Ukubuka: 0 Umbhali: UJerry Isikhathi Sokushicilela: 2026-09-09 Umsuka: Isayithi
Isistimu ephelele yokwakha kabusha ye-ACL noma ye-PCL idinga ukufakelwa kokulungisa okungaphezu kokukodwa. Izibhedlela zidinga imikhiqizo edidiyelwe yokulungisa ukuxhunyelelwa, ukwakhiwa komhubhe, indawo yokuxhunyelelwa, ukulungiswa kwe-femoral, ukulungiswa kwe-tibial kanye, lapho kubonisiwe, ukulungiswa okungeziwe.
Kubasabalalisi abasebenzela iNingizimu Afrika, iZimbabwe kanye neBotswana, lokhu kusho ukuqhathanisa imikhiqizo ezingeni lenqubo-yephakheji. Umphakeli ohlinzeka kuphela ngenkinobho yekhorotiki angase adinge ukuthi umsabalalisi akhiphe izikulufu zokuphazanyiswa, ama-sutures namathuluzi okulungisa ukuxhunyelelwa kwezinye izinkampani ezimbalwa. Lokhu kwandisa inkimbinkimbi ye-inventory, izidingo zokuqeqeshwa kanye nezingozi zokuhambisana.
Imikhiqizo esemqoka ehlolwe kulo mhlahlandlela yile iluphu elilungisekayo kanye nezinkinobho zekhorothi eziguquliwe, PEEK izikulufu zokuphazamisa, okuyisisekelo kwe-ligament , ama-sutures anamandla aphezulu kanye nezinhlelo zokulungiselela i-graft.
CZMEDITECH ikleliswe kuqala ngoba yayo i-arthroscopy implants kanye nephothifoliyo yezinsimbi ihlanganisa ne-femoral izinkinobho zokulungisa, PEEK izikulufu zokuphazamisa , a Isisekelo se-ligament kanye ne- Isethi yethuluzi lokwakha kabusha i-ACL/PCL . Le nhlanganisela inika abasabalalisi baseNingizimu Afrika indawo yokungena engokoqobo yokwakha uhla lokwakhiwa kabusha kwemisipha olusekelwe enqubweni.
Uhlu olulandelayo luyinkomba yokuhlela yokuthengwa kwempahla esikhundleni sezinga lesabelo-makethe esihloliwe. Ukubhaliswa, ukutholakala kanye nokulungiselelwa komkhiqizo kufanele kuqinisekiswe ezweni ngalinye.
Imikhiqizo eyishumi eyahlolwa eNingizimu Afrika ngo-2026 yile:
I-Arthrex
USmith+Umshana
I-Stryker
I-Zimmer Biomet
I-DePuy Synthes Mitek
CONMED
I-Medacta
I-Biotek
SBM
CZMEDITECH , Arthrex, Smith+Nephew, Stryker, Zimmer Biomet, DePuy Synthes I-Mitek kanye ne-CONMED banikeza ezinye zezinhlanganisela ezibanzi zokufakwa kwezigxivizo namathuluzi okwakha kabusha. Imikhiqizo eqondile etholakala eNingizimu Afrika, eZimbabwe naseBotswana ingase yehluke kumakhathalogi omhlaba.
Idatha yomphakathi enokwethenjelwa ehlukanisa ukuthengiswa kweplantshi yokufakelwa kabusha kwe-ACL ne-PCL emazweni amathathu okuhlosiwe kunqunyelwe. Imibiko yezentengiselwano ivamise ukuhlanganisa ukwakhiwa kabusha kwemisipha nemakethe yemithi yezemidlalo ebanzi, okuhlanganisa nezinsimbi, Imishini ye-arthroscopy , i-biologics, imikhiqizo ye-meniscus kanye nokufakelwa kwehlombe.
Ukubuyekezwa okukodwa kwezimakethe zamazwe ngamazwe kwaveza umhlaba wonke Umkhakha wemithi yezemidlalo uzokhula usuka cishe ku-USD 7.7 billion ngo-2021 uye ku-USD 10.3 billion ngo-2026, omele ukukhula konyaka okungaba ngu-6%. Ingxenye yokwakhiwa kabusha kwayo nokulungisa ihlanganisa izimila, amathuluzi nezinto ezisebenzisekayo, ngakho lezi zibalo akufanele zihunyushwe njengezindali ze-ACL/PCL zaseNingizimu Afrika.
Isidingo eNingizimu Afrika sisekelwa:
Ukubamba iqhaza ebholeni likanobhutshuzwayo, ebholeni lombhoxo, ezokusubatha neminye imidlalo ezulazulayo
Ukulimala komgwaqo nokulimala kwamadolo emsebenzini
Ukunwetshwa kwezikhungo ezizimele zemithi yamathambo nezemidlalo
Ukutholakala okukhulu kwe-MRI ne-arthroscopy
Odokotela abahlinzayo abengeziwe abaqeqeshelwe ukwakhiwa kabusha kwemisipha
Intshisekelo yezinqubo ezingavamisile kancane
Isidingo samaphakheji okufakelwa asuselwa kunqubo
Ukucindezela kwesibhedlela ukulawula izindleko zokufakelwa
Ukukhula kokusatshalaliswa kwedivayisi yezokwelapha yesifunda
Isidingo sezinsimbi ezishintshayo ezinokwethenjelwa nesitoko
INingizimu Afrika inengqalasizinda ethuthuke kakhulu yokunakekelwa kwezempilo kanye nemithi yezemidlalo ethuthuke kakhulu. Ingasebenza njengesikhungo sezohwebo nokuqeqesha ezimakethe ezingomakhelwane. Kodwa-ke, ukuncintisana kwabahlinzeki, amaqembu okuthenga ezibhedlela kanye nezidingo zokulawula kwenza imibhalo kanye nokwesekwa kwabasabalalisi bendawo kubaluleke kakhulu.
