Shiinaha TKA Prosthesis- LDK X4 Wadarta guud ee jilibka aasaasiga ah warshad iyo soo saarayaasha |LDK

TKA Prosthesis- LDK X4 Wadarta Guud ee Jilibka Arthroplasty

TKA Prosthesis- LDK X4 Wadarta Guud ee Jilibka Jilibka Sawirka

Sharaxaad Gaaban:

Xirmooyinka jilibka ee X4 ayaa loo isticmaalaa si loo baabi'iyo cabashooyinka bukaanka ee ku saabsan kala-goysyada jilibka oo shaqeynaya ama cabbir ahaan qalloocan, ka sokow bukaannada tayada nolosha hoos u dhacday ee uu keeno xanuunka la xiriira arthrosis.Qalabka wadajirka ah ee jilibka ayaa ka kooban qaybaha soo socda;Qaybaha femoral, gelinnada, qaybaha tibial, afkoda, biinanka, nuts, qaybaha patellar.

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Koondhiyaha hore ee sanaaci femoral ayaa lagu bixiyaa ballac iyo dhumuc yar si loo yareeyo cadaadiska kondyloodka hore iyo xiisadda quadriceps.Isla joomatari sagittal ah iyo qalooca siman ayaa u oggolaanaya patella inaysan kordhin xoogga femoris quadriceps marka jilibku fidiyo oo uu leexiyo.Marka lagu daro qulqulka qoto dheer ee patellar trochlear, waxaa la hubin karaa in patella uu yahay mid deggan oo ku jira jeexdin xitaa sare u kaca iyada oo aan la leexin, iyo xiriirka joogtada ah ee u dhexeeya patella iyo xuubka femoral waa la ilaaliyaa mar walba.

Sanaafka femoral waxaa loogu talagalay diyaarad koroneed oo yara qalloocan si loo kordhiyo aagga xiriirka si loo yareeyo cadaadiska ugu sarreeya gelinta polyetylenka.Cidhifka cidhifka ah ee bar-ilaa-barta ayaa la tirtiraa inta lagu jiro wareegga varus-valgus ee jilibka, si wadajirka tibifemoral uu had iyo jeer u ilaaliyo xiriir fool ka fool ah.

Xuubka hore ee patellar ee dhejiska polyetylen wuxuu yareeyaa cadaadiska dheeraadka ah iyo xiisadda femoris quadriceps inta lagu jiro dabacsanaan sare.

Curvature kondylar-ka dambe ayaa kordhay.Dusha sare ee tibiofemoral articular articular waxay ahaanaysaa taabashada korka halkii ay ka ahaan lahayd taabashada dhibicda marka dabacsanaantu gaadho ilaa 135 darajo.

Naqshadeynta fossa intercondylar ee furan: Osteotomy intercondylar waa la dhimay, laftana waxaa loo ilaaliyaa ilaa xadka ugu badan ee bukaanka.

Qaab dhismeedka kamarada-post-ka ee la hagaajiyay: Kamarada ayaa wali lagu hayaa saldhigga tiirka halka jilibka uu ku jiro dabacsanaan sare, ka hortagga dhacdooyinka kala-baxa ilmo-galeenka inta lagu jiro dabacsanaanta sare ilaa xad xaddidan.

Nidaam xidhid gaar ah ayaa la bixiyay.Qalabaynta labaad ee leh barroosinnada birta ah waxay baabi'in kartaa xirashada xanaaqa ee u dhexeeya labada.

Qaab dhismeedka saddex-geesoodku wuxuu ka hortagayaa wareegga wuxuuna ka fogaanayaa diiradda saarista.

Tilmaamaha Condyle Femoral

Waxyaabaha: Co-Cr-Mo
Halbeegyada Farsamo ee ugu Muhiimsan ee Condyle Femoral (RY A201)
Unug (mm)

Qaabka Alaabta	Tilmaamid	Dhexroorka Wareega	Dhexroorka AP
50111P	1L	57	53
50112P	2L	60	56
50113P	3L	63	59
50114P	4L	66	62
50115P	5L	71	66
50116P	1R	57	53
50117P	2R	60	56
50118P	3R	63	59
50119P	4R	66	62
50120P	5R	71	66

Tibial saxaarad gaar ah

Waxyaabaha: Co-Cr-Mo
Halbeegyada Farsamo ee ugu Weyn ee Tibial Tray (RY B401)
Unug (mm)

Qaabka Alaabta	Tilmaamid	Dhexroorka Wareega	Dhexroorka AP
50126	1#	61	41
50127	2#	64	43
50128	3#	67	45
50129	4#	71	47
50130	5#	76	51

Tilmaamaha Gelida Tibial

aterial: ultra-High Molecular Miisaanka Polyethylene
Halbeegyada Farsamo ee Muhiimka ah ee Gelida Tibial (RY C401)
Unug (mm)

Qaabka Alaabta	Tilmaamid	Dhexroorka Wareega	Dhexroorka AP
50126	1#	61	41
50127	2#	64	43
50128	3#	67	45
50129	4#	71	47
50130	5#	76	51

Patella

Qalabka: Polyethylene Miisaanka Molecular-U Sareeya
Halbeegyada Farsamo ee ugu Muhiimsan ee Patella (RY D01)
Unug (mm)

Qaabka Alaabta	Tilmaamid	Dhexroorka Wareega	Dhexroorka AP
50147B-8	Φ30/ 8	Φ30	8
50141B-8	Φ32/ 8	Φ32	8
50141B-10	Φ32/ 10	Φ32	10
50142B-8	Φ35/ 8	Φ35	8
50142B-10	Φ35/ 10	Φ35	10
50143B-10	Φ38/ 10	Φ38	10