Ingcaciso yeMveliso
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. Njengoko ukusetyenziswa kwee-ankile ze-suture kunyukile, izibonelelo ezahlukeneyo 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 kwee-anchors ze-suture kuye kwaguqula utyando lwamathambo kuba luvumela 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 transosseous, kunye ne-staples ukulungiswa kwe-arthroscopic usebenzisa i-anchors ye-suture.
Umsebenzi oyintloko we-anchor ye-suture kukuncamathisela izicubu kwindawo efanelekileyo kwaye ugcine indawo yayo ngaphandle kokukhulula okanye ukuxhatshazwa ngokugqithiseleyo kuze kube yilapho ukuphulukiswa kwe-physiologic kufeziwe. I-anchor ye-suture efanelekileyo kulula ukuyiphatha, igcina amandla okwaneleyo okukhupha, inqanda i-suture abrasion, kwaye iyakwazi ukuxutywa ngaphandle kokubangela nayiphi na impendulo njengoko i-ankile iyanyibilika.) Iindidi ezahlukeneyo ze-anchors ziye zaphuhliswa, kwaye i-designs of annchor iye yavela kule minyaka ilishumi idlulileyo ukwandisa ukusebenza kwabo ekudaleni ukulungiswa kwe-tendon-to-bone eqinile.
Ngenxa yokuba ezinye ii-ankile ezibolisiweyo zinokufunxwa ngokukhawuleza okukhulu, uphuhliso lweeankile ze-biostable lwalandelwa. I-anchor enjalo ye-biostable-i-polyetheretherketone ( PEEK ) i-polymer-ifumaneka nge-dialkylation ye-bisphenol salts)
PEEK isiya isetyenziswa kakhulu kumacandelo e-tribological ngenxa yokusebenza kwayo okugqwesileyo. PEEK imathiriyeli ibonise ukomelela okuphezulu, iipropathi ezomeleleyo zoomatshini, ukunxiba kakuhle kunye nokumelana nobushushu, kunye nokuchaneka okugqwesileyo kweekhemikhali kunye nebhayoloji. Ngoko ke, inezinye izicelo ezininzi kubunjineli kunye neyeza.) PEEK ikwabonelela ngeenzuzo, ezifana nemifanekiso emihle emva kokusebenza kunye nokulungiswa okuzinzile, kwaye akukho zingxaki ezinxulumene nokuthotywa kwepolymer. Okubalulekileyo, eyona ngxaki inkulu nge- PEEK ibonakaliswe ikwi-osseointegration engalunganga. Ngokubanzi, nangona kunjalo, uphuhliso lwe-anchor ye- PEEK ikhokelele ekwamkelweni kwezixhobo ze-biocomposite ezinokuxhasa i-osteoconductive ingrowth.)
Ii-anchors ze-suture ze-Biocomposite zenziwe zizinto zombini ze-polymer eziphathekayo kunye nokwakheka kwethambo-ukukhuthaza imathiriyeli ye-bioceramic. I-bioceramic esetyenziswa ngokuqhelekileyo yi-beta-tricalcium phosphate (β-TCP); ezinye ziquka i-hydroxyapatite, i-calcium sulfate, kunye ne-calcium carbonate.) I-TCP isetyenziselwa ngokubanzi utyando lwamathambo ukuzalisa iziphene zamathambo kuba (1) inomxholo wamaminerali afana nethambo lomntu, (2) i-macro-porosity kunye ne-micro-porosity i-osteoconductive, kwaye (3) ine-biocompatibility egqwesileyo kunye nokumelana nomatshini. Ngokungafani ne-β-TCP, i-hydroxyapatite yinto yendalo yamaminerali kunye ne-affinity emathanjeni kwaye i-biocompatible kakhulu kuba ifana necandelo lamaminerali lamazinyo kunye namathambo ezilwanyana ezincelisayo.) Ngokuqhelekileyo, izinto ezithatha indawo zethambo ze-hydroxyapatite zibhekwa njengento engabonakaliyo okanye zinezinga eliphantsi kakhulu lokuthotywa kwe-β-TCP (Fig).
Ii-ankile zohlobo oluqinileyo lwe-suture (umz., isinyithi kunye ne-polymer) ziye zaphononongwa ngokubanzi kwaye zifunyenwe zanele ukugcina imithwalo ye-physiologic kwizicubu ezithambileyo ukuya kwiidibaniso zamathambo. Ngokwesiqhelo, ezi ankile zohlobo oluqinileyo zifuna ukulungiswa kotyando lwendawo yonyawo lwethambo (uhombiso, ukugqobhoza, okanye ukugrunjwa) okunokubangela ukulahleka kwamathambo ngenxa yomthamo wesiqwenga somhlaba.
