Ua tsaug rau koj tuaj xyuas Nature.com.Qhov browser version koj siv tau txwv CSS kev txhawb nqa.Rau qhov kev paub zoo tshaj plaws, peb xav kom koj siv qhov browser tshiab (lossis lov tes taw Compatibility Hom hauv Internet Explorer).Nyob rau lub sijhawm no, txhawm rau ua kom muaj kev txhawb nqa txuas ntxiv, peb yuav ua rau lub xaib tsis muaj qauv thiab JavaScript.
Qhov xwm txheej ntawm kev phais arthroscopic tau nce ntau dua ob xyoo dhau los, thiab arthroscopic shaver systems tau dhau los ua cov cuab yeej siv orthopedic.Txawm li cas los xij, rab chais feem ntau tsis ntse txaus, hnav yooj yim, thiab lwm yam.Lub hom phiaj ntawm tsab xov xwm no yog txhawm rau tshawb xyuas cov yam ntxwv ntawm tus qauv tshiab ob npaug ntawm serrated hniav ntawm BJKMC (Bojin◊ Kinetic Medical) arthroscopic rab chais.Muab cov ntsiab lus ntawm cov khoom tsim thiab cov txheej txheem validation.Lub BJKMC arthroscopic rab chais nta lub raj-hauv-tube tsim, muaj lub tes tsho stainless hlau sab nraud thiab lub raj hollow rotating.Lub plhaub sab nraud thiab lub plhaub sab hauv muaj qhov sib thooj nqus thiab txiav cov chaw nres nkoj, thiab muaj qhov tsis zoo ntawm lub plhaub sab hauv thiab sab nraud.Txhawm rau kom pom tseeb qhov tsim, nws tau muab piv rau Dyonics◊ Incisor◊ Plus ntxig.Cov tsos, cov cuab yeej hardness, hlau raj roughness, cuab yeej phab ntsa thickness, hniav profile, lub kaum sab xis, tag nrho cov qauv, qhov tseem ceeb qhov ntev, thiab lwm yam.ua hauj lwm nto thiab ib qho nyuaj thiab nyias nyias.Yog li, BJKMC cov khoom tuaj yeem ua haujlwm txaus siab hauv kev phais.
Kev sib koom ua ke hauv tib neeg lub cev yog ib hom kev sib txuas ntawm cov pob txha.Lawv yog cov txheej txheem nyuaj thiab ruaj khov uas ua lub luag haujlwm tseem ceeb hauv peb lub neej txhua hnub.Qee cov kab mob hloov cov khoom xa tawm hauv kev sib koom ua ke, ua rau muaj kev txwv tsis pub ua haujlwm thiab tsis ua haujlwm 1.Kev phais orthopedic yog ib qho nyuaj rau kev kho mob me me, thiab lub sijhawm rov qab los tom qab kev kho mob ntev.Kev phais arthroscopic yog ib txoj kev phais me me uas yuav tsum tau tsuas yog ib qho kev phais me me xwb, ua rau muaj kev raug mob thiab caws pliav, muaj lub sijhawm rov qab sai dua, thiab muaj teeb meem tsawg dua.Nrog rau kev txhim kho cov cuab yeej kho mob, cov txheej txheem phais mob me me tau maj mam dhau los ua cov txheej txheem niaj hnub rau kev kuaj mob orthopedic.Tsis ntev tom qab thawj zaug arthroscopic lub hauv caug phais, nws tau raug lees paub raws li kev phais mob los ntawm Kenji Takagi thiab Masaki Watanabe hauv Nyij Pooj 2,3.Arthroscopy thiab endoprosthetics yog ob qho tseem ceeb tshaj plaws kev nce qib hauv orthopedics 4.Niaj hnub no, minimally invasive arthroscopic phais yog siv los kho ntau yam mob thiab kev raug mob, nrog rau osteoarthritis, meniscal raug mob, anterior thiab posterior cruciate ligament raug mob, synovitis, intra-articular fractures, patellar subluxation, pob txha mos thiab xoob lub cev lesions.