Amathuba eZimbabwe agxile ezibhedlela ezizimele, ezikhungweni zokuthumela abantu kanye nasezikhungweni zochwepheshe. Abangenisi kufanele banake kakhulu ukuvezwa kwemali, amashejuli okubuyisela kanye nezindleko zokuphatha osayizi bokufakelwa abahamba kancane.
IBotswana iyimakethe encane, kodwa ukuthengwa kwayo kwezempilo kanye nemithetho eguqukayo yedivayisi yezokwelapha kudala amathuba kubahlinzeki ngemibhalo ephelele. Imodeli yesitoko yesifunda ingase yonga kakhulu kunokugcina zonke izithombo zokufakelwa ngaphakathi kweBotswana.
Abasabalalisi kufanele balinganisele imakethe besebenzisa idatha yenqubo yezinga lesibhedlela:
Izibhedlela ezingaba khona × Amacala we-ACL/PCL wonyaka × izimila esimweni ngasinye × isabelo semakethe esingafinyeleleka
Isibalo kufanele sihlukaniswe ngokuthi:
I-ACL ngokumelene nokwakhiwa kabusha kwe-PCL
Uhlobo lwegraft
Indlela yokulungisa i-Femoral
Indlela yokulungisa i-Tibial
Isikulufu ububanzi nobude
Okulungisekayo uma kuqhathaniswa nezihibe ezingashintshi
Inqubo eyisisekelo iqhathaniswa nokubuyekeza
Ithenda yomphakathi ngokumelene nesidingo sesibhedlela esizimele
Le ndlela inika amaqembu athengayo isibikezelo se-inventory esithembeke kakhudlwana kunokusebenzisa iphesenti lokukhula kwemakethe yomhlaba wonke kubantu bendawo.
Iphakethe lenqubo eliphelele kufanele lisekele ukulungiswa kokuxhunyelelwa, ukwakhiwa komhubhe, indawo yokuxhunyelelwa kanye nokulungiswa.
Qedela isistimu yokwakha kabusha i-ACL/PCL
Isigaba senqubo |
Imikhiqizo edingekayo |
Imibuzo esemqoka yokuthenga |
|---|---|---|
Ukuvuna ngokuxhunyelelwa |
I-tendon stripper kanye nezinsimbi zokuvuna |
Imaphi amasu e-autograft asekelwayo? |
Ukulungiswa kwe-graft |
Isiteshi sokulungiselela, ama-clamps, amashubhu okulinganisa kanye nama-sutures |
Yimaphi ama-diameter nobude obungalungiselelwa? |
Ukuhlela umhubhe |
Tibial futhi femoral aiming guides |
Yimaphi ama-engeli nezindlela zomhubhe ezisekelwayo? |
Ukwakhiwa komhubhe |
Ama-Guidewires, ama-drill kanye nama-reamer angama-cannulated |
Ingabe zonke izingxenye ziyahambisana ngokobukhulu? |
I-Graft passage |
Ama-sutures adlulayo nama-traction sutures |
Ingabe lezi zifakiwe nenkinobho yokulungisa? |
Ukulungiswa kwabesifazane |
Iluphu elungisekayo noma inkinobho yekhorothi yeluphu engaguquki |
Yiziphi izinkinobho kanye nobukhulu beluphu? |
Ukulungiswa kwe-Tibial |
bioabsorbable , metallic ,PEEK isikulufu sokuphazamiseka |
Yimaphi ama-diameter, ubude nezishayeli ezitholakalayo? |
Ukulungiswa okungeziwe |
Isisekelo se-Ligament noma enye idivayisi egunyaziwe |
Ingabe umkhiqizo ufakiwe kuhlelo olubhaliwe? |
Ukuvala inzalo |
Ithreyi yezinsimbi neziyalezo zokucubungula kabusha |
Ingabe isibhedlela singakwazi ukucubungula isethi ngendlela efanele? |
Umphakeli akudingeki ukuthi enze yonke imikhiqizo engaba khona ukuze ibe wusizo. Kodwa-ke, kufanele ichaze ukuthi yiziphi izingxenye ezihlinzekayo, ezizikhethela futhi okufanele zitholwe ngokuhlukene.
Inkinobho ye-cortical ihlinzeka ngokulungiswa kokuxhunyelelwa okulengayo endaweni engaphandle ye-femoral cortex. I-graft ixhunywe kwinkinobho nge-loop elungisekayo noma engashintshi.
