Umwanya wa Prosthesis: Prothèse ya UKA Overhang izazana ingaruka ki?

Arthroplasty yo mu ivi idasanzwe (UKA) ni uburyo bwo kubaga ubundi buryo bwo kuvura ivi (TKA) bwo kuvura osteoarthritis idafite ibice. Nyamara, imibare yerekana kunanirwa kwa UKA yerekana imyaka 7 yo kubaho kwa 74%, ikaba iri munsi cyane ugereranije na TKA (92%). Nubwo abarwayi ubwabo bongera ibyago byo gutsindwa, nk'abarwayi bakiri bato ndetse n’ikigereranyo kinini cy’umubiri (BMI) gishobora kongera ibyago byo gutsindwa kwa UKA, amakosa ya tekiniki yo kubaga yafashwe nk’impamvu zikomeye zitera kunanirwa hakiri kare. Muri UKA, biragoye kugera kubikorwa byiza bya prostate no guhuza (overhang). Prothèse ya tibial igomba kuba nini kandi igaterwa muburyo bugabanya uburakari bworoshye bworoshye, kandi tibial medial overhang ya mm zirenga 3 byagaragaye ko ari ibintu byingenzi bishobora gutera amanota ya Oxford Knee (OKS) no kongera ububabare. Intego yibanze yubu bushakashatsi kwari ugusuzuma ibyavuye mu mavuriro n’amashusho muri UKA. Intego ya kabiri yari iyo gusuzuma ingaruka ziterwa na malalignement ya prostate na overhang ku kubaho kwatewe.Urwego rudafite amavi arthroplasti (UKA) ni uburyo bwo kubaga ubundi buryo bwo kuvura ivi (TKA) bwo kuvura osteoarthritis idafite ibice. Nyamara, imibare yerekana kunanirwa kwa UKA yerekana imyaka 7 yo kubaho kwa 74%, ikaba iri munsi cyane ugereranije na TKA (92%). Nubwo abarwayi ubwabo bongera ibyago byo gutsindwa, nk'abarwayi bakiri bato ndetse n’ikigereranyo kinini cy’umubiri (BMI) gishobora kongera ibyago byo gutsindwa kwa UKA, amakosa ya tekiniki yo kubaga yafashwe nk’impamvu zikomeye zitera kunanirwa hakiri kare. Muri UKA, biragoye kugera kubikorwa byiza bya prostate no guhuza (overhang). Prothèse ya tibial igomba kuba nini kandi igaterwa muburyo bugabanya uburakari bworoshye bworoshye, kandi tibial medial overhang ya mm zirenga 3 byagaragaye ko ari ibintu byingenzi bishobora gutera amanota ya Oxford Knee (OKS) no kongera ububabare. Intego yibanze yubu bushakashatsi kwari ugusuzuma ibyavuye mu mavuriro n’amashusho muri UKA. Intego ya kabiri yari iyo gusuzuma ingaruka ziterwa na prostate na malariya yo kubaho.

Uburyo

Ubu bushakashatsi bwakozwe n’ubushakashatsi bumwe bwarimo abarwayi b’igitsina gabo n’abagore batewe na UKA mu kigo cyacu kuva muri Mutarama 2008 kugeza Ukuboza 2017, kandi abarwayi bose bakorewe UKA bakoresheje uburyo busanzwe. Ibisubizo bya Clinical and imaging byabonetse bivuye mu gusubiramo ibyanditswe byubuvuzi hamwe nububiko bwinzego. Inguni ya coronale na sagittal (FCA na FSA) hamwe na tibial coronale na sagittal (TCA na TSA) byapimwe kumaradiyo kumurongo wose uhamye hamwe na mobile-platform UKAs, nkuko bigaragara.

Igisubizo

Ikigereranyo cyo gukurikirana cyari imyaka 4.9 (0.03 kugeza 10.2). Twabonye abaganga 36 basubirwamo hifashishijwe imyaka 3.7 (0.03 kugeza 8.7) nyuma yo kubagwa hamwe no gutsindwa kwa 14.2%. Kubaho imyaka 5 byari 88.0% (95% intera yicyizere [CI] = 82.0% kugeza 91.0%) naho kubaho imyaka 10 byari 70.0% (95% CI = 56.0% kugeza 80.0%).

Impamvu zagaragaye cyane mu gusubiramo ni uguhuza kwa prothèse ikennye / idahindagurika (31%), kunanirwa kwa mashini (22%), gutera imbere kwa osteoarthritis (14%), nububabare budasobanutse (8%).

11.9% gusa bya UKAs byageze kubyo bifuza byose byo guhuza no gukwirakwiza prostate. Kurenza imbere ya prothèse ntabwo byari ibintu byingenzi byatewe no gutsindwa kwa UKA (igipimo cyo gutsindwa 10.0%, p = 0.090), hamwe no hejuru ya prostate (25.0%, p = 0.006) hamwe no guhinduranya hagati ya prothèse (38.2%, p <0.001) byari ibintu byingenzi byananirana na UKA.

Muganire

Muri ubu bushakashatsi, twasuzumye ibyavuye mu mavuriro no kwerekana amashusho ya UKA yo hagati hamwe n'ingaruka zo guhuza prostate na overhang. Imyaka 5- na 10 yimyaka yo kubaho yari 88% na 70%, kandi yari hasi cyane ugereranije na TKA. ibyagaragaye cyane mubisubiramo byari uguhuza prostate, kunanirwa kwa mashini, no gutera imbere kwa osteoarthritis. Guhuza prothèse idahwitse hamwe ninyuma hamwe na medial overhang nibintu byingenzi bishobora gutera UKA gusubiramo.

Mu bitabo byasohowe, impamvu ebyiri nyamukuru zitera UKA kunanirwa ni ukurekura aseptic no gutera imbere kwa osteoarthritic, byombi bifite igabanywa ry'umutwaro utaringaniye, byerekana ko impamvu zavuzwe haruguru zitera UKA kunanirwa zishobora kuba ari imashini. Ibi bimenyetso byerekana ko guhuza prothèse nabi ari impamvu ishobora gutera UKA kunanirwa hakiri kare. Kubwibyo, twizera ko hakwiye gushyirwaho ingufu kugirango tunonosore tekinike zo kubaga kugirango tunonosore prothèse ya UKA no kugabanya ibibaho.

Ibyagezweho muri iki gihe byerekana ko isano ikomeye iri hagati ya prothèse idahwitse / kurenza urugero hamwe n’ingaruka zo gusubiramo byerekana uburyo bushoboka bwo kunanirwa cyane byagaragaye muri ubu bushakashatsi. Ubushobozi bwo kubaga bwo guhora bwuzuye muburyo bwo gushyira prothèse ni ikintu cyingenzi mu gufasha kuzamura imibereho ya UKA.

Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedie？

Kuri CZMEDITECH , dufite ibicuruzwa byuzuye byumurongo wo kubaga amagufwa hamwe nibikoresho bijyanye, ibicuruzwa birimo umugongo, imisumari, icyapa cy'ihungabana, icyapa, cranial-maxillofacial, prothèse, ibikoresho by'ingufu, abatunganya hanze, arthroscopy, ubuvuzi bwamatungo nibikoresho byabo bifasha.

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