Ulapha: Ikhaya » Izindaba » Czmeditech 5 Ukuhlaziywa okuphelele kwesiqu sowesifazane kanye nabathengisi abaphezulu aba-

Ukuhlaziywa okuphelele kwesiqu sowesifazane kanye nabathengisi abaphezulu aba-5

Ukubukwa: 0 Umlobi: Isikhathi Sokushicilela Sokushicilela: 2025-01-18 Imvelaphi: Isizango

1.Sindiso lowesifazane

Isingeniso:

Isiqu sowesifazane (isiqu sowesifazane) siyingxenye yengxenye yensimbi esetshenziselwa ukumiselela ingxenye engenhla ye-femur yesiguli (ithambo lesiguli) ekuhlinzweni kokufakelwa kwezithelo ze-hip. Ingenye yezinto ezibaluleke kakhulu zohlelo lwe-hip lwe-Ortificial Hip futhi unesibopho sokuxhuma ekhanda lowesifazane futhi uthathe imithwalo nokunyakaza kwe-hip Joint. Indima eyinhloko yesiqu sowesifazane ukudlulisa ukunyakaza kwe-hip okuhlanganisiwe kanye nomlenze ophansi kuya kokunye okuhlanganisiwe kwe-hip ehlanganisiwe, ukuqinisekisa ukuthi ukuhlangana okuzinzile, kukhululekile futhi kusebenza kahle.

股骨柄使用图

Ukwakheka nokusebenza kwesiqu sowesifazane

Ukubukwa:

Isiqu sowesifazane sivame ukugibela noma i-cylindrical futhi yakhelwe ukufanisa ukwakheka kwe-anatomical of the femur yomuntu. Ibuyisela umsebenzi we-Hip Joint ngokufakwa ku-femur futhi ixhumeke ekhanda labesifazane (enye ingxenye ye-hip ehlanganisiwe).

Indima:

Isiqu sowesifazane siphethe iningi lesisindo somzimba esiphezulu somzimba, ngakho-ke kudinga ukuba nomthamo oqinile wokuthwala umthwalo nokuqina. Kufanele futhi ihambisane ne-biocomoiteriouestcation phakathi kokusetshenziswa kwesikhathi eside.

Izinhlobo nemiklamo yeziqu zabesifazane

Izinhlobo zesiqu sowesifazane

Kunezinhlobo ezahlukahlukene zama-shanks wesifazane futhi okuvamile kufaka phakathi:

I-Round Shank:

Ilungele iziguli ezine-anatomy yabesifazane ecishe ibe ndilinga, kulula ukuyifaka, kepha kungenzeka kungavikelekile kweziguli ezithile nge-osteoporosis.
Ngaphezu kwalokho, izinzuzo zama-shanks ayindilinga zifaka izinqubo ezilula zokuhlinza kanye nezikhathi ezimfishane zokufakwa. Kodwa-ke, kufanele kuqashelwe ukuthi ezigulini ezinokwehla kwamaminerali zamathambo aphansi noma ama-osteoporosis, ezinye izinhlobo ezifanelekile zowesifazane zidinga ukucatshangelwa ukuze kuqinisekiswe ukuqina kwesikhathi eside.

I-Tapered Shank:

Imvamisa esetshenziswa ezigulini ezine-anatomy yabesifazane ethe xaxa kanye ne-tapered noma i-vapered noma incane yesiqu sowesifazane ukusiza ukuvikela isiqu sowesifazane.

Ama-shanks aguqukayo:

Amanye ama-Shenks Wowesifazane aklanyelwe ngezinto eziguqukayo ezingashintshwa kwi-anatomy yesiguli.

Ama-Shunks athuthukayo:

Lawa ma-shank aklanyelwe ukuhlinzeka ngamazinga ahlukahlukene okusatshalaliswa kanye nokusatshalaliswa komthwalo ukuze akwazi ukuhlalisa izimfanelo zamathambo ahlukene nezidingo zeziguli.

Ama-Shenks Wowesifazane onezimbozo:

Njengokwesimende noma i-cempled (ie, i-oiregegrapess), kuya ngekhwalithi yesiguli yethambo kanye nesakhiwo sowesifazane. Uhlobo lwe-Cemed olufanele lufanele iziguli ezindala, ngenkathi inguqulo ye-osseathegrated ilungele iziguli ezinekhwalithi engcono yamathambo.