Ukufakelwa kwe-loop okulungisekayo kuvumela udokotela ohlinzayo ukuthi aguqule iluphu ngokuya ngesu eligunyaziwe lokufakelwa. Ingase yehlise inani lama-SKU obude be-loop adingekayo kuhlu lwabasabalalisi.
Abathengi kufanele baqhathanise:
Ububanzi benkinobho, ubude nobukhulu
Iluphu impahla
Ubude belophu yokuqala
Ububanzi bokulungisa
Indlela yokukhiya
Ama-traction sutures
I-suture ephendukayo noma intambo yokulawula
Indlela yokulayisha igraft
Ububanzi bomhubhe
Ubude bokwakha obukhulu
Ukupakishwa kokufakelwa
Ukufakwa kweluphu engaguquki kunobude belophu enqunywe kusengaphambili. Ihlinzeka ngomqondo wokulinganisa oqondile kodwa idinga umsabalalisi ukuthi agcine ubude belophu embalwa.
Iluphu elungisekayo nenkinobho yeluphu engaguquki
Umbandela |
Inkinobho ye-loop elungisekayo |
Inkinobho yeluphu engashintshi |
|---|---|---|
Ubude be-loop |
Kulungiswe ngesikhathi senqubo egunyaziwe |
Kunqunywe kusengaphambili |
Inventory |
Ingase yehlise ubude be-loop-SKUs |
Idinga ubude be-loop obuningana |
Isilinganiso esikhulu |
Umhubhe nendawo yokuxhunyelelwa |
Ubude bomhubhe kanye neluphu ekhethiwe |
Ukuqeqeshwa |
Ukulungiswa, ukuqina nokukhiya |
Ukulinganisa okunembile nokuthunyelwa kwe-cortical |
Ingozi yokuthenga evamile |
Ukuqina okungalungile noma indlela yokukhiya engajwayelekile |
Ubude belophu obudingekayo buphelile |
Ukusetshenziswa Best |
Kuncike ku-graft kanye namasu okuhlinza |
Kuncike ku-graft kanye namasu okuhlinza |
I CZMEDITECH Ikhasi lezinkinobho zokulungisa i-cortical libala izinketho ezilungisekayo nezingaguquki. Ubude be-loop egxilile obushicilelwe buhlanganisa u-15, 20, 25 kanye no-30 mm.
Izikulufu zokugxambukela zivikela i-graft ngaphakathi komhubhe wamathambo ngokucindezela phakathi kwe-graft nodonga lomhubhe.
I PEEK i-polymer engamunceki enezici ze-radiolucent. Ihlala emzimbeni futhi akufanele ichazwe njenge-bioabsorbable.
Izinzuzo zokuthenga ezingaba khona zifaka:
I-artifact elinganiselwe ye-metallic imaging
Izinto ezingapheli ezingamuncwa
Amadayamitha amaningi nobude
Ukugeleza komsebenzi wokulungisa okusekelwe ngezikulufu okujwayelekile
Abathengi kufanele baqhathanise i-thread geometry, idizayini yamathiphu, uxhumano lomshayeli, ukukhanyisa, ukuhambisana kwe-guidewire kanye nokulebula.
I CZMEDITECH PEEK isikulufu sekhasi lokuphazamiseka senza uhlu lwamadayamitha akhethiwe ukusuka ku-6 kuye ku-10 mm nobude obusuka ku-20 ukuya ku-30 mm.
Okwamanje leli khasi liqukethe inkambu yezinto ezijwayelekile ezingahambisani ezisho insimbi engagqwali yezokwelapha, kuyilapho incazelo yomkhiqizo ikhomba i-medical-grade PEEK . Umkhiqizi kufanele anikeze ishidi ledatha lobuchwepheshe lamanje kanye nesimemezelo sempahla ngaphambi kokubhalisa noma ukuhanjiswa kwethenda.
Izikulufu ze-Bioabsorbable zenziwa ngama-polymers noma izinhlanganisela eziklanyelwe ukwehlisa kancane kancane. Kuye ngomkhiqizo, inhlanganisela ingase ibe nezinto ezisekelwe ku-calcium.
Abasabalalisi kufanele baphenye:
Ukwakheka kwe-polymer noma okuhlanganisiwe
Iphrofayili yokwehlisa isithunzi
Izinga lokushisa lesitoreji
Impilo yeshelufu
Ukuzwela kokupakisha
Ukuhambisana komshayeli
Imikhawulo yokufakwa kwetorque
Ukubhaliswa kwendawo
Izimangalo ezigunyaziwe ezimayelana nokushintshwa kwethambo
Ikhasi lomkhiqizo le CZMEDITECH eliqinisekisiwe lifaka i-a PEEK isikulufu sokuphazamiseka . Ngaphandle uma ikhathalogi yamanje ehlukile iqinisekisa a CZMEDITECH imodeli ye-bioabsorbable, i-athikili akufanele isho ukuthi i CZMEDITECH inikeza eyodwa.
