Matsayin Prosthesis: UKA prosthesis Overhang zai haifar da wane sakamako?

Unicompartmental knee arthroplasty (UKA) is a surgical alternative to total knee arthroplasty (TKA) for the treatment of unicompartmental osteoarthritis. Koyaya, bayanai akan ƙimar gazawar UKA sun nuna adadin rayuwa na shekaru 7 na 74%, wanda yayi ƙasa da na TKA (92%). Kodayake abubuwan da ke cikin marasa lafiya suna ƙara haɗarin gazawa, irin su ƙananan marasa lafiya da mafi girman ma'auni na jiki (BMI) na iya ƙara haɗarin gazawar UKA, an yi la'akari da kurakuran fasaha na tiyata a matsayin mahimman abubuwan haɗari don gazawar farko. A cikin UKA, yana da ƙalubale don cimma ingantacciyar daidaitawar prosthetic da overhang (overhang). Ya kamata a yi girma da kuma dasa prosthesis na tibial a cikin hanyar da ta rage yawan haushi mai laushi, kuma an nuna alamar tibial overhang fiye da 3 mm ya zama babban haɗari ga raguwar Ƙwararrun Ƙwararrun Oxford (OKS) da kuma yawan ciwo. Babban makasudin wannan binciken shine don kimanta cikakken sakamakon asibiti da hoto na UKA. Makasudin na biyu shine don tantance tasirin rashin daidaituwa na prosthetic da wuce gona da iri akan rayuwar dasa. Koyaya, bayanai akan ƙimar gazawar UKA sun nuna adadin rayuwa na shekaru 7 na 74%, wanda yayi ƙasa da na TKA (92%). Kodayake abubuwan da ke cikin marasa lafiya suna ƙara haɗarin gazawa, irin su ƙananan marasa lafiya da mafi girman ma'auni na jiki (BMI) na iya ƙara haɗarin gazawar UKA, an yi la'akari da kurakuran fasaha na tiyata a matsayin mahimman abubuwan haɗari don gazawar farko. A cikin UKA, yana da ƙalubale don cimma ingantacciyar daidaitawar prosthetic da overhang (overhang). Ya kamata a yi girma da kuma dasa prosthesis na tibial a cikin hanyar da ta rage yawan haushi mai laushi, kuma an nuna alamar tibial overhang fiye da 3 mm ya zama babban haɗari ga raguwar Ƙwararrun Ƙwararrun Oxford (OKS) da kuma yawan ciwo. Babban makasudin wannan binciken shine don kimanta cikakken sakamakon asibiti da hoto na UKA. Makasudin na biyu shine a tantance tasirin rashin daidaituwa na prosthetic da wuce gona da iri akan rayuwar dasa.

Hanyoyin

Wannan binciken ya kasance binciken bincike guda ɗaya wanda ya haɗa da maza da mata marasa lafiya waɗanda suka shiga tsakani UKA a cibiyar mu daga Janairu 2008 zuwa Disamba 2017, kuma duk marasa lafiya sun yi amfani da UKA ta hanyar amfani da daidaitattun hanyoyin. An samo sakamakon asibiti da na hoto daga sake dubawa na bayanan asibiti da bayanan cibiyoyin. Femoral coronal da sagittal kusurwa (FCA da FSA) da tibial coronal da sagittal angles (TCA da TSA) an auna su akan radiyo don duk kafaffen dandamali da UKAs masu motsi, kamar yadda aka nuna.

Sakamako

Matsakaicin bin diddigin ya kasance shekaru 4.9 (0.03 zuwa shekaru 10.2). Mun gano 36 tiyata na bita tare da ma'anar shekaru 3.7 (0.03 zuwa 8.7 shekaru) bayan aikin da kuma yawan gazawar 14.2%. Rayuwar shekaru 5 shine 88.0% (95% tazarar amincewa [CI] = 82.0% zuwa 91.0%) da rayuwa na shekaru 10 shine 70.0% (95% CI = 56.0% zuwa 80.0%).

Dalilan da suka fi dacewa don bita shine rashin daidaituwa / rashin daidaituwa na prosthesis (31%), gazawar injiniya (22%), ci gaban osteoarthritis (14%), da ciwo maras tabbas (8%).

Kashi 11.9% na UKAs ne kawai suka cimma duk daidaitawar da ake so da ɗaukar hoto. Ƙarfafawar baya na prosthesis ba wani abu mai mahimmanci ba ne ga gazawar UKA (10.0% rashin nasara, p = 0.090), da kuma raguwa na baya (25.0%, p=0.006) da kuma tsaka-tsakin tsaka-tsaki na prosthesis (38.2%, p <0.001 don UKA) sun kasance masu haɗari.

Tattaunawa

A cikin wannan binciken, mun yi la'akari da sakamakon asibiti da kuma hotuna na medial UKA da tasirin alignment na prosthetic da overhang. 5- da 10-shekara adadin tsira sun kasance 88% da 70%, bi da bi, kuma sun kasance ƙasa da ƙasa fiye da na TKA. Alamu na yau da kullun don bita shine rashin daidaituwa na prosthetic, gazawar injiniya, da ci gaban osteoarthritis. Matsakaicin rashin daidaituwa na prosthesis da na baya da na tsakiya sune mahimman abubuwan haɗari don sake fasalin UKA.

A cikin wallafe-wallafen da aka buga, manyan dalilai guda biyu na gazawar UKA sune sassautawar aseptic da ci gaban osteoarthritic, dukansu biyu suna da rarraba nauyin nauyin da ba daidai ba, suna nuna cewa abubuwan da aka ambata a sama na gazawar UKA na iya zama na inji a yanayi. Wannan shaidar tana nuna cewa rashin daidaituwar aikin prosthesis shine yuwuwar sanadin farkon gazawar UKA. Sabili da haka, mun yi imanin cewa ya kamata a yi ƙoƙari don inganta dabarun tiyata don inganta aikin UKA prosthesis alignment da kuma rage abin da ya faru na overhang.

Abubuwan da aka gano na yanzu suna nuna cewa ƙaƙƙarfan haɗin kai tsakanin rashin daidaituwa / overhang na prosthesis da haɗarin sake dubawa yana nuna wata hanyar da za ta iya haifar da babban gazawar da aka lura a cikin wannan binciken. Ƙwararrun likitan fiɗa don kasancewa daidai a cikin jeri na prosthesis muhimmin abu ne don taimakawa wajen inganta ƙimar rayuwa ta UKA.

Yadda Ake Siyan Kayan Gyaran Orthopedic da Instruments?

Domin CZMEDITECH , muna da cikakken samfurin layi na kayan aikin tiyata na orthopedic da kayan aiki masu dacewa, samfurori ciki har da kashin baya implants, intramedullary kusoshi, farantin rauni, farantin kulle, cranial-maxillofacial, prosthesis, kayan aikin wuta, masu gyara waje, arthroscopy, kula da dabbobi da saitin kayan aikinsu.

Bugu da kari, mun himmatu wajen ci gaba da bunkasa sabbin kayayyaki da fadada layin samfur, ta yadda za a iya biyan bukatun tiyata na karin likitoci da marasa lafiya, da kuma sa kamfaninmu ya kara yin gasa a cikin dukkan masana'antar sarrafa kasusuwa ta duniya da masana'antar kayan aiki.

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