Inkcazo ye-Osteoarticular Transfer System
Inqubo ye-OATS, isicatshulwa se-osteoarticular system transfer, yinkqubo yokucwangcisa esetyenziselwa ukuphatha iziphene ze-cartilage. I-OATS yindlela enye yeendlela ezininzi ezisetyenziselwa ukuphatha le ngxaki; uhlobo lwenkqubo lubizwa ngokuba yi-mosaicplasty.
I-mosaicplasty isebenzisa i-cartilage kwiindawo ezingaphazamisekiyo kunye kwaye ishukumisa le ngqungquthela kwindawo eyonakalisiweyo.
Olu hlobo lwenkqubo luyiluncedo kuphela kunyango lomonakalo we-cartilage. Oku kuthetha ukuba umonakalo omkhulu we-cartilage ebonwe kwiimeko ezifana ne-osteoarthritis ayikwazi ukuphathwa nge-mosaicplasty. Olu unyango lusetyenziswa kuphela kwiindawo ezizimeleyo zomonakalo we-cartilage, ngokuqhelekileyo kufikelela kwi-10 ukuya kwi-20 mm ngobukhulu. Olu hlobo lomonakalo lubonakala kwizigulane ezincinci (abangaphantsi kweminyaka engama-50 ubudala) abafumana uxinzelelo kubo.
Kwaziwa nangokuthi: ukudluliselwa kwe-osteoticular, i-mosaicplasty, i-Osteochondral Autograft Transfer System
Iyiphi i-OATS Procedure Done?
Ngokuqhelekileyo ugqirha uya kuqwalasela olu hlobo lwenkqubo, kodwa ukuba i-ray-ray okanye ukuhlolwa kwe-arthroscopic kubonisa ubungqina bommonakaliso obusasazekayo we- cartilage, inkqubo ye-OATS ayiyi kwenziwa. Isizathu kukuba inkqubo ye-OATS ayinakuzuza ezi gulane.
Inqubo ye-OATS, eyenziwa yi-Arthrex corporation, luhlobo olulodwa lwe-mosaicplasty.
"Iiplagi" ezincinci ze-cartilage kwaye zisuswe kwiindawo zokudibanisa apho umzimba ungenza ngaphandle kwe-cartilage, kwaye ezi zihanjiswe kwindawo eyonakalisiweyo yombutho. I-Arthrex corporation inomnini obhalisiweyo kwi-OATS Osteochondral Autograft Transfer System.
Yiphumelele kangakanani i-OATS Procedure?
Ukufundwa kwezigulane ezingama-96 kuqhathaniswa nenkqubo ye-OATS kwiprojekti ye-microfracture yokwehluleka kwe-articalular cartilage of knee.
Izigulane zaziphakathi kweminyaka eyi-30-32 ubudala kwaye zilandelwa minyaka yonke iminyaka emihlanu emva kokuhlinzwa. Bafumene impilo efanayo jikelele kunye neziphumo zomsebenzi wamadolo kuzo zombini iinkqubo. Kodwa kwakukho umahluko ekukwazi ukugcina umgangatho ophezulu wokusebenza kwezemidlalo, kunye ne-OAT mosaicplasty ibe bhetele kune-microfracture.
I-OATS Procedure Yenziwe Kanjani?
Usetyenziso olulodwa lwe-OATS (i-Osteochondral Autograft Transfer System) eyenziwa ngu-Arthrex isetyenziswe kule nkqubo yokuhlinzwa. Ikiti yokugada iquka umvunyi wokufumana umvunyi, umvunyi wokunikela, intonga yokulungelelanisa, itampu, ityhulwa yokuhambisa i-greft kunye ne-extruder engundoqo.
Isigulane ngumnikeli kunye nommkeli, kunye ne-cartilage enempilo kunye nesifuba sayo esivumelwaneni esivela kwindawo esondeleyo yokudibanisa ukuba ifakwe endaweni ephosakeleyo. Umvunyi we-OATS umniki-mnikelo usekwe kwindawo yomnikeli kwaye wabetha nge-mallet ade i-tamp 15 millimeters ibe yindawo yomnikeli. Isibambiso siyajikelezwa ukuze sivunwe ingundoqo kwaye sihoxiswe.
Ngoku i-socket yenziwe phezu komhlaba onesiphene se-cartilage esicacileyo esiya kuba sisayizi esifanelekileyo sokufumana iplagi. Umvunyi wokufumana umvunyiweyo kwaye unganqamle ukususa iplagi ukwenza ubungakanani obufanelekileyo kunye nobunzulu bomngxuma.
Intonga yokulungelelaniswa isetyenziselwa ukulinganisa ubunzulu kunye naluphi na utshintsho olufunekayo olwenziwe ukulungiselela ukufakelwa kwegraft.
Xa sele ilungile, ityhubhu yokuhambisa i-graft ifakwe kwilomo lomxhasi wommkeli kwaye uphumelele kuyo. I-tamp iyakuthi ifakwe kwi-graft kwi-socket. Udokotela ogqirha angazalisa iziza ezixhasi kunye ne-hydroxyapatite rod kwaye angasebenzisa i-biological glues ukutywina isixokelelwano sommkeli.
Umthombo:
I-Arthrex: Usetyenziso olulodwa lwe-OATS (i-Osteochondral Autograft Transfer System) I-Technique yokuThanda, ngo-2013.
UAaron J. Krych, MD; UHeather W. Harnly, MD; UScott A. Rodeo, MD; URiley J. Williams III, MD. "Amanqanaba omsebenzi aphezulu emva kwe-Osteochondral Autograft Transfer Mosaicplasty Kunakuba Emva kweMicrafracture ye-Articalular Cartilage Iingxaki ze-Knee A Retrospective Study Study." J Bone Surgery Joint Am, 2012 Juni 06; 94 (11): 971 -978. http://dx.doi.org/10.2106/JBJS.K.00815.