Isingabatike Suture Anchor

Chii chinonzi anchoring suture?

Suture anchors anoshandiswa zvakanyanya kubatanidza zvinyoro zvinyoro (semu, tendon, ligaments, uye meniscus) kune bhonzo uye zvave zvakakosha mukurapa kwemitambo uye panguva yekuvhiya arthroscopic. Sekushandiswa kwe suture anchors yakawedzera, zvakasiyana-siyana-zvakanakira zvinhu uye matambudziko zvakataurwa. Nekuda kweizvozvo, suture anchors ari kuramba achichinja kuti ave akachengeteka uye anoshanda zvakanyanya. Munharaunda ino inogara ichichinja, zvakakosha zvekiriniki kuti chiremba anovhiya anzwisise maitiro akakosha ezvitsuwa zviripo zvakakwana.

Kushandiswa kwe suture anchors yakashandura kuvhiyiwa kwemapfupa nokuti inobvumira kugadzirisa nyore uye kwakanyatsogadziriswa kwezvinyoro zvinyoro (semuenzaniso, tendon uye ligaments) kune pfupa mune zvose zvakavhurika uye arthroscopic kuvhiyiwa pafudzi, gokora, wrist, uye majoini ezasi.) Kuvhiyiwa kwepafudzi kunonyanya kuve nekuchinja kukuru mumhando yemaitiro anoshandiswa kubva pakuvhurika cuffo uye transator rotambrus. sutures, uye zvidzitiro zvekugadzirisa arthroscopic uchishandisa suture anchors.

Basa rekutanga re suture anchor ndeyekubatanidza tishu panzvimbo yakakodzera uye kuchengetedza nzvimbo yayo pasina kusunungura kana kunyanya kunetseka kusvikira physiologic kuporesa kwapera. Chinhu chakanaka suture anchor iri nyore kubata, inochengetedza simba rakakwana rekudhonza-kunze, inodzivirira suture abrasion, uye inotorwa pasina kukonzera chero maitiro sezvo zvinhu zvinonyunguduka.) Mhando dzakasiyana-siyana dzeanchors dzakagadzirwa, uye magadzirirwo ezvipikisi zvakashanduka mumakore gumi achangopfuura kuti awedzere kubudirira kwavo pakugadzira tambo yakasimba-ku-pfupa kugadzirisa.

METALLIC SUTURE ANCHOR

Yekutanga suture anchor madhizaini aive asingabatike uye esimbi. Imwe simbi inogona kushandiswa yakasanganiswa nedzimwe simbi kugadzira alloy kana yega. Masimbi maviri anonyanya kushandiswa anchor titanium uye simbi isina tsvina. Titanium inoshandiswa zvakanyanya pakugadzirwa kwemapfupa, uye isimba rakasimba, rakareruka pacharo, asi rinogonawo kusanganiswa nesimbi kana aluminium (Fig. 1) .5) Stainless steel ialloy ye carbon, chromium, uye iron. Inonyanya kurwisana nekuora kupfuura simbi yenguva dzose uye yakasimba kudarika iron yakachena.5) Stainless steel anchors inova yakavharidzirwa nefibrous membrane yakapfuma mumasero anopisa, asi titanium inoumba nzvimbo yepamusoro ye calcium uye phosphate, iyo inobatanidza zvakananga kune pfupa pasina humbowo hweiyi fibrous layer uye ine zvishoma zvishoma kupindura. Iyo oxide layer inongoerekana yaumba, uye calcium uye phosphate inonaya pane iyi layer. Zvadaro, osteoblasts inosunga kumusoro uye inoshingaira kuburitsa osteoid matrix

Isingabatike Suture Anchor: A Comprehensive Guide

Suture anchors zvishandiso zvakakosha zvinoshandiswa mumhando dzakasiyana dzemapfupa uye ekuvhiya. Non-absorbable suture anchors, kunyanya, vakawana kutarisisa kwakanyanya nekuda kwekugara kwavo uye hupenyu hurefu. Muchinyorwa chino, tichakurukura zvisingabatike suture anchors, maapplication avo, uye mabhenefiti avanopa mukuvhiya.

Chii chinonzi Non-absorbable Suture Anchors?

Non-absorbable suture anchors zvigadziriso zvekurapa zvakagadzirirwa anchor sutures mumapfupa kana zvinyoro zvinyoro. Iwo anowanzo kugadzirwa nezvinhu zvakaita setitanium, simbi isina tsvina, kana mamwe masimbi anopindirana anopa simba uye kusimba. Non-absorbable suture anchors haina kugadzirwa kuti iparadze nekufamba kwenguva, uye inoramba iri mumuviri nekusingaperi.

Mhando dzeIsingabatike Suture Anchors

Kune mhando mbiri huru dze non-absorbable suture anchors : kupindira uye cortical.

Kupindira Suture Anchors

Kupindira suture anchors zvakagadzirirwa kumanikidza pfupa rakatenderedza suture. Aya marudzi eancho anowanzo shandiswa munzvimbo dzine kushomeka kwebhonzo kana kunaka, senge glenoid labrum, inova mhete yecartilage yakatenderedza chigadziko chepfudzi. Kupindira suture anchors inopa yakanakisa kudhonza-kunze simba uye kugadzikana, izvo zvinoita kuti ive yakanaka kune yakakwirira-kushushikana nzvimbo.