Ukuqhathaniswa kwezinto eziphazamisayo
Umbandela |
PEEK |
I-bioabsorbable noma i-biocomposite |
Insimbi |
|---|---|---|---|
Ukuziphatha kwezinto ezibonakalayo |
I-polymer ehlala njalo |
Kuhloswe ukwehlisa isithunzi ngokuhamba kwesikhathi |
Insimbi ehlala njalo |
Ukufanekisa |
I-radilucent |
Ngokuvamile i-radiolucent |
I-Radiopaque |
Isitoreji |
Izimo ezijwayelekile ezishiwo umenzi |
Ingase idinge ukulawula okuqinile kwesitoreji |
Izimo ezijwayelekile ezishiwo umenzi |
Ukuhlela ukubukeza |
I-implant ihlala emhubheni |
Ukuwohloka kuyahlukahluka ngokuya ngezinto nesikhathi |
Ukufakelwa kuhlala kubonakala |
Isheke lomthengi oyinhloko |
PEEK ibanga nokuhambisana komshayeli |
Ukwakheka, ukucekelwa phansi kanye nempilo yeshelufu |
I-alloy kanye nemibhalo ye-MRI |
Umthetho wencazelo |
Ungalokothi ukubize ngokuthi kuyamuncwa |
Sebenzisa kuphela izimangalo zokwehliswa kwesithunzi ezigunyaziwe |
Thola ingxubevange efanele |
A Isisekelo se-ligament singacatshangelwa ukulungiswa okungeziwe ngokuya ngenkomba yomkhiqizo evunyelwe kanye nezindlela zokuhlinza.
CZMEDITECH 's Ikhasi eliyisisekelo le-ligament likhomba imodeli C006. Ichaza ukulungiswa kwe-autograft, i-allograft kanye nezingxenye zokufakelwa futhi ikhuluma ngebhuloho eliyisicaba, imiphetho eyindilinga kanye nama-anti-back-out serrations.
Ikhasi elifanayo liqukethe ulwazi olubalulekile olungahambisani: inkambu yomkhiqizo ohleliwe ithi insimbi engagqwali yezokwelapha, kuyilapho i-athikili eshumekiwe ibhekisela ku-titanium. Abasabalalisi kufanele bathole isitifiketi sempahla kanye ne-IFU yamanje ngaphambi kokusebenzisa isimangalo ekukhangiseni noma ekubhaliseni.
A okuyisisekelo kwe-ligament akufanele kwethulwe njengesibopho kukho konke ukwakhiwa kabusha kwe-ACL noma i-PCL. Ukusetshenziswa kwayo kuncike isu likadokotela ohlinzayo lokulungisa kanye nenkomba egunyaziwe.
I-Sutures ingase isetshenziselwe ukulungisa i-graft, ukulawula i-graft ngesikhathi sokudlula, ukuyixhuma nesistimu yokulungisa noma ukunikeza ukulungiswa okungeziwe.
Ukucaciswa okubalulekile kuhlanganisa:
UHMWPE noma ezinye izinto
USP usayizi
Ukwakhiwa kwestrand
Ukuhlukaniswa kombala nokubonwayo
Ukumiswa kwenaliti
Iluphu noma ifomethi ye-tape
I-strand elayishwe ngaphambili noma yamahhala
Ubunyumba
Inani lokupakisha
Ukuhambisana nezinkinobho nezinsimbi
I-suture ejwayelekile akufanele ithathelwe indawo ingxenye yeluphu eqinisekisiwe yokulungisekayo inkinobho yokulungisa . Yonke i-implant construction kufanele ihlinzekwe futhi isetshenziswe ngokuvumelana nemibhalo yayo.
Ukuqhathaniswa kwabahlinzeki baseNingizimu Afrika kwango-2026
Izinga |
Ibhrendi |
Izinkinobho zeCortical |
Izikulufu zokuphazanyiswa |
Ama-staples/ama-sutures |
Amathuluzi e-graft kanye nomhubhe |
|---|---|---|---|---|---|
1 |
PEEK Izikulufu zokuphazamisa ; ezinye izinto ezidingekayo zidinga ukuqinisekiswa |
||||
2 |
I-Arthrex |
Okubanzi okulungisekayo kanye ne-fixed-loop range |
PEEK , biocomposite nezinye izinketho |
Ama-sutures abanzi kanye nokulungiswa okungeziwe |
Okuphelele |
3 |
USmith+Umshana |
Ukulungiswa kwe-suspensor okulungisekayo nokulungisiwe |
PEEK kanye nezinketho ze-bioabsorbable/biocomposite |
Imihlobiso yemithi yezemidlalo |
Okuphelele |
4 |
I-Stryker |
Ukulungiswa kwe-loop okulungisekayo |
Izinketho zokulungisa iziphazamiso eziningi |
I-Sutures kanye nokulungiswa okuhlobene |
Okuphelele |
5 |
I-Zimmer Biomet |
Izinketho zokulungisa i-Cortical |
Izinketho zezinto ezibonakalayo eziningi |
Sutures kanye nemikhiqizo eyengeziwe |
Okubanzi |
6 |
I-DePuy Synthes Mitek |
Ukulungiswa kwe-Femoral Suspensory |
PEEK kanye nezinketho ze-biocomposite |
Ama-sutures aphezulu |
Okubanzi |
7 |
CONMED |
Ukulungiswa kwe-cortical okulungisekayo |
Izinketho zokulungisa ukuphazamiseka |
Ama-Sutures kanye nokufakelwa okuhlobene |
Okubanzi |
8 |
I-Medacta |
Izinketho zokulungisa i-Femoral |
Izikulufu zokuphazanyiswa |
Imihlobiso yemithi yezemidlalo |
Amasethi enqubo ethile |
9 |
I-Biotek |
Izinketho ezilungisekayo nezingaguquki |
PEEK kanye nezinketho ze-biocomposite |
Sutures kanye okuyisisekelo |
Amathuluzi e-ACL/PCL |
10 |
SBM |
Izinketho zokulungiswa kwe-Ligament |
Izikulufo ezikhethekile zokuphazanyiswa |
Kuncike emkhiqizweni |
Qinisekisa isethi egcwele endaweni |
I CZMEDITECH inikezela ngenhlanganisela esebenzayo yezimila ze-ACL/PCL namathuluzi abasabalalisi abafuna iphothifoliyo yenqubo ephelele.
