I-Anchor ye-Suture engenakufunxa

Yintoni i-anchoring suture?

Ii-anchors ze-Suture zisetyenziselwa ngokubanzi ukunamathisela izicubu ezithambileyo (umzekelo, i-tendon, i-ligaments, kunye ne-meniscus) kwithambo kwaye ziye zaba zizixhobo ezibalulekileyo kumayeza ezemidlalo kunye nangexesha lotyando lwe-arthroscopic. Njengokusetyenziswa kwe i-ankile ye-suture yonyukile, izibonelelo ezahlukeneyo zezinto kunye nemingeni ziye zaxelwa. Ngenxa yoko, iiankile ze-suture zihlala zitshintsha ukuze zikhuseleke kwaye zisebenze ngakumbi. Kule meko isoloko iguquka, kuyimfuneko ngokweklinikhi ukuba ugqirha wotyando aqonde iimpawu eziphambili zeehange ezikhoyo ngokwaneleyo.

Ukusetyenziswa kwe I-anchors ye-suture iguqule utyando lwamathambo ngenxa yokuba ivumela ukulungiswa okulula kunye nokusebenzayo kwezicubu ezithambileyo (umzekelo, i-tendon kunye ne-ligaments) kwithambo kuzo zombini utyando oluvulekileyo kunye ne-arthroscopic ejikeleze igxalaba, i-elbow, wrist, kunye namalungu asezantsi.) i-sutures, kunye ne-staples ukulungiswa kwe-arthroscopic usebenzisa iiankile zokuthunga.

Umsebenzi ophambili we I-anchor ye-suture kukuncamathisela izicubu kwindawo efanelekileyo kwaye igcine indawo yayo ngaphandle kokukhulula okanye ukuxinzelela ngokugqithiseleyo de ukuphiliswa kwe-physiologic kufezekiswe. Eyona nto ifanelekileyo I-anchor ye-suture kulula ukuyiphatha, igcina amandla okwaneleyo okukhupha, inqanda i-suture abrasion, kwaye iyaxutywa ngaphandle kokubangela nayiphi na impendulo njengoko i-anchor ichithwa.) Iindidi ezahlukeneyo zeehange ziye zaphuhliswa, kunye noyilo lweehange luye lwavela kwiminyaka elishumi edlulileyo ukwandisa ukusebenza kwabo ekudaleni ukulungiswa kwe-tendon-to-bone eqinile.

IMETALI SUTURE ANCHOR

Uyilo lokuqala lwe-ankile ye-suture lwalungenakufunxwa kwaye luyintsimbi. Intsimbi ethile ingasetyenziselwa kudibaniswa nezinye iintsimbi ukwenza i-alloy okanye yodwa. Ii-ankile zentsimbi ezimbini ezisetyenziswa ngokuqhelekileyo ziyi-titanium kunye nentsimbi engatyiwayo. I-Titanium isetyenziselwa ukusetyenziswa kwamathambo, kwaye yinto enamandla, ilula ngokwayo, kodwa inokudibaniswa nentsimbi okanye i-aluminium (umzobo 1) .5) Insimbi engenasici i-alloy ye-carbon, i-chromium kunye nentsimbi. Iyakwazi ukumelana ne-corrosion kunentsimbi eqhelekileyo kwaye yomelele kunentsimbi ecocekileyo.5) Izikhonkwane zensimbi ezingenasici zifakwe kwi-membrane ye-fibrous ecebileyo kwiiseli ezivuthayo, kanti i-titanium yenza i-surface layer ye-calcium kunye ne-phosphate, edibanisa ngokuthe ngqo kwithambo ngaphandle kobungqina bolu luhlu lwe-fibrous kunye nempendulo encinci yokuvuvukala. Umaleko weoksidi uzenzele ngokwawo, kwaye i-calcium kunye ne-phosphate ziwela kulo maleko. Emva koko, ii-osteoblasts zibophelela phezulu kwaye zikhuphe ngokusebenzayo i-osteoid matrix

I-Anchor ye-Suture engafunxwanga: IsiKhokelo esiBanzi

Ii-anchors ze-Suture zizixhobo ezibalulekileyo ezisetyenziswa kwiinkqubo ezahlukeneyo ze-orthopedic kunye notyando. Ii-anchor ze-suture ezingenakufunxa, ngokukodwa, zifumene ingqwalasela ebalulekileyo ngenxa yokuqina kwazo kunye nokuphila ixesha elide. Kweli nqaku, siza kuxubusha ii-ankile ze-suture ezingenakufunxa, izicelo zabo, kunye neenzuzo abazinikezelayo kwiinkqubo zotyando.

