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 kuye kwachazwa. 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 i-abrasion ngaphandle kokubangela nakuphi na ukusabela njengoko kunyibilika.
Ngenxa yokuba ezinye ii-ankile ezibolisiweyo zinokufunxwa ngokukhawuleza okukhulu, uphuhliso lweeankile ze-biostable lwalandelwa. I-anchor enjalo ye-biostable-i-polyetheretherketone (i-PEEK) i-polymer-ifunyenwe nge-dialkylation ye-bisphenol salts)
I-PEEK isanda ukusetyenziswa kumacandelo e-tribological ngenxa yokusebenza kwayo okugqwesileyo. Izinto ze-PEEK zibonise amandla aphezulu, iipropathi ezinamandla zoomatshini, ukunxiba kakuhle kunye nokumelana nobushushu, kunye nokuchasana kweekhemikhali kunye nebhayoloji. Ngoko ke, inezinye izicelo ezininzi kubunjineli kunye neyeza.) I-PEEK inika kwakhona izibonelelo, ezifana nemifanekiso emihle emva kokusebenza kunye nokulungiswa okuzinzile, kwaye akukho zingxaki ezinxulumene nokuthotywa kwepolymer. Okubalulekileyo, ingxaki enkulu nge-PEEK ibonakaliswe ukuba yi-osseointegration engalunganga. Ngokubanzi, nangona kunjalo, uphuhliso lwe-PEEK ianchor lukhokelele ekwamkelweni kwezixhobo ze-biocomposite ezinokuxhasa ukungena kwe-osteoconductive.)
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 yi-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 engenakuxhamla okanye zinezinga eliphantsi kakhulu lokuthotywa kwe-β-TCP (Fig).
Ii-ankile zohlobo oluqinileyo lwe-suture (umz., isinyithi kunye ne-polymer) zifundwe 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-soft suture anchors (ASAs) zaphuhliswa ukunciphisa iingxaki kunye nokuhlasela okunxulumene nokusetyenziswa kweeankile 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 ngakumbi 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


Ibhlog
Ukuba ukhangele izinto ezinokunika amandla aphezulu, ukuqina, kunye nokumelana neekhemikhali, i-PEEK (i-polyetheretherketone) lukhetho olugqibeleleyo. I-PEEK yipolymer esebenza kakhulu esele idumile kumashishini amaninzi ngenxa yeempawu zayo ezibalaseleyo zoomatshini, ukuhambelana kwe-biocompatibility, kunye nokuzinza kwe-thermal. Kweli nqaku, siza kuxoxa ngeeankile zePEEK, iipropathi zazo, usetyenziso, kunye nezinto eziluncedo.
I-PEEK iankile zizibophelelo ezenziwe ngezinto zePEEK ezenzelwe ukubonelela nge-anchoring eyomeleleyo nethembekileyo kwizicelo ezahlukeneyo. Ngokuqhelekileyo zisetyenziswa kwezonyango, i-aerospace, iimoto, kunye ne-oyile kunye negesi yegesi, phakathi kwabanye. Iiankile ze-PEEK ziyaziwa ngokukwazi ukumelana nemithwalo ephezulu, utshintsho lobushushu, kunye nemekobume erhabaxa.
Iiankile ze-PEEK zineempawu ezininzi ezenza zibe phezulu kunezinye izinto. Ezinye zezona mpawu ziphawulekayo ze-PEEK iankile ziquka:
Iiankile ze-PEEK zinokuqina okuphezulu kunye nokuqina, zizenza zilungele usetyenziso olufuna i-ankile eyomeleleyo nethembekileyo. Bangakwazi ukumelana nemithwalo ephezulu kunye neempembelelo ngaphandle kokuphulwa okanye ukuguqulwa.
I-PEEK iankile zixhathisa kakhulu kwiikhemikhali ezininzi, kuquka iiasidi, iziseko, kunye nezinyibilikisi eziphilayo. Oku kubenza balungele izicelo apho kulindeleke ukuba ukuvezwa kweekhemikhali eziqatha.
Iiankile ze-PEEK zinozinzo oluhle kakhulu lwe-thermal, ukumelana namaqondo aphezulu ukuya kuma-300 ° C ngaphandle kokunyibilika okanye ukuthotywa. Kananjalo ziyakwazi ukumelana nobushushu obubandayo, zibenza zilungele ukusetyenziswa kwizicelo ze-cryogenic.
Iiankile ze-PEEK ziyahambelana ne-biocompatible, zibenza zikhuseleke ukuba zisetyenziswe kwizicelo zonyango kunye namazinyo. Kananjalo aziyiyo ityhefu kwaye aziyiyo i-carcinogenic, ezenza zibe lukhetho lokusingqongileyo.
