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Dacewa na mikron: Logi na maki da amfani na kliniki na set na alamarai na Geasure don karamar taka
A karamar taka, farko na millimeter ya nufi kafin karamar taka mai dacewa da karamar taka mai yawa na karamar taka. A yadda yawa na karamar taka na yadda yawa (MIS) da karamar taka na karamar taka na karamar taka, karamar taka na karamar taka na karamar taka ya ziyara sosai.
Don Allahi waɗannan buƙatar kliniki na yawa, ƙwararri na gaba daya na sana’antar suka zama su amsa da halayen da suka gabata kamar set na abubuwan gida na Geasure don tashin kankara na kudin kankara . Ta hanyar analaizin bayanan metallurgical, geometry na ergonomics, da kuma kofin da suka daga cikin sistemomin posterior fixation da percutaneous, za mu iya tattauna yadda ayyukan ingantin da suka zama su amsa da amanahin da aka samu a jikin kliniki.
Geometry na Ergonomics da Feedback na Proprioceptive
Ga mai sana’anta ta hanyar kudin kaya, alatun ta fuskanci ta fuskanci na kudin kaya ba ta kuma alatu ba. A lokacin yadda ake amfani da Transforaminal Lumbar Interbody Fusion (TLIF), fahimtar bayanan anatomi na gaba daya ba ta zama mafi kyawawan ba; mutum ya zama ya amfani da tsinkin da tsinkin da suka zama a cikin kofin da suka zama amsa da farko, kudin kaya, ligamentum flavum, da kuma kofin da suka zama amsa da nerve roots.
Tattaunawa na Kliniki: Kula da Fatigue a L4-S1 Revision na reconstructive
Shirin na Kliniki: Mai 64 shekara ya bayyana da kanku mai yawa (ASD) wanda ya haɗa da kanku mai yawa na kofin gaba daya, wanda ya nufi da kanku mai yawa na kofin gaba daya. Alamar in kwalla ta buƙatar yin kwalla a cikin kofin gaba daya don kwalla na farko, wanda ya nufi da kwalla na lamina mai yawa da kanku mai yawa da kanku mai yawa na kofin gaba daya.Takon Kullumta: A kwalla na kofin gaba daya, tsayin tsayin kwalla a cikin kanku mai yawa ya zama mai yawa, wanda ya haɗa da kanku mai yawa na kofin gaba daya, wanda ya haɗa da kanku mai yawa na kofin gaba daya na kofin gaba daya da kanku mai yawa na kofin gaba daya.Kwalla na alamar: Amfani da set na abubuwan gida na Geasure don tashin kankara na kudin kankara a cikin yadda ake gudanar da karamin tsawo, ya zuba alamun ƙarfi na amfani da alama. Tashin ƙaramin tsawo mai ƙarfi da ƙaramin tsawo mai ƙarfi ya taimaka wajen kula da alama ta hanyar fuskantar da karamin tsawo. A matsayin maha, alamar da ke cikin karamin tsawo ya dace da karamin tsawo na farko ba da karamin tsawo na farko ba, wanda ya taimaka wajen karamin tsawo na karamin tsawo a cikin yadda ake gudanar da karamin tsawo. A cikin yadda ake gudanar da karamin tsawo na karamin tsawo, alamar da ke cikin karamin tsawo mai ƙarfi da karamin tsawo mai ƙarfi ya taimaka wajen karamin tsawo na karamin tsawo ba da "karamin tsawo na karamin tsawo," wanda ya taimaka wajen karamin tsawo na karamin tsawo.
Karamin tsawo na karamin tsawo da karamin tsawo na karamin tsawo
A yau, karamin tsawo na karamin tsawo ya saba da "sabon karamin tsawo na karamin tsawo" na karamin tsawo na karamin tsawo. Alamar da ke cikin karamin tsawo ya dace da karamin tsawo na karamin tsawo da karamin tsawo na karamin tsawo da karamin tsawo na karamin tsawo:
Karamin tsawo na karamin tsawo na 5.5mm / 6.0mm
Don karamin tsawo na karamin tsawo a cikin karamin tsawo da karamin tsawo, karamin tsawo suka iya gudanar da karamin tsawo ba da karamin tsawo na karamin tsawo:
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Karamin tsawo na karamin tsawo na karamin tsawo: Kwamfani na pedicle screw suna da kwamfani mai tsoro na gaba wanda ya tsora kwayar yadda na implant a cikin kwayar ƙananan kwamfani. Wannan yana cancasa kuskure ko kuskure na fahimta lokacin da aka sanya kwamfani mai gyara a cikin pedicles mai tsoro, yana nuna cewa implant ya tace shugaban da aka bayyana ta hanyar probe.
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Matsayin Kusanci na Maimakon Tsarin Don kuskuren da suka zuwa uku dimenshi, rod persuaders na tsarin suna amfani da thread pitch wanda aka rubuta shi da sauri. Wannan yana canza kuskure na anatomi mai ƙarfi zuwa kuskure mai tsoro, linear, da millimeter zuwa millimeter a cikin kwayar kwamfani ba tare iya kuskure na kwamfani da ke cikin kwayar.
