I-Suture Anchor engamuncwa

Iyini i-anchoring suture?

Amahange e-Suture asetshenziswa kabanzi ukunamathisela izicubu ezithambile (isb., imisipha, imigqa, ne-meniscus) ethanjeni futhi abe yimishini ebalulekile emithini yezemidlalo nangesikhathi sokuhlinzwa kwe-arthroscopic. Njengokusetshenziswa kwe amahange e-suture anyukile, izinzuzo nezinselele ezihlukahlukene eziqondene nezinto ezithile ziye zabikwa. Ngenxa yalokho, amahange e-suture ahlala eshintsha ukuze aphephe futhi asebenze kahle. Kule ndawo ehlala ishintsha, kubalulekile ngokomtholampilo ukuthi udokotela ohlinzayo aqonde izici ezibalulekile zamahange akhona ngokwanele.

Ukusetshenziswa kwe amahange e-suture aguqule ukuhlinzwa kwamathambo ngoba kuvumela ukulungiswa okulula nokuphumelelayo kwezicubu ezithambile (isb., imisipha kanye nemigqa) ethanjeni kukho kokubili ukuhlinzwa okuvulekile kanye ne-arthroscopic ehlombe, indololwane, isihlakala, namalunga aphansi.) Ukuhlinzwa kwehlombe ikakhulukazi kuye kwaba noshintsho oluphawulekayo ohlotsheni lwamasu asetshenziswa kusukela ekulungiseni okuvulekile kwe-cuffo, i-wassesher ye-warotambrus ama-sutures, kanye nezinto eziyisisekelo zokulungisa i-arthroscopic usebenzisa amahange we-suture.

Umsebenzi oyinhloko we- I-suture anchor iwukunamathisela izicubu endaweni efanele futhi igcine isikhundla sayo ngaphandle kokuxega noma ukungezwani ngokweqile kuze kufezwe ukuphulukiswa kwe-physiologic. Okuhle ihange le-suture kulula ukuliphatha, ligcina amandla anele okudonsa, livimbela ukuhuzuka kwe-suture, futhi liyamunceka ngaphandle komphumela wanoma yikuphi ukusabela njengoba izinto zincibilika.) Kuye kwathuthukiswa izinhlobo ezihlukahlukene zamahange, futhi imiklamo yamahange iye yavela phakathi neminyaka eyishumi yamuva nje ukuze kwandiswe ukusebenza kwayo kahle ekudaleni ukulungiswa okuqinile kwe-tendon-to-bone.

I-METALLIC SUTURE ANCHOR

Imiklamo yokuqala yehange ye-suture yayingenakumuncwa futhi iyinsimbi. Insimbi ethize ingasetshenziswa ihlanganiswe nezinye izinsimbi ukwenza ingxubevange noma iyodwa. Amahange amabili ensimbi asetshenziswa kakhulu yi-titanium nensimbi engagqwali. I-Titanium isetshenziswa kakhulu ekusetshenzisweni kwamathambo, futhi iyimpahla eqinile, elula iyodwa, kodwa ingabuye ihlanganiswe nensimbi noma i-aluminium (Umfanekiso 1) .5) Insimbi engagqwali iyingxubevange yekhabhoni, i-chromium, nensimbi. Imelana nokugqwala kunensimbi evamile futhi inamandla kunensimbi emsulwa.5) Amahange ensimbi engagqwali ambozwa ulwelwesi olune-fibrous olucebile kumaseli avuvukalayo, kuyilapho i-titanium yakha ungqimba olungaphezulu lwe-calcium ne-phosphate, oluxhuma ngqo ethanjeni ngaphandle kobufakazi balolu ungqimba lwe-fibrous kanye nokusabela okuncane kokuvuvukala. Ungqimba lwe-oxide luyazenzela, bese kuthi i-calcium ne-phosphate igibele kulolu ungqimba. Khona-ke, ama-osteoblasts abopha phezulu futhi akhiphe i-osteoid matrix

I-Suture Anchor Engamuncwa: Umhlahlandlela Ophelele

Amahange e-Suture angamathuluzi abalulekile asetshenziswa ezinkambisweni ezihlukahlukene zamathambo nokuhlinzwa. Izikhonkwane ze-suture ezingabambeki, ikakhulukazi, zizuze ukunakwa okubalulekile ngenxa yokuqina kwazo nokuphila isikhathi eside. Kulesi sihloko, sizoxoxa ngamahange we-suture angamunceki, izicelo zawo, kanye nezinzuzo ezinikezayo ezinkambisweni zokuhlinzwa.

