I.Njira Yodzaza Njira
Njira yodzaza ndi fupa ndiyoyenera kwa odwala omwe ali ndi mtundu wa arori wa arori.
Ukadaulo wosavuta wamafupa mwaukadaulo pamafunika kuyeretsa kwamfupa, ndipo imadzaza mipata ya mtanda, kuti ithe kukhudzidwa mu mtanda mu ngodya za chilema momwe mungathere, potero pezani mawonekedwe okwanira mafupa.
Njira yodziwikaBchimodziCEment + +STekinoloje ya CRWE ndikuyeretsa chilema chamtunduwu, kenako khazikitsani screw pa fupa, ndipo samalani kuti musalole chovala cha pfupa la mafupa pambuyo pa mafuta otero; Kenako sakanizani simenti yamafupa, dzazani chilema chamoto mu mtanda, ndikukulunga. Ritter Mat al. Pogwiritsa ntchito njirayi kukonzanso chilema cha Tibial Plateau Plateau, ndipo kuleza makulidwe kunafika 9mm, ndipo kunalibe zaka zitatu pambuyo pa opareshoni. Tekinolo yamfumbo ya DZIKO LAPANSI imachotsanso fupa laling'ono, kenako limagwiritsa ntchito njira yachilendo, motero kuchepetsa ndalama zomwe zimagwiritsidwa ntchito chifukwa cha zosintha zomwe zili, zomwe zili ndi phindu lililonse.
Njira Yabwino Kwambiri ya Mafuno a Simenti wa Sime Mafuno + ndikuyeretsa chilema chamotocho, yikani screw pa fupa lankhondo, ndikusamala kuti chipewa chisamalo sayenera kupitirira mafupa ophatikizika; Kenako sakanizani simenti yamafupa, dzazani chilema chamoto mu mtanda, ndikukulunga. Ritter Mat al. Pogwiritsa ntchito njirayi kukonzanso chilema cha Tibial Plateau, ndipo kufooka, ndipo kunalibe zaka zitatu atachitidwa opaleshoni. Tekinolo yodzaza ndi fupa imachotsa mtengo wocheperako, kenako ndikugwiritsa ntchito njira yachilendo, motero kuchepetsa njira yochiziramo chifukwa chogwiritsa ntchito ma prostateris, omwe ali ndi phindu lothandiza (ChithunziI-1).
MaonekedweI-1Kudzaza kwa DZIKO LAPANSI NDIPONSO KUSINTHA
Ii.Njira zotsatsa
Kutsatsa mafupa kumatha kugwiritsidwa ntchito kukonza mafupa ophatikizika kapena osagwirizana ndi mafupa pokonzanso opaleshoni. Ndizoyenera kwambiri kuyikonzanso kwa mtundu wa aroi i to III chitsime. Pokonzanso opaleshoni, chifukwa kukula ndi kuchuluka kwa mafupa kumakhala kowopsa, kuchuluka kwa fupa lautololog ndi laling'ono ndipo kwambiri simentis ndi simenti yamafupa kuti isungire mafupa. Chifukwa chake, fupa la granor enzogeneic limagwiritsidwa ntchito pokakamiza mafupa pokonzanso opaleshoni.
Ubwino wa kuphatikiza mafupa ndi awa: Kusungitsa mafupa a fupa; kukonza zilema zazikulu kapena zoyipa.
Zoyipa za ukadaulo uwu ndi: Ntchitoyo ikuwononga nthawi; Tekinolo linangidwanso ndi kutembenuza (makamaka mukamagwiritsa ntchito zosanja zazikulu); Pali kuthekera kwa kufalikira kwa matenda.
Kusintha kwamafupa kophweka:Kusintha kwamafupa kosavuta kumagwiritsidwa ntchito ngati mafupa ophatikizika. Kusiyana pakati pa kukakamiza fupa mafupa ndikuti mafupa a mafupa opangidwa ndi mafupa ophatikizika amatha kukhala mwachangu komanso mobwerezabwereza.
Mimbulu yachitsulo + yophatikizika mafupa:Zofooka zopanda mafupa nthawi zambiri zimafunikiranso kukonzanso pogwiritsa ntchito ma mesh zitsulo kuti zisalowedwe fupa. Kumanganso kwa femur nthawi zambiri kumakhala kovuta kwambiri kuposa kukhazikitsidwa kwa Tibia. X-rays zikuwonetsa kuti kuphatikiza mafupa ndi kutupa kwa mitengo yolumikizira pang'onopang'ono (ChithunziIi-1-1, ChithunziIi-1-2).
MaonekedweIi-1-1Ma mesh Cage mkati mwapa mafupa amakanira kukonza chilema mafupa a TiBal. Ozindikira; B postoperative x-ray
ChikavaE ii-1-2Kukonza kwa chitsime cha femaral ndi tibia mafupa okhala ndi Titanium maumboni amkati amkati mafupa. Ozindikira; B postoperative x-ray
Pokonzanso bondo arthroplasty, fupa la alsogenesic limagwiritsidwa ntchito pokonzanso Aori mtundu wa II kapena magetsi. Kuphatikiza pa kukhala ndi luso lapamwamba komanso zochulukirapo m'mabwato osokoneza bongo, dokotalayo ayeneranso kupanga mapulani ofunikira komanso mwatsatanetsatane. Kutsatsa mafupa kumatha kugwiritsidwa ntchito kukonza zofooka zam'madzi ndikuwonjezera mafupa.
