mankhwala

SUTURE ANCHORS

Chimodzi mwa zovulala zofala kwambiri pakati pa othamanga ndi kutsekedwa kwapang'onopang'ono kapena kwathunthu kwa mitsempha, tendon ndi / kapena minyewa yofewa kuchokera ku mafupa ogwirizana nawo. Kuvulala kumeneku kumachitika chifukwa cha kupsinjika kwakukulu komwe kumayikidwa pa minofu yofewa iyi. Zikavuta kwambiri kutsekeka kwa minyewa yofewa iyi, opaleshoni ingafunikire kulumikizanso minofu yofewayi ku mafupa omwe amalumikizana nawo. Zida zambiri zokonzera zilipo panopa kuti zikonze minofu yofewayi ku mafupa.

Zitsanzo ndi ma staples, screws, suture anchors ndi tacks.

Kukonzekera kwa Suture Anchor ndi chimodzi mwazinthu zofunikira kwambiri pa maopaleshoni a arthroscopic. Nangula woyambirira wa suture akuti adapangidwa zaka makumi atatu zapitazo. Pali kutchulidwa kwa anangula a suture opangidwa kuchokera ku fulakisi, hemp ndi tsitsi ndi Sushruta, Indian Plastic Surgeon wakale (AD c380-c450). Kuyambira nthawi imeneyo, anangula a suture asintha mosiyanasiyana malinga ndi kapangidwe kake, zinthu zomwe zimagwiritsidwa ntchito, kukula ndi zina. Suture Anchors tsopano akugwiritsidwa ntchito kwambiri pakukonza opaleshoni ya misozi yonse ya makulidwe a rotator cuff chifukwa amathandizira kukonza bwino kwa minofu yofewa ku fupa. . Zopindulitsa zomwe zingatheke zimaphatikizapo kuchepa kwa mafupa.

Mapeto amodzi a suture amamangiriridwa ku minofu yofewa ndipo mapeto ena ku chipangizo chomwe chimagwirizanitsa suture ku fupa.

Suture anchors amapangidwa ndi:

1. Nangula - zomangira zooneka ngati zomangira, zomwe zimayikidwa mu fupa ndikupangidwa ndi chitsulo kapena zinthu zowola.

2. Diso - Ichi ndi chipika mu nangula chomwe chimagwirizanitsa nangula ndi suture.

3. Suture - Ichi ndi zinthu zowonongeka kapena zosagwiritsidwa ntchito zomwe zimamangiriridwa ku nangula kupyolera mu diso la nangula.

Nangula wa Suture amapezeka mumitundu yosiyanasiyana, makulidwe, masinthidwe ndi zida zomwe zimagwiritsidwa ntchito. Mitundu iwiri ikuluikulu ya anangula a Suture ndi:

1. Bio-absorbable Sutures

Nthawi zambiri ntchito zambiri zamkati minofu ya thupi. Masewerowa amathyoledwa mu minofu m'masiku khumi mpaka masabata anayi. Izi zimagwiritsidwa ntchito pamene chilonda chimachira mofulumira ndipo motero palibe chofunikira cha zinthu zachilendo zomwe zatsala mkati mwa thupi.Nkhola za suture zotsekemera ndizo zomwe zimakonda kukonza chifukwa zimakhala ndi mwayi wochepa woyambitsa zovuta pambuyo pa opaleshoni.

Biodegradable suture anchors tsopano akugwiritsidwa ntchito kwambiri pamachitidwe osiyanasiyana azachipatala.

2. Ma Sutures osayamwa

Pali zochitika zochepa, pomwe ma sutures osayamwa amakhala oyenera. Ma sutures amtunduwu samapangidwa ndi thupi. Ngati mtima ndi mitsempha yamagazi yomwe imafunikira nthawi yochulukirapo kuti ichire, kugwiritsa ntchito ma sutures osayamwa ndikofunikira. Komabe, pochita maopaleshoni a mapewa, nthawi zambiri zomwe amakonda zimakhala zotsekemera za suture chifukwa zomwe sizingatengeke zimatha kuyambitsa coconut scraper zotsatira ngati implants dislodgement yomwe ingayambitse kusintha kwakukulu kwa nyamakazi chifukwa cha scraper effect. fupa. Zitsulo, Pulasitiki mtundu suture nangula ndi a mtundu uwu.

Suture anchors akhala chida chamtengo wapatali kwa madokotala ochita opaleshoni ya mafupa.