizweho kugirango bibe ibintu bihoraho mumubiri, bitanga ingingo ndende kandi iramba ya sikeri.

Imbaraga

Ibidodo bidashobora gukururwa bitanga imbaraga zidasanzwe zo gukuramo, byemeza ko ubudodo bugumaho neza.

Kugabanya umuriro

Bitandukanye na suture ikurura, suture idashobora gukururwa ntishobora gushonga mugihe, bigabanya ibyago byo gutwika no kwandura.

Umwanzuro

Ibidodo bidashobora kwinjizwa ni ibikoresho byingenzi bikoreshwa muburyo butandukanye bwo kuvura no kubaga. Zitanga ibyiza byinshi kurugero rwa suture rushobora gukururwa, harimo kuramba, imbaraga, no kugabanya umuriro. Hamwe nibisabwa byabo muri rotator cuff gusana, gusana labral, no gusana ligament, suture idashobora gukururwa ni ikintu cyingenzi muburyo bwo kubaga bugezweho. Gusobanukirwa ubwoko butandukanye bwa suture idashobora gukururwa hamwe nibisabwa birashobora gufasha kubaga ninzobere mubuvuzi gutanga ubuvuzi bwiza bwumurwayi no kunoza ibisubizo byo kubaga.

Ibibazo

1.Ni ibihe bikoresho bikoreshwa mu gukora suture idashobora gukururwa?

Imashini idashobora gukururwa isanzwe ikozwe mubikoresho nka titanium, ibyuma bitagira umwanda, cyangwa ibindi byuma biocompatible bitanga imbaraga nigihe kirekire.

2. Ari suture idashobora gukurura ibyuma bihoraho mumubiri?

Nibyo, ibyuma bidashobora gukurura ibyuma byashizweho kugirango bibe ibikoresho bihoraho mumubiri, bitanga ingingo ndende kandi iramba ya santeri.

3. Ni izihe nyungu za suture idashobora gukururwa hejuru ya suture?

Amashanyarazi adashobora gukururwa atanga inyungu nyinshi kurenza inanga zidashobora kwinjizwa, harimo kuramba, imbaraga, no kugabanya umuriro.

4. Ni ubuhe buryo bwo kubaga budakoreshwa na suture ya suture ikunze gukoreshwa?

Imashini idashobora gukururwa ikoreshwa cyane mugusana rotate cuff gusana, gusana labral, no kubaga ligament.

5. Ni ubuhe buvanganzo hamwe na cortical suture inanga?

Interfure suture inanga igabanya igufwa rizengurutse suture kandi mubisanzwe bikoreshwa ahantu habuze ubwinshi bwamagufwa cyangwa ubuziranenge, mugihe inanga ya cortical suture yagenewe gukoreshwa mumagufwa ya cortical cortique kandi nibyiza kubice bifite umwanya muto kandi bisaba imbaraga zo gukuramo cyane.