A farkon shekarun 1990, malamai na kasashen waje sun yi jagorancin amfani da tsinkaye don gyara tsarin kamar su mai rotator cuff a ƙarƙashin arthroscopy. Ka'idar da aka samo daga karkashin kasa "abin hawa" tallafi a cikin Kudu a kusurwar karfe 45 ° ya tsallake a ƙasa, abin hawa "a wannan karshen waya waya.
Magungunan wasanni ya samo asali ne daga mummunan rauni na Orthopedic. Yana da cikakken cikakken amfani da cikakken amfani da aikace-aikacen magani da wasanni. Manufar shine cimma matsakaicin gyara aiki tare da karancin rauni, ciki har da rauni na meniscus, da sauransu a cikin iyakokin magungunan motsa jiki
Anchor wani na'urar likita ne da ake amfani dashi a cikin maganin wasanni da tiyata na orthopedic. Ana amfani da galibi don gyaran kyallen takarda mai laushi (kamar gwaje-gwaje, jijiyoyi, da sauransu) ga ƙasusuwa don inganta warkarwa da murmurewa. Anchors yawanci ana yin su ne da kayan da aka isa don tabbatar aminci da kwanciyar hankali a cikin jiki.
Dangane da rarrabuwa na kayan rubutu, akwai manyan rukuni biyu: manyan nau'ikan nau'ikan alamomi da kuma alamu marasa ƙarfi.
Babban kayan anchorgable anchors sune titanium, nickel-titanium alloy, bakin karfe, titanium da poly-l-lactic acid; Yawancin hankalolin motsa jiki sun yi amfani da su a cikin aikin asibiti waɗanda aka yi da kayan ƙarfe, waɗanda suke da fa'idodin kyakkyawan ƙarfin aiki, mai sauƙi wanda kuma mafi sauƙin kimantawa.
Manyan kayan mjors sune poly-d-lactic acid, polygradly acid ne mai sauƙin bita, kuma suna da tsangwama. Su kuma ana iya amfani dasu ga yara.
Babban kayan anchors
1. Anchors karfe
Kayan aiki: galibi kayan ƙarfe kamar titanium sutt.
• Fasali: karfi da m, iya samar da ingantaccen sakamako mai gyara. Koyaya, kayan tarihi na iya faruwa kuma akwai haɗarin fadowa.
2. Masu jan hankali
Kayan abu: Abubuwan da aka ɗauri kamar polylactic acid (plla).
• Fasali: sannu a hankali lalata a cikin jiki, ana buƙatar tiyata na sakandare don cirewa. Koyaya, ƙimar lalacewa na iya zama m, kuma ƙarfin gyara na iya raguwa akan lokaci.
3. Polyherethetone (peek) anchors
Kayan abu: polymers masu girman kai kamar polyetherethundone.
• Fasali: Ba da babbar ƙwayar ƙwayar ƙwayar ƙwayar ƙusa da kayan aikin injin, yayin da suke da kyakkyawan tunani da kuma tasirin tunanin.
4
• A rubuce-hada: galibi an haɗa da Mai saka Sporter, anga da rawar jiki.
• Fasali: Mafi ƙanƙanci a girman, taushi a cikin rubutu, dace da yanayi inda yawan 'yan asalin ƙasa suka ɓace
Dangane da halayen ƙirar anchors, ana iya raba su zuwa rukuni biyu: anchors da knotless (kamar cikakken motsa jiki) anchors:
1. Knotted anchors
Annotted ayoyi sune nau'ikan anga na gargajiya, wanda aka kwatanta da sashin haɗawa da haɗin kai na anga. Likita na bukatar wucewa taushi nama tare da allura da kuma ƙulla kulli don gyara nama mai taushi zuwa angoron, farfajiya ce.
Abu: Changors mafi yawan lokuta ana yin su ne da kayan da ba su da yawa (kamar titanium ado) ko kayan maye (kamar polylactic acid).
• Tsarin aiki: An kafa anga a cikin kashi ta hanyar zaren ko fikafikan fuka-fukai, yayin da ake amfani da kayan masarufi don haɗa madaidaicin tasirin.
• Fa'idodi da rashin amfanin gona: Amfanin ankara da aka kera shi ne cewa ingantaccen tasirin abin dogara ne kuma ya dace da raunin nama mai taushi. Koyaya, tsari da kulle-kullen na iya ƙara hadarin da lokacin aiki, da kuma kasancewar kulli na iya haifar da haɗuwa da rikice-rikicen rayuwar gida ko haɓakar fashewar motsa jiki ko anga.
2. Knotless knotles
Anchors anchors, musamman cikakken hankorkai chatchors, wani sabon nau'in anga ya ci gaba a cikin 'yan shekarun nan. Halinsa shine cewa duka angor an haɗa su da sutura, da kuma m nama mai laushi za'a iya cimma shi ba tare da tying knots ba.
Kayan abu: Cikakken hankoratattun launuka suna amfani da kayan mawuyaci da ƙarfi, kamar nauyin ƙwayoyin kwayar cuta (uhmwpe).
• Tsarin aiki: Cikakken hankula na iya zama kai tsaye cikin nama kai tsaye a cikin ƙwararrun ƙwararrun su na musamman tsinkaye don gyara nama mai taushi zuwa saman ƙwararrun ƙuƙwalwar. Tunda babu bukatar ƙulla knots, mai rikitarwa da lokacin aikin an rage, kuma haɗarin rushewar motsa jiki da kuma locening na hankali.