Qhov xwm txheej ntawm kev phais arthroscopic tau nce ntau dua ob xyoo dhau los, thiab arthroscopic shaver systems tau dhau los ua cov cuab yeej siv orthopedic.Tam sim no, cov kws phais neeg muaj ntau yam kev xaiv muaj rau cov kws phais, suav nrog kev tsim kho pob txha caj qaum, kho meniscus, osteochondral grafting, hip arthroscopy, thiab facet joint arthroscopy, nyob ntawm seb qhov kev nyiam ntawm tus kws phais 1.Raws li cov txheej txheem phais arthroscopic nthuav dav rau ntau cov pob qij txha, cov kws kho mob tuaj yeem kuaj xyuas cov pob qij txha synovial thiab phais kho cov neeg mob nyob rau hauv txoj kev tsis xav txog yav dhau los.Tib lub sijhawm, lwm yam cuab yeej tau tsim.Lawv feem ntau muaj xws li ib chav tswj, ib tug handpiece nrog ib tug haib lub cev muaj zog thiab ib tug txiav cuab yeej.Cov cuab yeej dissection tso cai rau ib txhij thiab tas li nqus thiab debridement6.
Vim qhov nyuaj ntawm kev phais arthroscopic, ntau yam twj paj nruag feem ntau xav tau.Cov cuab yeej phais tseem ceeb siv hauv kev phais arthroscopic muaj xws li arthroscopes, sojntsuam txiab, punches, forceps, arthroscopic riam, meniscus hniav thiab rab chais, electrosurgical instruments, lasers, xov tooj cua zaus seev thiab lwm yam twj paj nruag 7.
rab chais yog ib qho cuab yeej tseem ceeb hauv kev phais.Muaj ob lub hauv paus ntsiab lus ntawm arthroscopic phais pliers.Thawj yog kom tshem tawm cov seem ntawm cov pob txha mos degenerated, suav nrog lub cev xoob thiab cov pob txha mos pob txha mos, los ntawm kev nqus thiab yaug qhov sib koom tes nrog cov ntsev ntsev kom tshem tawm cov kab mob hauv nruab nrog cev thiab cov kab mob inflammatory.Lwm qhov yog tshem tawm cov pob txha pob txha sib cais los ntawm cov pob txha subchondral thiab kho cov pob txha mos tsis xws luag.Lub torn meniscus yog excised thiab ib tug hnav thiab tawg meniscus yog tsim.Razors kuj tseem siv los tshem tawm qee qhov lossis tag nrho cov ntaub so ntswg inflammatory, xws li hyperplasia thiab thickening1.
Feem ntau minimally invasive scalpels muaj ib ntu txiav nrog lub hollow sab nrauv cannula thiab lub hollow puab raj.Lawv tsis tshua muaj 8 serrated hniav rau kev txiav ntug.Cov lus qhia hniav sib txawv muab ntau theem ntawm kev txiav lub zog rau rab chais.Pa arthroscopic rab chais hniav poob rau hauv peb pawg (Daim duab 1): (a) du hauv thiab sab hauv hlab;(b) du cov leeg sab nraud thiab serrated puab leeg;(c) serrated (uas yuav yog rab chais hniav)) sab hauv thiab sab nraud.9. Lawv sharpness mus rau cov ntaub so ntswg nce.Qhov nruab nrab siab kawg quab yuam thiab txiav efficiency ntawm ib tug pom ntawm tib specification yog zoo dua ib tug 10 tiaj bar.
Txawm li cas los xij, muaj ntau yam teeb meem nrog tam sim no muaj arthroscopic shavers.Ua ntej, cov hniav tsis ntse txaus, thiab nws yooj yim los thaiv thaum txiav cov ntaub so ntswg.Qhov thib ob, rab chais tsuas tuaj yeem txiav los ntawm cov nqaij mos synovial - tus kws kho mob yuav tsum siv lub burr los txhuam cov pob txha.Yog li ntawd, cov hniav yuav tsum tau hloov ntau zaus thaum lub sijhawm ua haujlwm, uas ua rau lub sijhawm ua haujlwm nce ntxiv.Txiav kev puas tsuaj thiab rab chais hnav kuj muaj teeb meem.Precision machining thiab kev tswj qhov tseeb tiag tiag tsim ib qho kev ntsuas ntsuas.
Thawj qhov teeb meem yog tias rab chais hniav tsis du txaus vim qhov sib txawv ntawm cov hniav sab hauv thiab sab nrauv.Kev daws teeb meem thib ob tuaj yeem ua kom lub kaum sab xis ntawm rab chais hniav thiab ua kom lub zog ntawm cov khoom ntawm kev tsim kho.
