Ebutsheni bowe-1990s, abaphengululi bamanye amazwe bakhokela ekusebenziseni ii-ankile zoncedo zokulungisa izakhiwo ezinje nge-rostator cuff phantsi kwe-arthroscopy. Ithiyori yavela kwiNkqubo yeNkxaso engaphantsi komhlaba eTexas, eUnited States, oko kukuthi, ngokutsala i-wire yentsimbi engaphantsi komhlaba nge-Angle engaphantsi komhlaba nge-45 ° Ukuziswa kwentsimbi ephantsi komhlaba, kwesakhiwo esingaphantsi komhlaba "kwelinye icala le-wire yentsimbi.
Amayeza ezemidlalo avela kwi-orthopedic ka-Orthopedic. Sisicelo esisiseko se-Multidisciplinge esisiseko nenezonyango. Injongo kukufezekisa ukulungiswa okuphezulu okusebenzayo kunye nokulimala kwe-mediscus, ukulimala i-ligas, i-rotch ye-terf terator ye-rof, i-terf i-roll, i-ters.
I-Anchor sisixhobo sezonyango esisetyenziswayo kumayeza ezemidlalo kunye nonyango lobuncwane. Kusetyenziswa ikakhulu ukulungisa izicubu ezithambileyo (ezinjengee-thention, i-ligaments, njl.njl) ukuya emathayeni ukukhuthaza ukuphiliswa kwe-tissule kunye nokuchacha. Ii-ankile zihlala zenziwa ngezixhobo ze-bioMMMMMPE okuqinisekisa ukhuseleko kunye nozinzo emzimbeni.
Ngokutsho kwehlelo lezinto ze-ankile, kukho iindidi ezimbini eziphambili: I-Anhors engenanto ye-anchograd kunye nee-anchograd ezinokwanjwa.
Ezona zinto ziphambili ze-anchers ezingenanto yi-bitanium, i-nickel-titanium allous, intsimbi engenasitali, i-titanium ne-poly-lactic acid; Uninzi lwezinto ezifudumeleyo ezisetyenziselwa ukwenziwa kweklinikhi zenziwa ngezinto zensimbi, ezinezibonelelo zokugcina izinto ezilungileyo zokuqhuba, ukubekwa ngokulula kunye nokuvavanywa okulula.
Ezona zinto ziphambili ze-anchographid ze-bily-d-d-d-lactic acid, i-poly-l-lactic acid, i-polyglycolic acid, njl. Banokusetyenziselwa abantwana.
Izinto eziphambili ze-anshers
I-1. I-anchors yentsimbi
• Izixhobo: ubukhulu becala izinto zensimbi ezinje nge-titanium alloy.
• Iimpawu: zomelele kwaye ziqinile, ziyakwazi ukubonelela ngefuthe lokulungisa ezinzileyo. Nangona kunjalo, ukucingisisa ubugcisa kunokubakho kwaye kukho umngcipheko wokuwa.
I-2. Ii-anchors ezinokufunxa
• Izixhobo: Izixhobo ezinokufunxa ezifana ne-polylactic acid (Pla).
• Iimpawu: Ukonakala kancinci emzimbeni, kungekho utyando lwesibini kuyadingeka ekususweni. Nangona kunjalo, ireyithi yokonakaliswa inokungazinzi, kwaye amandla okulungisa angancipha ekuhambeni kwexesha.
I-3. I-Polyserethertotone (Pek) Anchirs
• Izixhobo: ii-polymers eziphezulu ezifana nePolyseretothertone.
• Iimpawu: Inika amandla e-Nard ePhezulu kunye neZipeyili eziPhezulu kunye neePropathi zoomatshini, ngelixa zineziphumo ezilungileyo ze-biomatives kunye neziphumo ezilungileyo zokucinga.
I-4. Zonke ii-apdurs
Ukuqulunqwa: ikakhulu kwenziwa ikakhulu i-fapter, i-anchor kunye nokuthambisa.
• Iimpawu: incinci kakhulu ngobukhulu, ithambile ekufumaneni, ifanelekile kwiimeko apho ubunzima be-bone ye-Natives ilahlekile okanye indawo yokufakelwa i-computer ilinganiselwe.