Zonke ii-anchors ezithambileyo ze-suture (ASAs) zaphuhliswa ukunciphisa iingxaki kunye nokuhlasela okunxulumene nokusetyenziswa kwee-ankile zohlobo oluqinileyo. Ezi ASAs ziquka enye okanye ngaphezulu ultra-high-molekyuli-ubunzima polyethylene (UHMWPE)-eziqulathe sutures.
Ii-ASAs zibandakanya umkhono okanye iteyiphu eyenziwe ngemathiriyeli yokuthunga apho i-UHMWPE equlathe i-suture elukwa ngayo. Le ndlela yokulungisa iyahluka xa ithelekiswa ne-screw-type suture anchors. Xa i-ASA ifakwe kwithambo kunye ne-suture ephambili itsalwa, umkhono okanye i-tape igxilwe phezulu ukuze icinezele ithambo le-cortical elingaphezulu lidala 'ibhola' elisebenza njenge-ankile. Ivumela i-anchor ye-suture ukuba ifakwe kwi-tunnel kunye ne-diameter encinci (1-3 mm), ngaloo ndlela igcina ithambo kunye ne-hypothetically ivumela ukugcinwa kwamathambo amaninzi, anokuba luncedo kakhulu ngenxa yokunqongophala kwamathambo kwi-rim glenoid okanye i-acetabulum. Kwakhona, nokuba ukusilela kwe-ankile kwenzeka, umonakalo odibeneyo unokuncitshiswa ngenxa yomzimba we-ankile othambileyo.)
Inkcazo


Owona Mfanekiso


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Ukuba ukhangele izinto ezinokunika amandla aphezulu, ukuqina, kunye nokumelana neekhemikhali, PEEK (i-polyetheretherketone) lukhetho olugqibeleleyo. PEEK i-polymer ephezulu yokusebenza ethe yaduma kumashishini amaninzi ngenxa yeempawu zayo ezibalaseleyo zoomatshini, i-biocompatibility, kunye nokuzinza kwe-thermal. Kweli nqaku, siza kuxoxa PEEK iankile, iimpawu zazo, usetyenziso, kunye noncedo.
PEEK iiankile zizibophelelo ezenziwe nge PEEK izinto eziyilelwe ukunika i-ankile eyomeleleyo nethembekileyo kwizicelo ezahlukeneyo. Ngokuqhelekileyo zisetyenziswa kwezonyango, i-aerospace, iimoto, kunye ne-oyile kunye negesi yegesi, phakathi kwabanye. PEEK iiankile zaziwa ngokukwazi ukumelana nemithwalo ephezulu, utshintsho lwamaqondo obushushu, kunye nemekobume erhabaxa.
PEEK iiankile zineempawu ezininzi ezizenza zibe phezulu kunezinye imathiriyeli. Ezinye zeempawu eziphawulekayo ze- PEEK iankile ziquka:
PEEK iiankile zinokuqina okuphezulu kunye nokuqina, zizenza zilungele usetyenziso olufuna i-ankile eyomeleleyo nethembekileyo. Bangakwazi ukumelana nemithwalo ephezulu kunye neempembelelo ngaphandle kokuphulwa okanye ukuguqulwa.
PEEK iiankile zixhathisa kakhulu kwiikhemikhali ezininzi, kuquka iiasidi, iziseko, kunye nezinyibilikisi eziphilayo. Oku kubenza balungele izicelo apho kulindeleke ukuba ukuvezwa kweekhemikhali eziqatha.
PEEK iiankile zinozinzo olubalaseleyo lwe-thermal, zimelana namaqondo obushushu ukuya kuthi ga kwi-300°C ngaphandle kokunyibilika okanye ukuthotywa. Kananjalo ziyakwazi ukumelana nobushushu obubandayo, zibenza zilungele ukusetyenziswa kwizicelo ze-cryogenic.
PEEK ii-ankile ziyahambelana ne-biocompatible, zizenza zikhuseleke ukuba zisetyenziswe kwizicelo zonyango kunye namazinyo. Kananjalo aziyiyo ityhefu kwaye aziyiyo i-carcinogenic, ezenza zibe lukhetho lokusingqongileyo.
