ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁꯀꯤ ꯄꯣꯖꯤꯁꯟ: ꯎꯀꯥ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯣꯚꯔꯍꯦꯡꯅꯥ ꯀꯔꯤ ꯐꯜ ꯄꯨꯔꯛꯀꯅꯤ?

ꯌꯨꯅꯤꯀꯣꯃꯄꯥꯔꯇꯃꯦꯟꯇꯦꯜ ꯅꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (ꯌꯨ.ꯀꯦ.ꯑꯦ.) ꯑꯁꯤ ꯌꯨꯅꯤꯀꯣꯃꯄꯥꯔꯇꯃꯦꯟꯇꯦꯜ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯇꯣꯇꯦꯜ ꯅꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (TKA)ꯒꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯜꯇꯔꯅꯦꯇꯤꯚ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯐꯦꯏꯂꯔ ꯔꯦꯠꯀꯤ ꯗꯦꯇꯥꯅꯥ ꯆꯍꯤ ꯷ꯒꯤ ꯑꯣꯏꯅꯥ ꯷꯴%ꯒꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯎꯠꯂꯤ, ꯃꯁꯤ ꯇꯤ.ꯀꯦ.ꯑꯦ.(꯹꯲%)ꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯩ꯫ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI)ꯒꯨꯝꯕꯥ ꯐꯜ ꯍꯦꯅꯒꯠꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯕꯁꯨ, ꯁꯔꯖꯤꯀꯦꯜ ꯇꯦꯛꯅꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯌꯕꯁꯤꯡ ꯑꯁꯤ ꯉꯟꯅꯥ ꯐꯜ ꯐꯪꯗꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯔꯀꯈꯤ꯫ ꯎꯀꯥꯗꯥ, ꯃꯁꯤ ꯑꯣꯞꯇꯤꯃꯦꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡ (ꯑꯣꯚꯔꯍꯦꯡ) ꯐꯪꯕꯥ ꯑꯁꯤ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯇꯤꯕꯤꯌꯥꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯁꯤ ꯁꯣꯐ꯭ꯠ ꯇꯤꯁꯨ ꯏꯔꯤꯇꯦꯁꯟ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯥꯏꯖ ꯇꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯤꯂꯤꯃꯤꯇꯔ 3ꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯦꯗꯤꯌꯝ ꯇꯤꯕꯤꯌꯥꯜ ꯑꯣꯚꯔꯍꯦꯡ ꯑꯁꯤ ꯑꯣꯛꯁꯐꯣꯔꯗ ꯅꯤ ꯁ꯭ꯀꯣꯔ (OKS) ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯠꯂꯦ꯫ ꯁ꯭ꯇꯗꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯑꯥꯎꯠꯀꯃꯁꯤꯡ ꯑꯁꯤ ꯏꯚꯥꯂꯨꯑꯦꯠ ꯇꯧꯕꯅꯤ꯫ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯣꯕꯖꯦꯛꯇꯤꯕ ꯑꯁꯤ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯃꯦꯂꯥꯂꯥꯏꯅꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯏꯃꯞꯂꯥꯟꯇ ꯁꯔꯚꯥꯏꯚꯂꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫ꯌꯨꯅꯤꯀꯣꯃꯄꯥꯔꯇꯃꯦꯟꯇꯦꯜ ꯅꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (ꯌꯨ.ꯀꯦ.ꯑꯦ.) ꯑꯁꯤ ꯌꯨꯅꯤꯀꯣꯃꯄꯥꯔꯇꯃꯦꯟꯇꯦꯜ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯇꯣꯇꯦꯜ ꯅꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (ꯇꯤ.ꯀꯦ.ꯑꯦ.)ꯒꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯜꯇꯔꯅꯦꯇꯤꯕ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯐꯦꯏꯂꯔ ꯔꯦꯠꯀꯤ ꯗꯦꯇꯥꯅꯥ ꯆꯍꯤ ꯷ꯒꯤ ꯑꯣꯏꯅꯥ ꯷꯴%ꯒꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯎꯠꯂꯤ, ꯃꯁꯤ ꯇꯤ.ꯀꯦ.ꯑꯦ.(꯹꯲%)ꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯩ꯫ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI)ꯒꯨꯝꯕꯥ ꯐꯜ ꯍꯦꯅꯒꯠꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯕꯁꯨ, ꯁꯔꯖꯤꯀꯦꯜ ꯇꯦꯛꯅꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯌꯕꯁꯤꯡ ꯑꯁꯤ ꯉꯟꯅꯥ ꯐꯜ ꯐꯪꯗꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯔꯀꯈꯤ꯫ ꯎꯀꯥꯗꯥ, ꯃꯁꯤ ꯑꯣꯞꯇꯤꯃꯦꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡ (ꯑꯣꯚꯔꯍꯦꯡ) ꯐꯪꯕꯥ ꯑꯁꯤ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯇꯤꯕꯤꯌꯥꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯁꯤ ꯁꯣꯐ꯭ꯠ ꯇꯤꯁꯨ ꯏꯔꯤꯇꯦꯁꯟ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯥꯏꯖ ꯇꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯤꯂꯤꯃꯤꯇꯔ 3ꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯦꯗꯤꯌꯝ ꯇꯤꯕꯤꯌꯥꯜ ꯑꯣꯚꯔꯍꯦꯡ ꯑꯁꯤ ꯑꯣꯛꯁꯐꯣꯔꯗ ꯅꯤ ꯁ꯭ꯀꯣꯔ (OKS) ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯠꯂꯦ꯫ ꯁ꯭ꯇꯗꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯑꯥꯎꯠꯀꯃꯁꯤꯡ ꯑꯁꯤ ꯏꯚꯥꯂꯨꯑꯦꯠ ꯇꯧꯕꯅꯤ꯫ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯣꯕꯖꯦꯛꯇꯤꯕ ꯑꯁꯤ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯃꯦꯂꯥꯂꯥꯏꯅꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯏꯐꯦꯛꯇ ꯑꯗꯨ ꯏꯃꯞꯂꯥꯟꯇ ꯁꯔꯚꯥꯏꯚꯂꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫

ꯄꯥꯝꯕꯩꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯝ.ꯑꯦꯁ.ꯑꯦꯝ.ꯏ.

ꯁ꯭ꯇꯗꯤ ꯑꯁꯤꯅꯥ ꯁꯤꯉ꯭ꯒꯜ-ꯁꯦꯟꯇꯔ ꯁ꯭ꯇꯗꯤ ꯑꯃꯅꯤ ꯃꯗꯨꯗꯥ ꯅꯨꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯤ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯁꯇꯤꯠꯌꯨꯁꯟꯗꯥ ꯖꯅꯨꯋꯥꯔꯤ ꯲꯰꯰꯸ꯗꯒꯤ ꯗꯤꯁꯦꯝꯕꯔ ꯲꯰꯱꯷ ꯐꯥꯑꯣꯕꯥ ꯃꯦꯗꯤꯌꯝ ꯌꯨ.ꯀꯦ.ꯑꯦ. ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯔꯦꯀꯣꯔꯗꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯟꯁꯇꯤꯠꯌꯨꯁ꯭ꯅꯦꯜ ꯗꯦꯇꯥꯕꯦꯖꯁꯤꯡꯒꯤ ꯔꯦꯠꯔꯣꯁ꯭ꯄꯦꯛꯇꯤꯕ ꯔꯤꯚꯤꯌꯨ ꯑꯃꯗꯒꯤ ꯐꯪꯈꯤ꯫ ꯐꯦꯃꯣꯔꯦꯜ ꯀꯣꯔꯣꯅꯥꯜ ꯑꯃꯁꯨꯡ ꯁꯦꯖꯤꯇꯦꯜ ꯑꯦꯉ꯭ꯒꯂꯁꯤꯡ (ꯑꯦꯐ.ꯁꯤ.ꯑꯦ. ꯑꯃꯁꯨꯡ ꯑꯦꯐ.ꯑꯦꯁ.ꯑꯦ.) ꯑꯃꯁꯨꯡ ꯇꯤꯕꯤꯌꯥꯜ ꯀꯣꯔꯣꯅꯥꯜ ꯑꯃꯁꯨꯡ ꯁꯦꯖꯤꯇꯦꯜ ꯑꯦꯉ꯭ꯒꯂꯁꯤꯡ (ꯇꯤ.ꯁꯤ.ꯑꯦ. ꯑꯃꯁꯨꯡ ꯇꯤ.ꯑꯦꯁ.ꯑꯦ.) ꯑꯁꯤ ꯐꯤꯛꯁ-ꯄ꯭ꯂꯦꯠꯐꯣꯔꯝ ꯑꯃꯁꯨꯡ ꯃꯣꯚꯦꯕꯜ-ꯄ꯭ꯂꯦꯠꯐꯣꯔꯝ ꯎꯀꯥ ꯄꯨꯝꯅꯃꯛꯀꯤꯗꯃꯛ ꯔꯦꯗꯤꯑꯣꯒ꯭ꯔꯥꯐꯁꯤꯡꯗꯥ ꯂꯦꯄꯈꯤ, ꯃꯁꯤ ꯎꯠꯂꯤ꯫