Tus tshiab BJKMC arthroscopic rab chais nrog ob chav serrated hniav tuaj yeem daws cov teeb meem ntawm cov npoo txiav, yooj yim clogging thiab ceev cov cuab yeej hnav.Txhawm rau kuaj qhov ua tau zoo ntawm BJKMC rab chais tsim tshiab, nws tau muab piv nrog Dyonics◊ tus khub, Incisor◊ Plus Blade.
Tus tshiab arthroscopic rab chais nta ib lub raj-hauv-tube tsim, nrog rau lub tes tsho stainless hlau sab nraud thiab ib lub voj voog rotating hollow puab raj nrog txuam suction thiab txiav cov chaw nres nkoj ntawm lub tes tsho sab nrauv thiab sab hauv lub raj.Lub puab thiab sab hauv casings yog notched.Thaum lub sijhawm ua haujlwm, lub zog hluav taws xob ua rau lub raj sab hauv tig, thiab lub raj sab nrauv tom nrog cov hniav, cuam tshuam nrog kev txiav.Cov ntaub so ntswg ua tiav thiab lub cev xoob raug tshem tawm los ntawm kev sib koom ua ke los ntawm lub raj sab hauv.Txhawm rau txhim kho kev ua tau zoo thiab kev ua tau zoo, ib qho kev sib txuas hniav tau xaiv.Laser vuam yog siv rau cov khoom sib xyaw.Cov qauv ntawm ib tug pa ob chav hniav shaving taub hau yog qhia nyob rau hauv daim duab 2.
Nyob rau hauv kev tsim qauv, sab nraud txoj kab uas hla ntawm lub anterior kawg ntawm lub arthroscopic shaver yog me ntsis me dua lub posterior kawg.Lub rab chais yuav tsum tsis txhob raug yuam mus rau hauv qhov chaw sib koom ua ke, vim tias ob qho tib si lub taub thiab ntug ntawm lub qhov rais txiav tau raug ntxuav tawm thiab ua rau cov pob txha puas.Tsis tas li ntawd, qhov dav ntawm lub qhov rais shaver yuav tsum loj txaus.Qhov dav ntawm lub qhov rais, qhov ntau txheej txheej ntawm cov shaver txiav thiab nqus, thiab qhov zoo dua nws tiv thaiv clogging ntawm lub qhov rais.
Sib tham txog cov nyhuv ntawm cov hniav profile ntawm txiav quab yuam.Tus qauv 3D ntawm rab chais yog tsim los ntawm SolidWorks software (SolidWorks 2016, SolidWorks Corp., Massachusetts, USA).Cov qauv ntawm lub plhaub sab nraud nrog cov hniav sib txawv tau raug xa mus rau hauv qhov kev pab cuam finite (ANSYS Workbench 16.0, ANSYS Inc., USA) rau kev ntsuas meshing thiab kev ntxhov siab.Mechanical zog (modulus ntawm elasticity thiab Poisson tus piv) ntawm cov ntaub ntawv yog muab nyob rau hauv lub rooj.1. Qhov ceev mesh siv rau cov ntaub so ntswg yog 0.05 hli, thiab peb ua kom zoo dua 11 lub ntsej muag nrog cov ntaub so ntswg (Fig. 3a).Tag nrho cov qauv muaj 40,522 nodes thiab 45,449 meshes.Nyob rau hauv qhov chaw ciam teb, peb tag nrho txwv 6 degrees ntawm kev ywj pheej muab rau 4 sab ntawm cov ntaub so ntswg mos thiab rab chais hniav yog tig 20 ° nyob ib ncig ntawm x-axis (Fig. 3b).
Kev soj ntsuam ntawm peb tus qauv rab chais (Daim duab 4) tau pom tias qhov taw tes ntawm kev ntxhov siab ntau tshaj plaws tshwm sim ntawm kev hloov pauv ntawm cov qauv, uas yog raws li cov khoom siv kho tshuab.rab chais yog ib qho khoom siv pov tseg 4 thiab muaj kev pheej hmoo me ntsis ntawm cov hniav tawg thaum siv ib zaug.Yog li ntawd, peb tsuas yog tsom rau nws cov peev xwm txiav.Qhov siab tshaj plaws sib npaug ntawm kev ntxhov siab ua rau cov ntaub so ntswg tuaj yeem cuam tshuam tus yam ntxwv no.Nyob rau hauv tib txoj kev khiav hauj lwm, thaum qhov siab tshaj plaws sib npaug kev ntxhov siab yog qhov loj tshaj plaws, nws yog thawj zaug txiav txim siab tias nws cov khoom txiav yog qhov zoo tshaj plaws.Nyob rau hauv cov nqe lus ntawm cov ntaub so ntswg kev nyuaj siab, 60 ° hniav profile chais ua rau lub siab tshaj plaws cov ntaub so ntswg shear stress (39.213 MPa).
