Chii chinonzi simende prosthesis?

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Clinical Tsanangudzo uye Kuvhiya Pfungwa yeCemented Prosthesis

A cemented prosthesis inzira inoshandiswa nevakawanda orthopedic implant fixation mukuvhiya majoint replacement. Panzvimbo yekuvimba neiyo biological bone ingrowth, iyo inodyarwa inodzikamiswa uchishandisa bone simende-kazhinji polymethyl methacrylate (PMMA) -kuzadzisa nekukurumidza mechanical fixation pakati peprosthesis uye bhonzo rinogamuchira.

Iyi nzira yekugadzirisa yakave yakasimbiswa nekiriniki kwemakumi emakore uye inoramba iri sarudzo yakavimbika mune yemazuva ano arthroplasty, kunyanya muhuwandu hwevarwere apo hutano hwepfupa hunomisa kushanda kwe-press-fit kana cementless fixation.

Mechanical Basa reBone Cement muProsthesis Fixation

Bone simenti haishande sebiological adhesive. Asi, inoshanda senge inotakura-yekuchinjisa interface inozadza mikorokopu pakati peiyo implant pamusoro uye kanzura bhonzo. Kuburikidza nesement interdigitation, kushushikana kunogovaniswa zvakaenzana, kuderedza micromotion pane implant-bone interface.

Uku kugadzikana kwemagetsi kunonyanya kukosha panguva yekutanga postoperative nguva, apo kugadzirisa kwekukurumidza kunotsigira kuunganidza kwekutanga uye kupora kushanda. Kuti uwane kunzwisisa kwakakura kwemaitiro esimende uye zvinhu, vaverengi vanowanzo tarisa kune bhonzo simende orthopedic application mumajoini ekutsiva masisitimu.

Zviratidzo uye Kusarudzwa Kwemurwere kune Cemented Prosthesis

Murwere Profiles Akanyatsokodzera kune Cemented Joint Implants

Cemented prostheses inowanzokurudzirwa kuvarwere vakwegura, vanhu vane osteoporosis, kana varwere vane mapfupa akaderedzwa. Muzviitiko izvi, kuwana yakavimbika biological fixation ine cementless implants inogona kuve yakaoma.

Cemented fixation inopa kugadzikana kunofungidzirwa zvisinei nekuwanda kwepfupa, zvichiita kuti ive sarudzo inosarudzika kana kugadzirisa nekukurumidza uye kudzorwa kwekutakura mutoro kunodiwa.

Yakajairika Clinical Zvishandiso muHip uye Knee Arthroplasty

Muhudyu arthroplasty, masimende echikadzi akasimbiswa anowanzo kusarudzwa kune varwere vanoda kutakura uremu hwepakutanga kana kuti varipo vane hutano hwefupa revakadzi. Mune ibvi arthroplasty, simende tibial zvikamu uye patellar mabhatani anoramba akajairika tsika mumatunhu mazhinji pasi rese.

Aya maitiro anowanzo itwa pachishandiswa standardized hip joint replacement prosthesis uye ibvi joint replacement systems , zvichienderana nemurwere anatomy uye zvinangwa zvekuvhiya.

Cemented vs Cementless Prosthesis: A Clinical Sarudzo Maonero

Kugadzirisa Kugadzikana uye Kugadzirisa Kwekutanga Migumisiro

Imwe yemabhenefiti ekutanga ecemented prostheses ndeye kukurumidza kugadzirisa kugadzikana. Varwere vanogona kazhinji kutanga kuunganidza uye kudzoreredza kare vachienzaniswa neasina simiti masisitimu, ayo anoenderana neakareba osseointegration.

Mune varwere vane suboptimal bone quality, kunonoka kugadziriswa kwebhayoloji kunogona kuwedzera njodzi yekukurumidza kuisirwa kutama, zvichiita kuti simende gadziriso ive yakachengeteka uye inofanotaurwa sarudzo.

Kupona Kwenguva Yakareba uye Mafungiro Ekudzokorora

Nekufambira mberi muhunyanzvi hwekuisa simende, kupona kwenguva refu kwema prostheses ane simende kwave kuenzaniswa neasina simende masisitimu. Nekudaro, kuvhiyiwa kwekudzokorora kwemasimende esimende kungada humwe hunyanzvi hwekubvisa simende, iyo inofanirwa kutariswa panguva yekutanga kusarudzwa kwekudyara.

Muzviitiko zvakaoma, vanachiremba vanovhiya vanogona kuvimba nekuzvipira revision yejoint replacement implants yakagadzirirwa kugadzirisa kukanganisa kwemapfupa uye kugadzirisa matambudziko.