Umklamo wesiqu sowesifazane uvame ukufaka:

Ukucatshangelwa kokuvumelana kwe-anatomical, njenge-angle, ubude, kanye nokuvulwa kwesiqu sowesifazane. Ukukhetha kwenziwa ukuqinisekisa ukuthi isiqu sowesifazane sixhumana kahle ne-femur futhi sihlala sizinzile.
Idizayini eguquguqukayo: Ezinye iziqu zabesifazane zenzelwe ngezinto eziguqukayo ezivumela ukulungiswa okuthile ngesikhathi sokuhlinzwa ukuzivumelanisa nezinhlaka ezahlukahlukene ze-anatomical.

2.Umehluko phakathi kwezinto ezahlukahlukene zesiqu sowesifazane

股骨柄类型图

2.1. Titanium alloy (titanium alloy)

Izici:

I-Titanium Alloy ingenye yezinto ezisetshenziswa kakhulu zeziqu zabesifazane njengamanje, ngenxa yezinzuzo zayo zokuphamba okuhle, isisindo esikhanyayo kanye nokuphikiswa okuqinile kokugqwala. I-modulus ye-elasticity ye-alloy ye-titanium isondelene neyothambo lomuntu, elinciphisa ukugxila kwengcindezi phakathi kwesiqu sowesifazane kanye nethambo ngemuva kokufakwa futhi kunciphise ubungozi bokuqhekeka.

Izinzuzo:

Ahambisane kakhulu futhi mancane amathuba okubangela ukusabela komzimba.
Okulula, kusiza ukunciphisa umthwalo ngemuva kokuhlinzwa.
Ukumelana nokugqwala okuphezulu, okulungele ukufakwa isikhathi eside.

Okubi:

Kancane kancane kunamanye ama-metals (isib. I-Cobalt-Chromium), ngakho-ke kungadingeka izinto ezinamandla ezigulini ezifakwa emthwalweni omkhulu.

2.2. I-Cobalt-Chromium Alloy

Izici:

I-Cobalt-Chromium Alloy iyinto eqinile yensimbi eqinile futhi ivame ukusetshenziselwa izingxenye ezihlangene zokufakelwa ezidingekayo ukuze ubekezelele imithwalo ephezulu. Inokugqoka okungcono nokuphikisana nokugqwala futhi ihlinzeka ngamandla aphezulu nokuqina.

Okuhle:

Iqinile kakhulu, ilungele iziguli ezinemithwalo ephezulu futhi ikwazi ukubamba isisindo ngokuningi isikhathi eside isikhathi eside.
Ukumelana nokugqwala okuphezulu, okulungele ukufakwa isikhathi eside.
Ukumelana ne-abrasion, okwazi ukunciphisa ukugqokwa nokudabula.

Okubi:

Ihambisana kancane kancane kune-tiocom alloys, ingadala ukungakhululeki okuncane kwezinye iziguli.
Kusinda kuneTitanium Alloys, engakhuphula umthwalo esigulini ngemuva kokuhlinzwa.

2.3. Insimbi engagqwali (insimbi engagqwali)

Izici:

Insimbi engenasici iyinto ejwayelekile yensimbi ejwayelekile esetshenziselwa umthwalo ophansi noma ukushintshwa kwe-hip yokuqala. Inamandla futhi inomnotho ngokwengeziwe.

Izinzuzo:

Inamandla, ilungele iziguli ezinemithwalo ekhanyayo.
Ngokungabizi kakhulu.
Kulula ukucubungula nokwenza.

Okubi:

Insimbi engenasici ingahle ibangele ukusabela okuthe xaxa noma izinkinga zokugqwala ngenxa yokuqina kwayo okumpofu.
Ukumelana nokugqwala okungahambi kahle kuqhathaniswa nama-aloys titanium futhi kungahle kube yingozi ukusetshenziswa kwesikhathi eside.

