I.Indlela yokugcwalisa ithambo
Indlela yokugcwalisa ithambo ilungele izigulana ezinohlobo oluncinci lwe-AOOI amathambo kunye nemisebenzi engaphantsi.
Itekhnoloji ye-bone elula yethambo ifuna ukucocwa ngokucokisekileyo kwethambo, kwaye isamente yethambo igcwalisa ithambo ngexesha le-Done, ukuze ikwazi ukuqina kwethambo le-bone.
Indlela ethile yeBNyeCEmen +SItekhnoloji ye-CREW kukucoca ngokucokisekileyo isiphene sethambo, emva koko lungisa isikhafu kwithambo lendlu, kwaye ulumke ungavumeli isikhafu seqonga le-COne Emva koko xuba isamente yethambo, gcwalisa isiphene sethambo kwindawo yenhlamo, kwaye usongele isikhafu. Ritter mat al. Sebenzisa le ndlela ukwakha kwakhona i-Tibial Plateau Bone, kwaye ubuncwane obunesiphene bebefikelela kwi-9mm, kwaye kwakungekho mntwana iminyaka emi-3. Itekhnoloji yokugcwalisa isebe isusa ithambo elincinci, kwaye emva koko isebenzise uhlaziyo oluqhelekileyo, ngaloo ndlela kuncitshiswa iindleko zonyango ngenxa yokusetyenziswa kwe-prosches ehlaziyiweyo, enexabiso elifanelekileyo.
Indlela ethile ye-bone ye-bone + itekhnoloji ye-screw kukucoca ngokucokisekileyo ithambo, lungisa isikhafu kwithambo lendlu, kwaye unikezele ukuba isikhafu sepokotisi akufuneki sibe ngaphezulu kweqonga lase-Osteotomy; Emva koko xuba isamente yethambo, gcwalisa isiphene sethambo kwindawo yenhlamo, kwaye usongele isikhafu. Ritter mat al. Sebenzisa le ndlela ukwakha kwakhona i-Tibial Plateau Bone, kwaye ubuncwane obunesiphene bafikelela kwi-9mm, kwaye kwakungekho kwiminyaka emi-3 emva kotyando. Itekhnoloji yokugcwalisa ithambo lisusa ithambo elincinci, kwaye emva koko isebenzise uhlaziyo oluqhelekileyo, ngaloo ndlela kuncitshiswa iindleko zonyango ngenxa yokusetyenziswa kwe-prosthes ye-prosthes, enayoI-1).
UmfanekisoI-1Ukugcwaliswa kweXesha kunye nokuqiniswa kwe-screw
II.Iindlela zokuThumela kwe-bone
Ukulungiswa kwethambo ithambo kunokusetyenziselwa ukulungisa indawo ebandakanyayo okanye engafakwanga ithambo edolophini. Ikulungele ukwakhiwa ngokutsha kwe-AREI Chwetheza i-III yethambo. Ngolwaphulo-mthetho oluhlaziweni, kuba ubungakanani kunye nenqanaba lethambo ngokubanzi, isixa sethambo le-Autogous sifunyenwe lincinci kwaye uninzi lwethambo lisusiwe ngexesha lotyando. Ke ngoko, ithambo le-graljonecjonecjonecjonecgeneic lihlala lisetyenziselwa ukulungiswa kwethambo ngexesha lotyando.
Izibonelelo zoncedo lwethambo loxinzelelo zezi: Ukugcina ithambo lethambo lethambo; Ukulungisa iziphene ezinkulu okanye ezinzima zethambo.
Izinto ezingalunganga zale teknoloji zezi: Ukusebenza kukutya kwexesha; Itekhnoloji yokuphinda isebenze (ingakumbi xa usebenzisa i-mesh ye-mesh enkulu); Kukho ithuba lokudluliselwa kwesifo.