Zeziphi ii-Non-absorbable Suture Anchors?

Ii-anchors ze-suture ezingaxutywanga zizixhobo zonyango ezenzelwe i-anchor sutures emathanjeni okanye kwizicubu ezithambileyo. Ngokuqhelekileyo zenziwe ngezinto ezifana ne-titanium, insimbi engenasici, okanye ezinye iintsimbi ezihambelana ne-biocompatible ezinika amandla kunye nokuqina. Ii-anchors ze-suture ezingabonakaliyo aziyilwanga ukuba zichithe ixesha elide, kwaye zihlala emzimbeni ngokungapheliyo.

Iindidi zee-Anchors ze-Suture ezingenakufunxa

Kukho iintlobo ezimbini eziphambili ze i-anchors ye-suture engabonakaliyo : ukuphazamiseka kunye ne-cortical.

Ukuphazamiseka Suture iankile

Ukuphazamiseka kweeankile ze-suture zenzelwe ukucinezela ithambo elijikeleze umthungo. Ezi ntlobo zeehange ziqhele ukusetyenziswa kwiindawo apho kukho ukungabikho kwamathambo okanye umgangatho, njenge-glenoid labrum, i-ring of cartilage ejikeleze i-socket yegxalaba. I-interference suture anchors inika amandla abalaseleyo okukhupha kunye nokuzinza, okwenza kube yinto efanelekileyo kwiindawo eziphezulu zoxinzelelo.

Cortical Suture Anchors

I-Cortical suture iankile ziyilelwe ukuba zisetyenziswe kwithambo le-cortical exineneyo. Ezi iankile ziqhele ukusetyenziswa kwiindawo apho kukho ukuxinana okuphezulu kwamathambo, njenge-tuberosity enkulu ye-humerus. Ii-anchor ze-cortical suture zifanelekile kwiindawo apho kukho indawo encinci kwaye ifuna amandla aphezulu okukhupha.

Ukusetyenziswa kweeAnchors ze-Suture ezingafunxwanga

Ii-ankile ze-suture ezingafunxwanga zisetyenziswa kwiinkqubo ezahlukeneyo zotyando, kubandakanya:

Ukulungiswa kweCuff yeRotator

Ii-anchor ze-suture ezingabonakaliyo zisetyenziswa ngokuqhelekileyo kwi-rotator cuff ukulungisa utyando. Ukulimala kwe-Rotator cuff kuxhaphake kwiimbaleki kunye nabantu abenza ukunyakaza okuphindaphindiweyo. Ii-anchor ze-suture ezingenakuxhamla zibonelela ngendawo ehlala ixesha elide kunye nethembekileyo ye-anchor ye-sutures esetyenziselwa ukulungisa i-rotator cuff.

Ukulungiswa kweLabral

I-labrum yintsimbi ye-cartilage eyenza umgca wesokethi yegxalaba. Iinyembezi zeLabral yingozi eqhelekileyo enokulungiswa ngokusebenzisa iiankile ze-suture ezingafunxwanga . Ezi zikhonkwane zibonelela ngendawo egqwesileyo ye-anchor ye-sutures esetyenziselwa ukulungisa i-labrum, iqinisekisa umphumo oyimpumelelo kunye nexesha elide.

Ukulungiswa kweLigament

Ii-anchor ze-suture ezingabonakaliyo zisetyenziselwa utyando oluhlukeneyo lokulungiswa kwe-ligament, kubandakanywa ukulungiswa kwe-ankle kunye nedolo. Ezi zikhonkwane zibonelela ngenqaku elihle kakhulu le-anchor kwi-sutures esetyenziselwa ukulungisa iigaments ezikrazukileyo okanye ezonakalisiweyo, ukuqinisekisa ukuzinza kunye nokusebenza komgudu.