2.4. I-Chromium-Cobalt Alloy (i-chromium-cobalt alloy)

Izici:

Lokhu okuqukethwe kuqukethe ikakhulukazi izakhi ze-chromium ne-cobalt futhi enamandla aphezulu futhi ugqoke ukumelana. Ifana ne-Cobalt-Chromium Alloys, ama-alloys we-Chrome-Cobalt ajwayele ukusetshenziswa kuma-soleral shanks afakwa emithanjeni ephezulu.

Okuhle:

Kuqine kakhulu futhi kugqokwa, kuyakwazi ukumelana nemithwalo ephezulu isikhathi eside.
Ukumelana kakhulu nokugqwala futhi kufanelekile ukusetshenziswa kwesikhathi eside.

Okubi:

I-BIOCATIWE FOUTTIPTIAL INDORTIWE, ingadala ukusabela komzimba.
Isisindo esiphakeme, kungadala ukungaphatheki kahle kweziguli ezithile.

2.5. -Ezitsha zobumba

Izici:

Izinto zokwakha ubumba kwesinye isikhathi zisetshenziswa njengenhlanganisela ebusweni besiqu sowesifazane noma njengento ebomvana ye-femur ngenxa yobulukhuni babo obukhulu futhi bagqoke ukumelana. I-ceramics ine-coefficient ephansi yokuxabana, okunciphisa ukugqokwa okuhlanganyelwe.

Izinzuzo:

Ubulukhuni obuphezulu, ukugqokwa kakhulu, kunciphisa ukungqubuzana ezindaweni ezihlangene.
I-coefficient ephansi kakhulu yokushayela inciphisa ukugqokwa kanye nokuqhekeka kwesikhathi eside.

Okubi:

Ubucwebe obukhulu, obuthambekele ekuqhekekeni noma ekuqhekekeni, ngakho-ke kuvame ukusetshenziselwa ukumboza noma izingxenye ezithile kunokuba kuso sonke isiqu sowesifazane.

2.6. Izinto zokwehlukanisa ezingaphezulu komhlaba (isib. I-HA coating, titanium nitride, njll.)

Izici:

Izambatho ezikhethekile ezinjenge-calcium aphinophosphate (Ha) coating noma i-titanium nitride coating zivame ukungezwa ebusweni besiqu sowesifazane. Inhloso eyinhloko yalezi zimbozo ukukhuthaza ukuhlanganiswa kwesiqu sowesifazane esithanjeni, ukuthuthukisa i-biocomtic kanye nosizo ekukhuleni kwamathambo.

Izinzuzo:

Ikhuthaza ama-osseumegracation futhi inomthelela ekuqineni kwesikhathi eside kwesiqu sowesifazane.
Kuthuthukisa i-biocomtic futhi kunciphise ukuphendula kokugonywa.

Okubi:

Izimbobo zingaguga ngokuhamba kwesikhathi, zinciphisa ukusebenza kwazo.
Ezinye izimbobo zingakhulisa ubunzima kanye nezindleko zenqubo.

Iziphakamiso:

Ukukhethwa kwezinto ezibonakalayo zesiqu sowesifazane kuncike kakhulu esigulini ngasinye (isib. Ikhwalithi yethambo, ubudala, izinga lomsebenzi, njll.), Uhlobo lokuhlinzwa, izidingo zokwakhiwa, kanye nesipiliyoni sodokotela ohlinzayo. I-Titanium Alloys neCobalt Chromium Alloys yizinto zokwakha ezisetshenziswa kakhulu ngenxa yamandla abo aphakeme, ukuqina kanye nokuqina. Iziguli ezithile ezinemithwalo ephezulu zingahle zikhethe izinto ze-Chromium ze-Chromium Allomium, kuyilapho titanium kungaba ukukhetha okungcono kweziguli ezincane ezinekhwalithi engcono yamathambo. Kungakhathalekile ukuthi yikuphi okubonakalayo, ikhwalithi yokwakheka kanye nekhono lethambo lokuhlanganisa ngemuva kokuhlinzwa ngemuva kokuhlinzwa kunesihluthulelo sokuqinisekisa ukuqina kwesiqu sowesifazane nokubuyiselwa komsebenzi we-hip.