• Fa'idodi da rashin amfani: Amfanin cikakken hankulan fulogi masu sauki ne na aiki, ingantacciyar sakamako da ƙarancin lalacewa ga nama mai taushi. Koyaya, saboda tsarinta na musamman, yana da babban buƙatu don dabarun tiyata da kuma yanayin wuri. Bugu da kari, farashin cikakken kayan kwalliya na iya zama mai girma sosai, wanda ke kara nauyin kuɗi akan marasa lafiya.
An yi amfani da anchors sosai a cikin ayyukan magunguna daban-daban, kamar su na jita-jita cuff gyara, mai gyara jijiya, da sauransu gabatarwa ta amfani da gyaran iska a matsayin misali:
• Matakai na M: Na farko, likita zai tsaftace kuma shirya shafin Rotator cuff. Sannan, sanya anga a cikin dace da matsayin; Bayan haka, yi amfani da sutura don gyara subator cuff nama zuwa angor; A ƙarshe, rawar jiki da bandeji.
• Tasirin M: Ta hanyar daidaituwar anga, kwanciyar hankali da aikin mai jujjuyawa cuff nama za a iya mayar da, inganta murmurewa mai haƙuri.
Abvantbuwan amfãni, raunana da ayyukan anchors
Yan fa'idohu
• samar da madaidaiciyar fitarwa.
• A wajan samun raunin raunin nama mai taushi.
• Wasu animors suna tunawa kuma ba sa buƙatar tiyata na biyu don cirewa.
Rashin daidaito
• anchors na iya samar da kayan tarihi.
• Rashin lalata amai na iya zama m.
• Akwai haɗarin waka ko kuma karye ko karyewar rawar jiki.
Za'a iya amfani da maganin magunguna na motsa jiki don tiyata mai zuwa:
1. Komawa a kusa da Epicondylitis (Tennis Elbow) ba a kula da shi ba ga sau da yawa: A lokacin da za a iya zaɓar maganin ra'ayin mazan jiya Carpi Breas zuwa Opicondyle na Hurerondyle na Hurerus.
2. Distal Bices hawaye jijiya An binne anchers biyu a cikin rurial din radial, da kuma wutsiya waya suna tinky a cikin agogon biceps agon.
3. Elbow Lajazawa Ligate: Passerior dislocation na gwiwar hannu sau da yawa ana tare da rauni na Unar Cancer, musamman rauni rauni. Don raunin gwiwar gwiwar gwiwar Ligalobal Logonal Laikibal, ƙarin malamai sun fi son maganin farko. Ana amfani da hanyar anga ta hanyar roughen da kashi na kashi inda ake haɗe da Laip. Bayan sabo mai zub da jini, an goge anga a cikin kashi na kashi inda aka saba da LIPIMED a ƙarshen ƙusa da aka yi amfani da ƙusoshin LIGIME da ɗaure shi ko gyara jita-jita da allura.
4. Rauni na ƙarancin abin da aka makala na gurbataccen jijiyoyin jini: Acl) Tibulamate da aka makala wani abu ne na musamman irin rauni na ACL kuma ya kamata a gyara da wuri. Hanyar anga ta yi amfani da hanyar anga mai yawa tana da alaƙa da yawa kuma ba'a iyakance ta girman guntun rauni ba. Ba ya buƙatar haɓakar ƙwayoyin cuta don daidaita hanyar dunƙule. Aikin yana da sauki kuma lokacin aiki yana taqaitaccen taqaitawa.
5.Pateellar ilmantarwa: lalacewa ta hanyar ƙwararrun ƙwayoyin cuta da kuma isasshen ƙimar nama mai taushi. Yawancin malamai masu ba da shawara ga maganin tiyata ta amfani da shi ta amfani da anchors.
6. Patelllar ƙasa ƙasa karaya: Ana iya amfani da fasahar anga ta waya don bi da Patellar na Patellar mara nauyi. Ta hanyar gyara patellace mara kyau poleular da saƙa da kuma jan lagan na Patellar gwiwa da kuma ingantaccen tsarin iliminsa na gwiwa na shiri na gwiwa na gwiwa.
7. Ya dace da haɗi da haɓaka ƙasusuwa da kyallen takarda mai taushi a gwiwa, ƙafafun hannu, ƙafa, wuƙaƙen hannu, ƙafa, hannu, wuƙa, hannu, ƙafa, wuƙa, hannu, hannu, hannu, hannu, hannu, hannu, hannu, hannu, hannu, hannu da kuma ya dace da tiyata a sassa daban-daban.
Matakan kariya
• Yanayin kashin lafiya da tsarin yanayin gidan ya kamata a kimanta shi sosai kafin tiyata.
• Zaɓi nau'in ashin da ya dace da ƙayyadaddun bayanai don tabbatar da tasirin tiyata.
• Ya kamata a aikata ayyukan motsa jiki na dacewa bayan tiyata don inganta warkarwa da aiki.
A taƙaice, Changors suna taka muhimmiyar rawa a cikin magungunan wasanni. Ta hanyar zaɓar nau'in accan da aka dace da ƙayyadadden bayanai da bin matakan da suka dace na mikiya da karewa, ana iya tabbatar da tasirin tiyata.
Lokacin Post: Disamba-17-2024