Ayini ama-Suture Anchor Angamuncwa?

Izikhonkwane ze-suture ezingamunceki ziyimishini yezokwelapha eklanyelwe ukugxilisa ama-sutures emathanjeni noma ezicutshini ezithambile. Ngokuvamile zenziwe ngezinto ezifana ne-titanium, insimbi engagqwali, noma ezinye izinsimbi ze-biocompatible ezinikeza amandla nokuqina. Amahange e-suture angamunceki awaklanyelwe ukuncibilika ngokuhamba kwesikhathi, futhi ahlala emzimbeni unomphela.

Izinhlobo zamahange e-Suture angamuncwa

Kunezinhlobo ezimbili eziyinhloko ze amahange we-suture angabambeki : ukuphazamiseka kanye ne-cortical.

Ukuphazanyiswa Suture Anchors

Izikhonkwane ze-suture eziphazamisayo zenzelwe ukucindezela ithambo elizungeze umthungo. Lezi zinhlobo zamahange zivame ukusetshenziswa ezindaweni lapho kunokuntuleka kwamathambo noma ikhwalithi, njenge-glenoid labrum, okuyindandatho yoqwanga ezungeze isokhethi yehlombe. Izikhonkwane ze-suture eziphazamisayo zinikeza amandla amahle kakhulu okudonsa kanye nokuzinza, okuwenza afaneleke ezindaweni ezinokucindezeleka okuphezulu.

Ama-Cortical Suture Anchors

Amahange e-Cortical suture aklanyelwe ukusetshenziswa ethanjeni eliqinile le-cortical. Lawa mahange ngokuvamile asetshenziswa ezindaweni lapho kunokugcwala okukhulu kwamathambo, njenge-tuberosity enkulu ye-humerus. Amahange e-Cortical suture alungele izindawo lapho kunesikhala esilinganiselwe futhi adinga amandla aphezulu okudonsa.

Izicelo Zezikhonkwane Ze-Suture Ezingamuncwa

Izikhonkwane ze-suture ezingamunceki zisetshenziswa ezinqubweni ezihlukahlukene zokuhlinzwa, okuhlanganisa:

Ukulungiswa kwe-Rotator Cuff

Izikhonkwane ze-suture ezingamunceki zivame ukusetshenziswa ekuhlinzeni kokulungisa i-rotator cuff. Ukulimala kwe-Rotator cuff kuvame kubasubathi nakubantu abenza ukunyakaza okuphindaphindayo. Izikhonkwane ze-suture ezingabambeki zinikeza iphuzu eliqinile nelithembekile lezintambo ezisetshenziselwa ukulungisa i-rotator cuff.

Ukulungisa I-Labral

I-labrum iyindandatho ye-cartilage ehlanganisa umugqa wesokhethi yehlombe. Izinyembezi zeLabral ziwukulimala okuvamile okungalungiswa kusetshenziswa amahange e-suture angamunceki . Lezi zikhonkwane zinikeza iphuzu elihle kakhulu lokunamathisela izintambo ezisetshenziselwa ukulungisa i-labrum, ukuqinisekisa umphumela ophumelelayo nokuhlala isikhathi eside.

Ukulungisa Imisipha

Izikhonkwane ze-suture ezingabambeki zisetshenziswa ekuhlinzeni okuhlukahlukene kokulungisa i-ligament, okuhlanganisa ukulungiswa kwe-ankle ne-knee ligament. Lezi zikhonkwane zinikeza iphuzu elihle kakhulu lokunamathisela izintambo ezisetshenziselwa ukulungisa izintambo ezidabukile noma ezilimele, okuqinisekisa ukuzinza nokusebenza kwelunga.

