Dab tsi yog cemented prosthesis?

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Clinical Definition thiab Surgical Concept of Cemented Prosthesis

Ib qho cemented prosthesis yog ib txoj hauv kev siv orthopedic implant fixation txoj kev hauv kev sib koom tes hloov kev phais. Hloov chaw ntawm kev cia siab rau cov pob txha ingrowth, cov cog cog tau ruaj khov siv cov pob txha cement-feem ntau polymethyl methacrylate (PMMA)-kom ua tiav cov khoom kho tam sim ntawm cov pob txha thiab cov pob txha.

Qhov kev kho kom zoo no tau raug kuaj xyuas tau ntau xyoo lawm thiab tseem yog ib qho kev xaiv txhim khu kev qha hauv niaj hnub arthroplasty, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob uas cov pob txha zoo txwv qhov ua tau zoo ntawm cov xovxwm-haum lossis cementless fixation.

Mechanical Function ntawm Pob Txha Cement hauv Prosthesis Fixation

Pob txha cement tsis ua haujlwm raws li cov nplaum nplaum. Es tsis txhob, nws ua raws li kev thauj khoom-hloov interface uas ua rau lub microscopic khoob ntawm qhov chaw cog thiab cov pob txha tshem tawm. Los ntawm cov cement interdigitation, kev ntxhov siab raug faib ntau qhov sib npaug, txo qhov micromotion ntawm qhov cog-pob txha interface.

Qhov no mechanical stability yog ib qho tseem ceeb tshwj xeeb tshaj yog thaum lub sij hawm postoperative thaum ntxov, thaum kho tam sim ntawd txhawb nqa thaum ntxov thiab kev ua haujlwm zoo. Rau kev nkag siab dav dav ntawm tus cwj pwm thiab cov ntaub ntawv, cov neeg nyeem feem ntau xa mus rau cov pob txha cement orthopedic daim ntawv thov hauv kev sib koom ua ke.

Cov Lus Qhia thiab Kev Xaiv Tus Neeg Mob rau Cemented Prosthesis

Tus neeg mob Profiles zoo tshaj plaws rau Cemented Joint Implants

Cemented prostheses feem ntau pom zoo rau cov neeg laus, cov neeg uas muaj pob txha, lossis cov neeg mob uas txo cov pob txha. Nyob rau hauv cov ntaub ntawv no, ua tiav kev txhim khu kev txhim khu kev kho mob nrog cementless implants yuav nyuaj.

Cemented fixation offers predictable stability regardless of bone density, making it a preferred option when immediate fixation and controlled load transfer are required.

Kev siv tshuaj kho mob ib yam hauv Hip thiab Knee Arthroplasty

Hauv hip arthroplasty, cemented femoral stems nquag xaiv rau cov neeg mob uas xav tau qhov hnyav thaum ntxov los yog tam sim no nrog kev cuam tshuam femoral pob txha zoo. Nyob rau hauv lub hauv caug arthroplasty, cemented tibial Cheebtsam thiab patellar nyees khawm nyob twj ywm tus qauv xyaum nyob rau hauv ntau lub cheeb tsam thoob ntiaj teb.

Cov txheej txheem no feem ntau ua los ntawm kev siv tus qauv hip sib koom hloov prosthesis thiab Lub hauv caug sib koom hloov tshuab , nyob ntawm tus neeg mob lub cev thiab lub hom phiaj phais.

Cemented vs Cementless Prosthesis: Kev Txiav Txim Siab Zoo

Fixation Stability thiab Early Rehabilitation Outcomes

Ib qho ntawm qhov zoo tshaj plaws ntawm cemented prostheses yog tam sim fixation stability. Cov neeg mob feem ntau tuaj yeem pib mob thiab rov kho dua ua ntej piv rau cov txheej txheem tsis muaj cement, uas nyob ntawm qhov ntev osseointegration.

Hauv cov neeg mob uas muaj cov pob txha tsis zoo, ncua kev kho cov kab mob lom yuav ua rau muaj kev pheej hmoo ntawm kev cog qoob loo thaum ntxov, ua kom cov cemented fixation muaj kev nyab xeeb thiab muaj txiaj ntsig ntau dua.

Long-Term Survivorship thiab Revision Considerations

Nrog rau kev nce qib hauv cov txheej txheem cementing, kev muaj sia nyob ntev ntawm cov cemented prostheses tau dhau los ua piv rau cov tshuab tsis muaj cement. Txawm li cas los xij, kev kho dua tshiab rau kev cog cov cemented yuav xav tau cov tswv yim ntxiv rau kev tshem tawm cov cement, uas yuav tsum tau txiav txim siab thaum xaiv thawj cog.

Hauv cov xwm txheej nyuaj, cov kws phais yuav cia siab rau kev mob siab rau kho qhov sib koom ua ke hloov cog cog tsim los daws cov pob txha tsis xws luag thiab teeb meem kho.

