Mu ntangiriro ya za 90, intiti z'amahanga zafashe iyambere mukoresha inature yo gusana imiterere nka rotator cuff munsi ya Arthroscopi. Icyemezo cyaturutse mu nzego "kurohama" ihame ryo mu majyepfo, Amerika, ni ukuvuga inguni y'ibyuma munsi y'ubutaka, inguni yo ku isi ihambiriye ku "nyubako yo kurohama" ku rundi ruhande rw'insinga y'ibyuma.
Imiti ya siporo yaturutse mu ihahamuka rya orthopedic. Nibyingenzi kandi byubuvuzi bukoreshwa neza imiti na siporo. Intego ni ukugera ku gusanwa ntarengwa bikora hamwe n'imyoroha nke, harimo n'imvune za memosi, kato, induru ya rotator cuff, ibitugu bitugu no guturuka mu bitugu, ibikomere byo gucika intege mu miti
Inanga ni igikoresho cyubuvuzi gikoreshwa mubuvuzi bwa siporo hamwe no kubaga amagufwa. Irakoreshwa cyane mugukemura imyenda yoroshye (nkamateka, ligaments, nibindi) kumagufwa kugirango ateze imbere agakiza no gukira. Inganda zisanzwe zikozwe mubikoresho biocompatatible kugirango umutekano n'umutekano mumubiri.
Dukurikije ibyiciro byibikoresho, hari ibyiciro bibiri byingenzi: An-yoodedatable and Biodegradable all.
Ibikoresho nyamukuru bya antridegradagerwa biodegradable ni titanium, nikel-titanium alloy, ibyuma bidafite ishingiro, Titanium na Acide ya Poly-l; Benshi mu banyana banesha bakoreshwa mu myitozo y'amavuriro bikozwe mu bikoresho by'ibyuma, bifite akamaro k'ingabo nziza, imbaraga zoroshye kandi byoroshye x-ray.
Ibikoresho nyamukuru bya antkodegrafiya ni acide ya poly-d-lactic, aside ya polyglycolic, ibibi ugereranije na ANCHIDS ANCHIDS, ANCHERVAD ANT-BIODEDADITS ALCIRS ANORDSON, UFITE ITANGAZO RYIZA Barashobora kandi gukoreshwa kubana.
Ibikoresho nyamukuru bya inanga
1. Inguni yicyuma
• Ibikoresho: Ahanini ibikoresho byicyuma nka Titanium alloy.
• Ibiranga: Birakomeye kandi biramba, ushoboye gutanga ingaruka zihamye. Ariko, ibihangano byerekana kandi hari ibyago byo kugwa.
2. Ankerble
• Ibikoresho: Ibikoresho bifatika nka acide polylactic (PLA).
• Ibiranga: Buhoro buhoro byangiritse mu mubiri, nta kubagwa kabiri birasabwa kugirango bikure. Ariko, igipimo cyo gutesha agaciro kirashobora kudacogora, kandi imbaraga zo gukosora zirashobora kugabanuka mugihe.
3. Polyetherethethethetototo (peek) anchors
• Ibikoresho: Polymers yohejuru nka polyetherethethethethetoto.
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4. Ankere yose
• Ibihimbano: Ahanini bigizwe no kwinjiza, inancho na suture.
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Ukurikije ibishushanyo mbonera bya allchors, birashobora kugabanywamo ibyiciro bibiri: ipfundo ryanditse kandi ipfundo (nko mu rwego rwuzuye) anchors:
1. Inanga
Impfizi ipfundo ni ubwoko gakondo busanzwe, burangwa nigice cya suture gihujwe numurizo wa inanga. Muganga akeneye kunyura mu kanwa binyuze mu ngingo yoroshye ifite urushinge kandi ihambire ipfundo kugirango ukosore imirongo yoroshye kuri ankeri, ni ukuvuga amagufwa.
• Ibikoresho: Ubusanzwe ipfundo rikozwe mubikoresho bitari ngombwa (nka titanium alloy) cyangwa ibikoresho bifatika (nka acide ya polylactic).
• Uburyo bwo gukora: Inanga yashizweho mumagufwa akoresheje imitwe cyangwa amababa yo kwaguka, mugihe ubwiza bukoreshwa muguhuza ibice byoroshye kuri inanga, kandi ingaruka zihamye zikorwa nyuma yo guhambira ipfundo.
• Ibyiza nibibi: Ibyiza byo gupfuka ipfundikizo ni uko ingaruka zo gukosora zizewe kandi zikwiranye nibikomere bitandukanye bya tissue. Ariko, inzira yo gukomya irashobora kongera ibintu bigoye nigihe cyo gukora, kandi kuba ipfundo birashobora gutuma umuntu yibandaho, kongera ibyago byo kumeneka cyangwa inanga.
2. Inanga
Ipfundo ritagira ipfundo, cyane cyane ankere yuzuye, ni ubwoko bushya bwa ampri yateye imbere mumyaka yashize. Ibiranga nuko ankeri yose igizwe na suture, kandi ikosora yoroheje irashobora kugerwaho nta guhambira ipfundo.
• Ibikoresho: Ander ya sutura mubisanzwe ikoresha ibikoresho byoroshye kandi bikomeye, nka ultra-muremure uburemere bwa molecular polyethylene (uhmwpe) fibre.
