chigadzirwa

SUTURE ANCHORS

Chimwe chekukuvara kunowanzoitika pakati pevatambi ndiko kusungirirwa kwechidimbu kana kuzere kwemarunda, tendon uye / kana mamwe matishu akapfava kubva kumapfupa avo akabatana.Kukuvara uku kunoitika nekuda kwekunetseka kwakanyanya kunoiswa pazvinyoro zvinyoro izvi.Muzviitiko zvakakomba zvekuvharirwa kwezvinyoro zvinyoro izvi, kuvhiyiwa kunogona kudikanwa kuti ubatanidze matishu aya akapfava kumapfupa avo akabatana.Zvishandiso zvakawanda zvekugadzirisa zviripo zvino kugadzirisa idzi nyoro dzakapfava kumapfupa.

Mienzaniso inosanganisira staples, screws, suture anchors uye tacks.

Suture Anchor fixation ndeimwe yeakanyanya kukosha hunyanzvi mukuvhiya kweArthroscopic.Iyo yekutanga suture anchor inonzi yakagadziridzwa makore makumi matatu apfuura.Pane kutaurwa nezve suture anchors yakagadzirwa kubva muflakisi, hemp uye bvudzi naSushruta, yekare Indian Plastic Surgeon (AD c380-c450).Kubva panguva iyo, suture anchors yakagadzirisa zvakasiyana-siyana maererano nekugadzirwa, zvinhu zvakashandiswa, saizi etc. .Zvingangobatsira zvinosanganisira kuderera kwekukuvara kwemapfupa.

Imwe mugumo we suture yakasungirirwa kune yakapfava tishu uye imwe mugumo kune mudziyo unosimbisa suture kune pfupa.

Suture anchors inogadzirwa ne:

1. The Anchor - conical screw sezvivakwa, iyo inopinzwa mubhonzo uye inogadzirwa nesimbi kana biodegradable material.

2. Ziso - Ichi chishwe muanchor chinobatanidza anchor kune suture.

3. The Suture - Ichi chinhu chinodhaka kana chisingabviri chinosungirirwa kune anchor kuburikidza neziso re anchor.

Suture anchors anowanikwa mune akasiyana dhizaini, saizi, zvigadziriso uye zvinhu zvinoshandiswa.Mhando mbiri huru dzeSuture anchors ndeidzi:

1. Bio-absorbable Sutures

Inowanzo shandiswa mune dzakawanda zvemukati matishu emuviri.Masutu aya anotsemuka munyama mumazuva gumi kusvika kumasvondo mana.Izvi zvinoshandiswa mumamiriro ezvinhu apo ronda rinoporesa nokukurumidza uye naizvozvo hapana chinodiwa chechimwe chinhu chekunze chakasara mukati memuviri.Iyo inopinza suture anchors ndiyo inoshandiswa kugadzirisa michina sezvo ine mikana mishoma yekukonzera matambudziko mushure mekuvhiyiwa.

Biodegradable suture anchors ikozvino iri kuwedzera kushandiswa kune akasiyana maitiro mumishonga yemitambo.

2. Non-absorbable Sutures

Pane mashoma mashoma, apo isingabatike sutures inonyanya kukodzera.Idzi mhando dze sutures hadzina metabolized nemuviri.Muzviitiko zvakaita semoyo uye tsinga dzeropa dzinoda nguva yakawanda kuti aporese, kushandiswa kweasingabatike sutures kwakakodzera.Zvisinei, mukuvhiyiwa kwepafudzi, nguva zhinji iyo inosarudzwa ndiyo inonyura suture anchors sezvo iyo isingabatiki ine mukana wekukonzera kokonati scraper effect kana ikaiswa dislodgement iyo inogona kutungamirira kukuchinja kwakakomba kweArthritic nekuda kwe scraper effect pa. pfupa.Metal, Plastic type suture anchors ndeyemhando iyi.

Suture anchors yave chishandiso chakakosha kune vanachiremba vemapfupa.