Ukunyanzelwa kwethamboI-Computer elula yokucinezelwa kwethambo ihlala isetyenziselwa ukufumana isiphene sethambo. Umahluko phakathi kwethambo lethambo kunye ne-fnecreal Bone yethambo kukuba izinto ezimbi zethambo ezenziwe ngoxinzelelo lwethambo zinokuba ngokukhawuleza kwaye ziphinde zidlwengulwe ngokupheleleyo.
I-Mesh Fet Cage + I-Praf Linter:Isiphene esingafakwanga kwithambo elingenakubandakanywa sihlala sifuna ukwakha kwakhona kusetyenziswa i-mesh i-mesh i-mesh i-subint yethambo elinqamlezileyo. Ukwakhiwa kwakhona kwe-femur kuhlala kunzima ngakumbi kunokwakhiwa kwakhona kwe-tibia. I-X-ray ibonisa ukuba ukudityaniswa kwethambo kunye nethambo lemithambo ye-graft kuyagqitywa ngokuthe ngcembe (umzoboII-1-1, UmfanekisoII-1-2).
UmfanekisoII-1-1I-Mesh Ceage I-CAGOUR SUPROS yokunyanzelwa kwethambo lokulungisa isiphene sethambo le-tibial. Intsebenzo; B postoperaperated x-ray
Fure-1-2Ukulungiswa kwe-themoral kunye ne-tibia bone disess kunye ne-titanium meshi yangaphakathi yokunyanzelwa kwethambo. Intsebenzo; B postoperaperated x-ray
Ngexesha lokuhlaziya idolo ye-Irthroplasty, i-Allogenec Elnel Lone isetyenziselwa ukuphinda isebenze kwakhona i-AORI II okanye i-III yethambo. Ukongeza ekubeni nezakhono eziphezulu ze-Superb kunye namava atyebileyo abuyiselwe kuyo idolo, ugqirha utyando kufuneka enze nezicwangciso zononophelo kunye nezokuhlolisisa. Ukumiswa kwethambo lethambo kunokusetyenziselwa ukulungisa iziphene zethambo kunye nokunyusa ubunzima bethambo.
Iinzuzo zeTekhnoloji ibandakanya: Inokwenziwa kuwo nawuphi na ubungakanani kunye nobume bokuziqhelanisa neziphene zeemilo ezahlukeneyo zejometri; Inesiphumo esihle sokuxhasa ukuphinda uhlaziye; kunye nokudityaniswa kwebhayiloji yexesha elide kunokufezekiswa phakathi kwethambo kunye nethambo lemisipha.
Izinto ezingalunganga ziquka: Ixesha elide lokusebenza ixesha elide xa usika ithambo; imithombo enqongopheleyo yethambo le-allogenec; Umngcipheko we-United United Union ngenxa yezinto ezinje nge-birorption kunye nefreyiti yokukhathazeka ngaphambi kokuba inkqubo yokudityaniswa kwethambo igqityiwe; iingxaki ngokufudukela kunye nosulelo lwezinto ezinqamlezileyo; amandla okuhambisa isifo; kunye nokungazinzi kozinzo lwethambo le-alloenec. I-Allogneal Bone yethambo ivunwa kwi-femur ye-distar, i-proximal tibia, okanye intloko yenyama. Ukuba izinto zokutshintshelwa zinkulu, ukuhlaziywa ngokupheleleyo kwenzeke. Iintloko zento yenyama ye-Allogeneral zingasetyenziselwa ukulungisa i-fesmoral ye-gooral kunye ne-tibial plates, ubukhulu becala ekulungiseni i-cavity enkulu ye-cavity ye-cavity, kwaye ilungisiwe ngokufakelwa kwe-cinezela kwaye ilungiselelwe. Iziphumo zokuqala zeklinikhi zokusebenzisa ithambo le-Bloaddic yethambo ukulungisa iziphene zethambo zibonise amanqanaba aphezulu okuphilisa amathambo atshintshiweyo (umzoboII-1-3, UmfanekisoII-1-4).
