Gɛnɛgɛnɛw ka joli-sira-funu (UKA) ye opereli wɛrɛ ye min bɛ se ka kɛ gɛnɛgɛnɛ kolotuguda bɛɛ lajɛlen na (TKA) walasa ka kolotuguda kelen-kelen bɛɛ furakɛ. Nka, kunnafoniw minnu bɛ UKA ka dɛsɛ hakɛ kan, olu b’a jira ko san 7 ɲɛnamaya hakɛ ye 74% ye, o min ka dɔgɔ kosɛbɛ ka tɛmɛ TKA ta kan (92%). Hali ni banabagatɔw yɛrɛ ka kow bɛ dɔ fara u ka dɛsɛ kan, i n’a fɔ banabagatɔ fitininw ani farikolo girinya hakɛ caman (BMI) bɛ se ka dɔ fara UKA dɛsɛ farati kan, opereli fɛɛrɛw filiw jatera farati nafamaw ye dɛsɛ joona. UKA la, a ka gɛlɛn ka prothèse alignment ɲuman sɔrɔ ani ka overhang (overhang) sɔrɔ. Tibiya prothèse ka kan ka bonya ani ka don a la cogo la min bɛ farikolo yɔrɔ nugulamaw ka dimi dɔgɔya, ani tibial overhang cɛmancɛ la min ka ca ni milimɛtɛrɛ 3 ye, o jirala ko faratiba don oxford gɛnɛgɛnɛ hakɛ dɔgɔyali la (OKs) ani ka dimi caya. Nin kalan in kuntilenna fɔlɔ tun ye ka UKA ka kɛnɛyako ni jateminɛko bɛɛ lajɛlen jateminɛ. Laɲini filanan tun ye ka prothèse malarigment ni overhang nɔ jateminɛ min bɛ kɛ ka ɲɛsin fɛnw doncogo ma.Unicompartmental Gɛnɛgɛnɛ arthroplastie (UKA) ye opereli wɛrɛ ye min bɛ se ka kɛ gɛnɛgɛnɛ kolotuguda bɛɛ lajɛlen na (TKA) ka ɲɛsin kolotuguda kelen furakɛli ma. Nka, kunnafoniw minnu bɛ UKA ka dɛsɛ hakɛ kan, olu b’a jira ko san 7 ɲɛnamaya hakɛ ye 74% ye, o min ka dɔgɔ kosɛbɛ ka tɛmɛ TKA ta kan (92%). Hali ni banabagatɔw yɛrɛ ka kow bɛ dɔ fara u ka dɛsɛ kan, i n’a fɔ banabagatɔ fitininw ani farikolo girinya hakɛ caman (BMI) bɛ se ka dɔ fara UKA dɛsɛ farati kan, opereli fɛɛrɛw filiw jatera farati nafamaw ye dɛsɛ joona. UKA la, a ka gɛlɛn ka prothèse alignment ɲuman sɔrɔ ani ka overhang (overhang) sɔrɔ. Tibiya prothèse ka kan ka bonya ani ka don a la cogo la min bɛ farikolo yɔrɔ nugulamaw ka dimi dɔgɔya, ani tibial overhang cɛmancɛ la min ka ca ni milimɛtɛrɛ 3 ye, o jirala ko faratiba don oxford gɛnɛgɛnɛ hakɛ dɔgɔyali la (OKs) ani ka dimi caya. Nin kalan in kuntilenna fɔlɔ tun ye ka UKA ka kɛnɛyako ni jateminɛko bɛɛ lajɛlen jateminɛ. Laɲini filanan tun ye ka prothèse malignment ni overhang nɔ jateminɛ ka ɲɛsin fɛnw doncogo ɲɛnamaya ma.
Fɛɛrɛw .
Nin ɲinini in kɛra san kelen sɛgɛsɛgɛli ye min kɛra cɛ ni muso banabagatɔ minnu ye UKA kɛ cɛmancɛ la an ka baarada la k’a ta san 2008 zanwuyekalo la ka se san 2017 desanburukalo ma, ani banabagatɔ bɛɛ ye UKA kɛ ni fɛɛrɛ jɔnjɔnw ye.Exclusion critères pour UKA, o tun ye valgus tiɲɛni hakɛ danma ye, patelloral compartment arthritis, posterior tibial displace, and instAbility. Dɔgɔtɔrɔso ni ja lajɛw sɔrɔla ka bɔ kɛnɛyaso sɛbɛnw ni sigida kunnafonidilanw lajɛ kɔfɛ. Femoral coronal ani sagittal angles (FCA ani FSA) ani tibial coronal ani sagittal angles (TCA ani TSA) suman na radiyografuw kan plati-platform bɛɛ la ani u bɛ se ka wuli-ka-bɔ, i n’a fɔ a jiralen bɛ cogo min na.
