Kugadzirwa kweAnkle Replacement Prostheses Kwakagadziridzwa
Kushandiswa kwechikwama chese chinoshandiswa kubatanidza kushandiswa kwemajoka emakumbo emakumbo . Zvose zvipfeko zvechikwata zvave zviripo kwemakore anodarika makumi matatu - asi kutanga maitiro zvakakundikana. Mumakore ekuma1970, zvipfeko zvechikwata zvaiitwa sevimbiso - asi nema1980 mazhenesheni ainge ashandiswa aiwanzoitwa kazhinji nekuda kwekukwirira kwavo kwekukundikana.
Munguva pfupi yapfuura, kushandiswa kwechikwama kwakaita kuti vadzoke zvakare.
Pane ma prostheses mashanu emakumbo ayo ave ari FDA-akagamuchirwa uye vamwe vaviri vari pasi pekudzidza muUnited States.
Maererano neAmerican Academy of Orthopedic Surgeons (AAOS), mavanga okutanga okugadziriswa kwemakumbo aiva nezvikamu zviviri chete uye aida simenti yepafu kuti avabate munzvimbo yakakodzera. Zvitsva zvitsva hazvidi kuti simiti - panzvimbo pacho, bone rinokura mumakumbo epakisi akafanana nemabvi uye kuputika kwechigamba . Chechipiri-chizvarwa chezvipfeko zvechikafu isimiti-shoma neyakasarudzwa (maviri-muumbi yakagadzirwa) kana foni (zvitatu-muumbi yakagadzirwa) polyethylene inotakura.
Ndiani Anofanira Kuva neAnkle Replacement?
Kana uri kurwadziwa kwakasimba kwepachipfuti kubva kuArthritis, iwe unogona kunge uri mukana wekutsvaga maziso. Imwe nzira yekuvhiya ndeyeivoi fusion (arthrodesis). Kushandurwa kwekare kunokubvumira kuti uchengetedze kuwedzera kufamba uye kufamba mumakumbo uchifananidzwa nekwenyeri fusion .
Izvo zvakaderera ndezvokuti havasi murwere wose ndiye akakodzera kugadziriswa kwechechi.
Varwere vane makumbo akaremara kana asingagadzikani vanoita shanduro yemakumbo chisarudzo chisingasviki. Kurukurai zvamunogona kuita navanachiremba.
Mhando dzeAnkle Replacements
Chiremba wako wezvemapaupa ane maitiro akawanda paanosarudza maitiro emakumbo ako. Mamwe mashoko akajeka anowanikwa pamusoro peumwe neumwe, kusanganisira kuti yakawanda yakaitwa sei.
The Agility Ankle
The Agility Ankle naDePuy yaiva FDA yakagamuchirwa muna May 2002. Kune chidimbu chetibial uye chetalar muAgility Ankle. Muchikamu chechipiri chinoumbwa nechigadziko chesimbi uye chiganda chepurasitiki chinotsigira zvose tibia nemafuta nekukomberedza nzvimbo pakati pemapfupa maviri. Chikamu chetalar chekuisa chinogara mumatafura etalus mutsoka uye inobvumira rutsoka kuti rushandise uye ruchidzika. The Agility Ankle yakagadzirirwa kushandiswa nefupa simenti.
Iyo INBONE Total Ankle (yaimbova Topez Total Ankle Replacement System)
Iyo INBONE Total Ankle inobudiswa neWright Technology. Iyo FDA inobvumira INBONE munaNovember 2005. INBONE ine zvikamu zviviri - chikamu chechibial uye talar chikamu. Kubva pawebsite yavo, "The tibial component inoshandisa yakasimba-polyethylene chigadziko chakachengetedzwa mukati me titanium holder." Long titanium stem inochengetedza zvakasimba hafu yeiyo iri mukati metibia.Ichikamu chetalar chimiro chakafanana, chinoputika kwazvo cobalt chrome piece uyewo inosanganisira stem. "
Eclipse Total Ankle Replacement
IEclipse yaiva FDA yakagamuchirwa munaNovember 2006. Inayo yepamusoro tibial chikamu uye yakagadziriswa polyethylene surface (aviri-muumbi yakagadzirwa).
Salto Talaris Anatomic Ankle
Sarto Talaris Anatomic Ankle prosthesis yakabvumidzwa kutengeswa neDFA muna 2006. Salto Talaris ndiyo yakagadzirwa shanduro yeSalto Ankle Prosthesis yakanga yaiswa muEurope kwemakore akawanda. Salto Talaris inonyanya kufanana nekufamba uye kutenderera / kutenderera mberi kwechikwata chepachivande chepachika.
The STAR (Scandinavian Total Ankle Replacement)
Iyi STAR yakagamuchirwa neRWA musi waMay 27, 2009. STAR ndiyo yekutanga yekutakura mafoni, zvitatu zvezvikwata zvinotengeswa mumakumbo emaoko eUnited States zviri kuwanikwa muEurope kwemakore anoverengeka, asi FDA yaive ine hanya nekuchengeteka uye kubudirira kweSARP isati yatenderwa.
The Buechel-Pappas Device
Bhuku reBuechel-Pappas haisi ikozvino kuUnited States. Verenga zvakawanda pamusoro pemakumbo eBuechel-Pappas uye uone mafirimu.
TNK Ankle
IYin ankle yeKNK haisi ikozvino FDA inobvumirwa. Iyo TNK isimende, maviri-chikamu, yakagadzirirwa-chigadziro chinoshandiswa chinoshandiswa inenge iri muJapan chete.
> Sources:
> Current Designs of Total Ankle Prostheses. Springer Vienna. December 2005.
> Zvigadziridzo zveZvirokwazvo Zvose Kuchinja KwemaAnkle: Implants uye Instrumentation. Zvinyorwa zveChikoro cheOrthopedic Surgeons . Cracchiolo A. et al. Svondo 2008.
> Surgery Section - Total Ankle Replacement. Regence. 9/4/2007.