UmfanekisoII-1-3Ukulungiswa kwethambo le-femoral inesiphene kwi-Allogneral yeNtloko yeNtloko yeBhola ye-Bone Graft
UmfanekisoII-1-4Ukulungiswa kwe-tibial bone inesiphene kwi-bone ye-bone ye-bone graft
III.Itekhnoloji yokugcwalisa intsimbi
Itekhnoloji ye-Modrali yeTekhnoloji yeTekhnoloji yeTekhnoloji ithetha ukuba iifilitha zensimbi zinokudityaniswa kunye neziqu kunye neziqu ze-intramellary. Iifilitha zibandakanya iimodeli ezahlukeneyo zokuqhubela phambili ukubuyela kwakhona kwethambo lobungakanani obahlukeneyo.
Isinyithi Ubuxoki Amandulo:Isithuba sentsimbi semozulu ikakhulu silungele uhlobo lwethambo le-AOOI:Ukusetyenziswa kwezinto zentsimbi ukulungisa iziphene zethambo kubalulekile, ezilula, kwaye kuneziphumo ezinokuthenjwa.
Izithuba zentsimbi zinokuba yindawo okanye iqinile, kwaye iimilo zazo zibandakanya imitshato okanye iibhloko. Izithuba zentsimbi zinokuqhagamshelwa kwi-prosthesis edibeneyo ngezikrelemnqa okanye zilungisiwe yi-fumes. Abanye abaphengululi bakholelwa ukuba ukulungiswa kwe-bone yesamente kunokukuphepha ukunxiba phakathi kwentsimbi kwaye kucetyiswe ukulungiswa kwethambo. Abanye abaphengululi baxhasa indlela yokusebenzisa isamente yethambo kuqala kwaye baqine ngesikhafu phakathi kwendawo kunye ne-Prosthesis. Isiphene semimoya sihlala senzeka kwipostior seposti kunye ne-distang ye-conmoral ye-femoral, i-spaces zentsimbi ihlala ifakwe kwindawo yangasemva nangokuhamba kweendawo zentomoral. Kwisiphene sethambo, imitshato okanye iibhloko zingakhethwa ukuba isebenze kwakhona ukuze zihambelane neemilo ezahlukeneyo. Uncwadi luxela ukuba amaxabiso agqwesileyo kwaye amahle aphezulu angama-84% ukuya kwi-98%.
Iibhloko ezenziwe ngomtshato ziyasetyenziswa xa i-bone deage igqitywe, enokugcina uninzi lwamathambo. Le ndlela ifuna i-osteotomy ye-osteotomy ye-Osteotomy ihambelana nebhloko. Ukongeza kuxinzelelo olukhawulezileyo, kukwakhona namandla eShear phakathi kwemfazwe yoqhakamshelwano. Ke ngoko, i-angle yomtshato ayifanele idlule kwi-15 °. Xa kuthelekiswa neebhloko ze-Wedge-Debles, iibhloko zentsimbi ze-cylindrical zinengxaki yokwandisa inani le-osteotomy, kodwa ukusebenza kwe-sublindlical ilula kwaye ilula, kwaye isiphumo soomatshini sisondele kakhulu (III-1-1A, b).
UmfanekisoIII-1-1Izithuba zensimbi: Isithuba esimile okwenziwe ngomtshato ukulungisa iziphene; I-SCHORMD-SPAMFR SPART YOKUGQIBELA YOKUGQIBELA
Kuba izithuba zensimbi zenziwe kwiimilo ezahlukeneyo kunye nobungakanani, zisetyenziswa ngokubanzi kwiziphene ezingafakwanga nethambo kunye neziphene zethambo leemilo ezahlukeneyo, kwaye zibonelela ngozinzo olufanelekileyo lokuzinza. Nangona kunjalo, izifundo zexesha elide zifumene ukuba izithuba zentsimbi zisilela ngenxa yoxinzelelo olukhuselekileyo. Xa kuthelekiswa ne-grefts yethambo, ukuba izithuba zentsimbi ziyasilela kwaye kufuneka zihlaziywe, ziya kubangela iziphene ezinkulu zethambo.
Iposi: Oct-28-2024