Shaver thiab mos cov ntaub so ntswg kev nyuaj siab faib thaum chais sheaths nrog sib txawv hniav profiles txiav cov ntaub so ntswg mos: (a) 50 ° hniav profile, (b) 60 ° hniav profile, (c) 70 ° hniav profile.
Txhawm rau kom pom tseeb qhov tsim ntawm BJKMC hniav tshiab, nws tau muab piv nrog qhov sib npaug Dyonics◊ Incisor◊ Ntxiv cov hniav (Fig. 5) uas muaj qhov ua tau zoo ib yam.Peb hom zoo ib yam ntawm txhua yam khoom tau siv hauv txhua qhov kev sim.Txhua rab chais siv yog tshiab thiab tsis muaj kev puas tsuaj.
Cov yam ntxwv uas cuam tshuam rau kev ua haujlwm ntawm rab chais muaj xws li hardness thiab thickness ntawm cov hniav, roughness ntawm cov hlau raj, thiab cov profile thiab lub kaum sab xis ntawm cov hniav.Txhawm rau ntsuas qhov contours thiab lub kaum sab xis ntawm cov hniav, xaiv lub contour projector nrog qhov kev daws teeb meem ntawm 0.001 hli (Starrett 400 series, Fig. 6).Hauv kev sim, shaving hau tau muab tso rau ntawm lub rooj zaum ua haujlwm.Ntsuas cov hniav profile thiab lub kaum sab xis txheeb ze rau cov hlaws hla ntawm qhov kev ntsuas qhov screen thiab siv lub micrometer raws li qhov sib txawv ntawm ob kab los txiav txim qhov ntsuas.Qhov loj ntawm tus hniav profile yog muab faib los ntawm qhov loj ntawm lub hom phiaj xaiv.Txhawm rau ntsuas lub kaum sab xis ntawm tus hniav, ua kom cov ntsiab lus ruaj khov ntawm ob sab ntawm lub kaum sab xis ntsuas nrog cov kab sib tshuam ntawm lub ntsej muag hatched thiab siv lub kaum sab xis cursors hauv lub rooj los nyeem.
Los ntawm kev rov ua qhov kev sim no, qhov loj ntawm qhov ntev ntawm kev ua haujlwm ntev (cov raj sab hauv thiab sab nraud), cov kab nruab nrab sab hauv thiab sab nraud, qhov ntev thiab qhov dav, thiab qhov siab ntawm cov hniav raug ntsuas.
Txheeb xyuas qhov roughness ntawm qhov chaw nrog tus pinpointer.Lub ntsis ntawm lub cuab tam yog tsiv horizontally saum tus qauv, perpendicular mus rau cov kev taw qhia ntawm cov txheej txheem cej luam.Qhov nruab nrab roughness Ra yog tau ncaj qha los ntawm qhov ntsuas.Ntawm daim duab.7 qhia ib qho cuab yeej nrog rab koob (Mitutoyo SJ-310).
Lub hardness ntawm rab chais hniav yog ntsuas raws li Vickers hardness test ISO 6507-1: 20055.Lub pob zeb diamond indenter yog nias rau saum npoo ntawm cov qauv rau ib lub sij hawm muab nyob rau hauv ib qho kev sim quab yuam.Tom qab ntawd cov kab pheeb ces kaum ntev ntawm qhov indentation tau ntsuas tom qab tshem tawm cov indenter.Vickers hardness yog proportional rau qhov sib piv ntawm qhov kev sim quab yuam rau qhov chaw ntawm qhov kev xav.
Phab ntsa tuab ntawm lub taub hau shaving yog ntsuas los ntawm kev ntxig ib lub taub hau cylindrical nrog qhov tseeb ntawm 0.01 hli thiab qhov ntsuas ntawm kwv yees li 0-200 hli.Phab ntsa tuab yog txhais raws li qhov sib txawv ntawm cov txheej txheem sab nraud thiab sab hauv ntawm lub cuab yeej.Cov txheej txheem sim ntsuas qhov tuab yog qhia hauv daim duab 8.
