Incazelo ye-Osteoarticular Transfer System
Inqubo ye-OATS, isifinyezo se-osteoarticular transfer system, yindlela yokuhlinzwa esetshenziselwa ukwelapha iziphambeko eziphambili ze-cartilage. I-OATS yindlela eyodwa yeziningana ezisetshenziselwa ukuphatha le nkinga; uhlobo lwenqubo kuthiwa i-mosaicplasty.
I-mosaicplasty isebenzisa u-cartilage ezindaweni ezingaphazamiseki ze-joint futhi ishukumisa lesi sikhumba endaweni ewonakele.
Lolu hlobo lwenqubo luwusizo kuphela ekwelapheni umonakalo omkhulu we-cartilage. Lokhu kusho ukuthi umonakalo omkhulu we-cartilage obonakala ezimweni ezifana ne-osteoarthritis ayikwazi ukuphathwa nge-mosaicplasty. Le ukwelashwa isetshenziselwa kuphela ezindaweni ezikude zokulimala kwe-cartilage, ngokuvamile okulinganiselwe ku-10 - 20 mm ngobukhulu. Lolu hlobo lomonakalo luvame ukubonwa kweziguli ezincane (abangaphansi kweminyaka engama-50 ubudala) abathola ukuhlukumezeka kokuhlanganyela kwabo.
Futhi eyaziwa ngokuthi: ukudluliswa kwe-osteoarticular, mosaicplasty, i-Osteochondral Autograft Transfer System
Ngabe i-OATS Procedure Yenziwe?
Ngokuvamile udokotela ohlinzayo uzocabangela lolu hlobo lwenqubo, kodwa uma ukuhlolwa kwe- x noma ukuhlolwa kwe-arthroscopic kubonisa ubufakazi bokulimala komfutho we- cartilage okubanzi, inqubo ye-OATS ngeke isetshenziswe. Isizathu siwukuthi inqubo ye-OATS ngeke izuze lezi ziguli.
Inqubo ye-OATS, eyakhiwe yi-Arthrex corporation, uhlobo olulodwa lwe-mosaicplasty.
"Ama-plugs" amancane we-cartilage futhi asusiwe ezindaweni zokujoyina lapho umzimba ungenza khona ngaphandle kwe-cartilage, futhi lezi zihanjiswa endaweni emelekile yokujoyina. I-Arthrex corporation inezimpawu zokuthengisa ezibhalisiwe ze-OATS Osteochondral Autograft Transfer System.
I-Procedure Ye-OATS Iphumelela Kanjani?
Ucwaningo lweziguli ezingu-96 luqhathanise inqubo ye-OATS yokukhipha imithi yokwehlukana kwe-articular cartilage of the knee.
Iziguli zazineminyaka engama-30-32 ubudala futhi zalandelwa minyaka yonke iminyaka emihlanu ngemuva kokuhlinzwa. Bathole imiphumela efanayo yempilo nemiphumela yamadolo kuzo zonke izinqubo. Kodwa kwakukhona umehluko ekukwazi ukugcina izinga eliphezulu lomsebenzi wezemidlalo, ne-OAT mosaicplasty engcono kune-microfracture.
I-OATS Procedure Yenziwe Kanjani?
I-OATS Yodwa Esebenzisa (i-Osteochondral Autograft Transfer System) eyakhiwe yi-Arthrex isetshenziswe kule nqubo yokuhlinzwa. I-kit yokuhlinza ihlanganisa umvunyi womamukeli, umvunyi wokunikela, induku yokulinganisa, i-tamp, i-tube yokuhambisa ama-graft kanye ne-core extruder.
Lesi siguli singumhlinzeki nomamukeli, onesiqu esinomsoco kanye nethambo lakhe elingaphansi elivunwa endaweni eseduze yehlangene ukuze ifakwe endaweni enesici senqabunga. Umvunyi we-OATS owenzela umnikelo wesikhombisa ubeke phezu kwendawo yomnikelo futhi unikezwe nge-mallet kuze kube yilapho isetshenzisiwe ngamamitha angu-15 endaweni yomnikelo. Isibambo sisuke sijikelezwa ukuze sivunwe umgogodla bese sihoxisiwe.
Manje isikhwama senziwe ebusweni esinesiphambeko esiphezulu se-cartilage esizoba isayizi esifanele ukuthola ipulaki. Umvunyi womamukeli ukhonjiswe ngaphakathi futhi unesinxele ukuze asuse ipulagi ukwenza isayizi elungile nokujula komgodi.
Insimbi yokulungiswa isetshenziselwa ukulinganisa ukujula kanye nanoma yikuphi ukulungiswa okudingekayo okwenzelwe ukulungiselela ukufakelwa kokufakelwa.
Uma isilungile, ithubhu yokulethwa kwe-graft ifakwa emlonyeni wesitoreji somamukeli futhi ifakwe kuso. I-tamp is then tapped ukuze ibeke ukufakelwa kwesikhwama. Udokotela ohlinzayo angase agcwalise amasayithi omnikeli ngezinduku ze-hydroxyapatite futhi angasebenzisa i-glues ye-biological ukuze asinamathise isokhethi somamukeli.
Umthombo:
I-Arthrex: i-OATS eyodwa (i-OTSochondral Autograft Transfer System).
U-Aaron J. Krych, MD; Heather W. Harnly, MD; UScott A. Rodeo, MD; URiley J. Williams III, MD. "Izinga lomsebenzi liphakeme ngemva kokudluliselwa kwe-Osteochondral Autograft Transfer Mosaicplasty kune-After After Microfracture ye-Articular Cartilage Izisulu ze-Knee A Study Esithakazelisayo Yokuqhathanisa." J Bone Joint Surg Am, 2012 Jun 06; 94 (11): 971 -978. http://dx.doi.org/10.2106/JBJS.K.00815.