Izigaba zayo ezifanele zomkhiqizo zihlanganisa:
Ama-sutures aphezulu
Amathuluzi okulungisa umhume nomhubhe
Ukwesekwa komsabalalisi
Inzuzo enkulu ye CZMEDITECH ukuhlanganiswa kwephothifoliyo. Abasabalalisi bangaxoxa ngokulungiswa kwe-femoral, ukulungiswa kwe-tibial, ukulungiswa okungeziwe kanye namathuluzi angasetshenziswa kabusha ngomhlinzeki oyedwa esikhundleni sokuxhumanisa ama-oda ambalwa azimele.
Okushicilelwe Ikhasi elithi Inkinobho yokulungisa libala ukucushwa okubili okungalungiseka namalophu angashintshi angu-15, 20, 25 kanye no-30 mm. Ububanzi bezikulufu PEEK buhlanganisa ububanzi obukhethiwe obungu-6, 7, 8, 9 kanye no-10 mm. Lokhu kunikeza abasabalalisi ibanga lokuqala eliwusizo lokuhlela uhlu.
I Isethi yethuluzi lokwakha kabusha i-ACL/PCL ifakwe kuhlu njengemodeli Y1000-10, ene-MOQ eshicilelwe yesethi eyodwa. Ikhasi lichaza izinhlelo zokusebenza ezihlanganisa ukubekwa kwegraft nokulungiswa komhubhe.
Ngaphambi koku-oda, cela:
Ikhathalogi yokufakelwa yamanje
Gcwalisa uhlu lwezinsimbi
Izitifiketi eziqondene nomkhiqizo
Izimemezelo ezibonakalayo
Ukuvala inzalo imibhalo
Imininingwane ye-Suture ne-loop
I-matrix yokuhambisana
Izinketho zokulebula zesiFulentshi noma zesiNgisi
I-MOQ nge-SKU
Isikhathi sokukhiqiza nesikhathi sokuthumela
OEM ukuba nokwenzeka
Izinsiza zokuqeqesha
I-Arthrex inikeza enye yezindawo ezibanzi kakhulu ze-ACL kanye ne-PCL yokwakha kabusha imvelo. Iphothifoliyo yayo ihlanganisa i-adjustable-loop kanye ne-fixed-loop femoral fixation, izinto eziningi zokuphazanyiswa-isikulufa, ama-sutures, amasistimu okulungiselela ukuxhunyelelwa nezinsimbi zomhubhe.
Le nkampani iwuphawu oluwusizo lokuphelela kwenqubo kanye nemfundo yodokotela abahlinzayo. Imikhawulo yayo kwabanye abasabalalisi ingase ihlanganise amanani entengo, imikhawulo yendawo kanye nezindleko zokulondoloza uhlu lwempahla enkulu.
Amagama emikhiqizo ye-Arthrex ephawuliwe kufanele asetshenziswe kuphela lapho kubhekiselwa ku-Arthrex ngokuqondile. Ukuqhathanisa okuvamile kufanele kusebenzise 'inkinobho yokulungisa ikhohlo' noma 'inkinobho yeluphu elungisekayo.'
USmith+Nephew unephothifoliyo yemithi yezemidlalo esunguliwe ehlanganisa ukulungiswa kwe-femoral suspensory, ukulungiswa kwe-tibial interference, ukulungiswa kwegraft kanye nezinsimbi zokwakha kabusha.
Imfundo yomtholampilo yenkampani kanye nenethiwekhi yokusabalalisa amazwe ngamazwe ingasekela izikhungo ezithuthukisiwe ze-arthroscopy. Abathengi baseNingizimu Afrika kufanele baqinisekise ukuthi yimiphi imikhiqizo ebhalisiwe, yiziphi izisetshenziswa ezitholakala endaweni kanye nokuthi ayatholakala yini amasethi emalimboleko.
I-Stryker inikeza izimila zokulungisa namathuluzi okwakhiwa kabusha kwe-ACL, okuhlanganisa ukulungiswa kwe-femoral okulungisekayo kanye nezixazululo zokuphazanyiswa kwe-tibial.
