Zomera Zapamwamba Kwambiri Zosinthira Mabondo a Titanium Total Bondo
Makhalidwe a Titanium a Bondo Implants
Ma implants apamwamba kwambiri a titanium m'malo mwa bondo
Zopangira mawondoamadziwikanso kutichopangira cholumikizira bondo, ndi zipangizo zachipatala zomwe zimagwiritsidwa ntchito m'malo mwa mafupa a bondo omwe awonongeka kapena odwala. Kawirikawiri amagwiritsidwa ntchito pochiza odwala omwe ali ndi nyamakazi yoopsa, kuvulala, kapena matenda ena omwe amayambitsa kupweteka kwa bondo kosatha komanso kuyenda pang'ono. Cholinga chachikulu cha ma implants a bondo ndikuchepetsa ululu, kubwezeretsa ntchito, ndikukweza moyo wonse wa odwala omwe ali ndi mafupa a bondo omwe awonongeka kwambiri.
Gawo la femoral lakusintha malo olumikizirana bondondi chidutswa chachitsulo kapena chadothi chomwe chimalowa m'malo mwa fupa la ntchafu (femur) pa bondo. Chili ndi mawonekedwe omwe amatsanzira kapangidwe ka fupa lachilengedwe kuti ligwirizane bwino ndi cholumikiziracho. Gawo la femoral nthawi zambiri limalumikizidwa ku fupa ndi simenti yapadera kapena kudzera mu njira yokakamiza yomwe imalimbikitsa kukula kwa mafupa mozungulira cholumikiziracho.
Panthawi yakusintha malo olumikizirana bondoPa opaleshoni, dokotala adzadula bondo ndikuchotsa gawo lowonongeka la femur. Kenako dokotalayo adzakonzekeretsa fupa kuti lilandire choyikamo cha femoral. Gawo la femoral lidzayikidwa ndikukhazikika pamalo pake pogwiritsa ntchito simenti ya fupa kapena njira yolimbitsira. Gawo la femoral likayikidwa, dokotalayo adzatseka chochekacho ndipo wodwalayo ayamba kuchira. Pambuyo pa opaleshoni, odwala nthawi zambiri amafunika kutenga nawo mbali mu masewera olimbitsa thupi kuti athandize kulimbitsa bondo ndikulimbikitsa kuchira. Pambuyo pa miyezi ingapo yochira, odwala nthawi zambiri amayembekezera kuti bondo lizimva bwino komanso kuti lizigwira ntchito bwino. Komabe, ndikofunikira kutsatira malangizo aliwonse omwe dokotalayo wapereka pambuyo pa opaleshoni kuti atsimikizire kuti akuchira bwino komanso kuti achire.
Pewani kudalira zinthu zitatu
1. Kapangidwe ka ma radius ambiri kamaperekaufulu 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.
Zizindikiro Zosinthira Bondo Lolumikizana
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
Tsatanetsatane wa Bondo Lolumikizana
Yambitsani Femoral Component . PS
| Yambitsani Femoral Component . CR | 2# Kumanzere |
| 3# Kumanzere | ||
| 4# Kumanzere | ||
| 5# Kumanzere | ||
| 6# Kumanzere | ||
| 7# Kumanzere | ||
| 2# Kumanja | ||
| 3# Kumanja | ||
| 4# Kumanja | ||
| 5# Kumanja | ||
| 6# Kumanja | ||
| 7# Kumanja | ||
| Yambitsani Femoral Component (Zinthu: Co-Cr-Mo Alloy) | PS/CR | |
| Yambitsani Tibial Insert (Zinthu: UHMWPE) | PS/CR | |
| Yambitsani mbale ya Tibial Base | Zakuthupi: Aloyi wa Titanium | |
| Manja a Trabecular Tibial | Zakuthupi: Aloyi wa Titanium | |
| Yambitsani Patella | Zipangizo: UHMWPE | |
