强生带线锚钉在手外科的临床应用.pptVIP

强生带线锚钉(SutueAnchor)

在手外科的临床应用

强生(中国)医疗器材有限公司DePuyMitek

What?一种非常小的植入物，通过缝线将软组织和骨重新连接(Reattachment)。1Mechanism?通过缝针将缝线穿过软组织，并打结将软组织固定于锚钉上，即骨表面。2Material?不可吸收的钛合金或者高分子聚乙烯;可吸收性的多聚乳酸。3QA目前Mitek带线锚钉多用于哪里?肩关节肘关节手和腕关节膝关节足和踝关节颌面部髋关节骨盆………手外科解剖基础

手腕骨Palmar(Volar)ViewDorsalViewVolarPlatesCarpalBonesPhalangesProximalDistalMiddleMetacarpals3rd2nd1stEtc..RadiusUlna

腕骨PalmarViewDorsalViewTriquetrumScaphoidLunateRadiusUlnaTriquetrumPsisiformTrapeziumCapitateHamateTrapezoidHamateCapitateArticularCartilageRemember:SLTPTTCHSLTqPTTrCH手腕部韧带Palmar(Volar)ViewDorsalViewCollateralLigamentsUlnarCollateralLigamentSkiier’sThumbGameKeepersThumbDeeptransversemetacarpalLigamentsDorsalIntercarpalLigamentsDorsalRadiocarpalLigament腕骨间韧带LunateScapholunateLigament-DorsalPalmarViewScaphoidLunateTriquetrumInferiorViewScaphoidTriquetrum手腕部肌腱PalmarViewDorsalViewFlexorTendonsFDPRepair(FlexorDigitorumProfundus)ExtensorTendonsBoutonniereDeformityMalletFingerFlexorPollicisLongusCentralSlipLateralBandsTFCC(三角纤维软骨复合体)AvascularregionDebridementiscommonhereRadiusUlnaIt’sthe“meniscus”ofthewrist!Trampoline,actstotransmitloadtoUlnaSkier‘sThumb-拇指尺侧副韧带断裂RepairUsingSutureAnchorsMethodofUlnarCollateralLigamentInjuryGoldStandardofRepairMostCommonUseofAnchorsinHand!!!

指深屈肌腱(akaJerseyFingerorFDP)RepairUsingSutureAnchorsFlexorDigitorumProfundusGoldStandardRepairAnchors…MicroMiniRecommendedFlexorTendonJHS,May2001Compares,2Micro,1MiniandPulloutButtonMaxpassiverehabforcesat11N(2.0lbs)Maxactivemotionat19N(4.3lbs)Compare4.3toouranchorstrengths!43.344.669.9(N) 15.7lbsButtonMini2Micro指伸肌腱–锤状指MalletFingerRepairusingSutureAnchor指伸肌腱–Boutonniere（钮扣指）BoutonniereDeformityRepairopti