Zvakanakira uye Kuganhurirwa kweCemented Prosthesis Systems

Mabhenefiti Akakosha eCemented Fixation

• Pakarepo mechanical kugadzikana panguva yekuvhiyiwa

• Kugadziriswa kunofanotaurwa kune varwere vane hutano husina kunaka hwemapfupa

• Yakadzikira njodzi yekutanga kuisa micromotion kana kutama

• Zvakaratidzwa kwenguva refu kliniki mhedzisiro

Simende-Inoenderana Nengozi uye Matambudziko Ehunyanzvi

Pasinei nemabhenefiti ayo, simende inogadziriswa inosanganiswa nenjodzi dzakananga, kusanganisira simende implantation syndrome, mhedzisiro yekupisa panguva yepolymerization, uye kuwedzera kwehunyanzvi kuomarara panguva yekudzokorora maitiro. Njodzi idzi dzakaderedzwa zvakanyanya kana maprotocol akakodzera ekuisa simende uye nzira dzekuvhiya dzinoteverwa.

Kuvhiya Technique uye Maitiro Akanakisisa eSimende Prosthesis

Nzira dzemazuva ano dzekuisa simende dzinoita basa rakakosha mukugadzirisa simba rekugadzirisa uye mhedzisiro yenguva refu. Matanho akakosha anosanganisira kugadzirira kwakaringana, vacuum kusanganiswa kwebhonzo simende, uye inodzorwa simende kudzvanywa kuvandudza kupinda mufupa rinodzima.

Aya matekiniki anowanzo itwa nekuzvitsaurira orthopedic kuvhiya zviridzwa zvekutsiva majoini , izvo zvinobatsira kuve nechokwadi chekuenderana uye kuberekana panguva yekuisirwa.

Mhedziso: Ndeipi Iyo Cemented Prosthesis Iyo Sarudzo Yakarurama?

Cemented prostheses inoramba iri yakavimbika uye yakasimbiswa nekiriniki mhinduro mukuvhiya majoini ekutsiva. Apo murwere-zvakadai zvikonzero-zvakadai sekukura, kuderedzwa kwehutano hwemapfupa, kana kudiwa kwekukurumidza kugadzikana kwemashure-zviripo, kugadziriswa kwesimende kunoramba kuchiita basa rinokosha mune zvemazuva ano maitiro emapfupa.

Panzvimbo pekutsiviwa nemasisitimu asina simende, ma prostheses ane simende akashanduka pamwe nekufambira mberi kwehunyanzvi hwekuvhiya uye dhizaini yekudyara, kuchengetedza kukosha kwadzo mune yemazuva ano arthroplasty.

FAQs Nezve Cemented Prosthesis

Iyo simende prosthesis iri nani kune varwere vakura?

Cemented fixation inowanzosarudzwa kune varwere vakwegura nokuti inopa kugadzikana kwekukurumidza uye haivimbi nefupa ingrowth, iyo inogona kuderedzwa nekuda kwekuderera kwepfupa.

Ko simende prosthesis inowanzogara kwenguva yakareba sei?

Nekusarudzwa kwakakodzera kwemurwere uye nzira yekuvhiya yakakodzera, ma prostheses akasimbiswa anogona kushanda nemazvo kwemakore 15-20 kana kupfuura.

Zvigadzirwa zvesimbi zvinogadzirwa zvinogona kugadziridzwa kana zvichidiwa here?

Ehe. Kunyangwe kuvhiyiwa kwekudzokorora kungave kuri kudiwa zvakanyanya nekuda kwekubvisa simende, simende prostheses inogona kudzokororwa zvakachengeteka uchishandisa nzira dzakagadzirwa dzekuvhiya.

Simende yebhonzo yakachengeteka here pakudyara kwenguva refu?

Medical-grade bone simenti yakashandiswa mukuvhiyiwa kwemapfupa kwemakumi emakore uye ine chinyorwa chekuchengetedza chekuchengetedza kana ichishandiswa maererano nekliniki mitemo.

Kugadzirisa simende kunobvumira kutakura huremu hwekutanga here?

Ehe. Imwe yemabhenefiti akakosha ekugadzirisa simende ndeyekukurumidza kugadzikana kwemichina, iyo inowanzo tsigira yekutanga kuunganidza uye kugadzirisa.

Kugadzirisa simende kuchiri kushandiswa zvakanyanya nhasi?

Zvamazvirokwazvo. Cemented fixation inoramba iri yakajairwa uye inogamuchirwa zvakanyanya muhudyu nemabvi ekutsiva maitiro pasi rese.

Ndezvipi zvinhu zvinopesvedzera sarudzo pakati pemasimende nesimbi isina simende?

Hunhu hwemapfupa, zera remurwere, nhanho yebasa, mamiriro eanatomical, uye zvinangwa zvekuvhiya zvese zvinotamba mabasa akakosha pakuona nzira yakakodzera yekugadzirisa.

Ma prostheses ane simende anogona kushandiswa mukudzokorodza kuvhiya majoini ekutsiva?

Ehe. Cemented masisitimu anowanzo shandiswa mumakesi ekudzokorodza, kunyanya kana kuremara kwemapfupa kuchidzikamisa kushanda kwebiological fixation.