Umwanya wa prothèse: Uka Prostès Hejuru izazana izihe ngaruka?

Unicompartmentmor ivi (Uka) ni uwugaliyani ubaga kuri ivi rwose (Tka) kugirango tuvunjire osteointamasmentament osteoortmentant. Ariko, amakuru ku muvuduko wa Uka yerekana igipimo cyo kurokoka imyaka 74%, kirenze ku buryo kirenze icya Tka (92%). Nubwo ibintu byabarwayi byongera ibyago byo kunanirwa, nkabarwayi bato hamwe nubusaranganya hejuru yumubiri (BMI) birashobora kongera ibyago bya tekinike ya Uka, byafatwaga nkibintu bya tekinike yo kunanirwa. Muri Uka, biragoye kugera kuri prostal nziza yo guhuza kandi birenze (birenze). Prostrasi ya Tibial igomba kuba nini kandi igashyirwa muburyo bugabanya uburakari bworoshye, kandi tibial tibial yagaragaye ko ari ibintu birenga 3 byo kugabanuka kwa Oxford ivite (oks) no kwiyongera. Intego y'ibanze y'ubu bushakashatsi kwari ugusuzuma ibyavuye mu ivuriro rusange n'ibitekerezo bya Uka. Intego ya kabiri kwari ugusuzuma ingaruka za prostheside prosthesic kandi zikaba zirenga kurokoka.unicomparcement Ariko, amakuru ku muvuduko wa Uka yerekana igipimo cyo kurokoka imyaka 74%, kirenze ku buryo kirenze icya Tka (92%). Nubwo ibintu byabarwayi byongera ibyago byo kunanirwa, nkabarwayi bato hamwe nubusaranganya hejuru yumubiri (BMI) birashobora kongera ibyago bya tekinike ya Uka, byafatwaga nkibintu bya tekinike yo kunanirwa. Muri Uka, biragoye kugera kuri prostal nziza yo guhuza kandi birenze (birenze). Prostrasi ya Tibial igomba kuba nini kandi igashyirwa muburyo bugabanya uburakari bworoshye, kandi tibial tibial yagaragaye ko ari ibintu birenga 3 byo kugabanuka kwa Oxford ivite (oks) no kwiyongera. Intego y'ibanze y'ubu bushakashatsi kwari ugusuzuma ibyavuye mu ivuriro rusange n'ibitekerezo bya Uka. Intego ya kabiri kwari ugusuzuma ingaruka zubujura bwa prosthetike no gutsinda muburyo bwo kubaho.

Uburyo

Ubu bushakashatsi bwari ubushakashatsi bwikigo kimwe burimo abarwayi b'abagabo n'abagore bahiga mu kigo cyacu kuva muri Mutarama 2008 kugeza mu Kuboneza by'ipanyoga, hamwe no kwimurwa kw'ipari. Ibisubizo by'ivuriro n'ibitekerezo byabonetse uhereye ku gusuzuma amavuriro y'inyandiko za Clinical na Manase y'inzego. Inguni ya femoral hamwe na SAGITTAL Inguni (FCA na FSA) na Tibial Angles na Sagittal inguni (TCA na TCA) bapimwe kuri radiyo yagenwe hamwe na Rwimukanwa-Plat.

Ibisubizo

Gukurikirana gukurikiranwa ni imyaka 4.9 (0.03 kugeza kumyaka 10.2). Twabonye kubaga 36 gusubiramo imyaka 3.7 (0.03 kugeza kumyaka 8.7) nyuma yo kurengana hamwe no kunanirwa kwivuza 14.2%. Imyaka 5 yo kubaho yari 88.0% (95% yicyizere [Ci] = 82.0% kuri 91.0%) na 45.0% (95% Ci = 56.0% kugeza 80.0%).

Impamvu zisanzwe zituma isubiramo ryari ihuza ribi / ridahungabana (31%), kunanirwa kw'imashini (22%), gutera imbere kuri osteoarthritis (14%), n'ububabare budasobanutse (8%).

Gusa 25% ya USAs yageze kuri bose kwifuzwa no gukwirakwiza prosthetique. Imbere hejuru ya prostèse ntabwo yari ikintu gikomeye cyane kunanirwa kwa Uka (10,0% kunanirwa, hamwe na posthesio (0,006) na P = 0,006) byari ibintu bikomeye byatewe na Uka.

Muganire

Muri ubu bushakashatsi, twasuzumye ibyavuye mu kuvura no gutekereza bya Uka Uka n'ingaruka zo guhuza prostache kandi hejuru. Umubare w'imyaka 5- 10 warokotse ufite 88% na 70%, kandi wari munsi kurenza Tka. Ibimenyetso byinshi byo gusubirwamo byari ubukene bukennye bwo guhuza prostatique, gutsindwa kwagira, no gutera imbere kwa osteoarthritis. Ubukene bukennye hamwe ninyuma kandi bivuguruzanya nimpamvu zingenzi zishobora guterwa na Uka.

Mu bitabo byatangajwe, ibitera kunanirwa kwa Uka ni aseptic iterambere kandi byombi bifite ikwirakwizwa ry'imisozi itagira ingano, bivuga ko ibyo watsinzwe byavuzwe haruguru, bitera inka yavuzwe haruguru muri kamere. Ibi bimenyetso byerekana ko guhuza prothsis bikennye ari igishobora gutera kunanirwa kwa Uka kare. Kubwibyo, twizera ko imbaraga zigomba gushyirwaho uburyo bwo kubaga bwo kunoza prosthosi ya Uka kandi bigabanye ibintu birenze urugero.

Ibisubizo biriho byerekana ko ishyirahamwe rikomeye hagati ya prothèse rikennye / hejuru kandi ibyago byo gusubirwamo byerekana uburyo bwo gutsindwa bwo kunanirwa bwagaragaye muri ubu bushakashatsi. Ubushobozi bwo kubaga bwo guhora busobanutse mugushyira prostrasi nikintu cyingenzi mugufasha kunoza amafaranga yo kubaho.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

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