Izibhedlela esezivele zisebenzisa imishini ye-Stryker arthroscopy zingakwazisa ukuhlanganiswa kwephothifoliyo. Abathengi kufanele baqhathanise izindleko eziphelele zenqubo, okuhlanganisa okulahlwayo kokufakelwa, amathuluzi obunikazi, isevisi nokuqeqeshwa.
I-Zimmer Biomet inikeza izinhlelo zokulungisa imithi yezemidlalo ezisekelwa uhla lwemikhiqizo yamathambo ebanzi. Iphothifoliyo yayo yokwakhiwa kabusha kwe-ligament ingabandakanya izinkinobho ze-cortical, ukulungiswa kokuphazamiseka kanye namathuluzi okulungiselela ukuxhunyelelwa.
Lo mkhiqizo ungase ukhange ezibhedlela esezivele zisebenza neZimmer Biomet ekwakhiweni kabusha okuhlanganyelwe noma ekuhlukumezekeni. Ukutholakala kwezwe elithile kanye nempahla yendawo kufanele kuqinisekiswe.
I-DePuy Synthes I-Mitek inikeza izimila zokuvuselela imisipha, izinsimbi eziqinile nezisetshenziswa zemithi yezemidlalo. Iphothifoliyo yayo iqukethe izinketho zokulungiswa kwe-femoral kanye ne-tibial ezimakethe ezisebenzayo.
Amandla ayo ahlanganisa imibhalo yamazwe ngamazwe kanye nokusabalalisa kwamathambo okusungulwe. Umsabalalisi kufanele aqinisekise ikhathalogi yamanje yaseNingizimu Afrika kunokuthembela emakhasini omkhiqizo adalelwe i-Europe noma iNyakatho Melika.
I-CONMED ihlanganisa imikhiqizo yokulungisa i-ACL nephothifoliyo ye-arthroscopy ebanzi. Lokhu kungafaka ukulungiswa kwekhola lokulungisa iluphu, izikulufu zokuphazanyiswa, ama-sutures, imikhiqizo ye-meniscus namathuluzi.
Le ndlela ehlanganisiwe ingase izuzise izibhedlela ezifuna ubudlelwano obumbalwa nabathengisi. Ukuhambisana nokutholakala kwamathuluzi kufanele kuqinisekiswe ezingeni le-SKU.
I-Medacta inikeza izinhlelo zemithi yamathambo nezemidlalo ezingase zihlanganise izinsimbi zokulungisa izinsikazi, ukulungiswa kwe-tibial kanye nezinsimbi zokwakha kabusha.
Ingacatshangwa ngabasabalalisi abafuna ubambiswano olubanzi lwamathambo. Imikhiqizo eqondile ye-ACL/PCL, ukubhaliswa nokusekelwa kwendawo kufanele kuqinisekiswe ezweni ngalinye okuqondiwe kulo.
I-Biotek inikeza izimila zokulungisa ze-ACL/PCL namathuluzi, okuhlanganisa izinkinobho zekhorotiki nezikulufu zokuphazanyiswa. Ingahlinzeka ngenye indlela kubathengi abafuna uhlelo olubanzi ngaphandle kwezinkampani ezinkulu zamazwe ngamazwe.
Abasabalalisi kufanele bahlole ukuqinisekiswa, ukuqinisekiswa kokuvala inzalo, ukubhalwa kwemishini, amathuluzi okushintsha kanye namandla okuhlinzeka kwesifunda.
I-SBM ingumkhiqizi okhethekile wamathambo onolwazi ku-biomaterials yemithi yezemidlalo kanye nokulungiswa kwemisipha.
Kungase kuhlobane ikakhulukazi ekuthengeni kokulungiswa kokuphazamiseka. Abathengi kufanele baqinisekise ukuthi inkampani inganikezela ngephakheji yenqubo yonke ye-ACL/PCL noma kufanele ihlanganiswe nenye inkinobho nomphakeli wezinsimbi.
Kunconyiwe CZMEDITECH Iphakheji ye-ACL/PCL
Imfuneko yenqubo |
CZMEDITECH umkhiqizo wokungena |
Isixhumanisi sangaphakathi esinconyiwe |
|---|---|---|
Ukulungiswa kwe-femoral okulungisekayo |
Inkinobho yekholamu ye-loop elungisekayo |
|
Ukulungiswa kwe-femoral okugxilile |
Inkinobho yekhohlo ye-loop engashintshi |
|
Ukulungiswa komhubhe we-Tibial |
PEEK isikulufu sokuphazamiseka |
|
Ukulungiswa okungeziwe |
Isisekelo se-Ligament |
|
Ukulungiswa kwe-graft |
Amathuluzi okulungiselela namathuluzi wokulinganisa usayizi |
|
Ukulungiswa komhubhe |
Iziqondiso, izintambo, ama-drill kanye nama-reamer |
|
Imfuneko yokuthenga ebanzi |
Imikhiqizo ye-arthroscopy ehlobene |
Iphakheji yezohwebo kufanele ilungiselelwe ngemuva kwezingxoxo nodokotela abahlinzayo bendawo. Umsabalalisi kufanele ahlonze ama-graft athandwayo, amasu omhubhe, imiklamo yezinkinobho nosayizi bezikulufu ngaphambi kokufaka i-oda lokuvula.