3. Izimo ezizosebenzisa i-Femord Stem

Ungasisebenzisa kuphi isibambo sowesifazane

3.1. I-Osteoarthritis ye-Hip (Osteoarthrititis)

Incazelo Yesimo:

Lesi yisimo esivame kakhulu lapho kusetshenziswa khona isiqu sowesifazane. I-cartilage yesiguli i-cartilage iwohloka, okuholela ebuhlungwini obuhlangene, ukunyakaza okulinganiselwe, kanye ne-dyskinesia. Njengoba isimo siqhubeka, izingxenye ze-femur ne-acetabulum zigqokwa kakhulu futhi ziklebhula, okuholela ekulahlekelweni okukhulu komsebenzi ohlanganyelwe.

Inhloso yokuhlinzwa:

Ngokuhlinzwa kokufakwa esikhundleni se-hip ye-hip, isiqu sowesifazane sisetshenziselwa ukufaka enye ingxenye eyonakele ye-femur, ngaleyo ndlela ibuyele umsebenzi we-hip ngokuhlangana, ukunciphisa izinhlungu, kanye nokwenza ngcono impilo yesiguli.

3.2. I-femord head necrosis (i-avascular necrosis, avn)

Incazelo Yesimo:

I-femord head Necrosis ukufa kwezicubu zamathambo ekhanda lowesifazane ngenxa yokuphazamiseka kokunikezwa kwegazi. Lokhu kuvame ukuholela ekubumbeni okukhulu okuhlangene kanye nokulahleka komsebenzi. I-Necrosis yekhanda labesifazane ingabangelwa yizizathu ezahlukahlukene, njengokusebenzisa isikhathi eside kwemithi ye-steroid, usizi nokusebenzisa kabi utshwala.

Juba:

Lapho i-femord head necrosis ayinakutholwa ngokwelashwa okulondoloziwe, ukuhlinzwa kwe-orvelialial hip esikhundleni iba inketho yokwelashwa. Isiqu sowesifazane sisetshenziselwa ukufaka esikhundleni ingxenye ye-necrotic yekhanda lowesifazane futhi ubuyisele umsebenzi ohlanganyelwe.

3.3. Ukuqhekeka kwabesifazane

Incazelo Yesimo:

Ikakhulu ezigulini asebekhulile, ama-femol feof ratem fractures noma i-femol stem fractures iyi-hip fractures ejwayelekile. Ikakhulu, ama-femor femor fractures angadinga ukushintshwa kwe-hip okufakelwa uma ukwaphuka kwehluleka ukwelapha noma uma kunezinkinga ezinjenge-osteoporosis.

Inhloso okuhlinza:

Ukungena esikhundleni sengxenye engonakele ye-femur ngokusebenzisa ukubekwa kwesisu sabesifazane ukuze ubuyisele umsebenzi wesiguli we-hip, wehlise izinhlungu, futhi uthuthukise ukuhamba. Isiqu sowesifazane siyindlela edingekayo yeziguli ezinamahlandla ahlukahlukene noma ukululama okunzima.

3.4. Ukutheleleka ngokuhlangene kwe-Hip (HJI)

Incazelo Yesimo:

Kwezinye izimo, i-Hip Joint ingahlupheka ngokulimala okuhlangene ngenxa yokutheleleka ngamagciwane, ikakhulukazi ngemuva kokutheleleka okuvela ngemuva kokuhlinzwa kwe-HIP (isib. Ukutheleleka kwe-Hip Gopthesis). Lokhu ukutheleleka kungaholela ekulimaleni okukhulu kwezicubu ezithambile nethambo, noma ukulahleka okuphelele komsebenzi ohlanganyelwe.

Juba:

Ngemuva kokuthi ukutheleleka kulawulwe, ukushintshwa kwe-hip okwenziwe nge-hip kungadingeka ukubuyisela umsebenzi ohlanganyelwe. Kulokhu, iStem yesifazane izosetshenziselwa ukufaka enye ingxenye ye-femur eyonakele noma enegciwane.

Izimo zokusebenzisa isiqu sangemuva

3.5. Ukukhubazeka kwe-Hip noma i-Dysplasia ye-Hysplasia ye-hip (DDH)

Incazelo Yesimo:

Ezinye iziguli zingazalwa zinentuthuko ye-dysplasia ye-hip (isib. HIP asymmettry), futhi lezi zinto ezihlukumezayo zingaholela ekuxhumaneni kabi phakathi kwe-femur ne-acetulum, okuholela ekuwohlokeni kokuqala kokuhlangana, noma ukulimala.