Qhov zoo thiab qhov txwv ntawm Cemented Prosthesis Systems

Qhov tseem ceeb ntawm Cemented Fixation

• Tam sim ntawd mechanical stability thaum lub sijhawm phais

• Predictable fixation nyob rau hauv cov neeg mob uas tsis zoo pob txha

• Txo kev pheej hmoo ntawm kev cog qoob loo thaum ntxov micromotion lossis tsiv teb tsaws

• Pov thawj cov txiaj ntsig kev kho mob mus sij hawm ntev

Cement-Related Risks thiab Technical Challenges

Txawm hais tias nws qhov zoo, cemented fixation yog txuam nrog cov kev pheej hmoo tshwj xeeb, nrog rau cov cement implantation syndrome, thermal cuam tshuam thaum lub sij hawm polymerization, thiab nce kev nyuaj thaum lub sij hawm kho cov txheej txheem. Cov kev pheej hmoo no raug txo qis thaum ua raws li cov txheej txheem cementing thiab cov txheej txheem phais.

Kev phais thiab kev coj ua zoo tshaj plaws rau Cemented Prosthesis

Cov txheej txheem cementing niaj hnub ua lub luag haujlwm tseem ceeb hauv kev txhim kho lub zog ruaj khov thiab cov txiaj ntsig mus ntev. Cov kauj ruam tseem ceeb suav nrog kev npaj cov kwj dej kom zoo, nqus cov pob txha cement, thiab tswj cov cement pressurization los txhim kho kev nkag mus rau hauv cov pob txha pob txha.

Cov txheej txheem no feem ntau yog ua los ntawm kev mob siab rau Orthopedic phais cov cuab yeej rau kev sib koom ua ke , uas pab kom muaj kev sib haum xeeb thiab rov tsim dua tshiab thaum cog.

Xaus: Thaum twg yog Cemented Prosthesis txoj kev xaiv?

Cemented prostheses tseem yog ib qho kev txhim khu kev qha thiab kev soj ntsuam xyuas cov kev daws teeb meem hauv kev sib koom tes hloov pauv. Thaum tus neeg mob tshwj xeeb yam-xws li lub hnub nyoog siab, txo cov pob txha zoo, lossis xav tau kev ruaj ntseg tom qab ua haujlwm tam sim ntawd, tam sim no, cemented fixation tseem ua lub luag haujlwm tseem ceeb hauv kev xyaum orthopedic niaj hnub.

Tsis yog hloov los ntawm cemented systems, cemented prostheses tau hloov zuj zus nrog rau kev nce qib hauv cov txheej txheem phais thiab kev cog lus tsim, tswj lawv qhov cuam tshuam hauv kev kawm arthroplasty.

FAQs Txog Cemented Prosthesis

Puas yog cemented prosthesis zoo dua rau cov neeg laus?

Cemented fixation feem ntau nyiam rau cov neeg laus vim tias nws muab kev ruaj ntseg tam sim ntawd thiab tsis cia siab rau cov pob txha ingrowth, uas tej zaum yuav raug txwv vim txo cov pob txha.

Lub cemented prosthesis feem ntau kav ntev npaum li cas?

Nrog rau kev xaiv tus neeg mob tsim nyog thiab cov txheej txheem phais kom zoo, cemented prostheses tuaj yeem ua haujlwm tau zoo rau 15-20 xyoo lossis ntev dua.

Puas yog cemented prostheses tuaj yeem hloov kho yog tias tsim nyog?

Yog lawm. Txawm hais tias kev kho dua tshiab yuav yog qhov xav tau ntau dua vim yog kev tshem tawm cov cement, cemented prostheses tuaj yeem kho kom zoo siv cov txheej txheem phais tsim.

Puas yog pob txha cement muaj kev nyab xeeb rau kev cog qoob loo mus ntev?

Kev kho mob-qib pob txha cement tau siv rau hauv kev phais orthopedic rau ntau xyoo lawm thiab muaj cov ntaub ntawv pov thawj zoo thaum siv raws li cov qauv kho mob.

Puas yog cemented fixation tso cai rau qhov hnyav thaum ntxov?

Yog lawm. Ib qho txiaj ntsig tseem ceeb ntawm kev txhim kho cemented yog kev ruaj ntseg tam sim ntawd, uas feem ntau txhawb nqa kev txhawb nqa ua ntej thiab kho dua tshiab.

Puas yog cemented fixation tseem siv dav niaj hnub no?

kiag li. Cemented fixation tseem yog tus qauv thiab tau txais kev coj ua hauv ntau cov txheej txheem hloov lub duav thiab lub hauv caug thoob ntiaj teb.

Dab tsi cuam tshuam rau kev xaiv ntawm cemented thiab cementless prostheses?

Cov pob txha zoo, lub hnub nyoog ntawm tus neeg mob, qib kev ua ub no, kev mob anatomical, thiab lub hom phiaj ntawm kev phais txhua tus ua lub luag haujlwm tseem ceeb hauv kev txiav txim siab txoj kev kho kom tsim nyog.

Cov cemented prostheses puas tuaj yeem siv rau hauv kev kho kho kev sib koom tes hloov phais?

Yog lawm. Cemented systems feem ntau siv rau hauv cov xwm txheej kho dua tshiab, tshwj xeeb tshaj yog thaum cov pob txha tsis xws luag txwv qhov kev ua tau zoo ntawm kev kho kab mob lom.