. Kubera ko bidakenewe guhambira ipfundo, ibintu bigoye nigihe cyo gukora byagabanutse, kandi ibyago byo gusenyuka no kurasa na byo bigabanuka.
• Ibyiza nibibi: ibyiza byo gutura byuzuye bikabije nibikorwa byoroshye byo kubaga, ingaruka zizewe hamwe nibibazo bike kuri tissue yoroshye. Ariko, kubera imiterere yihariye, ifite ibisabwa byinshi kubuhanga bwo kubaga no kubangamira. Byongeye kandi, igiciro cya ankere yuzuye kirashobora kuba hejuru, yongera umutwaro wamafaranga ku barwayi.
Inganda zikoreshwa cyane kubaga imiti itandukanye ya siporo, nka rotator cuff yo gusana, Gukosora Tendon, nibindi bikurikira ni intangiriro yo gusaba inanga ya Rouck Cuff SHAKA NK'Urugero:
• Intambwe yo kubaga: Ubwa mbere, umuganga azasukura kandi ategure urushyi rwa rotator cuff; Noneho, shyira inanga kuruhande rukwiye; Noneho, koresha sutures kugirango ukosore rotator cuff tissue kuri ankeri; Hanyuma, sture na bande.
• Ingaruka zo kubaga: Binyuze kuri inanga, ituze n'imikorere ya Rotatotor Cuff Tissue irashobora gusubirwamo, guteza imbere gukira k'umurwayi.
Ibyiza, ibibi n'ibirindiro bya allkirs
Ibyiza
• itanga ikosora.
• Bikoreshwa muburyo butandukanye bwo gukomeretsa.
• Inganda zimwe zike kandi ntizisaba kubagwa kabiri kugirango zikure.
Ibibi
• All andker irashobora gutanga ibihangano byamateke.
• Igipimo cyo gutesha agaciro ankerubile kidashobora guhungabana.
• Hariho ibyago byo gutandukana cyangwa guswera.
Imiti yo kuvura imiti irashobora gukoreshwa mubibanza bikurikira:
1. Recurrent lateral epicondylitis (tennis elbow) that has not been effectively treated for multiple times: When conservative treatment is ineffective, surgical treatment can be chosen, and the anchor can be used to reconnect the insertion point of the radial extensor carpi brevis to the lateral epicondyle of the humerus.
2. Biceps ya nabi Tendon Tear: Amarira aterwa nuburyo budasanzwe bwo kugenda, gukuruta, ingaruka, nibindi bishobora kuvurwa hamwe na anker ya insinga. Inganda ebyiri zashyinguwe mu gihirahiro cya Radial, kandi umugozi wumurizo ushukwa kuri biceps stamp.
3. Elbow ifatanije na ligamene yongeye guturika: Kwirinda inyuma inkokora akenshi biherekejwe nimvune za ulnar gukomeretsa 15, cyane cyane gukomeretsa imbere. Kubwisoni ingwate, intiti nyinshi zikunda kwivuza hakiri kare. Uburyo bwa anchor yakoreshejwe muguhindura amagufwa aho ligamene ifatanye. Nyuma yo kuva amaraso mashya, inanga yashizwe mu magufwa aho ligament yometse, kandi insinga yagejejeho irangiye kandi ikabikesha imvugo hamwe cyangwa gusana imvugo ifite urushinge.
4. Kuvunika k'umugereka wo hasi wa ligament Gukoresha uburyo bwo guhuza insinga bufite urwego runini rwerekana kandi rutagarukira ku bunini bwo guca intege. Ntabwo bisaba kuvuza flueroscopy kugirango uhindure icyerekezo cya screw. Iki gikorwa cyoroshye kandi igihe cyo gukora kigufi.
5.Patellar Ihungabana: Byatewe na bony anatomique bidasanzwe kandi bidahagije. Intiti nyinshi zishyigikira kwivuza cyane ukoresheje inanga.
6. Patellar yo munsi ya pole ya pole: Ikoranabuhanga rya Anchor ya Wire rirashobora gukoreshwa muguvura patellar yo hasi ya pole. Mugukosora patellar yo hasi ya pole no kuboha no gusudira patellar, ubusugire bwamapfumuro yo kwagura ivi bushobora gusubizwamo uburyo bwo kwagura physiologiya bushobora kubungabungwa.
7. Birakwiriye guhuza no gukosora amagufwa hamwe ningingo zoroshye mumavi, uruti rwumugongo, inkoni, ikirenge, inanga, ikwiriye kubagwa mubice bitandukanye.
Ingamba
• Amagufwa yumurwayi ameze hamwe nuburyo bwa anatomique bwurubuga rwo kubaga bugomba gusuzumwa neza mbere yo kubagwa.
• Hitamo ubwoko bwa anchor bukwiye hamwe nibisobanuro kugirango bitere ikibazo.
• Imyitozo ikwiye yo gusubiza mu buzima busanzwe ikwiye gukorwa nyuma yo kubagwa kugirango iteze imbere ingiranwa no kugarura imikorere.
Muri make, inanga ifite uruhare runini mumiti ya siporo. Muguhitamo ubwoko bwa ankeri nuburyo bukwiye kandi ugakurikiza intambwe zuganje no kwirinda, ingaruka zidasanzwe zirashobora kubyemeza kandi gukira umurwayi birashobora kuzamurwa mu ntera.
Igihe cyo kohereza: Ukuboza-17-2024