Cov qauv kev ua tau zoo ntawm BJKMC rab chais tau muab piv nrog cov Dyonics ◊ rab chais ntawm tib qhov tshwj xeeb.Cov ntaub ntawv kev ua tau zoo rau txhua qhov ntawm cov khoom yog ntsuas thiab sib piv.Raws li cov ntaub ntawv seem, kev txiav peev xwm ntawm ob qho khoom yog kwv yees.Ob qho khoom lag luam muaj cov yam ntxwv zoo heev, kev sib piv ntawm cov khoom siv hluav taws xob los ntawm txhua sab tseem xav tau.
Raws li kev sim lub kaum sab xis, cov txiaj ntsig tau pom nyob rau hauv Table 2 thiab Table 3. Qhov nruab nrab thiab tus qauv sib txawv ntawm cov ntaub ntawv lub kaum sab xis profile rau ob yam khoom tsis sib txawv.
Ib qho kev sib piv ntawm qee qhov tseem ceeb ntawm ob yam khoom yog qhia hauv daim duab 9. Hais txog qhov dav thiab qhov ntev ntawm lub raj sab hauv thiab sab nraud, Dyonics◊ qhov rais sab hauv thiab sab nraud yog me ntsis ntev thiab dav dua li ntawm BJKMC.Qhov no txhais tau hais tias Dyonics◊ tuaj yeem muaj chaw ntau dua los txiav thiab cov raj tsis tshua muaj qhov txhaws.Ob yam khoom tsis sib txawv raws li kev txheeb cais ntawm lwm yam.
Qhov chaw ntawm BJKMC rab chais yog txuas nrog laser vuam.Yog li ntawd, tsis muaj sab nraud siab ntawm lub vuam.Qhov yuav tsum tau welded tsis raug thermal stress lossis thermal deformation.Qhov vuam yog nqaim, qhov nkag mus yog loj, lub zog ntawm qhov vuam yog siab, qhov kev vibration muaj zog, qhov cuam tshuam tsis kam yog siab.Laser-welded Cheebtsam yog cov txhim khu kev qha hauv kev sib dhos14,15.
Surface roughness yog ib qho kev ntsuas ntawm qhov kev ntxhib los mos ntawm ib qho chaw.Cov khoom siv high-frequency thiab luv-yoj ntawm qhov ntsuas, uas txiav txim siab qhov kev cuam tshuam ntawm cov khoom thiab nws ib puag ncig, raug txiav txim siab.Lub tes tsho sab hauv ntawm rab riam sab hauv thiab sab hauv ntawm lub raj sab hauv yog qhov chaw ua haujlwm tseem ceeb ntawm rab chais.Txo qhov roughness ntawm ob qhov chaw tuaj yeem txo qhov hnav ntawm rab chais thiab txhim kho nws cov kev ua tau zoo.
Qhov saum npoo roughness ntawm lub plhaub sab nrauv, nrog rau qhov chaw sab hauv thiab sab nrauv ntawm cov hniav sab hauv ntawm ob lub raj hlau, tau txais kev sim.Lawv qhov nruab nrab qhov tseem ceeb tau pom nyob rau hauv daim duab 10. Sab hauv ntawm lub plhaub sab hauv thiab sab nrauv ntawm cov riam sab hauv yog cov chaw ua haujlwm tseem ceeb.Qhov roughness ntawm sab hauv ntawm scabbard thiab sab nrauv ntawm BJKMC puab riam yog qis dua li cov khoom zoo sib xws Dyonics◊ (tib yam specification).Qhov no txhais tau tias BJKMC cov khoom tuaj yeem muaj txiaj ntsig zoo ntawm kev txiav kev ua haujlwm.
Raws li cov hniav hardness test, cov ntaub ntawv kev sim ntawm ob pawg ntawm rab chais hniav yog qhia nyob rau hauv daim duab 11. Feem ntau arthroscopic chais yog ua los ntawm austenitic stainless hlau vim lub siab zog, toughness thiab ductility yuav tsum tau rau rab chais hniav.Txawm li cas los xij, BJKMC shaving hau yog tsim los ntawm 1RK91 martensitic stainless hlau.Martensitic stainless hlau muaj zog dua thiab tawv dua li austenitic stainless hlau17.Cov ntsiab lus tshuaj nyob rau hauv BJKMC cov khoom ua tau raws li qhov yuav tsum tau muaj ntawm S46910 (ASTM-F899 Surgical Instruments) thaum lub sij hawm forging txheej txheem.Cov khoom siv tau raug kuaj rau cytotoxicity thiab yog siv dav hauv cov khoom siv kho mob.