PEEK iiankile zinoluhlu olubanzi lwezicelo, eziquka:
PEEK iiankile zisetyenziswa ngokuqhelekileyo kwizicelo zonyango kunye namazinyo, ezifana Izifakelo zamathambo , ukufakelwa kwamazinyo, kunye nokufakelwa komgogodla. I-biocompatibility yabo kunye nokuchasana nokubola kunye nokunxiba kubenza balungele ukusetyenziswa emzimbeni womntu.
PEEK iiankile zisetyenziswa kwishishini le-aerospace ngenxa yamandla azo aphezulu kunye nokuchasana nokutshintsha kobushushu kunye neekhemikhali. Ngokuqhelekileyo zisetyenziswa kwiinjini zeenqwelo-moya, i-avionics, kunye nezixhobo zesakhiwo.
PEEK iiankile zisetyenziswa kushishino lweemoto ngenxa yokuxhathisa ukunxiba, utshintsho lobushushu, kunye neekhemikhali. Ngokuqhelekileyo zisetyenziswa kwiinjini, ukuhanjiswa, kunye neenkqubo zamafutha.
PEEK iiankile zisetyenziswa kwishishini leoli kunye negesi ngenxa yokumelana noxinzelelo oluphezulu, utshintsho lobushushu kunye neekhemikhali. Ngokuqhelekileyo zisetyenziselwa izixhobo ze-downhole, iivalve, kunye neepompo.
PEEK iiankile zinika uncedo oluninzi ngaphezu kwezinye izinto, kuquka:
PEEK iiankile zikhaphukhaphu xa zithelekiswa nezinye isinyithi, zizenza zilungele usetyenziso apho ubunzima buyinkxalabo.
PEEK iiankile zinomlinganiselo ophezulu wokomelela ukuya kubunzima, nto leyo ezenza zilungele usetyenziso apho kufuneka amandla aphezulu kodwa ubunzima kufuneka bugcinwe buncinci.
PEEK iiankile zimelana kakhulu nomhlwa, zizenza zilungele ukusetyenziswa kwindawo ezingqongileyo ezirhabaxa.
PEEK iiankile zixhathisa kakhulu ukunxitywa, nto leyo ezenza ukuba zilungele ukusetyenziswa kwizicelo apho i-abrasion iyinkxalabo.
PEEK ii-ankile kulula ukuzisebenzisa, kuzenza zibe lukhetho olungabizi kakhulu kwizicelo ezininzi.
PEEK iiankile ziyindlela eguquguqukayo kunye neyokusebenza okuphezulu kwe-fasteners yoluhlu olubanzi lwezicelo. Ngeempawu zabo ezikhethekileyo, usetyenziso, kunye nezinto eziluncedo, ziya zithandwa ngakumbi kumashishini amaninzi. Ukusuka kunyango kunye nokufakelwa kwamazinyo ukuya kwi-aerospace kunye nezixhobo zemoto, PEEK iiankile zibonelela nge-anchoring ethembekileyo neyomeleleyo eneempawu eziphezulu ezenza ukuba zihluke kwezinye izinto.
Yintoni PEEK ?
PEEK imele i-polyetheretherketone, i-polymer ephezulu yokusebenza eyaziwayo ngeempawu zayo ezibalaseleyo zoomatshini, ukuzinza kwe-thermal, kunye ne-biocompatibility.
Zisetyenziselwa ntoni PEEK iiankile ezisetyenziselwa ntoni?
PEEK iiankile zisetyenziselwa i-ankile ethembekileyo neyomeleleyo kwizicelo ezahlukeneyo, ezifana nokufakelwa kwezonyango, iinxalenye ze-aerospace, iinxalenye zeemoto, kunye nezixhobo ze-oyile negesi.
Zeziphi izinto eziluncedo ze- PEEK iankile?
PEEK ii-anchors zibonelela ngeenzuzo ezinjengokuqina okuphezulu kunye nokuqina, ukuxhathisa imichiza kunye ne-thermal, i-biocompatibility, i-lightweight, i-high-force-to-weight ratio, i-corrosion resistance, ukuxhathisa ukunxiba, kunye nokuguquguquka okulula.
Yintoni usetyenziso lwe- PEEK iankile?
PEEK ii-ankile zinezicelo zokufakelwa kwezonyango kunye namazinyo, iinxalenye ze-aerospace, iinxalenye zemoto, kunye nezixhobo ze-oyile negesi.
Ingaba PEEK iiankile zihambelana nokusingqongileyo?
Ewe, PEEK iiankile zinobuhlobo nokusingqongileyo njengoko zingeyotyhefu kwaye azinayo i-carcinogenic, zizenza zibe lukhetho olukhuselekileyo noluzinzileyo kwizicelo ezahlukeneyo.