Izinhloso Zokuhlinzwa:

Ezimweni zokungezwani kwezentuthuko noma ezinye izifo ze-hip ezithinta kakhulu ikhwalithi yempilo, ukuhlinzwa kwe-hip yokufakelwa kwe-hip kungadingeka, lapho i-fem yesifazane isetshenziselwa ukumiselela ingxenye eyonakele ye-femur futhi ibuyise umsebenzi ohlanganyelwe.

3.6. I-Rheumatoid arthritis (i-rheumatoid arthritis)

Incazelo Yesimo:

I-Rheumatoid arthritis isifo sokuvikelwa komzimba esivame ukuholela ekuvuvukeni okungapheli kanye nomonakalo we-cartilage emalungeni. Lapho i-hip ithinteka, ukunyakaza kokuhlangana kukhawulelwe futhi kubuhlungu futhi ukushukuma kwenzeke kancane kancane.

Juba:

Ukushintshwa kwe-Hip ye-Artificial Hip ukwelashwa okusebenzayo komonakalo omkhulu ku-HIP Joint okubangelwa i-rheumatoid arthritis. Isiqu sowesifazane sisetshenziselwa ukuhlinzwa ukuze sithathe indawo engonakalisiwe ye-femur, ngaleyo ndlela kunciphisa izinhlungu nokubuyisela ukuhamba okuhlangene.

3.7 Inhlokodolobha ye-Epiphysis ye-3.7

Incazelo Yesimo:

I-slid capital femoral epiphysis (i-SCFE) imvamisa yenzeka ngesikhathi sokukhula kwentsha kanye nentuthuko, ikakhulukazi ngesikhathi sokuthomba, futhi ingahle iholele ekulweni nokushaywa noma ukushelela phakathi kwekhanda labesifazane kanye nesiqu sowesifazane. Lesi simo, uma sishiywe singalashwa, kungaholela ekuwohlokeni okuhlangene noma ukulahleka kokusebenza.

Juba:

Kwezinye izimo, amakhanda ashibhile angenakutholwa ngokwelashwa okulondoloziwe futhi angadinga ukuhlinzwa kwe-hip okuvumayo. Isiqu sowesifazane singasetjenziswa esikhundleni sengxenye eyonakele ye-femur futhi sibuyisele umsebenzi ohlanganyelwe.

3.8. Ukubukeza noma Ukubuyiselwa Ngemuva Ngemuva Kwe-Hip Arthroplasty (Ukubuyekezwa Kwe-Hip Arthroplasty)

Incazelo Yesimo:

Ukuhlinzwa kwe-Hip Exparement ye-Artificial kungaphumelela kakhulu, kepha ngokuhamba kwesikhathi i-prosthesis ingaguga, ithulule, noma yehluleke, okuholela ekulahlekelweni umsebenzi ohlanganyelwe noma ubuhlungu obuphikelelayo. Ukuhlinzwa kwe-Hip Ukulungisa noma ukuhlinzwa kungadingeka okwamanje.

Inhloso yokuhlinzwa:

Ngesikhathi sokuhlinzwa noma ukuhlinzwa esikhundleni, isiqu sowesifazane singadinga ukushintshwa noma samukelezelwa ukwamukela izidingo ezintsha zesiguli. Imvamisa, isiqu sabesifazane sizokhethwa ngomklamo omusha noma impahla esekelwe ekugqokeni nasekuthambekeni kwe-prosthesisis.

Inqubo ye-Hip Necrosis

4.Khetha ukukhetha uphawu

4.1. IStryker (Stryker)

史赛克

Isingeniso Esifushane:

I-Stryker ingenye yezinkampani ezihola phambili zezokwelapha ezihamba phambili emhlabeni, enikeza uhla lwezimpawu ezisezingeni eliphakeme zamathambo, ikakhulukazi emkhakheni wamalunga we-hip wokufakelwa. Iziqu zesifokazi zikaStryker ziklanywe ngezinketho eziningi ezahlukahlukene zezidingo ezahlukahlukene zomtholampilo.

