Yuav ua li cas yog periprosthetic fracture kho?

Lub hom phiaj

Periprosthetic pob txha ntawm cov neeg ua txhaum cai poj niam yog qhov teeb meem loj hauv pob ntseg hip arthroplasty. Cov ntsiab lus tshaj tawm yog 3.5% 20 xyoo tom qab cog thaum pib thiab nce nrog qhov tshwm sim ntawm kev hloov pob qij txha. Kev sib tsoo hluav taws xob feem ntau cuam tshuam nrog cov chiv tsis tau ua. Feem ntau, kev sib tw sib kis tau tshwm sim hauv cov neeg laus dua cov neeg laus uas tau poob qis hauv kev phais. Txawm hais tias muaj kev sib txawv thoob ntiaj teb nyob rau hauv kev siv cov cemented thiab uncemented stems, tsis muaj cov pov thawj tseeb uas muaj kev pheej hmoo siab dua lwm tus. Cov Vancouver cov haujlwm ua haujlwm rau periprosthetic femoral pob txha pob txha pob zeb tau muab dav los ntawm cov kws phais mob tau hais tawm thiab tau pom tias muaj kev ntseeg siab.

Lub hom phiaj tseem ceeb ntawm txoj kev tshawb no yog los txiav txim siab qhov kev sib raug zoo ntawm Vancouver kev faib tawm ntawm kev ua kom tiav thiab tsis hloov lub qhov av. Lub hom phiaj thib ob tau los tshawb xyuas qhov sib txawv hauv cov yam ntxwv ntawm cov neeg mob uas muaj ob hom pob txha lov.

Cov ntaub ntawv thiab cov hau kev

Tus Neeg Mob:

1. Cov neeg mob series nrog sib law liag sib law liag periprosthetic pob txha lov.

2. Tsuas yog cov neeg mob uas yog thawj lub ntsag pariprosthetic pob txha tawg tau suav nrog.

3. Cov neeg mob uas muaj kev lag luam tsis sib xws, kho dua lub duav pob txha lov, thiab txhais tes tsis sib xws.

   
   

Cov Ntaub Ntawv Ntaub Ntawv:

1. Digital iPhoneraphy thiab ua piv rau Tomography raws cov ntaub ntawv hluav taws xob thiab tsom xam.

2. Cov ntsiab lus hauv qab cov ntsiab lus sau cia suav nrog cov hnub nyoog, kev sib deev, kev sib deev ntawm lub cev, thiab tsawg dua kev poob siab lossis kev vam khom rau kev saib xyuas.

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Kev phais cov ntaub ntawv sau tseg:

1. Lub sij hawm los ua ntej cog, qhia rau arthroplasty (osteoaritis lossis bemented lossis tsis tsim nyog), thiab hom arthroplasty (tag nrho lossis semiarthoplasty) tau suav nrog.

2. Cov ntsiab lus piav qhia cov ntaub ntawv suav nrog Vancouver Kev Sib Tw, Varus vertebal txoj hauj lwm, thiab Dorr kev faib tawm.

3. Qia geometry (conical lossis compound rau cemented stems, ncaj lossis wedge-puab rau cov tsis muaj tseeb raws lub tshuab hluav taws xob.

4. Kev txiav txim siab ntawm Vancouver kev faib tawm tau raws cov kev tshawb pom thiab tshawb pom kev tshawb pom hauv kev phais mob.

5. Kev txheeb xyuas cov ntsiab lus tau ua tiav siv cov khoom lag luam txuas ntxiv

6. Txhua qhov kev sim siab yog ob-tog nrog qib tseem ceeb ntawm 0.05. Kev Tshawb Fawb Txog Kev Tshawb Fawb tau ua tau siv Graphpad Prism version 8.0.0.

   
   

Qho kawg

Tus naj npawb ntawm cov neeg mob:

1. Nug tag nrho ntawm 1181 cov neeg mob raug txheeb xyuas los ntawm kev nug cov chaw pw hauv tsev kho mob.

2. 978 Cov neeg mob uas muaj cov neeg mob uas tsis yog periprosthetic qhov kev sib tw femur tau raug cais tawm.