Izinzuzo zamahange e-Suture angamuncwa

Izikhonkwane ze-suture ezingadonki zinikeza izinzuzo ezimbalwa phezu kwamahange we-suture adonsayo, okuhlanganisa:

Ukuqina

Izikhonkwane ze-suture ezingamunceki zenzelwe ukuthi zibe yizinto ezihlala unomphela emzimbeni, zinikeze iphoyinti lokubambelela elihlala isikhathi eside neliqinile lezinto zokuthunga.

Amandla

Izikhonkwane ze-suture ezingabambeki zinikeza amandla amahle kakhulu okudonsa, aqinisekisa ukuthi ama-sutures ahlala ebambelele ngokuvikelekile endaweni.

Ukuvuvukala Okuncishisiwe

Ngokungafani namahange we-suture abambekayo, amahange e-suture angenakumuncwa awancibiliki ngokuhamba kwesikhathi, anciphisa ingozi yokuvuvukala nokutheleleka.

Isiphetho

Izikhonkwane ze-suture ezingamunceki zingamathuluzi abalulekile asetshenziswa ezinkambisweni ezihlukahlukene zamathambo nokuhlinzwa. Banikeza izinzuzo ezimbalwa phezu kwamahange we-suture adonsayo, okuhlanganisa ukuqina, amandla, nokunciphisa ukuvuvukala. Ngezicelo zabo ekulungiseni i-rotator cuff, ukulungiswa kwe-labral, nokulungiswa kwe-ligament, amahange e-suture angamuncwa ayingxenye ebalulekile yezinqubo zokuhlinzwa zesimanje. Ukuqonda izinhlobo ezahlukene zamahange e-suture angamunceki kanye nezicelo zawo kungasiza odokotela abahlinzayo kanye nochwepheshe bezokwelapha ukuthi banikeze ukunakekelwa kwesiguli okuphelele futhi bathuthukise imiphumela yokuhlinzwa.

Imibuzo Evame Ukubuzwa

1. Yiziphi izinto ezisetshenziselwa ukwenza amahange we-suture angamunceki?

Amahange e-suture angamunceki ngokuvamile enziwa ngezinto ezifana ne-titanium, insimbi engagqwali, noma ezinye izinsimbi ze-biocompatible ezinikeza amandla nokuqina.

2. Ingabe i-suture anchore non-absorbable fixtures emzimbeni?

Yebo, amahange e-suture angamunceki aklanyelwe ukuthi abe izinto ezihlala unomphela emzimbeni, ahlinzeke ngendawo yokukhonkwa ehlala isikhathi eside neqinile yama-sutures.

3. Yiziphi izinzuzo amahange okuthunga angamunceki phezu kwamahange omthunga angamunca?

Izikhonkwane ze-suture ezingamunceki zinikeza izinzuzo ezimbalwa phezu kwamahange we-suture adonsayo, okuhlanganisa ukuqina, amandla, nokunciphisa ukuvuvukala.

4. Yiziphi izinqubo zokuhlinza ezivame ukusetshenziswa kuzo izikhonkwane ze-suture ezingadonki?

Izikhonkwane ze-suture ezingadonki zivame ukusetshenziswa ekulungiseni i-rotator cuff, ukulungiswa kwe-labral, kanye nokuhlinzwa kokulungisa i-ligament.

5. Kuyini ukugxambukela kanye namahange e-cortical suture?

Izikhonkwane ze-suture eziphazamisayo zicindezela ithambo elizungeze umhlobiso futhi ngokuvamile zisetshenziswa ezindaweni lapho kungekho khona isisindo samathambo noma ikhwalithi, kuyilapho amahange e-cortical suture aklanyelwe ukusetshenziswa ethanjeni eliqinile le-cortical futhi alungele izindawo lapho kunendawo elinganiselwe futhi edinga amandla aphezulu okudonsa.