Mapangidwe a Prostheses Wotsalira Kumalo Akhala Osintha
Katsitsinthu kathunthu ka mawonekedwe ndi opaleshoni yowonjezereka yowonjezera pamatumbo . Zosintha zonse za mitsempha zakhala zikupezeka kwa zaka zoposa 30 - koma mapangidwe oyambirira anali olephera. M'zaka za m'ma 1970, mawonekedwe a mitsempha adatengedwa monga odalirika - koma ma 1980 ankatuluka m'malo mwachisawawa chifukwa cha kuchuluka kwawo.
Posachedwa, mawotchi abwezeretsa kubwerera.
Pali prostheses 5 zamatumbo zomwe zakhala zikuvomerezeka ndi FDA ndipo ena angapo akuphunzira ku United States.
Malingana ndi American Academy of Orthopedic Surgeons (AAOS), mapangidwe oyambirira a mitsempha anali ndi zigawo ziŵiri zokha ndipo ankafunikira simenti la fupa kuti liwagwire bwino. Zojambula zatsopano sizifunikanso simenti - mmalo mwake, fupa limakula mpaka kumatumbo a minofu ofanana ndi mawondo ndi nsanamira . Mitundu ya tiyi ya tiyi ya tiyi ya tiyi ndi yamtengo wapatali ndi yokhazikika (timagulu timene timagwiritsa ntchito zigawo ziwiri) kapena mafoni (mapangidwe atatu a polyethylene).
Ndani Ayenera Kukhala ndi Ankle Kumalo?
Ngati muli ndi ululu waukulu wamagulu a nyamakazi, mukhoza kukhala wodzisankhira m'malo mwa minofu. Njira ina yopaleshoni ndi minofu fusion (arthrodesis). Kuika nsalu kumalo kumakuthandizani kuti mupitirize kuyenda mozungulira komanso kuthamanga m'chiuno poyerekeza ndi minofu ya fusion .
Chokhumudwitsa n'chakuti si wodwala aliyense amene ali woyenera kubwezeretsa mamba.
Odwala omwe ali opunduka kwambiri kapena osasunthika amachititsa kuti mawotchi apatsidwe mwayi wosankha. Kambiranani zosankha zanu ndi madokotala anu.
Mitundu ya Kusintha kwa Anki
Dokotala wanu wa opaleshoni wamagulu ali ndi njira zingapo posankha ma prosttion kwa inu. Pali zambiri zokhudzana ndi aliyense, kuphatikizapo zingati zomwe zachitidwa.
The Agility Ankle
The Agility Ankle ndi DePuy ndi FDA yomwe inavomerezedwa mu May 2002. Pali chigawo cha tibial ndi chigawo cha talar mu Agility Ankle. Chigawo cha tibial chimakhala ndi chidutswa chachitsulo ndi pulasitiki zomwe zimathandiza tibia ndi fibula pomanga malo pakati pa mafupa awiriwo. Chigawo cha talar chokhazikikacho chikhala pansi pa phazi la phazi ndipo limalola phazi kuti likhale losasintha. The Agility Ankle yapangidwa kuti igwiritsidwe ntchito ndi simenti ya fupa.
The INBONE Total Ankle (yomwe kale inali Topez Total Ankle Replacement System)
The INBONE Total Ankle imapangidwa ndi Wright Technology. The FDA inavomereza INBONE mu November 2005. INBONE ili ndi zigawo ziŵiri - chigawo cha tibial ndi chigawo cha talar. Kuchokera pa webusaiti yawo, "Chipangizo cha tibial chimakhala ndi mphamvu ya polyethylene yomwe imakhala mkati mwa titaniyamu. Mbali yayitali yaitali ya titaniyamu yomwe imayika bwino kwambiri pakati pa tibiayi. Chigawo cha talar ndi chidutswa cha mtundu wa cobalt chonyezimira kwambiri. imakhalanso ndi tsinde. "
Kutsegula Kwachitsulo Kwachitsulo Konse
Eclipse ndi FDA yomwe inavomerezedwa mu November 2006. Ili ndi chigawo chapamwamba kwambiri chokhazikika ndi polyethylene pamwamba.
Salto Talaris Anatomic Ankle
Salto Talaris Anatomic Ankle prosthesis inavomerezedwa kuti azigulitsidwa ndi FDA mu 2006. Salto Talaris ndi ndondomeko yatsopano ya Salto Ankle Prosthesis yomwe idakhazikitsidwa ku Ulaya kwa zaka zambiri. Salto Talaris imatsanzira kayendetsedwe kake kakang'ono kamene kamangidwe ndi kutulukira kapena kutambasula.
The STAR (Scandinavia Total Ankle Replacement)
STAR inavomerezedwa ndi FDA pa Meyi 27, 2009. STAR ndiyoyi yoyamba yamagetsi, zigawo zitatu zomwe zimagulitsidwa ku US Mobile zingwe zazingwe zazingwe zakhala zikupezeka ku Ulaya kwa zaka zingapo, koma FDA idakhala ndi nkhawa ndi chitetezo kuthandizira kwa STAR musanavomereze.
Chipangizo cha Buechel-Pappas
Bulu la Buechel-Pappas silinapezeke ku US. Werengani zambiri za bulu la Buechel-Pappas ndikuwona zithunzi.
TNK Ankle
Ndalama za TNK sizikuvomerezedwa ndi FDA. TNK ndi chipangizo chosasunthika, chogwirizanitsa, chokhazikika chogwiritsidwa ntchito kokha ku Japan.
> Zotsatira:
> Zopangidwe Zamakono Zamatenda Onse Ankle. Springer Vienna. December 2005.
> Zokonzera Zojambula Zowonongeka Zonse Zamakono Ankle: Implants ndi Instrumentation. Journal of the Academy of Orthopedic Surgeons . Cracchiolo A. et al. September 2008.
> Chigawo cha Opaleshoni - Chiwerengero cha Ankle Replacement. Regence. 9/4/2007.