ꯃꯦꯇꯥꯀꯥꯔꯄꯣꯐꯦꯂꯦꯟꯖꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯍꯦꯟꯗ ꯇ꯭ꯔꯥꯎꯃꯥꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯍꯦꯟꯗ ꯇ꯭ꯔꯣꯃꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 1/4 ꯑꯣꯏꯔꯤ꯫ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯃꯁꯨꯡ ꯐꯥꯏꯅꯦꯜ ꯃꯣꯇꯣꯔ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯈꯨꯠꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯑꯁꯤ ꯑꯇꯩ ꯂꯣꯡ ꯇꯨꯕꯜ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯛꯅꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏ꯫

ꯍ꯭ꯌꯨꯃꯦꯔ ꯁ꯭ꯇꯦꯝ ꯐ꯭ꯔꯦꯀꯆꯔ (HSF) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 1%ꯗꯒꯤ 5% ꯐꯥꯎꯕꯅꯤ꯫ ꯆꯍꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯁꯤ ꯃꯤꯑꯣꯏ 100,000ꯗꯥ 13ꯗꯒꯤ 20 ꯐꯥꯎꯕꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯆꯍꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯂꯦ꯫HSF ꯑꯁꯤ ꯕꯥꯏꯃꯣꯗꯜ ꯑꯦꯖ ꯗꯤꯁ꯭ꯠꯔꯤꯕ꯭ꯌꯨꯁꯟ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯑꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯆꯍꯤ 21 ꯑꯃꯁꯨꯡ 30ꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯀꯏ꯫

ꯄꯦꯇꯦꯂꯣꯐꯦꯃꯣꯔꯦꯜ ꯏꯟꯁꯇꯦꯕꯤꯂꯤꯇꯤ (PFI) ꯑꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯈꯨꯎꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯄꯤ.ꯑꯦꯐ.ꯑꯥꯏ.ꯅꯥ ꯐꯦꯃꯣꯔꯦꯜ ꯇ꯭ꯔꯣꯛꯂꯤꯌꯔ ꯒ꯭ꯔꯨꯄꯇꯥ ꯄꯦꯇꯦꯜ ꯗꯥꯏꯅꯥꯃꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯔꯤꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫ ꯄꯦꯇꯦꯂꯥꯒꯤ ꯃꯄꯥꯟꯊꯣꯡꯒꯤ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯑꯁꯤ ꯄꯤ.ꯑꯦꯐ.ꯑꯥꯏ.ꯒꯤ ꯑꯀꯅꯕꯥ ꯃꯑꯣꯡꯅꯤ, ꯃꯁꯤ ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖꯔꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯦꯇꯦꯂꯅꯥ ꯂꯦꯇꯔꯦꯜ ꯐꯦꯃꯣꯔꯦꯜ ꯀꯟꯗꯤꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ꯫ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ, ꯄꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯑꯄꯨꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯂꯥꯌꯦꯡꯒꯗꯕꯅꯤ꯫

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꯫