Uyilo lwee-Ankle Replacement Prostheses ziye zaphucula
Ukutshintshwa kwesikhumba esipheleleyo kukutyunjwa okutshintshelweyo kwintsimbi ye- ankle . Ukutshintshwa kwamathambo epheleleyo kuye kwafunyanwa iminyaka engaphezu kwe-30 - kodwa iimpawu zokuqala zazingaphumeleli. Ngama-1970, ukutshintshwa kwe-ankle kwakwenziwe njengokwethenjisa-kodwa ngo-1980 ii-ankle zokutshintshwa kweengxowa zazingenakwenziwa ngokukhawuleza ngenxa yezinga eliphezulu lokungaphumeleli.
Ngoku kutshanje, ukutshintshwa kweengxowa zenze i-backback.
Kukho ama-prostheses ama-5 anama-prostlees avunywe yi-FDA kunye nabanye abambalwa abafundiswa e-United States.
Ngokwe-American Academy ye-Orthopedic Surgeons (AAOS), iimpawu zokutshintshwa kwesikhumba zangaphambili zineengxenye ezimbini kwaye zifuna isentifu lesithambo ukubamba kwindawo efanelekileyo. Ukuyila ngokutsha akufuneki isamente - endaweni yoko, ithambo likhula lisuka kwi-prosthesis ye-ankle efana namadolo kunye nokutshintsha indawo . Izimpembelelo zengqungquthela zesibini zintsimbi zincinci nge-fixed (i-design-component components) okanye iselula (i-design-three components) ephethe i-polyethylene.
Ngubani omele abe ne-Ankle Replacement?
Ukuba ufumana ubuhlungu obukhulu be-ankle kwi-arthritis, unokuba ngumviwa wokutshintshwa kwe-ankle. Olunye uhlobo lokugonywa luyi- ankle fusion (arthrodesis). Ukutshintshwa kwe-Ankle kukuvumela ukuba ugcine ukuhamba ngakumbi kunye nokunyakaza kwi-ankle uma kuqhathaniswa ne- fusion fake .
Ingcipheko kukuba akusiyo yonke isigulane ngumviwa ofanelekileyo wokutshintshwa kweengxowa.
Izigulane ezinamaqabunga ezinokukhubazeka okanye ezingazinzileyo zenza indawo ye-ankle ibe yinto ekhethekileyo. Xoxa ngezinto ozikhethayo kunye noogqirha bakho.
Iintlobo zee-Ankle Replacements
Ugqirha wakho wamazinyo unamathuba amaninzi xa ukhetha i-prostle prosthesis kuwe. Ulwazi oluninzi oluninzi lukhona malunga ngamnye, kubandakanywa mangaphi.
I-Ankle yeAgility
I-Anility ye-Agility yi-DePuy yi-FDA yavunywa ngoMeyi 2002. Kukho icandelo le-tibial kunye ne-talar kwicandelo le-Agility Ankle. Icandelo le-tibial liqukethe isiqulatho sesinyithi kunye neplastiki exhasa i-tibia kunye ne-fibula ngokubeka umda phakathi kwamathambo amabini. Icandelo le-talar le-implant lihleli kwi-talus bone emanzini kwaye ivumela inyawo ukuba iguqule kunye nehla. I-Ankle ye-Agility iklanyelwe ukuba isetyenziswe ngesamente lesithambo.
I-INBONE Iyonke i-Ankle (eyayisakuba yi-Topez i-Total Enkle Replacement System System)
I-INBONE Total Ankle iveliswa yiWright Technology. I-FDA ivunywe i-INBONE ngoNovemba 2005. INBONE inamalungu amabini - icandelo le-tibial kunye ne-talar. Kusuka kwiwebhusayithi yabo, "Icandelo le-tibial linomxholo ophezulu ophakamileyo we-polyethylene okhuselekile ngaphakathi kwe-titanium holder. Kwakhona iquka iziqu. "
I-Eclipse Yonke i-Ankle Replacement
I-Eclipse yavunywa yi-FDA ngoNovemba 2006. Inomgangatho ophezulu we-tibial kunye nomgangatho we-polyethylene ophezulu (isakhiwo sezinto ezimbini).
I-Salto Talaris Anatomic Ankle
I-Salto Talaris Anatomic Ankle prosthesis ivunyelwe ukuthengiswa ngu-FDA ngo-2006. I-Salto Talaris iyincwadana esanda kuveliswa ye-Salto Ankle Prosthesis eyayisetyenziswe eYurophu iminyaka emininzi. I-Salto Talaris ixelisa ukuhamba kunye nokunyuka / ukunyuka kweempawu zendima yemvelo.
I-STAR (iStandinavian Total Ankle Replacement)
I-STAR ivunywe yi-FDA ngomhla kaMeyi 27, 2009. I-STAR iyona nto yokuqala yeselula, i-ankle yesithathu esithengiswa kwi-US ye-Mobile Mobile ezinama-ankle ezinamafutha ezininzi ziye zafunyanwa eYurophu iminyaka emininzi, kodwa i-FDA ibandakanyekile ukhuseleko kunye ukuphumelela kwe-STAR ngaphambi kokuvunywa kwayo.
I-Buechel-Pappas Device
I-ankle ye-Buechel-Pappas ayikho okwangoku e-US. Funda kabanzi malunga ne-Buechel-Pappas iqalo kwaye ujonge iifoto.
TNK Ankle
I-ankle ye-TNK ayivunyelwe i-FDA kwangoku. I-TNK iyinqabileyo, inxalenye-ezimbini, isistim esisetyenziswayo esisetyenzisiweyo esisetyenziswe kuphela eJapan.
> Imithombo:
> IiNkqubo zangoku zeeProstheses ezipheleleyo zeAnkle. Springer Vienna. Disemba 2005.
> Iimpawu zoyilo lweeNdawo eziPheleleyo zeeAnkle Ukutshintshwa: Iziplani kunye neNsimbi. Umbhalo we-Academy of Orthopedic Surgeons . Cracchiolo A. et al. Septemba 2008.
> Icandelo loPhando - I-Total Ankle Replacement. Regence. 9/4/2007.