3. Ntawm cov seem ntawm 203 tus neeg mob, 8 muaj kev sib koom tes ua pob txha lov, 6 tau hloov kho ib zaug, thiab 17 tau periprosthetic pob txha lov

4. Tag nrho ntawm 172 cov neeg mob suav nrog tom qab kev cais tawm.

5. Txhua qhov kev tawg pob txha tshwm sim tom qab lub caij nplooj zeeg. Femoral STRE TOJ TOJ TUB COULY GRATAS GROUD GRATESS HAUV 84 rooj plaub tsis muaj Maas

6. Muaj 88 qhov xwm txheej hauv pawg.

   
   

Cov yam ntxwv hauv lub hauv paus:

1. Muaj ntau qhov sib txawv ntawm cov pab pawg hauv lub hnub nyoog, lub sijhawm ua ntej cog lus, tseem ceeb ntawm lub caj dab caj dab, cov cua sib dhos ua ke, thiab kev ntsuas lub cev.

2. Tshwj xeeb, nyob rau hauv cov pab pawg xis mas, feem ntau yog hemiarothoplasty.

3. Tsis muaj ib qho txawv ntawm cov pab pawg nrog kev sib deev, dorr kev sib deev, thiab ua kom muaj kev sib deev lossis tsis muaj kev vam khom ua ntej.

4. Hauv pawg cemented, feem ntau yog tapered thiab tus so tau tsim qauv.

5. Hauv pab pawg tsis raug cai, feem ntau cov cim tau ncaj thiab tus so yog nquab-puab.

   
   

Vancouver pawg:

1. Vancouvverb2 Kev cais tawm tau muab cais ua plaub txawv cov txheej txheem: yav tas los tau ua tiav 'tawg tau zoo ' Ib tus sawv cev X-ray cov tsos ntawm cov koob thiab coj graphical qhia tawm yog qhia (daim duab 1).

2. Tawg Rog thiab muab cov kab mob sib tsoo tau cuam tshuam nrog cov cemented stems, whereas nrov plig plawg pob txha tawg tau cuam tshuam nrog cov khoom tsis tau ua haujlwm.

3. Rov qab Clamshls Rov Qab tshwm sim zoo sib xws hauv ob qho cwj pwm.

4. Lub koom haum ntawm Vancouver kev faib tawm subtypes, suav nrog plaub hom piav saum toj no, nrog qia geometry qhia txog cov qauv dav dav hauv pob txha dav hauv pob txha dav hauv pob zeb loj.

Sib tham

Txog rau hnub tim, qhov no yog qhov loj tshaj plaws rau kev sib txuas ncaj qha rau kev sib raug zoo ntawm cemented thiab uncemented qia periprosthetic bactures thiab vancouver faib tawm:

• Tsis muaj qhov sib txawv ntawm kev sib txuam ntawm cov cemented thiab tsis tsim nyog cov stems hauv Vancouver yam A, B, lossis C tuaj. Qhov tshwm sim ntawm Vancouvverb2 pob txha pob tau zoo ib yam hauv ob pab pawg, qhia tias yog tib yam ntawm kev ruaj khov thiab tsis ruaj khov nyob rau hauv periprosthetic pob txha hauv ob pawg.

• Hauv kev sib piv, Fenelon li al. Kev tshuaj ntsuam periprosthetic pob txha lov nrog ua kom khov thiab uncemented stems. Nws yog tseeb tias cov neeg mob uas muaj pob txha hauv Vancouver B2 thiab B3 yog qhov siab dua.

• Phillips li al. Piav qhia qhov tseeb tau ua yog muaj kev sib tsoo 'tawg' Qhov kev sim no tau pom tias yog cuam tshuam nrog cov cemented stems hauv txoj kev kawm no.

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• Lub siab tau txiav txim siab ntawm cov pob txha ua kom muaj kev txhawj xeeb txog cov pob txha ua tsis tau zoo, thiab cov pob txha lov feem ntau yuav tsum tau ua tib zoo tshem cov cement thiab dhau los nrog cov kabmob sib txawv.

• Capello li al. Tau piav txog 'flip-flop ' tawg txuam nrog cov tsis tau ua tsis tau muaj tseeb, thiab cov kev tshawb pom pom txog qhov kev tshawb pom no. Lub tshuab hluav taws xob los ntawm lub hauv paus nruab nrab ntawm cov neeg siv hluav taws xob ntau dua, txuas ntxiv rau cov medial cortex, thiab khaws cia rau tom qab cortex, distal mus rau lub chaw muag khoom qis dua. Kev nthuav dav ntawm Talar thaj tsam thiab cov khoom ntawm cov qia yog cov cim hluav taws xob ntawm cov qia tsis muaj peev xwm. Cov kev tshawb fawb yav dhau los tau pom ib lub koom haum tseem ceeb ntawm qhov kev sim no nrog cov qauv tsim tawm thiab cov qauv tsim, thiab txoj kev kawm no txhawb cov koom haum no.