Ubwino wa ukadaulo uwu ukuphatikiza: Itha kupangidwa kukhala kukula kulikonse ndikupanga ziletso zilizonse zofooka za mawonekedwe a geometric; Zimathandizira kukonzanso kutsitsa; Kuphatikiza kwa nthawi yayitali kupezeka pakati pa mafupa a Trudogeneic ndi fupa.
Zoyipa zimaphatikizapo: nthawi yayitali yogwira ntchito yodula fupa la a Hanogeneic; magwero ochepa mafupa a Entogeneic; Chiwopsezo cha nounion ndikuchedwa kulumikizana chifukwa cha zinthu ngati mafupa komanso kutopa kwa chitopa musanatsirizidwe mafupa. Mavuto ndi mayamwidwe ndi matenda a zinthu zobzala; kuthekera kwa kufalikira kwa matenda; osakwanira kukhazikika kwa fupa la Entrogeneic. Mafuta a Tresogeneic Dyfract amakololedwa kuchokera ku Gadur Femual, Proximal TiBA, kapena mutu wachikazi. Ngati zinthu zotsitsimutsa ndizazikulu, kusinthasintha kwathunthu nthawi zambiri sizichitika. Mitu ya Allogeneic ilrolay itha kugwiritsidwa ntchito kukonza zosemphana ndi mafupa, makamaka kuti mukonze zofooka zazikulu, ndipo zimakhazikika ndi zotsekemera pambuyo pokonza ndi kupanga. Zotsatira zoyambirira zamankhwala zosewerera fupa lamphamvu kuti mukonze chitsime cha Phelo zidawonetsa chilema chachikulu cha mafupa osinthika a mafupa (ChithunziII-1-3, ChithunziIi-1-4).
MaonekedweIi-1-3Kukonza kwa chitsime chamanjenje okhala ndi fupa lamphamvu kwambiri
MaonekedweIi-1-4Kukonza kwa TIBIC Phel Prouse ndi Mitu ya Allienelic Frimaral
Iii.Tekinoloji yodzaza zitsulo
Tekinolor Technology modzila imatanthawuza kuti mafayilo achitsulo amatha kusonkhanitsidwa ndi ma prosthees ndi intradedulari zimayambira. Mafakitale amaphatikiza mitundu yosiyanasiyana yothandiziranso kuti masile mafupa osiyanasiyana.
Figwilitsidwe Kusala Kukuwonjezera:Chovala chachitsulo choyenera chimakhala choyenera mtundu wa Aori zomwe sizikhala zofooka zokhala ndi chilema mpaka 2 cm.Kugwiritsa ntchito zinthu zachitsulo kukonzanso mafupa ndikosavuta, kosavuta, ndipo zili ndi zovuta zodalirika.
Zitsulo zachitsulo zimatha kukhala zokongoletsa kapena zolimba, ndipo mawonekedwe awo amaphatikizapo maukwati kapena mabatani. Malo achitsulo amatha kulumikizidwa ndi zolumikizira ndi zomangira kapena zokhazikika ndi simenti yamafupa. Ophunzira ena amakhulupirira kuti fupa la fupa la Smement Speple amatha kupewa kuvala pakati pa zitsulo ndikulimbikitsa fupfu la DOREE. Akatswiri ena amalimbikitsanso njira yogwiritsira ntchito fupa la mafupa kaye kenako ndikulimbikitsanso ndi zomata pakati pa spacer ndi prosthesis. Zofooka zamasewera nthawi zambiri zimachitika m'magawo osanja ndi kusiyanasiyana kwa bankle, kotero miyala yazitsulo nthawi zambiri imayikidwa muzolowera ndi kumalima a korona. Kwa chipilala cha Tibeal, Wedges kapena mabatani amatha kusankhidwa kuti azimanganso kukonzanso kuzolowera kufooka kosiyanasiyana. Mabuku amanena kuti mitengo yabwino kwambiri komanso yabwino ndiyokwera kwambiri 84% mpaka 98%.
Mabatani ooneka ngati mahelidwe amagwiritsidwa ntchito ngati chilema cha m'matumbo chimakhala chowoneka bwino, chomwe chingasungirepo fupa lambiri. Njirayi imafunikira molondola osteotomy kuti osteotomy and block. Kuphatikiza pa kupsinjika kopsinjika, palinso mphamvu pakati pa kuphatikizira kolumikizana. Chifukwa chake, ngodya ya mphero sikuyenera kupitirira 15 °. Poyerekeza ndi zotchinga zowoneka bwino, ma cylindrical zitsulo zimakhala ndi vuto lowonjezera kuchuluka kwa osteotomy, koma opaleshoniyo ndi yabwino komanso yosavuta, ndipo zotsatira zake ndizoyandikira (Iii-1-1A, B).
MaonekedweIii-1-1Azitsulo a Zitsulo: Wosungunuka wowoneka bwino kuti akonze zolakwika za tizilombo; Bola wowoneka bwino kuti akonze zolakwika
Chifukwa zitsulo zimapangidwa m'mitundu ndi kukula kwake, zimagwiritsidwa ntchito kwambiri m'mavuto okhala m'mafupa ndi mafupa osiyanasiyana, ndikupereka bata labwino. Komabe, maphunziro a nthawi yayitali apeza kuti zitsulo zija zimalephera chifukwa chopindika. Poyerekeza ndi mafupa, ngati zitsulo zikuluzikulu zalephera ndipo zikuyenera kusinthidwa, zidzayambitsa chipewa mafupa.
Post Nthawi: Oct-28-2024