![TCA ni TSA .]()
Jaabi
O kɔfɛ, a kɛra san 4,9 ye (san 0,03 ka se san 10,2 ma). An ye seginnkanni opereli 36 sɔrɔ minnu bɛ san 3,7 (san 0,03 fo 8,7) sɔrɔ opereli kɔfɛ ani ka dɛsɛ hakɛ lajɛlen 14,2%. San 5 ɲɛnamaya kɛra 88,0% (95% dannaya hakɛ [CI]=82,0% fo 91,0%) ani san 10 ɲɛnamaya kɛra 70,0% (95% CI=56,0% ka se 80,0%).
![微信图片_20221107140537 .]()
Kun minnu ka teli ka kɛ ka segin u kan, olu ye prothèse alignment (31%), masinw tiɲɛni (22%), kolotugudaw (14%) ka taa ɲɛ, ani dimi ɲɛfɔbali (8%) ka taa ɲɛ.
UKAS 11,9% dɔrɔn de ye ɲɔgɔndan ni prothèse (prothèse) dafalen bɛɛ sɔrɔ. Prothèse ɲɛfɛla jiginni tun tɛ faratiba ye UKA dɛsɛ la (10,0% dɛsɛ hakɛ, p=0,090), ani kɔfɛla kɔfɛla (25,0%, p=0,006) ani prothèse medial (38,2%, p<0,001) ye faratiba ye UKA dɛsɛ la.
Ka jɛkafɔ kɛ
Nin kalan in kɔnɔ, an ye UKA cɛmancɛ ka kɛnɛyako ni ja sɔrɔcogo jateminɛ ani prothèse alignment ani overhang nɔfɛkow. San 5 ni 10 ɲɛnamaya hakɛ kɛra 88% ni 70% ye, wa u tun ka dɔgɔ kosɛbɛ ka tɛmɛ TKA ta kan. Seginkanni taamasiɲɛ minnu tun ka teli ka kɛ, olu tun ye prothèse ka ɲɔgɔndɛmɛbaliya ye, ka kɛ ni masinw ka dɛsɛ ye, ani ka kolotugudaw ka banaw ɲɛ. Prothèse alignment jugu ani kɔfɛ ani cɛmancɛ ani cɛmancɛ la, o ye farati nafamaw ye UKA seginnkanni na.
Sɛbɛn bɔlenw kɔnɔ, UKA dɛsɛ sababuba fila ye aseptiki lajɔli ni kolotugudaw ɲɛtaa ye, olu fila bɛɛ doni tilali bɛnbali don, o b’a jira ko UKA dɛsɛ sababu minnu fɔra sanfɛ, olu bɛ se ka kɛ masinw ye u cogoya la. Nin dalilu in b’a jira ko prothèse (nafolo) ɲɔgɔndanbaliya ye UKA dɛsɛli sababu ye min bɛ se ka kɛ sababu ye ka u ka bana bila ka ɲɛ. O la, an dalen b’a la ko cɛsiriw ka kan ka kɛ walasa ka opereli fɛɛrɛw ɲɛ ka ɲɛ walasa ka UKA prothèse ka ɲɔgɔndɛmɛ ɲɛ ani ka dɔ bɔ overhang sɔrɔli la.
Sisan sɔrɔlenw b’a jira ko jɛɲɔgɔnya barikama min bɛ prothèse (prothèse) ɲɔgɔndɛmɛ jugu/overhang (dafalen) ni seginnkanni farati cɛ, o b’a jira ko fɛɛrɛ bɛ se ka kɛ dɛsɛ hakɛ caman na min kɔlɔsira nin ɲinini in na. Operelikɛla ka se ka kɛ tiɲɛ ye tuma bɛɛ prothèse bilali la, o ye fɛn nafama ye min bɛ dɛmɛ don ka UKA ka ɲɛnamaya hakɛw ɲɛ.
Orthopedic Implants ani Orthopedic Instruments (Fɛn minnu bɛ se ka kɛ ka ɲɛgɛnɛ kɛ) san cogo min na, o ye .
Kosɔn CzMedItech , an bɛ ni kolotuguda opereli fɛnw ye minnu dafalen don kosɛbɛ ani minɛnw minnu bɛ bɛn o ma, o ye fɛn ye . Spine Implants ., Nails intramedullaires ., Plate de traume ., locking plate ., kunkolo-maxillo-facial ., Prothèse ., Seko ni dɔnko baarakɛminɛnw ., kɛnɛma fixateurs ., Arthroscopie ., Baganw ladonni n’u dɛmɛnanw.
Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.
An bɛ taa jamana wɛrɛw la, o la aw bɛ se ka . Aw ye anw sɔrɔ email adrɛsi la song@orthopedic-china.com ka sɔrɔ ka quotation sɔrɔ fu, walima ka ci bila WhatsApp kan walasa ka jaabi teliya sɔrɔ +86- 18112515727 .
Ni aw b'a fɛ ka kunnafoni wɛrɛw dɔn,click . CzMeditech ka kunnafoni wɛrɛw sɔrɔ.