Tsarin Minimally Invasive Percutaneous (MIS)
A cikin al’adu na percutaneous, masu tsari suna amfani da kwayoyin da suka dace ba tare matakan da suka dace ba, suna amfani da fluoroscopy ko navigation:
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Kwayar da karami mai zafi: Masu sakawa da maɓallan ƙirar ƙira suna da ƙirar da ke da kyau wanda ke ƙara girman filin da ake gani a ƙarƙashin microscope na tiyata ko lupu, hana kayan aiki daga cunkoso da haɗuwa a cikin rauni.
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Jagorancin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙ Ana amfani da kayan aikin sutura na sutura tare da radius na geometric. Wannan yana ba da damar sandar daidaitawa ta zamewa ta cikin zurfin filayen fascial da ƙungiyoyin tsoka tare da hanyar da ta dace da sagittal lumbar lordosis, rage rage ƙwayar ƙwayar paraspinal.
Tsarin ƙarfe da daidaituwa na masana'antu
Amincewa da kayan aikin tiyata da aka kafa a ƙarƙashin matsin lamba yana dogara da ilimin kayan aikinsa. Abubuwan haɗin dole ne su jure wa matsanancin nauyin jujjuyawar yayin da suke jurewa daruruwan hawan zafin jiki na autoclave sterilization ba tare da fuskantar ƙarancin tsari ko lalata farfajiya ba.
Matattarar Abubuwan Mataki na Mataki
| Nau'in kayan aiki | Tushen kayan aiki | Babban Tsarin Tsarin | Amfani da Magunguna |
| Kurkure da Kushe | Satinlesu Satali Mai Tsanani (X30Cr13) | Yi amfani da tsanani mai ƙarfi da kuma tsanani na fuskantar; ba amsa wani fuskantar | Ya tsara mabudin ya zama shi da kushe ko yin fuskantar a cikin kushe na pedicle. |
| MIS Na kushe na gaba | Titanium na tibbi (Ti-6Al-4V) | Tsanani mai ƙarfi da kuma tsanani na fuskantar; karami na yawa | Ya tsara karamin yawa na fuskantar wanda ke daga gaba na tisuyi na paraspinal. |
| Rongeurs da Kushe na cut | Satali mai tsanani + Nitride na Titaniam (TiN) | Babban riƙe gefen da juriya na gogayya ($HRC \ 50-55$) | Yana ci gaba da yanke kashi, kawar da ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin |
Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙƙarfan Ƙaƙ
Ana sarrafa kayan aiki ta amfani da ƙirar ƙirar ƙirar ƙirar ƙira guda biyar na CNC don riƙe haƙurin geometric a cikin ƙananan ƙananan micron. Wannan daidaito yana tabbatar da cewa mai sarrafawa ya dace daidai a cikin matattarar da aka saita a kowane lokaci, kawar da hadarin cam-out ko cirewa wanda zai iya dakatar da aiki.
Bugu da ƙari, ci gaba da aikin lantarki na lantarki yana kawar da ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan A lokacin wanke bayan tiyata ta atomatik, magungunan enzymatic na iya tsabtace jini, sunadarai, da nauyin halitta, tabbatar da rashin haihuwa da aminci na dogon lokaci.
Tsarin Yarjejeniyar Biomechanical da Tsaro
Zaɓuɓɓukan inji a bayan ƙirar kayan aikin kashin baya na zamani suna da ƙarfi ta hanyar ɗakunan karatu na orthopedic da neurochirurgical:
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Matsayin Matsayi na Matsayi: Bayanai da aka buga a Aljurnar na Kishin da Joints (JBJS) yana nuna cewa kuma yin kishin na pedicle screw zai iya samun ƙarfi daga 15-20% lokacin da ake amfani da driver interfaces na gaba mai ƙarfi wanda zai ba da damuwa na axial. Amfani da stabilized, coaxially locked system—kamar wanda ke cikin set na abubuwan gida na Geasure don tashin kankara na kudin kankara —yana taimaka sosai don karewa na "wandering effect" a wajen kishin na cortical.
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Karewa na Kishin na Neural: Alama na safiya na klinika daga North American Spine Society (NASS) sun nuna cewa kishin na instrument da kuma karewa na ergonomic yana kuma yin karewa na dural tears da kishin na nerve lokacin da ake cuttins. Lokacin da cutting tools suka jadi kishin su, surgeons suna yi less linear force, wanda yana karewa na sudden, uncontrolled plunging into the spinal canal lokacin da ake traversing na ventral cortex na lamina.
Ta hanyar kuma high torsional strength da clean proprioceptive feedback, wanda set na abubuwan gida na Geasure don tashin kankara na kudin kankara ya kawo tushen bayanin ƙarfin gaba: ƙarfin ƙananan ƙarfin gaba, ƙarfin ƙarfin gaba, da ƙarfin ƙarfin gaba.
Teburin Abubuwan Ciki
- Dacewa na mikron: Logi na maki da amfani na kliniki na set na alamarai na Geasure don karamar taka
- Geometry na Ergonomics da Feedback na Proprioceptive
- Karamin tsawo na karamin tsawo da karamin tsawo na karamin tsawo
- Tsarin ƙarfe da daidaituwa na masana'antu
- Tsarin Yarjejeniyar Biomechanical da Tsaro