Bala izindleko zenkinobho, isikulufu, izinsimbi, izisetshenziswa ezilahlwayo namathuluzi asebenziseka kabusha. Intengo ephansi yokufakelwa ingase inganciphisi isamba sezindleko uma kudingeka amathuluzi obunikazi amaningana.
Cela izimemezelo zezinto ezibonakalayo zezinkinobho zekhorotiki, amalophu, izikulufu zokuphazanyiswa kanye nezisekelo. Xazulula noma yikuphi ukungqubuzana phakathi kwezincazelo zewebhusayithi kanye nemibhalo yezobuchwepheshe ngaphambi kokubhalisa.
Xhuma konke okufakwayo kumshayeli wayo ohambisanayo, i-guidewire, i-reamer nesifaki. Lokhu kunciphisa amaphutha oku-oda nokubambezeleka kwegumbi lokusebenza.
Sebenzisa izingxoxo zodokotela abahlinzayo namarekhodi enqubo ukuze uhlonze inkinobho enevolumu ephezulu nosayizi bezikulufu. Gcina isitokwe esengeziwe sokulungiselelwa okuvamile ngaphandle kwesitoko esingaphezu kobude obuhamba kancane.
Buza ukuthi ubude bezinkinobho namasayizi ahlukene ngezikulufu kungaba nomthelela yini ku-MOQ iyonke. I-oda elixutshiwe ngokuvamile liwusizo kakhulu kunesamba esikhulu sosayizi owodwa.
Qinisekisa ukuthi ithreyi ihlanganisa yonke inkomba edingekayo, i-reamer, igeji nomshayeli. Ithuluzi ngalinye kufanele libe nenombolo yesithenjwa efundekayo kanye nendlela yokucubungula kabusha ebhaliwe.
Hlola ubuqotho besithiyo esiyinyumba, idethi yokuphelelwa yisikhathi, ukuqinisekiswa kwezinto zokuhamba nezimo zokulondoloza ezinconyiwe. Izinto ezisetshenziswa yi-Bioabsorbable zingadinga izilawuli ezengeziwe zesitoreji.
Ukuqeqeshwa komkhiqizo kufanele kufake ukulungiswa kokuxhunyelelwa, ukwakhiwa komhubhe, indawo yokuxhunyelelwa, ukuthunyelwa kwezinkinobho, ukuqinisa iluphu nokufakwa kwezikulufu. Kufanele ihlale ihambisana ne-IFU egunyaziwe.
Umkhiqizi nomsabalalisi kufanele bavumelane ngokubika kwesikhalazo, ukulandeleka, ukuphathwa kwezehlakalo ezimbi, izenzo zenkambu kanye nokukhumbula.
Ngaphambi kokwamukela ukuhluka kwendawo, buyekeza izibopho zonyaka zokuthenga, ubunikazi bokubhalisa, izibopho zokumaketha kanye nemibandela yokunqanyulwa.
I-South African Health Products Regulatory Authority ilawula ukusungulwa kwemishini yezokwelapha kanye nokubhaliswa kwedivayisi. Abakhiqizi, abangenisa kwamanye amazwe, abasabalalisi kanye nabadayisi bezitolo kufanele babe nelayisensi yokusungula efanele yemisebenzi yabo.
I-SAHPRA idinga futhi ummeleli ogunyaziwe ozinze eNingizimu Afrika futhi ihlanganisa ulwazi lwesistimu yekhwalithi ekunikezeni amalayisensi okusungulwa.
Abasabalali kufanele baqinisekise izidingo zamanje zemishini yezokwelapha neMedicines Control Authority of Zimbabwe nezinye iziphathimandla zikazwelonke ezifanele. Izidingo zingancika ekuhlukaniseni umkhiqizo, isimo somthengi ongaphandle kanye nendlela esebenzayo yokungenisa.
Ukuqinisekisa okubhaliwe kokulawula kufanele kutholwe ngaphambi kokuthumela imikhiqizo ye-ACL/PCL efakelwayo.
Uhlelo lokulawula lwaseBotswana luguqukela ekubhaliseni okubanzi kwemishini yezokwelapha. I-BoMRA ishicilele umhlahlandlela obuyekeziwe wokubhalisa ngoMeyi 2026 kanye nomgwaqo wokubhalisa ohlukaniswe ngezigaba ohlanganisa izigaba ezihlukene zobungozi.
Abasabalalisi kufanele baqinisekise ukuhlukaniswa ngezigaba, izinsuku eziwumnqamulajuqu zokubhalisa, izimfuneko zokusungulwa kanye nokugunyazwa kokungenisa izinto kwamanye amazwe ngqo ne-BoMRA.
Umsabalalisi waseNingizimu Afrika kufanele aqhathanise amabhrendi e-ACL/PCL njengamasistimu enqubo aphelele. Izinkinobho ze-Cortical, izikulufu zokuphazanyiswa, okuyisisekelo kwemigqa, ama-sutures, iziteshi zokulungiselela ukuxhunyelelwa nezinsimbi zomhubhe kufanele kusebenze ndawonye ngokwethembeka.
