imveliso

I-ANKILE ZE-SUTURE

Enye yezona nzakala zixhaphakileyo phakathi kweimbaleki yinxenye okanye epheleleyo ye-ligaments, i-tendon kunye / okanye ezinye izicubu ezithambileyo ezivela kumathambo abo adibeneyo.Oku kwenzakala kwenzeka ngenxa yoxinzelelo olugqithisileyo olubekwe kwezi zicubu zithambileyo.Kwiimeko ezimandundu zokugxothwa kwezi zicubu zithambileyo, utyando lunokufuneka ukuze luncamathele ezi zicubu zithambileyo kumathambo azo anxulumeneyo.Izixhobo ezininzi zokulungisa zikhoyo ngoku ukulungisa ezi zicubu zithambileyo emathanjeni.

Imizekelo ibandakanya i-staples, izikrufu, iiankile ze-suture kunye neeteki.

Ukulungiswa kwe-Suture Anchor yenye yezona zinto zibalulekileyo kwi-arthroscopic surgeries.I-ankile yokuqala ye-suture kwaxelwa ukuba yaphuhliswa kwiminyaka engamashumi amathathu eyadlulayo.Kukho ukukhankanywa kweehange ze-suture ezenziwe kwi-flax, i-hemp kunye neenwele nguSushruta, i-Indian Plastic Surgeon yamandulo (AD c380-c450).Ukusukela ngoko, iiankile ze-suture ziye zafumana uhlengahlengiso oluhlukeneyo ngokwemigaqo yoyilo, izinto ezisetyenzisiweyo, ubungakanani, njl njl. I-Suture Anchors ngoku isetyenziselwa ukulungiswa kotyando lweenyembezi ezipheleleyo ze-rotator cuff njengoko inceda ukulungiswa okusebenzayo kwezicubu ezithambileyo kwithambo. .Iingenelo ezinokubakho ziquka ukuncipha komonakalo wamathambo.

Esinye isiphelo se-suture sibotshelelwe kwi-tissue ethambileyo kunye nesinye isiphelo kwisixhobo esibambelela umthungo kwithambo.

Iiankile zeSuture zenziwe:

1. I-Anchor - i-conical screw efana nezakhiwo, ezifakwe kwithambo kwaye zenziwe ngesinyithi okanye izinto ezibolayo.

2. I-Eyelet – Le yiluphu kwi-ankile edibanisa i-ankile kumthungo.

3. I-Suture - Le nto i-biodegradable okanye i-non-absorbable material efakwe kwi-anchor nge-eyelet ye-anchor.

Ii-anchors ze-Suture zifumaneka kwiindlela ezahlukeneyo zoyilo, ubungakanani, ulungelelwaniso kunye nezinto ezisetyenzisiweyo.Zimbini iintlobo eziphambili zeeankile zeSuture zezi:

1. I-Bio-absorbable Sutures

Ngokuqhelekileyo isetyenziswa kwiithishu ezininzi zangaphakathi zomzimba.La mathunga aqhekeka kwiithishu kwiintsuku ezilishumi ukuya kwiiveki ezine.Ezi zisetyenziselwa kwiimeko apho isilonda siphulukisa ngokukhawuleza kwaye ngoko akukho mfuneko yezinto zangaphandle ezisele ngaphakathi emzimbeni.Ii-anchors ze-suture absorbable ziyizixhobo ezikhethiweyo zokulungisa njengoko kunamathuba amancinci okubangela iingxaki emva kokuhlinzwa.

I-Biodegradable suture anchors ngoku isetyenziswa kakhulu kwiinkqubo ezahlukeneyo kumayeza ezemidlalo.

2. IiSutures ezingafunxwanga

Kukho iimeko ezimbalwa, apho ii-sutures ezingafunxwanga zifanelekile ngakumbi.Olu hlobo lwe-sutures alwenziwanga ngumzimba.Kwiimeko ezifana nentliziyo kunye nemithambo yegazi efuna ixesha elingakumbi lokuphola, ukusetyenziswa kweesutures ezingafunxayo kufanelekile.Nangona kunjalo, kuqhaqho lwamagxa, amaxesha amaninzi ezona zikhethwayo zi-anchors ezifunxayo ze-suture njengoko ezo zingenakufunxa zinokuthi zibangele i-coconut scraper isiphumo kwimeko yokukhutshwa kokufakelwa okungakhokelela kutshintsho olukhulu lwe-arthritic ngenxa yesiphumo se-scraper ithambo.Isinyithi, i-Plastiki yohlobo lwe-suture ankile zolu hlobo.

Ii-anchors ze-Suture ziye zaba sisixhobo esixabisekileyo koogqirha bamathambo.