Ngokweempawu zoyilo ze-ankile, zinokwahlulwa zangamacandelo amabini: i-nkcothi enqwanqwa kunye ne-fickss (njenge-suture epheleleyo)
I-1. Ii-anchers ezinamafutha
I-nkqopt enqinweyo ziintlobo zemveli zemveli, ziphawulwa licandelo lokuthunga elixhunyiwe kumsila we-anchor. Ugqirha kufuneka egqitha ukuthotyelwa kwezicubu ezithambileyo kunye nenaliti kwaye abophe iqhina ukulungisa izicubu ezithambileyo kwi-anchor, oko kukuthi, umphezulu wethambo.
• Izixhobo: Ii-anchers ezinqinileyo zihlala zenziwa ngezinto ezingezizo ezingezizo (ezinjenge-titanium alloy) okanye izixhobo ezinokuthandwa (njenge-polylactic acid).
• Umatshini wokusebenza: I-anchor ilungisiwe kwithambo lemisonto okanye amaphiko okukhula, ngelixa i-suture isetyenziselwa ukudibanisa izicubu ezithambileyo kwi-anchor, kwaye iziphumo ezizinzileyo zenziwa emva kokubopha iqhiya.
Izibonelelo kunye nokungancedi kakuhle Nangona kunjalo, inkqubo yokufihla inokwandisa ubunzima kunye nexesha lokusebenza, kwaye ubukho beqhina kunokukhokelela kugxininiso lwengxwabangxwaba yendawo, ukwandisa umngcipheko wokukhululwa kwe-suture okanye ukukhululwa kwe-suthor.
2
I-Cnars Ankirs, ngakumbi ii-ankile ezigcweleyo ngokupheleleyo, luhlobo olutsha lwe-Anchor ephuhliswe kwiminyaka yakutshanje. Iimpawu zayo kukuba yonke i-anchor iqulunqwe ngobuchule, kwaye ukulungiswa kwezicubu ezithambileyo kunokufezekiswa ngaphandle kokubopha iimpuku.
• Izixhobo: Ii-ankile ezigcweleyo ezigcweleyo zihlala zisebenzisa izixhobo ezithambileyo nezinamandla, ezinje ngomba we-ultra-right polythylene (i-Uhmpe) fibers.
• Umatshini wokusebenza: Ii-asuts ezigcweleyo zinokungeniswa ngokuthe ngqo kwizicubu zethambo ngokukhethekileyo kunye nendlela yokufakwa kwazo, ngelixa kusetyenziswa imbambano yokuqina kwethambo elithambileyo. Kuba akukho sidingo sokubopha amaqhosha, ubunzima kunye nexesha lokusebenza lincitshisiwe, kwaye umngcipheko wokutshumba kunye nokukhululwa kwe-anchor kuyancitshiswa.
Izibonelelo kunye nokungancedi kakuhle: Izibonelelo ze-appers ezigcweleyo zisebenza ngokulula, ifuthe elithembekileyo kunye nomonakalo omncinci kwizicubu ezithambileyo. Nangona kunjalo, ngenxa yesakhiwo sayo esikhethekileyo, ineemfuno eziphezulu zendlela yokuhlinzwa kunye nendawo yokufaka. Ukongeza, ixabiso le-appers elipheleleyo linokuphezulu, olunyusa umthwalo wezemali kwizigulana.
I-anchors isetyenziswa ngokubanzi kwi-utyaries yamayeza ezemidlalo eyahlukeneyo, njengokulungiswa kwe-rotuftor cuff, ukulungiswa kwe-tendor, i-ligament ukwakhiwa kwe-anchept yokulungiswa kwe-onfmires njengomzekelo:
• amanyathelo okhuphiswano: Okokuqala, ugqirha uya kucoca kwaye alungiselele indawo yokulimala i-rotf; emva koko, faka i-anchor kwindawo efanelekileyo; Emva koko, sebenzisa imigca yokulungisa i-rototor cuff yezicubu kwi-anchor; Okokugqibela, ukufuya kunye ne-bande.
• Iziphumo zotyando: Ngokulungiswa kwe-anchor, uzinzo kunye nomsebenzi wezicubu ze-rotf i-rotf zinokubuyiselwa, ukukhuthaza ukubuyela kwimeko yesigulana.
Izibonelelo, ukungancedi kunye nokuthintela ii-ankile
Izibonelelo
• Ukubonelela ngokulungiswa kwezinto.
• Isebenza kwizinto ezahlukeneyo zokulimala kwezicubu ezithambileyo.
• Ezinye ii-ankile zinokuthathwa kwaye azifuni utyando lwesibini lokususwa.