ꯃꯍꯩ

ꯃꯤꯟ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯁꯤ ꯆꯍꯤ 4.9 (ꯆꯍꯤ 0.03ꯗꯒꯤ 10.2 ꯐꯥꯎꯕꯥ) ꯑꯣꯏꯈꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯣꯁ꯭ꯠ ꯑꯣꯄꯔꯦꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯆꯍꯤ ꯳.꯷ (ꯆꯍꯤ ꯰.꯰꯳ꯗꯒꯤ ꯸.꯷ ꯐꯥꯑꯣꯕꯥ)ꯒꯤ ꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯀ꯭ꯌꯨꯃꯨꯂꯦꯇꯤꯕ ꯐꯦꯏꯂꯔ ꯔꯦꯠ ꯱꯴.꯲%ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯚꯤꯖꯟ ꯁꯔꯖꯔꯤ ꯳꯶ ꯃꯁꯛ ꯈꯉꯗꯣꯀꯈꯤ꯫ ꯆꯍꯤ 5ꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 88.0% (95%ꯒꯤ ꯊꯥꯖꯕꯥ ꯏꯟꯇꯔꯚꯦꯜ [CI]=82.0%ꯗꯒꯤ 91.0%) ꯑꯃꯁꯨꯡ ꯆꯍꯤ 10ꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 70.0% (95% CI=56.0%ꯗꯒꯤ 80.0%) ꯑꯣꯏꯈꯤ꯫

ꯔꯤꯚꯤꯖꯅꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ ꯂꯥꯌꯔꯕꯥ/ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ (31%), ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (22%), ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯟ (14%), ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯅꯥꯕꯥ (8%) ꯑꯁꯤꯅꯤ꯫

ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯁꯤꯡꯒꯤ ꯱꯱.꯹% ꯈꯛꯇꯅꯥ ꯑꯄꯥꯝꯕꯥ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯀꯚꯔꯦꯖ ꯄꯨꯝꯅꯃꯛ ꯐꯪꯈꯤ꯫ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁꯀꯤ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯑꯣꯚꯔꯍꯦꯡ ꯑꯁꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯐꯜ (꯱꯰.꯰% ꯐꯦꯏꯂꯔ ꯔꯦꯠ, ꯄꯤ=꯰.꯰꯹꯰), ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁꯀꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯔ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ (꯲꯵.꯰%, ꯄꯤ=꯰.꯰꯰꯶) ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁꯀꯤ ꯃꯦꯗꯤꯌꯝ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯔ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯈꯤꯗꯦ (꯳꯸.꯲%, ꯄꯤ<꯰.꯰꯰꯱) ꯑꯁꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.

ꯈꯟꯅ ꯅꯩꯅꯕ

ꯁ꯭ꯇꯗꯤ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯌꯝ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯑꯥꯎꯠꯀꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯏꯝꯄꯦꯛꯇ ꯑꯗꯨ ꯏꯚꯥꯂꯨꯑꯦꯠ ꯇꯧꯈꯤ꯫ ꯆꯍꯤ ꯵ ꯑꯃꯁꯨꯡ ꯱꯰ꯒꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯊꯪꯁꯤꯠꯅꯥ ꯸꯸% ꯑꯃꯁꯨꯡ ꯷꯰% ꯑꯣꯏꯈꯤ, ꯑꯃꯁꯨꯡ ꯇꯤ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯈꯤ꯫ ꯔꯤꯚꯤꯖꯟ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯏꯟꯗꯤꯀꯦꯁꯅꯁꯤꯡꯗꯤ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯐꯠꯇꯕꯥ, ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯟ ꯑꯁꯤꯅꯤ꯫ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯐꯠꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯁ꯭ꯇꯤꯌꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯌꯝ ꯑꯣꯚꯔꯍꯦꯡ ꯑꯁꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯔꯤꯚꯤꯖꯅꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯤ꯫

ꯐꯣꯉꯈ꯭ꯔꯕꯥ ꯂꯤꯇꯔꯦꯆꯔꯗꯥ, ꯎꯀꯥ ꯁꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤꯗꯤ ꯑꯦꯁꯦꯞꯇꯤꯛ ꯂꯨꯖꯅꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯛ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯅꯅꯤ, ꯃꯈꯣꯌ ꯑꯅꯤꯃꯛꯅꯥ ꯂꯣꯗ ꯗꯤꯁ꯭ꯠꯔꯤꯕ꯭ꯌꯨꯁꯟ ꯑꯁꯤ ꯑꯅꯦꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯩ, ꯃꯁꯤꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯌꯨ.ꯀꯦ.ꯑꯦ. ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯃꯥꯟ ꯑꯁꯤꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯠꯇꯕꯥ ꯑꯁꯤꯅꯥ ꯉꯟꯅꯥ ꯌꯨ.ꯀꯦ.ꯑꯦ. ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯇꯦꯛꯅꯤꯀꯁꯤꯡ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫

ꯍꯧꯖꯤꯛ ꯊꯤꯖꯤꯅꯕꯒꯤ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯂꯥꯌꯔꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ/ꯑꯣꯚꯔꯍꯦꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯆꯦꯠꯄꯥ ꯃꯔꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯚꯤꯖꯅꯒꯤ ꯔꯤꯚꯤꯖꯅꯒꯤ ꯔꯤꯚꯤꯖꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯆꯦꯠꯄꯥ ꯃꯔꯤ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯗꯤ ꯑꯁꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯈꯤꯕꯥ ꯑꯋꯥꯡꯕꯥ ꯐꯦꯏꯂꯔ ꯔꯦꯠꯀꯤ ꯄꯣꯇꯦꯟꯁꯤꯑꯦꯜ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯑꯃꯥ ꯇꯥꯛꯂꯤ꯫ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁꯀꯤ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇꯇꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏꯕꯒꯤ ꯁꯔꯖꯔ ꯑꯁꯤꯅꯥ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫

ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯧꯒꯅꯤ?

ꯒꯤꯗꯃꯛ ꯑꯦꯟ.ꯗꯤ.ꯑꯦ. czmeditech , ꯑꯩꯈꯣꯌꯅꯥ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯁꯔꯖꯔꯤ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯄꯣꯠꯊꯣꯛ ꯂꯥꯏꯟ ꯑꯃꯥ ꯂꯩꯔꯤ, ꯃꯁꯤꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ꯫ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡ ., ꯏꯟꯠꯔꯥꯃꯦꯗꯨꯂꯦꯔꯤ ꯅꯦꯂꯁ ., ꯇ꯭ꯔꯥꯎꯃꯥ ꯄ꯭ꯂꯦꯠ ꯇꯧꯕꯥ, ꯂꯣꯀꯤꯡ ꯄ꯭ꯂꯦꯠ ꯴., ꯀ꯭ꯔꯦꯅꯤꯑꯦꯜ-ꯃꯦꯛꯁꯤꯂꯣꯐꯦꯁꯤꯑꯦꯜ ꯑꯣꯏꯕꯥ ., ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯴., ꯄꯥꯋꯔ ꯇꯨꯂꯁꯤꯡ ., ꯃꯄꯥꯅꯒꯤ ꯐꯤꯛꯁꯦꯇꯔꯁꯤꯡ ., ꯑꯥꯔꯊꯔꯣꯁ꯭ꯀꯣꯄꯤ ., ꯚꯦꯇꯦꯔꯤꯅꯥꯔꯤ ꯀꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯁꯄꯣꯔꯇꯤꯡ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯁꯦꯠꯁꯤꯡ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯅꯧꯕꯥ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯂꯦꯞꯇꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯊꯣꯛ ꯂꯥꯏꯅꯁꯤꯡ ꯄꯥꯀꯊꯣꯛ ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯋꯥꯁꯛꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯒꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ ꯑꯗꯨ ꯐꯪꯍꯟꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯥꯂꯦꯃꯒꯤ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡꯒꯤ ꯏꯟꯗꯁ꯭ꯠꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯝꯄꯦꯅꯤ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏꯍꯟꯅꯕꯥ ꯋꯥꯁꯛꯂꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯑꯦꯛꯁꯄꯣꯔꯠ ꯇꯧꯔꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯝꯅꯥ . ꯐ꯭ꯔꯤ ꯀꯣꯠ ꯑꯃꯥ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯏꯃꯦꯏꯜ ꯑꯦꯗ꯭ꯔꯦꯁ song@orthopedic-china.com ꯗꯥ ꯑꯩꯈꯣꯌꯒꯥ ꯄꯥꯎ ꯐꯥꯑꯣꯅꯕꯤꯌꯨ , ꯅꯠꯔꯒꯥ ꯊꯨꯅꯥ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯋꯥꯇꯁꯑꯦꯄꯇꯥ ꯃꯦꯁꯦꯖ ꯊꯥꯕꯤꯌꯨ +86- 18112515727 .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯤꯡꯂꯕꯗꯤ, ꯀ꯭ꯂꯤꯛ ꯇꯧꯕꯤꯌꯨ ꯁꯤ.ꯖꯦ.ꯃꯦꯗꯤꯇꯦꯛ꯫ ꯑꯍꯦꯅꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