Chopangira chosinthira mawondo cha titanium cha mafupa
Bondo ndiye cholumikizira chachikulu kwambiri m'thupi la munthu. Limalumikiza femur yanu ndi tibia yanu. Limakuthandizani kuyimirira, kuyenda komanso kukhala bwino. Bondo lanu lilinso ndi cartilage, monga meniscus, ndi ligaments, kuphatikizapo anterior cruciate ligament, anterior cruciate ligament, anterior cruciate ligament, ndi anterior cruciate ligament.
Chifukwa chiyani tikufunikakusintha malo olumikizirana bondo?
Chifukwa chofala kwambiri chaopaleshoni yosinthira bondondi kuchepetsa ululu womwe umabwera chifukwa cha nyamakazi. Anthu omwe amafunika opaleshoni yosinthira bondo amavutika kuyenda, kukwera masitepe ndi kudzuka pamipando. Cholinga cha opaleshoni yosinthira bondo ndikukonza pamwamba pa malo owonongeka a bondo ndikuchepetsa ululu wa bondo womwe sungalamuliridwe ndi mankhwala ena. Ngati gawo lokha la bondo lawonongeka, dokotala nthawi zambiri amatha kusintha gawolo. Izi zimatchedwa kusintha kwa bondo pang'ono. Ngati cholumikizira chonse chikufunika kusinthidwa, kumapeto kwa fupa la femur ndi tibia ziyenera kusinthidwa, ndipo cholumikizira chonse chikuyenera kukhala pamwamba. Izi zimatchedwakusintha bondo lonse (TKA)Fupa la femur ndi tibia ndi machubu olimba okhala ndi pakati pofewa mkati. Mapeto a gawo lopangidwa amalowetsedwa m'gawo lofewa lapakati la fupa.
Pewani kudalira zinthu zitatu
1. Kapangidwe ka ma radius ambiri kamapereka
ufulu wopindika ndi kuzungulira.
2. Kapangidwe ka ma radius otsika a ma J curve femoral condyles amatha kunyamula malo olumikizirana panthawi yopindika kwambiri ndikupewa kukumba mkati.
Kapangidwe kake kofewa ka POST-CAM kamapangitsa kuti mafupa ang'onoang'ono a PS prosthesis apangidwe bwino. Mlatho wa mafupa wokhazikika womwe umasungidwa umachepetsa chiopsezo cha kusweka kwa mafupa.
Kapangidwe kabwino ka trochlear groove
Patellatrajectory yachibadwa ndi mawonekedwe a S.
● Pewani kusagwirizana pakati pa bondo ndi patella pamene bondo likupindika kwambiri, pamene bondo ndi patella zimakhala ndi mphamvu yodula kwambiri.
● Musalole kuti mzere wa pakati pa msewu wa patella udutse.
1. Zingwe zofananira
2. Khoma la mbali lopukutidwa bwino kwambiri limapewa kusweka pambuyo poyabwa.
3. Bokosi lotseguka la intercondylar limapewa kusweka kwa pamwamba pa positi.
Kupindika kwa madigiri 155 kungakhalezakwaniritsidwandi njira yabwino yochitira opaleshoni komanso kuchita masewera olimbitsa thupi
Ma cone osindikizira a 3D odzaza zolakwika zazikulu za metaphyseal ndi chitsulo choboola kuti alole kukula.
Matenda a nyamakazi
Matenda a nyamakazi pambuyo pa zoopsa, matenda a nyamakazi kapena matenda a nyamakazi osachiritsika
Kulephera kwa mafupa kapena kusintha kwa unicompartmental kapena kusintha bondo lonse