Nws tuaj yeem pom los ntawm cov txiaj ntsig ntawm kev txheeb xyuas qhov kawg uas qhov kev ntxhov siab ntawm rab chais yog qhov tseem ceeb ntawm cov hniav profile.IRK91 yog lub zog muaj zog supermartensitic stainless hlau nrog siab toughness thiab zoo tensile lub zog ntawm ob chav tsev kub thiab siab kub.Lub zog tensile ntawm chav tsev kub tuaj yeem ncav cuag ntau dua 2000 MPa, thiab qhov siab tshaj plaws tus nqi raws li kev txheeb xyuas lub ntsiab lus tseem ceeb yog kwv yees li 130 MPa, uas nyob deb ntawm qhov kev txwv ntawm cov khoom siv.Peb ntseeg hais tias qhov kev pheej hmoo ntawm cov hniav tawg yog qhov tsawg heev.
Lub thickness ntawm cov hniav ncaj qha cuam tshuam rau kev txiav lub peev xwm ntawm rab chais.Lub thinner phab ntsa thickness, qhov zoo ntawm kev txiav.Tus tshiab BJKMC rab chais minimizes phab ntsa thickness ntawm ob opposing rotating tuav, thiab lub taub hau muaj ib tug nyias phab ntsa dua nws counterparts los ntawm Dyonics◊.Cov riam nyias nyias tuaj yeem ua kom lub zog txiav ntawm lub ntsis.
Cov ntaub ntawv hauv Table 4 qhia tau hais tias cov phab ntsa tuab ntawm BJKMC rab chais ntsuas los ntawm compression-rotation phab ntsa thickness ntsuas txoj kev yog me dua li ntawm Dyonics◊ rab chais ntawm tib yam specification.
Raws li kev sim sib piv, tus tshiab BJKMC arthroscopic rab chais pom tsis muaj qhov sib txawv ntawm cov qauv Dyonics◊ zoo sib xws.Piv nrog rau Dyonics◊ Incisor◊ Ntxiv cov khoom siv hauv cov khoom siv, BJKMC ob lub hniav inserts muaj qhov ua haujlwm zoo dua qub thiab lub ntsej muag tawv thiab nyias.Yog li, BJKMC cov khoom tuaj yeem ua haujlwm txaus siab hauv kev phais.Txoj kev tshawb no tau tsim los yav tom ntej thiab kev ua haujlwm tshwj xeeb yuav tsum tau sim hauv cov kev sim tom ntej.
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Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT Tight medial knot tying tuaj yeem ua rau muaj kev pheej hmoo rov qab tom qab transosseous sib npaug ntawm kev kho cov rotator cuff tendon. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT Tight medial knot tying tuaj yeem ua rau muaj kev pheej hmoo rov qab tom qab transosseous sib npaug ntawm kev kho cov rotator cuff tendon. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT Тугое завязывание медиального узла может увеличить риск правско остного эквивалентного восстановления сухожилия вращательной манжеты плеча. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT Tight ligation ntawm lub ligament medial yuav ua rau muaj kev pheej hmoo ntawm rov rupture tom qab transosseous sib npaug kho ntawm rotator cuff tendon ntawm lub xub pwg nyom. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT 紧内侧打结可能会增加肩袖肌的腱经骨等效修傩. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT Тугие медиальные узлы могут увеличить риск повоморногов разрары жеты плеча после костной эквивалентной пластики. Sano, H., Tokunaga, M., Noguchi, M., Inawashiro, T. & Yokobori, AT Tight medial ligaments yuav ua rau muaj kev pheej hmoo ntawm rov rupture ntawm rotator cuff tendon ntawm lub xub pwg nyom tom qab pob txha sib npaug arthroplasty.Kev tshawb fawb biomedical.alma mater Britain.28(3), 267–277 (2017).
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Txoj kev tshawb no tsis tau txais cov nyiaj tshwj xeeb los ntawm ib lub koom haum pab nyiaj hauv pej xeem, kev lag luam, lossis cov haujlwm tsis muaj txiaj ntsig.
Tsev Kawm Ntawv Kho Mob thiab Khoom Noj Khoom Noj Khoom Noj, Shanghai University of Technology, No. 516, Yungong Road, Shanghai, People's Republic of China, 2000 93