Ukwakhiwa kwamaProstheses wokuguqula ama-Ankle Kuye kwathuthukiswa
Ukushintshwa kwama-ankle okuphelele kuyindlela yokujoyina ngokuhlanganyela yokujoyina kwe- ankle . Izingqikithi zendiza ezitholakalayo zitholakale iminyaka engaphezu kwengu-30 - kodwa ukuklama kwangaphambili kwakuyihluleka. Ngama-1970, ukuguqulwa kwama-ankle kwakwenziwa njengokwethenjelwa - kepha ngama-1980 ama-ankle ama-substitution ayengavamile ukwenza ngenxa yezinga eliphezulu lokuhluleka.
Muva nje, ukuguqulwa kwe-ankle kwenze ukubuyela emuva.
Kukhona ama-prostheses ama-5 e-ankle asemukelwe yi-FDA kanye nabanye ababili abacwaningwa e-United States.
Ngokusho kwe-American Academy of Orthopedic Surgeons (AAOS), ama-designs asetshenziselwa ukuguqula ama-ankles ayenamalungu amabili kuphela futhi afuna isitenti samathambo ukuba sibambe esikhundleni esifanele. Imiklamo emisha ayidingi i-samente - kunalokho, ithambo likhula ngaphakathi kwe-ankle prosthesis efana nokuguqulwa kwamadolo nokweqa . Izimila ze-ankle zesizukulwane sesibili ziyi-cement-less nge-fixed (i-design-two components) noma iselula (design-three-component design) ephethe i-polyethylene.
Ubani Okufanele Abe Nokushintshwa Kwe-Ankle?
Uma ubhekene nobuhlungu obunzima be-ankle kusuka ku-arthritis, ungase ube ngumuntu ozobhalwa esikhundleni se-ankle. Enye indlela yokukhetha iyinhlangano ye- ankle fusion (i-arthrodesis). Ukufakelwa kwe-Ankle ikuvumela ukuthi ugcine ukuhamba nokuhamba okungaphezu kwe-ankle uma kuqhathaniswa ne- fusion ye-ankle .
Ukukhathazeka ukuthi akuzona zonke iziguli ezifanelekile zokufaka esikhundleni se-ankle.
Iziguli ezinezinyosi ezinokukhubazeka noma ezingazinzile zenza indawo ye-ankle ibe inketho engaphansi kokuhle. Xoxani ngezinketho zakho nodokotela bakho.
Izinhlobo Zokuguqulwa Kwe-Ankle
Udokotela ohlinzayo wamazinyo unamathuba amaningana lapho ukhetha i-ankle prosthesis ngawe. Ukwaziswa okuningiliziwe okukhona ngalunye, kufaka phakathi okungaki okwenziwayo.
I-Agility Ankle
I-Agility Ankle nguDePuy kwaba yi-FDA evunyelwe ngoMeyi 2002. Kukhona ingxenye ye-tibial kanye nesakhi se-talar ku-Agility Ankle. Ingxenye ye-tibial iqukethe isiqeshana sensimbi kanye nesiqeshana seplastiki esisekela i-tibia kanye ne-fibula ngokugubha isikhala phakathi kwamathambo amabili. Ingxenye ye-talar ye-implant ihlezi ethempelini lezintathu futhi ivumela inyawo ukuba iguqule phansi. I-Agility Ankle iklanyelwe ukuthi isetshenziswe ngesinamenti yethambo.
I-INBONE Total Ankle (eyayiyi-Topez Yama-Total Ankle Replacement System)
I-INBONE Total Ankle ikhiqizwa yi-Wright Technology. I-FDA ivunyelwe i-INBONE ngoNovemba 2005. I-INBONE inamalungu amabili - ingxenye ye-tibial kanye ne-talar. Kusuka kwi-website yabo, "I-tibial ingxenye ihlanganisa i-polyethylene ephezulu eqinisekisiwe ngaphakathi kwethimba le-titanium. I-titanium eside iqinisa i-anchors okuyi-half of the implant ngaphakathi kwe-tibia. Ingxenye ye-talar iyi-piece ye-cobalt enomzimba ephezulu kakhulu ibuye ibuye ibe nesitezi. "
I-Eclipse Indawo Yonke Ye-Ankle Replacement
I-Eclipse yayingu-FDA evunyelwe ngoNovemba 2006. Inomkhakha ophezulu we-tibial kanye ne-polyethylene surface eqondile (i-design-two components).
I-Salto Talaris Anatomic Ankle
I-Salto Talaris Anatomic Ankle prosthesis ivunyelwe ukudayiswa yi-FDA ngonyaka ka-2006. I-Salto Talaris iyinhlangano entsha eyakhiwe i-Salto Ankle Prosthesis eyayisetshenziswe eYurophu iminyaka eminingi. I-Salto Talaris ilingisa ukunyakaza kwe-anatomy ne-flexion / extension ye-joint yamazinyo yemvelo.
I-STAR (i-Scandinavian Total Ankle Replacement)
I-STAR yamukelwa yi-FDA ngoMeyi 27, 2009. I-STAR iyinhlangano yokuqala yeselula, ama-ankle amathathu athengiswe kwi-US Hambayo Mobile bearing ankles aseyitholakale eYurophu iminyaka eminingana, kodwa i-FDA yayikhathazekile ngokuphepha ukuphumelela kwe-STAR ngaphambi kokuvunywa kwayo.
Idivayisi ye-Buechel-Pappas
I-ankle yeBuechel-Pappas ayitholakali okwamanje e-US. Funda kabanzi mayelana ne-ankle ye-Buechel-Pappas futhi ubuke izithombe.
I-TNK Ankle
I-ankle ye-TNK okwamanje ayivunyelwe i-FDA. I-TNK iyi-cementless, i-components-double, i-device-bear bearing device esetshenziswa cishe kuphela eJapane.
> Imithombo:
> Izinkomba zamanje zeProstheses eziphelele ze-Ankle. I-Springer Vienna. Disemba 2005.
> Izici zeMiklamo Yokuguqulwa Kwama-Ankle Yonke Yamanje: Izimplanyiso Ne-Instrumentation. Journal of the Academy of Orthopedic Surgeons . Cracchiolo A. et al. September 2008.
> Isigaba Sokuhlinza - Ukuguqulwa Kwama-Ankle Okuphelele. Regence. 9/4/2007.