Tayada Sare ee Titanium Iskudarka Isku-dhafka Jilibka ee Beddelista
Jilibka Maqaarka Tilmaamaha Titanium
Tayada sare ee titanium jilibka beddelka maqaar-galaha
Jilbaha la gashadosidoo kale loo yaqaansanaaci kala goysyada jilibka, waa qalab caafimaad oo loo isticmaalo in lagu beddelo kala-goysyada jilibka ee dhaawacmay ama buka. Waxaa caadi ahaan loo isticmaalaa in lagu daweeyo bukaanada qaba arthritis-ka daran, dhaawacyada, ama xaaladaha kale ee keena xanuunka jilibka ee joogtada ah iyo dhaqdhaqaaqa xaddidan. Ujeedada ugu weyn ee isku-dhafka jilibka ayaa ah in la yareeyo xanuunka, dib u soo celinta shaqada, iyo hagaajinta tayada guud ee nolosha bukaanka qaba cillad daran oo jilibka ah.
Qaybta femoral ee abedelka wadajirka jilibkawaa bir ama waslad dhoobo ah oo beddesha dhammaadka bowdada (femur) ee wadajirka jilibka. Waxay leedahay qaab u ekaysiinaya anatomy dabiiciga ah ee lafta si ay uga caawiso inay si ammaan ah ugu habboonaato kala-goysyada. Qaybta femoral waxay caadi ahaan ku xiran tahay lafta leh sibidh gaar ah ama iyada oo loo marayo farsamada ku habboon saxaafadda oo kor u qaadeysa koritaanka lafaha agagaarka maqaar-galaha.
Inta lagu jirobedelka wadajirka jilibkaqaliin, dhakhtarka qalliinka ayaa ka jari doona jilibka oo ka saari doona qaybta dhaawacan ee femur. Dhakhaatiirta qalliinka ayaa markaa diyaarin doona lafta si ay u helaan qaybta femoral galinta. Qaybta femoral ayaa la dhigi doonaa oo lagu sugi doonaa iyada oo la adeegsanayo sibidhka lafaha ama farsamada ku habboon. Marka qaybta femoral ay ku jirto, dhakhtarka qalliinka ayaa xiri doona jeexitaan oo bukaanku wuxuu bilaabi doonaa habka soo kabashada. Qalitaanka ka dib, bukaanadu waxay caadi ahaan u baahan doonaan inay ka qaybqaataan jimicsiyada daaweynta jireed si ay u caawiyaan xoojinta jilibka iyo kor u qaadista bogsashada. Dhawr bilood oo baxnaanin ah ka dib, bukaanku waxay caadiyan filan karaan in jilibka uu dareemo fiicnaan oo uu horumariyo shaqada. Si kastaba ha ahaatee, waa muhiim inaad raacdo tilmaamaha qalliinka ka dib ee uu bixiyo dhakhtarka qalliinka si loo hubiyo bogsashada iyo soo kabashada ugu fiican.
Ka fogow ku-tiirsanaanta saddex sifo
1.Naqshadaynta raadiyaha badan ayaa bixiyas xorriyadda dabacsanaan iyo wareeg.
2.Naqshadeynta radius hoos u dhaca ee kondyles femoral J curve waxay qaadi kartaa aagga xiriirka inta lagu jiro dabacsanaanta sare oo iska ilaali in la geliyo qodista.
Naqshadaynta jilicsan ee POST-CAM waxay gaadhaysaa osteotomy yar oo isku-dhafan ee PS-prosthesis. Buundada lafaha hore ee joogtada ah ee la hayo ayaa yaraynaysa khatarta jabka.
Naqshadaynta jeexdin trochlear ku habboon
Patellatrajectory caadiga ah waa qaabka S.
● Kahortagga eexda dhexda ee patella inta lagu jiro dabacsanaan sare, marka wadajirka jilibka iyo patella ay qaadaan xoogga ugu badan.
● Ha u ogolaanin khadka dhexe ee patella trajectory.
1.Qalabka iswaafajin kara
2.Darbiga dhinaca intercondylar-ka ah ee aadka loo sifeeyay wuxuu ka ilaaliyaa nabarrada ka dib.
3. Sanduuqa intercondylar-ka ee furan wuxuu ka ilaaliyaa nabarka sare ee boostada.
Flexion 155 digrii wuxuu noqon karaala gaarayoo leh farsamo qalliin oo wanaagsan iyo jimicsi shaqeynaya
Koofiyadaha daabacaadda 3D si loo buuxiyo cilladaha metaphyseal waaweyn oo leh biro dalool leh si loogu oggolaado abuurka.
Tilmaamaha Beddelka Wadajirka Jilibka
Rheumatoid arthritis-ka
Lafo-xanuun-ka-soo-baxa, osteoarthritis ama arthritis-ka sii xumaaday
Lafo-beelka oo guuldarraystay ama beddelaad aan qayb ahayn ama wadarta beddelka jilibka
Faahfaahinta Xidhiidhka Jilibka
Daar Qaybta Femoral . PS
| Daar Qaybta Femoral . CR | 2# Bidix |
| 3# Bidix | ||
| 4# Bidix | ||
| 5# Bidix | ||
| 6# Bidix | ||
| 7# Bidix | ||
| 2# Sax | ||
| 3# Sax | ||
| 4# Sax | ||
| 5# Sax | ||
| 6# Sax | ||
| 7# Sax | ||
| U oggolow Qaybta Femoral (Qalabka: Co-Cr-Mo Alloy) | PS/CR | |
| Daar Gelida Tibial (Qalabka:UHMWPE) | PS/CR | |
| Daar saxanka Tibial Base | Waxyaabaha: Alloy Titanium | |
| Tibial Sleeve Trabecular | Waxyaabaha: Alloy Titanium | |
| Daar Patella | Qalabka:UHMWPE | |