• Cov lus sau ntawv thiab cov lus piav qhia txog cov qauv helical ntawm cov qauv hauv kev ua kom cov tawv nqaij, feem ntau cuam tshuam nrog kev sib cais los ntawm cov khoom sib cais thiab kev ua haujlwm loj heev. Tus naj npawb ntawm helical pob txha hauv cov xasased qia tau nce nyob rau hauv lub tubular cem ib yam li cov pob txha.

• Hauv lub tshuab txheeb xyuas ntawm ntau tus naj npawb ntawm cov pob zeb uas tau pom tias cov pab neeg tshawb xyuas pom tias cov qauv txheej txheem tsis tau piav qhia hauv cov ntawv nyeem. Lub pob txha pib los ntawm cov medial calcar hla dhau ntawm Cortex tom qab, tawm hauv lub nroog Cortex tsis zoo. Hom pob zeb no yog hu ua ib qho rov qab 'tiaj nrhoo'

• Lub npe no tau xaiv rau ob qho laj thawj: Ua ntej, nws yog daim iav duab ntawm Engine Parique Seboratal Qhov chaw nkaum ntawm tus neeg tshem tawm tau rub lub tawg. Cov pob txha zoo sib xws tau tshwm sim nrog kev tso cai thiab tsis muaj cov chiv (daim duab 2).

• Txawm hais tias lub hom phiaj ntawm qhov kev kawm no tsis yog los tshawb xyuas cov txiaj ntsig kev kho mob, thim rov qab los ntawm cov neeg ua txhaum cai ntawm cov xov hlau nrog cov hlau cerclage lossis daim hlau.

• Ib qho piv txwv ntawm tus neeg mob tau kho nrog txoj hauv kev no yog qhia, qhia qhov ua tiav ntawm kev kho mob (Daim Duab 3).

Daim duab 2 rov qab tig-sab saum toj pob txha lov.

Daim duab 3 arthroplasty thiab certerpage xaim txhim kho rau Retroggranade Flap System.

Tag

Raws li Vancouver cov kev faib tawm, periprosthetic bacture muaj qhov xwm txheej tib yam ntawm periprosthetic pob txha hauv kev ua kom khov thiab tsis tsim nyog ua kom tiav. Yog li ntawd, qhov xwm txheej ntawm cov stable thiab tsis ruaj khov tom qab pob txha lov tau sib npaug hauv ob pawg. Txheeb xyuas plaub qhov sib txawv Vancouverb2 cov qauv sib tw, suav nrog cov qauv tshiab uas tsis tau pom dua tshiab, yuav pab cov kws phais cov qauv, yuav pab cov kws phais cov khoom pov thawj txheeb xyuas cov khoom lag luam pom kev loj. Cov kev tshawb fawb yav tom ntej yog xav tau los tshawb xyuas cov kev sib raug zoo ntawm kev ntaus pob thiab kev kho kom pom qhov tseem ceeb ntawm kev tshawb pom ntawm qhov kev tshawb fawb no.

Yuav ua li cas yuav orthopedic kev cog lus thiab orthopedic seev?

Rau Czmeditech , peb muaj cov khoom lag luam tawm ntawm kev phais mob orthopedic kev cog lus thiab cov twj paj nruag sib txuas, cov khoom suav nrog Spine immants, intramed ntsis ntsia hlau, Kev Nyab Xeeb Phaj, Xauv phaj, Cranial-maxillofacial, yug, Cov Cuab Yeej Hluav Taws Xob, Sab nraud Txhim Kho, arthroscopy, Kev saib tsiaj kho tsiaj thiab lawv cov twj paj nruag txhawb nqa.

Ib qho ntxiv, peb tau cog lus tsis tu ncua tsim cov khoom lag luam tshiab thiab nthuav tawm cov khoom lag luam thiab cov neeg sib tw, thiab tseem muaj kev sib tw ntau dua nyob rau hauv tag nrho cov kev sib tw lossis cov khoom siv cov khoom siv.

Peb export thoob ntiaj teb, yog li koj tuaj yeem Tiv tauj peb ntawm email chaw nyob@orthopedic-china.com rau cov lus pub dawb, lossis xa cov lus ntawm WhatsApp rau cov lus teb ceev + 86- 18112515727 .

Yog xav paub cov ntaub ntawv ntxiv, nyem Czmedatech kom pom cov ntsiab lus ntxiv.