Izici:

Ubuchwepheshe obuholayo, ukuzinza isikhathi eside, izinhlelo zokusebenza ezibanzi zemitholampilo kanye nokuqinisekiswa.

4.2. I-Elbo (Zimmer Biomet)

爱尔博

Iphrofayili:

I-Zimmer Biomet iyinkampani ehamba phambili yezokwelapha yezokwelapha yezokwelapha egxile kuma-orthopedics kanye nemithi yezemidlalo, ngemikhiqizo emboza ukufakwa okuhlangene okuhlanganisiwe kufaka phakathi iziqu zobufazi.

Izici:

Imikhiqizo yenkampani eyakhiwe ngobuchwepheshe nezobuchwepheshe ivumela amandla okunikela ngezinketho eziningana zokuhlangabezana nezidingo ezahlukahlukene zesiguli, futhi inedumela elihle kakhulu emhlabeni wonke.

4.3. I-Oslo Technologies (Ottobock)

奥斯陆科技

Iphrofayili:

I-Oslo Technologies yinkampani yaseJalimane enakekela izimila ezisezingeni eliphakeme ze-Orthopedic kanye namadivayisi esizayo, enikeza izixazululo zobuntu be-HIP kufaka phakathi iziqu zowesifazane.

Izici:

Izinto ezisezingeni eliphakeme nemiklamo, ukuzibophezela kokuqamba komkhiqizo kanye nokwenza ngcono ukwahlukahluka kwezimo zemitholampilo.

4.4.South East Medical (Smith & Nefi)

东南医疗

Iphrofayili:

I-Southeast Medical iyinkampani eyaziwayo yezokwelapha yamazwe omhlaba egxile kuma-orthopedic izimila namathuluzi okuhlinza, ngemikhiqizo yayo yokuhlangene ye-hip ehlanganisiwe esetshenzisiwe emhlabeni wonke.

Izici:

Inedumela eliphakeme emkhakheni wokufakwa okuhlangene kokufakelwa, futhi umklamo wawo womkhiqizo ugxile ekubuyiselweni kwesiguli eside nokuhamba.

4.5.Meditech (Czmeditech)

迈玛瑞

Iphrofayili:

I-CZMeditech iyithuluzi lezokwelapha eligxile emgqeni kanye nomkhiqizi wokufakelwa ngokuzibophezela okuqinile ekuhlinzekeni ngezixazululo ezisezingeni eliphakeme, ezintsha zokufaka ama-orthopedic ukumiswa, ngokugxila okuthile ku-hip ye-hip ye-hip kanye namadolo. I-Maimaritech inikeza izimila namadivayisi asiza ezibhedlela kanye nodokotela ohlinza ama-orthopedic ezifundeni eziningana zomhlaba

Izici:

Isetshenziswa ngokujwayelekile ekuhlinzweni kokufakelwa kwe-hip esikhundleni, iziqu zabesifazane ezenziwa yi-MCMurry zenziwa ngamandla aphezulu, izinsiza ezilwa nokugqwala ezinjenge-titanium ne-cobalt-chromium alloys ukuqinisekisa ukuqina nokuqina kwazo. Isiqu sowesifazane sakhiwe ngamafomu ahlukahlukene ukuze sivumelane nezidingo ze-anatomy zeziguli ezahlukene kanye nezidingo zokuhlinzwa.

Ukugcina

Njengoba iminyaka engaphezu kwengu-20 yesipiliyoni, ubuchwepheshe obunqenqemeni, nokuzibophezela kwikhwalithi nokuhambisana, iCzmeditech imele njengomlingani othembekile wabahlinzeki bezokunakekelwa kwempilo emhlabeni jikelele. Izimila zethu ze-maxilliofacial zensimbi ezifakiwe phakathi kwekhwalithi ephezulu kakhulu emakethe, zinikeza ukuqina, ukunemba, kanye nenani kumakhasimende ethu.

Noma ngabe uyisibhedlela, umtholampilo, noma udokotela ohlinzayo, sinikezela ngezixazululo ezithembekile nezingabizi ezidingekayo ukuletha ukunakekelwa okungcono kakhulu ezigulini zakho.