CZMEDITECH ihlinzeka ngendawo yokungena eqinile yomsabalalisi izinkinobho ezilungisekayo nezingaguquki, PEEK izikulufu zokuphazamisa, okuyisisekelo kwe-ligament kanye ne- Isethi yensimbi ye-ACL/PCL . Yakho Iphothifoliyo ephelele yemithi yezemidlalo ingasiza abathekelisi ukuthi bahlanganise imikhiqizo futhi bakhe umnikelo obanzi we-arthroscopy.
Ngaphambi kokufaka i-oda, abathengi kufanele baqinisekise imininingwane yakamuva, izinto zokwakha, ukuhambisana kwamathuluzi, izitifiketi, isimo sokulawula, i-MOQ, isikhathi sokukhiqiza kanye nokutholakala kwezinga lezwe.
Inqubo evamile idinga ukulungiswa kwe-femal, ukulungiswa kwe-tibial kanye ne-high-strength sutures. Ngokuya ngenqubo, ukulungiswa okwengeziwe kungadingeka.
Ezinye izigaba zokufakelwa zingase zisekele zombili izinqubo, kodwa ukuhambisana nezinkomba kufanele kuqinisekiswe ku-IFU yomkhiqizi. Ukwakhiwa kabusha kwe-PCL kungase kudinge amathuluzi ahlukene namasu omhubhe.
Iluphu engashintshi inobude obunqunywe kusengaphambili. Iluphu elungisekayo ivumela ukuguqulwa kobude ngesikhathi sohlelo lokufakela olugunyaziwe lomkhiqizi.
Cha. PEEK i-polymer engunaphakade, engeyona i-bioabsorbable. Akufanele imakethwe njengento ekwazi ukumuncwa.
Okuqinisekisiwe CZMEDITECH amakhava ekhasi lomkhiqizo PEEK izikulufu zokuphazamisa . Abasabalalisi kufanele bacele ikhathalogi yakamuva ngaphambi kokuthi bathi imodeli ye-bioabsorbable iyatholakala.
Ibanga elishicilelwe lihlanganisa ububanzi obukhethiwe ukusuka ku-6 kuya ku-10 mm nobude obusuka ku-20 kuya ku-30 mm. Amakhodi omkhiqizo wamanje nesitoko kufanele kuqinisekiswe.
A Isisekelo se-ligament singahlinzeka ngokulungiswa kokuxhunyelelwa okungeziwe uma kuvunyelwe inkomba yomkhiqizo kanye nezindlela zokuhlinza ezikhethiwe. Akudingeki kukho konke ukwakhiwa kabusha.
Uhlelo lungase luhlanganise ibhodi lokulungiselela, izinsimbi ezilungisekayo, amashubhu okuxhunyelelwa, ama-sutures kanye nemishini yokukala. Ukucushwa okudingekayo kuncike ohlotsheni lwegraft.
Ukuhambisana akufanele kucatshangwe. Izintambo zokuqondisa, ama-drill, ama-reamer, abashayeli kanye nezifakelo kufanele zisetshenziswe kuphela ezinhlanganisela ezisekelwa abakhiqizi bazo.
Qinisekisa ukucaciswa, amadokhumenti abalulekile, izitifiketi, ukubhaliswa, ubunyumba, impilo yeshalofu, amathuluzi ahambisanayo, i-MOQ, isikhathi sokuhola, ukuqeqeshwa nokusekelwa kwangemva kwemakethe.
Umshwana wokuzikhipha emthwalweni wezokwelapha nomthetho: Ukubhaliswa komkhiqizo, izinkomba ezigunyaziwe, imininingwane kanye nokutholakala kwezentengiso kuyahlukahluka ngezwe. Lesi sihloko senzelwe ochwepheshe bezokunakekelwa kwempilo, amathimba okuthengwa kwempahla yezokwelapha nabasabalalisi abagunyaziwe. Ihlinzeka ngolwazi olujwayelekile lokuthenga futhi ayihlanganisi iseluleko sezokwelapha, iziyalezo zokuhlinzwa noma esikhundleni semiyalelo yamanje yokusetshenziswa komkhiqizi.
Abahlinzeki Abaphezulu Abayi-10 Bokufakelwa Kwemithi Yezemidlalo e-Iraq, Lebanon, naseSyria (2026)
Imikhiqizo Yokufakelwa Kabusha Eyi-10 ACL/PCL YaseNingizimu Afrika ngo-2026
Abahlinzeki abangu-10 abahamba phambili be-Knotless Ihange lomthungo e-Francophone Africa (2026)
Abahlinzeki Besistimu Yokulungisa Abaphezulu abayi-10 ye-ACL yaseGhana naseGambia ngo-2026
Abahlinzeki be- Uhlelo Lokulungisa I-Meniscus Abaphezulu Abayi-10 BaseMpumalanga Afrika ngo-2026
Abahlinzeki abangu-10 abaphambili PEEK Ihange lomthungo Abahlinzeki e-Brazil (2026 Guide)
Abakhiqizi abangu-10 abaphambili Ihange lomthungo e-South America (2026)
Abahlinzeki Bempahla Abaphezulu abayi-10 be-Arthroscopic e-Caribbean NaseMelika Ephakathi (2026)