Kuxelwe ukuba iSebe le-Orthopedics kunye ne-Tumor kwiSibhedlele soMdibaniso sase-Wuhan ligqibe utyando lokuqala lwe-"3D-printed personalized reverse arthroplasty with hemi-scapula reconstruction" utyando.Utyando oluyimpumelelo lubonisa ukuphakama okutsha kwigxalaba elihlangeneyo le-tumor resection kunye nokwakhiwa kwakhona kweteknoloji, ukuzisa iindaba ezilungileyo kwizigulane ezineemeko ezinzima.
Umakazi uLiu, oneminyaka engama-56 ubudala kulo nyaka, wayenentlungu egxalabeni lasekunene kwiminyaka eliqela eyadlulayo.Iye yaba mandundu kakhulu kwiinyanga ezi-4 ezidlulileyo, ngakumbi ebusuku.Isibhedlele sasekuhlaleni safumana "i-right humeral cortical side tumor lesions" kwifilimu.Weza kwiSebe le-Orthopedics kunye neTumor kwiSibhedlele soManyano sase-Wuhan ukuze afumane unyango.Emva kokuba iqela likaNjingalwazi uLiu Jianxiang lifumene isigulane, kwenziwa iimviwo ezidibeneyo ze-CT kunye ne-MR, kwaye i-tumor ibandakanya i-humerus kunye ne-scapula, kunye noluhlu olubanzi.Okokuqala, i-biopsy ye-puncture yendawo yenzelwe isigulane, kwaye ukuxilongwa kwe-pathological kwaqinisekiswa njenge "biphasic synovial sarcoma yegxalaba lasekunene".Ukuthathela ingqalelo ukuba ithumba lithumba elibi kwaye isigulana okwangoku sigxile kumzimba wonke, iqela liqulunqe isicwangciso sonyango lomntu ngamnye ukwenzela ukususwa okupheleleyo kwesigulana sokuphela kwe-humerus kunye nesiqingatha se-scapula, kunye ne-3D- eprintiweyo eyenziweyo reverse igxalaba joint replacement.Injongo kukufezekisa ukutshatyalaliswa kwe-tumor kunye nokwakhiwa kwakhona kwe-prosthesis, ngaloo ndlela ukubuyisela isigxina esiqhelekileyo sesigxina somguli kunye nomsebenzi.
Emva kokunxibelelana nemeko yesigulane, isicwangciso sonyango, kunye neziphumo zonyango ezilindelekileyo kunye nesigulane kunye nentsapho yabo, kunye nokufumana imvume yabo, iqela laqala ukulungiselela utyando lomguli ngokunzulu.Ukuze kuqinisekiswe ukutshatyalaliswa okupheleleyo kwe-tumor, isiqingatha se-scapula kufuneka sisuswe kulo msebenzi, kwaye ukwakhiwa kwakhona kwegxalaba yinto enzima.Emva kokuphononongwa ngokucokisekileyo kweefilimu, uviwo lomzimba, kunye nengxoxo, uNjingalwazi uLiu Jianxiang, uGqr Zhao Lei, kunye noGqr Zhong Binlong baqulunqa isicwangciso esicacileyo sotyando kwaye baxoxa ngokuyilwa kunye nokulungiswa kweprosthesis kunye nenjineli ngamaxesha amaninzi.Baye balinganisa i-tumor osteotomy kunye nokufakelwa kwe-prosthesis kwimodeli eprintiweyo ye-3D, ukudala "ukwenza ngokwezifiso" kwisigulane - i-artificial reverse joint prosthesis ehambelana namathambo abo e-autologous kumlinganiselo we-1: 1.
A.Linganisa uluhlu lweosteotomy.B. Yila i-3D prosthesis.C. 3D printa iprothesis.D. Faka kwangaphambili iprosthesis.
Igxalaba elibuyela umva lahlukile kwigxalaba elenziweyo lemveli elidibeneyo, kunye nomphezulu odibeneyo ongqukuva obekwe kwicala le-scapular leglenoid kunye nekomityi ebekwe kwi-proximal isiqingatha-esisithintelo se-humerus kwi-semi-restrict ye-semi-restrict total joint prosthesis.Olu tyando luneenzuzo ezilandelayo: 1. Inokuthi ihambelane kakhulu neziphene ezinkulu zamathambo ezibangelwa kukususwa kwethumba;2. Imingxuma yokwakhiwa kwe-ligament esele yenziwe ngaphambili ingalungisa izicubu ezithambileyo ezijikelezileyo kwaye zigweme ukungazinzi okuhlangeneyo okubangelwa ukuchithwa kwe-rotator cuff;3. Isakhiwo se-bio-mimetic trabecular ebusweni beprothesis sinokukhuthaza ukungena kwethambo elijikelezileyo kunye nezicubu ezithambileyo;4. I-personalized reverse shoulder joint inokunciphisa ngokufanelekileyo izinga lokuchithwa kwe-postoperative ye-prosthesis.Ngokungafaniyo nokutshintshwa kwegxalaba eliqhelekileyo, olu tyando lukwafuna ukususwa kwentloko yonke ye-humeral kunye nesiqingatha sekomityi ye-scapular, kunye nokwakhiwa kwakhona kwentloko ye-humeral kunye nekomityi ye-scapular njengebloko epheleleyo, efuna uyilo oluchanekileyo kunye nobuchule obuphezulu botyando.
Emva kokucwangciswa ngokucokisekileyo kunye nokulungiselela ngexesha le-perioperative, utyando lwenziwe ngempumelelo kwisigulane kutshanje, phantsi kolawulo lukaNjingalwazi uLiu Jianxiang.Iqela lasebenzisana ngokusondeleyo kwaye lenze imisebenzi echanekileyo yokugqiba ukususwa ngokupheleleyo kwe-tumor, i-osteotomy echanekileyo ye-humerus kunye ne-scapula, ukufakwa kunye nokuhlanganiswa kwe-prosthesis eyenziweyo, eyathatha iiyure ze-2 ukugqiba.
D: Yinqumle ngokuchanekileyo yonke i-humerus kunye ne-scapula kunye nepleyiti yesikhokelo sokusika ithambo ukususa i-tumor (H: I-Intraoperative fluoroscopy yokususwa kwe-tumor)
Emva kokuhlinzwa, imeko yesigulane yayilungile, kwaye babekwazi ukuhamba ngoncedo lwe-brace kwilungu elichaphazelekayo ngosuku lwesibini kwaye benze iintshukumo ezidibeneyo zamagxa.Ukulandelela i-X-rays ibonise indawo efanelekileyo ye-prosthesis edibeneyo yamagxa kunye nokubuyisela kakuhle ukusebenza.
Olu tyando lwangoku yimeko yokuqala kwiSibhedlele soMdibaniso sase-Wuhan kwiSebe le-Orthopedics elamkela isikhokelo sokusikwa esiprintiweyo se-3D kunye neeprostheses ezenziwe ngokwezifiso zokubuyisela igxalaba kunye nokutshintshwa kwe-hemi-scapula.Ukuphunyezwa ngempumelelo kobu buchwepheshe kuya kuzisa ithemba lokulondoloza amalungu kwizigulane ezininzi ezinamagxa eegxalaba, kwaye kuzuze inani elikhulu lezigulana.
Ixesha lokuposa: Apr-28-2023