Ukungancedi
• Ii-anchors zentsimbi zinokuvelisa ingcinga yezinto zobugcisa.
Ireyithi yokonakaliswa kwee-ankile ezinokuthathela i-anchors zinokungazinzi.
• Kukho umngcipheko wokutshiswa kwe-anchor okanye ukwaphuka komoya.
Amayeza e-adhers ezemidlalo anokusetyenziselwa lo utyando lulandelayo:
I-1. Ukuphinda-phinda i-Epikondlis (i-Tennis Elbow) engakhange inyangwe ngamaxesha amaninzi: Xa unyango lolondolozo lungasetyenziselwa kwakhona inqaku lokuphelisa i-rapis i-humeri.
I-2. I-Dieastal Bicedop i-tendon i-tendon tear: Iinyembezi zabangelwa luhlu olungaqhelekanga lwentshukumo, itrayi, ifuthe, njl njl. I-anchors ezimbini zingcwatyelwe kwi-tuberosity yeradi, kwaye ucingo lomsila luthunyelwe kwi-teandon ye-teandon.
I-3. I-LORTEAP ye-LUGENTE YOBUGCISA: I-PATRTARE I-PROPTAW I-Elflow ihlala ihamba kunye nokulimala kwe-Lugas ye-Ilnar ye-Lugament LIGINE, ngakumbi ukulimala okungaphandle kwe-nunde. Ukulimala kwe-LUGEAL ye-LIGGEROPUTATE Indlela ye-anchor ye-anchor isetyenziselwa ukucofa umphezulu wethambo apho i-ligament iqhotyoshelwe khona. Emva kophando olutsha, i-anchor ikhutshelwe kumgangatho wethambo apho i-ligament iqhotyoshelwe khona, kwaye i-wire eqhekezayo ekupheleni kwesikhonkwane isetyenziselwa ukugqobhoza i-ligament ye-ligament kwaye ilungisa i-ligament yenaliti.
I-4. Ukuqhekeka kweyona ndawo inamachiza aphantsi kwe-liigament ye-Cruiness: I-ANTATAREARE I-LIGAG ELANDILLYO Ukusetyenziswa kwendlela ye-anchor yocingo kunoluhlu olubanzi lweempawu kwaye alupheleli ngobungakanani bobuqhetseba. Ayifuni ukuba i-fluoroscopcopy ye-fluoroscopy ye-fluoroscopy ihlengahlengise indlela yesikhafu. Umsebenzi ulula kwaye ixesha lokusebenza lifutshane kakhulu.
5.Pitellar Ukungazinzi Uninzi lwabaphengululi baxhasa unyango olusebenzayo lonyango usebenzisa ii-anchors zocingo.
I-6. I-Patellar Pole Praction: Itekhnoloji ye-anchor ye-anchor ingasetyenziselwa ukuphatha i-patellar ephantsi ye-paele. Ngokulungisa i-patellar pole iphazamisa kwaye iluka kwaye isukele i-Ligamente e-Patellar Meding Medion inokubuyiselwa kwaye ubude bobuchwephesha boMzimba beDlu bunokugcinwa.
7. Ifanelekile ukunxibelelana kunye nokulungiswa kwamathambo kunye nezicubu ezithambileyo kwidolo, intambo, i-ankle, i-anchor, i-anchor, inonyawo olufanelekileyo, kwaye ilungele utyando kwiindawo ezahlukeneyo.
Ukulumkela
Imeko yethambo lesigulana kunye nolwakhiwo lwe-anatomical lwendawo yotyando kufuneka iphononongwe ngokupheleleyo ngaphambi koqhaqho.
• Khetha uhlobo olufanelekileyo lwe-anchor kunye neenkcazo zokuqinisekisa ukuqiniswa.
Imisebenzi efanelekileyo yokubuyisela kwimeko yesiqhelo kufuneka yenziwe emva kotyando ukukhuthaza ukuphilisa izicubu kunye nokubuyisela.
Isishwankathelo, i-anchors idlala indima ebalulekileyo kumayeza ezemidlalo. Ngokukhetha uhlobo olufanelekileyo lwe-anchor kunye neenkcazo kunye nokulandela amanyathelo afanelekileyo kunye nezilumkiso, iziphumo zoqhaqho zinokuqinisekiswa kwaye ukubuyela kwimeko yesigulana kunokukhuthazeka.
I-POSTE: I-DEX-17 ukuya ku-924
