ꯄꯦꯇꯦꯂꯣꯐꯦꯃꯣꯔꯦꯜ ꯏꯅꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ (PFI) ꯑꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯈꯨꯎꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯄꯤ.ꯑꯦꯐ.ꯑꯥꯏ.ꯅꯥ ꯐꯦꯃꯣꯔꯦꯜ ꯇ꯭ꯔꯣꯛꯂꯤꯌꯔ ꯒ꯭ꯔꯨꯄꯇꯥ ꯄꯦꯇꯦꯂꯔ ꯗꯥꯏꯅꯥꯃꯤꯛ ꯔꯤꯂꯦꯁꯅꯁꯤꯄꯀꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯇꯕꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯄꯦꯇꯦꯂꯥꯒꯤ ꯃꯄꯥꯟꯊꯣꯡꯒꯤ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯑꯁꯤ ꯄꯤ.ꯑꯦꯐ.ꯑꯥꯏ.ꯒꯤ ꯑꯦꯛꯁꯠꯔꯤꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖꯔꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯦꯇꯦꯂꯥꯅꯥ ꯂꯦꯇꯔꯦꯜ ꯐꯦꯃꯣꯔꯦꯜ ꯀꯟꯗꯤꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

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

ꯌꯨꯅꯤꯀꯝꯄꯥꯔꯇꯃꯦꯟꯇꯦꯜ ꯅꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (ꯌꯨ.ꯀꯦ.ꯑꯦ.) ꯑꯁꯤ ꯌꯨꯅꯤꯀꯝꯄꯥꯔꯇꯃꯦꯟꯇꯦꯜ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯇꯣꯇꯦꯜ ꯅꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (TKA)ꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯜꯇꯔꯅꯦꯇꯤꯚ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯐꯦꯏꯂꯔ ꯔꯦꯠꯀꯤ ꯗꯦꯇꯥꯅꯥ ꯆꯍꯤ ꯷ꯀꯤ ꯁꯔꯚꯥꯏꯚꯜ ꯔꯦꯠ ꯷꯴% ꯎꯠꯂꯤ, ꯃꯁꯤ ꯇꯤ.ꯀꯦ.ꯑꯦ.(꯹꯲%)ꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯤ꯫ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI) ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯑꯁꯤꯅꯥ ꯌꯨ.ꯀꯦ.ꯑꯦ. ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯗꯥ, ꯑꯣꯞꯇꯤꯃꯦꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯍꯦꯡ (ꯑꯣꯚꯔꯍꯦꯡ) ꯐꯪꯕꯗꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤ꯫ ꯇꯤꯕꯤꯌꯥꯜ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯑꯁꯤ ꯇꯔꯨ ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯥꯏꯖ ꯇꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯤꯃꯤ 3ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯦꯗꯤꯌꯝ ꯇꯤꯕꯤꯌꯥꯜ ꯑꯣꯚꯔꯍꯦꯡꯕꯅꯥ ꯑꯣꯛꯁꯐꯣꯔꯗ ꯅꯤ ꯁ꯭ꯀꯣꯔ (OKS) ꯍꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯠꯂꯦ꯫ ꯁ꯭ꯇꯗꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯌꯨ.ꯀꯦ.ꯑꯦ.ꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯑꯥꯎꯠꯀꯃꯁꯤꯡ ꯏꯚꯥꯂꯨꯑꯦꯠ ꯇꯧꯕꯅꯤ꯫

ꯐꯦꯃꯣꯔꯦꯜ ꯅꯦꯛ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯄ꯭ꯔꯦꯛꯇꯤꯁꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯅꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ 50% ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯍꯧꯈꯤꯕꯥ ꯆꯍꯤ ꯈꯔꯁꯤꯗꯥ ꯐꯦꯃꯣꯔꯦꯜ ꯅꯦꯛ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯊꯧꯗꯣꯛ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤ, ꯃꯁꯤꯗꯥ...

ꯀ꯭ꯂꯣꯖꯗ ꯔꯤꯗꯛꯁꯟ ꯑꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯂꯩꯇꯕꯥ, ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩꯇꯕꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯣꯏꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯃꯜ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯕꯥ, ꯑꯃꯁꯨꯡ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯐꯦꯃꯣꯔꯦꯜ ꯅꯦꯛ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯐꯦꯃꯣꯔꯦꯜ ꯁ꯭ꯇꯦꯝ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯇꯤꯕꯤꯑꯣꯐꯤꯕꯨꯂꯔꯒꯨꯝꯕꯥ ꯀ꯭ꯂꯣꯖꯗ ꯔꯤꯗꯛꯁꯟ ꯍꯣꯂꯣ ꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯟꯠꯔꯥꯃꯦꯗꯨꯂꯦꯔꯤ ꯄꯤꯟ ꯐꯤꯛꯁꯦꯁꯟ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯇꯦꯛꯅꯤꯛ ꯑꯃꯅꯤ꯫ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯍ꯭ꯌꯨꯃꯦꯔꯜ ꯁ꯭ꯇꯦꯝ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ, ꯏꯅꯁꯤꯁꯅꯦꯜ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯃꯥꯡꯍꯅꯕꯥ ꯊꯤꯡꯏ꯫