Cortical Suture Anchors

Cortical suture anchors yakagadzirirwa kushandiswa mune dense cortical bone. Aya anchor anowanzo shandiswa munzvimbo dzine huwandu hwakanyanya hwemapfupa, senge yakakura tuberosity yehumerus. Cortical suture anchors yakanakira nzvimbo dzine nzvimbo shoma uye inoda yakakwira yekudhonza-kunze simba.

Zvishandiso zveNon-absorbable Suture Anchors

Non-absorbable suture anchors anoshandiswa mumhando dzakasiyana dzekuvhiya, kusanganisira:

Rotator Cuff Kugadzirisa

Non-absorbable suture anchors inowanzoshandiswa mu rotator cuff kugadzirisa maoparesheni. Rotator cuff kukuvara kwakawanda muvatambi uye vanhu vanoita kudzokorora mafambiro epamusoro. Non-absorbable suture anchors inopa yakasimba uye yakavimbika anchor point kune sutures inoshandiswa kugadzirisa rotator cuff.

Labral Repair

Labrum irin'i yecartilage inoisa mupendero wesoketi yefudzi. Misodzi yeLabral inowanzokuvadza inogona kugadziriswa uchishandisa non-absorbable suture anchors . Aya anchor anopa yakanakisa anchor point yema sutures anoshandiswa kugadzirisa labrum, kuve nechokwadi chakabudirira uye chinogara kwenguva refu.

Ligament Repair

Non-absorbable suture anchors inoshandiswa mukuvhiya kwakasiyana-siyana kwekugadzirisa ligament, kusanganisira ankle uye ibvi ligament kugadzirisa. Aya anchor anopa yakanakisa anchor point yema sutures anoshandiswa kugadzirisa kubvaruka kana kukuvadzwa ligaments, kuve nechokwadi kugadzikana uye kushanda kwejoinhi.

Zvakanakira Non-absorbable Suture Anchors

Non-absorbable suture anchors inopa mabhenefiti akati wandei pamusoro peanobatika suture anchors, kusanganisira:

Kugara kwenguva refu

Non-absorbable suture anchors zvakagadzirirwa kuva zvigadziriso zvechigarire mumuviri, zvichipa nguva refu uye yakasimba anchor point for sutures.

Simba

Zvisingabatike suture anchors zvinopa yakanakisa kudhonza-kunze simba, kuve nechokwadi kuti sutures inoramba yakachengeteka yakasungirirwa panzvimbo.

Kuderedza Kuzvimba

Kusiyana neanobatika suture anchors, non-absorbable suture anchors haaparadzi nekufamba kwenguva, kuderedza njodzi yekuzvimba uye hutachiona.

Mhedziso

Non-absorbable suture anchors zvishandiso zvakakosha zvinoshandiswa mumhando dzakasiyana dzemapfupa uye ekuvhiya. Ivo vanopa akati wandei mabhenefiti pamusoro anogona kunyura suture anchors, kusanganisira kusimba, simba, uye kudzikira kuzvimba. Nekushandisa kwavo mukugadzirisa cuff ye rotator, kugadzirisa labral, uye kugadzirisa ligament, non-absorbable suture anchors chinhu chakakosha chemazuva ano ekuvhiya maitiro. Kunzwisisa marudzi akasiyana-siyana e-non-absorbable suture anchors uye mashandisirwo avo anogona kubatsira vanachiremba uye vashandi vezvokurapa kupa hutano hwakakwana hwevarwere uye kuvandudza migumisiro yekuvhiya.

FAQs

1. Ndezvipi zvinhu zvinoshandiswa kugadzira non-absorbable suture anchors?

Asingabatike suture anchors anowanzo gadzirwa nezvinhu zvakaita setitanium, simbi isina tsvina, kana mamwe masimbi anowirirana nebiocompatible anopa simba nekusimba.

2. Are non-absorbable suture anchors zvigadziriso zvechigarire mumuviri?

Hongu, zvisingabatike suture anchors zvakagadzirirwa kuve zvigadziriso zvechigarire mumuviri, zvichipa inogara kwenguva refu uye yakasimba anchor point yema sutures.

3. Ndezvipi zvakanakira non-absorbable suture anchors pamusoro absorbable suture anchors?

Non-absorbable suture anchors inopa akati wandei mabhenefiti pamusoro anotorwa suture anchors, anosanganisira kusimba, simba, uye kudzikira kuzvimba.

4. Ndeapi maitiro ekuvhiya ayo asingabatike suture anchors anowanzoshandiswa?

Non-absorbable suture anchors inowanzoshandiswa mukugadzirisa cuff rotator, labral repair, uye ligament repair surgeries.

5. Chii chinonzi kupindira uye cortical suture anchors?

Kupindira suture anchors kudzvanya bhonzo rakatenderedza suture uye rinowanzo shandiswa munzvimbo dzine kushomeka kwebhonzo kana kunaka, nepo cortical suture anchors yakagadzirirwa kushandiswa mune dense cortical bone uye yakanakira nzvimbo dzine nzvimbo shoma uye inoda yakakwirira yekudhonza-kunze simba.