Iiankile zePEEK zinoluhlu olubanzi lwezicelo, eziquka:
Ii-anchors ze-PEEK ziqhele ukusetyenziswa kwizicelo zonyango kunye nezinyo, ezifana nokufakelwa kwamathambo, ukufakelwa kwamazinyo, kunye nokufakelwa komgogodla. I-biocompatibility yabo kunye nokuchasana nokubola kunye nokunxiba kubenza balungele ukusetyenziswa emzimbeni womntu.
Ama-anchors e-PEEK asetyenziswa kwishishini le-aerospace ngenxa yamandla abo aphezulu kunye nokuchasana nokutshintsha kweqondo lokushisa kunye neekhemikhali. Ngokuqhelekileyo zisetyenziswa kwiinjini zeenqwelo-moya, i-avionics, kunye nezixhobo zesakhiwo.
Iiankile zePEEK zisetyenziswa kwishishini leemoto ngenxa yokuchasa ukunxiba, utshintsho lobushushu, kunye neekhemikhali. Ngokuqhelekileyo zisetyenziswa kwiinjini, ukuhanjiswa, kunye neenkqubo zamafutha.
Ii-anchors ze-PEEK zisetyenziswa kwishishini leoli kunye negesi ngenxa yokuchasana noxinzelelo oluphezulu, utshintsho lobushushu kunye neekhemikhali. Ngokuqhelekileyo zisetyenziselwa izixhobo ze-downhole, iivalve, kunye neepompo.
Iiankile zePEEK zibonelela ngeenzuzo ezininzi ngaphezulu kwezinye izinto, kubandakanya:
Iiankile ze-PEEK zikhaphukhaphu xa zithelekiswa nezinye iintsimbi, zizenza zilungele usetyenziso apho ubunzima buyinkxalabo.
Ii-anchors ze-PEEK zinomlinganiselo ophezulu wokuqina wobunzima, ozenza zilungele izicelo apho amandla aphezulu afunekayo kodwa ubunzima kufuneka bugcinwe buncinci.
Iiankile zePEEK zixhathisa kakhulu kumhlwa, nto leyo ezenza zilungele ukusetyenziswa kwiindawo ezirhabaxa.
Iiankile ze-PEEK zixhathisa kakhulu ukunxiba, zizenza zilungele ukusetyenziswa kwizicelo apho i-abrasion ixhalabile.
Iiankile ze-PEEK zilula ukwenza umatshini, nto leyo ezenza zibe lukhetho olungabizi kakhulu kwizicelo ezininzi.
Ii-anchors ze-PEEK ziyindlela eguquguqukayo kunye nephezulu yokusebenza kwe-fastener 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, i-PEEK i-anchors inika i-anchoring ethembekileyo kunye neyomeleleyo eneempawu eziphezulu ezenza ukuba zihluke kwezinye izinto.
Yintoni iPEEK?
I-PEEK imele i-polyetheretherketone, i-polymer ephezulu yokusebenza eyaziwayo ngeempawu zayo ezigqwesileyo zoomatshini, ukuzinza kwe-thermal, kunye ne-biocompatibility.
Zisetyenziselwa ntoni iiankile zePEEK?
Ii-anchors ze-PEEK zisetyenziselwa i-anchoring ethembekileyo neyomeleleyo kwizicelo ezahlukeneyo, ezifana nokufakelwa kwezonyango, izixhobo ze-aerospace, iimoto zemoto, kunye nezixhobo ze-oyile kunye negesi.
Zeziphi iingenelo zeeiankile zePEEK?
Ii-anchors ze-PEEK zibonelela ngezinto eziluncedo ezinje ngokuqina okuphezulu kunye nokuqina, ukuxhathisa imichiza kunye nobushushu, ukuhambelana kwezinto eziphilayo, ukukhaphukhaphu, ubungakanani bobunzima obuphezulu, ukumelana nokugqwala, ukumelana nokunxiba, kunye nokusebenza ngokulula.
Zeziphi izicelo ze-PEEK iankile?
Iiankile ze-PEEK zinezicelo kukufakelwa kwezonyango kunye namazinyo, amacandelo e-aerospace, iinxalenye zeemoto, kunye nezixhobo ze-oyile kunye negesi.
Ngaba i-PEEK iankile ihambelana nokusingqongileyo?
Ewe, iiankile ze-PEEK zihambelana nokusingqongileyo njengoko zingenabungozi kwaye zingenalo i-carcinogenic, zizenza zibe lukhetho olukhuselekileyo noluzinzileyo kwizicelo ezahlukeneyo.