Izinto eziluncedo kwii-Anchors ze-Suture ezingenakufunxa

Ii-ankile ze-suture ezingafunxwanga zibonelela ngeenzuzo ezininzi ngaphezulu kwee-ankile ze-suture ezifunxayo, kuquka:

Ukuqina

Ii-anchor ze-suture ezingaxutywanga zenzelwe ukuba zibe zizixhobo ezisisigxina emzimbeni, zibonelela ngendawo ye-anchor ehlala ixesha elide kunye neyomelele kwi-sutures.

Amandla

Ii-ankile ze-suture ezingafunxwanga zinika amandla abalaseleyo okutsala, ziqinisekisa ukuba ii-sutures zihlala zikhuselekile kwindawo.

UkuNcitshiswa kokuNcitshiswa

Ngokungafaniyo neeankile ze-suture ezifunxayo, i -anchors ye-suture engabonakaliyo ayichithi ixesha elide, inciphisa umngcipheko wokuvuvukala kunye nokusuleleka.

Ukuqukumbela

Ii-anchor ze-suture ezingafunxwanga zizixhobo ezibalulekileyo ezisetyenziswa kwiinkqubo ezahlukeneyo ze-orthopedic kunye notyando. Banikezela ngeenzuzo ezininzi ngaphezulu kwee-ankile ze-suture ezifunxayo, kubandakanya ukuqina, amandla, kunye nokuncipha kokudumba. Ngezicelo zabo ekulungiseni i-rotator cuff, ukulungiswa kwe-labral, kunye nokulungiswa kwe-ligament, I-ankile ye-suture engafunxayo yinxalenye ebalulekileyo yeenkqubo zotyando zanamhlanje. Ukuqonda iintlobo ezahlukeneyo zeehange ze-suture ezingabonakaliyo kunye nezicelo zabo zinokunceda oogqirha kunye neengcali zonyango banike unonophelo olufanelekileyo lwesigulane kunye nokuphucula iziphumo zotyando.

Ii-FAQs

1. Ziziphi izinto ezisetyenziselwa ukwenza iiankile ze-suture ezingafunxwanga?

Ii-ankile ze-suture ezingafunxwanga ngokwesiqhelo zenziwe ngezinto ezifana ne-titanium, intsimbi engagqwali, okanye ezinye iintsimbi ezihambelana ne-biocompatible ezinika amandla kunye nokuqina.

2. Ngaba i-ankile ye-suture engafunxayo esisigxina emzimbeni?

Ewe, ii-ankile ze-suture ezingenakufunxwa ziyilelwe ukuba zibe zizixhobo ezisisigxina emzimbeni, zibonelela ngendawo ye-anchor ehlala ixesha elide kunye neyomelele kwi-sutures.

3. Ziziphi iingenelo ze ii-ankile ze-suture ezingafunxwanga ngaphezulu kwee-ankile ezifunxayo ze-suture?

Ii-ankile ze-suture ezingabambekiyo zibonelela ngeengenelo ezininzi ngaphezulu kwee-ankile ze-suture ezifunxayo, kubandakanya ukuqina, amandla, kunye nokuncitshiswa kokudumba.

4. Zeziphi iinkqubo zotyando ezidla ngokusetyenziswa iiankile ze-suture ezingafunxwanga?

Ii-anchors ze-suture ezingabonakaliyo ziqhelekileyo zisetyenziselwa ukulungiswa kwe-rotator cuff, ukulungiswa kwe-labral, kunye nokuhlinzwa kokulungiswa kwe-ligament.

5. Yintoni i-interference kunye ne-cortical suture iankile?

I-interference suture anchors ixinzelela ithambo elijikeleze i-suture kwaye isetyenziswa ngokuqhelekileyo kwiindawo apho kukho ukungabikho kwamathambo okanye umgangatho, ngelixa i-cortical suture anchors zenzelwe ukusetyenziswa kwithambo le-cortical exineneyo kwaye ifanelekile kwiindawo apho kukho indawo encinci kwaye ifuna amandla aphezulu okukhupha.