I-Cementless Primary Total Hip System

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I-Cementless Primary Total Hip System: Uhlolojikelele Oluphelele

Ukusetshenziswa kwezinhlelo ze-hip eziyinhloko ezingenasimende kuye kwanda kakhulu eminyakeni edlule ngenxa yemiphumela yabo yomtholampilo ephakeme yesikhathi eside kanye nokunciphisa ingozi yezinkinga. Lesi sihloko sinikeza ukubuka okuphelele kwezinhlelo ze-hip eziyinhloko ezingenasimende, okuhlanganisa izinzuzo zazo, ukungalungi, izinkomba, namasu okuhlinza.

Isingeniso

I-Hip arthroplasty iyinqubo evamile yokuhlinzwa ehilela ukushintshwa kwejoyinti le-hip elimele noma eligulayo ngokuhlanganyela okwenziwe. Kunezinhlobo ezimbili eziyinhloko zezinqubo zokushintshwa kwe-hip: ezifakwe usimende nezingenasimende. Kulesi sihloko, sizogxila ezinhlelweni ze-hip eziyinhloko ezingenasimende.

Izinzuzo ze-Cementless Primary Total Hip Systems

Izinhlelo ze-hip eziyisisekelo ezingenasimende zinikeza izinzuzo ezimbalwa ngaphezu kozakwabo abahlanganisiwe. Lezi zinzuzo zihlanganisa:

Ingozi Encishisiwe Yokuxegiswa

Enye yezinzuzo eziyinhloko zezinhlelo ze-hip eziyinhloko ezingenasimende ingozi yazo encishisiwe yokuxega. Izinhlelo ze-hip ezifakwe usimende zithembele kusimende ukubamba izingxenye endaweni, ezingase zixege ngokuhamba kwesikhathi. Ngakolunye uhlangothi, izinhlelo ze-hipless hip zithembele ekulungisweni kwezinto eziphilayo phakathi kwethambo nokufakelwa, okunikeza ukuzinza kwesikhathi eside.

Imiphumela Engcono Yesikhathi Eside Yomtholampilo

Izinhlelo ze-hip eziyisisekelo ezingenasimende ziye zaboniswa ukuthi zinemiphumela engcono yesikhathi eside yomtholampilo uma kuqhathaniswa nezinhlelo ze-hip ezihlanganisiwe. Lokhu kungenxa yokuthi izinhlelo ze-hipless cementless zinikeza i-ingrowth engcono yamathambo, okuholela ekuzinzeni okuthuthukisiwe kanye nokunciphisa ingozi yokuhluleka kokufakelwa.

Ingozi Encishisiwe Yezinkinga

Izinhlelo ze-hip eziyisisekelo ezingenasimende nazo zinengozi encishisiwe yezinkinga ezinjengokutheleleka, ukuxegiswa kwe-aseptic, kanye nokuphuka kwe-periprosthetic. Lokhu kungenxa yokuthi izinhlelo ze-hip ezingenasimende azidingi ukusetshenziswa kukasimende, okungabangela izinkinga eziningi.

Ububi be-Cementless Primary Total Hip Systems

Ngenkathi izinhlelo ze-hip eziyisisekelo ezingenasimende zinikeza izinzuzo ezimbalwa, nazo zinezinkinga ezimbalwa. Lokhu kubi kuhlanganisa:

Izindleko Zokuqala Eziphakeme

Izinhlelo ze-hip eziyisisekelo ezingenasimende zivame ukubiza kakhulu kunezinhlelo ze-hip ezihlanganisiwe. Lokhu kungenxa yokuthi badinga ubuchwepheshe bokufakelwa obuthuthuke kakhulu kanye nezinsimbi ezikhethekile.

Isikhathi Eside Sokuhlinzwa

Izinhlelo ze-hip eziyisisekelo ezingenasimende nazo zidinga isikhathi eside sokuhlinzwa uma kuqhathaniswa nezinhlelo ze-hip ezihlanganisiwe. Lokhu kungenxa yokuthi ukufakelwa kufanele kubekwe ngokunembile nangokuvikelekile ethanjeni.

Izinkomba ze-Cementless Primary Total Hip Systems

Amasistimu we-hip angenasimende ayisisekelo aboniswa ezigulini ezine:

• I-Rheumatoid arthritis

• I-Osteoarthritis

• I-avascular necrosis

• I-post-traumatic arthritis

• I-Congenital hip dysplasia

Isu Lokuhlinza le-Cementless Primary Total Hip Systems

Indlela yokuhlinza yezinhlelo ze-hip eziyisisekelo ezingenasimende ihlanganisa izinyathelo ezimbalwa. Lezi zinyathelo zihlanganisa:

Ukuhlela Kwangaphambi Kokuhlinzwa

Udokotela ohlinzayo uzokwenza ukuhlolwa kwangaphambi kokuhlinzwa ukuze ahlole impilo yonke yesiguli futhi anqume usayizi wokufakelwa okufanele kanye nohlobo.

Imbobo

Udokotela ohlinzayo uzokwenza i-incision esifundeni se-hip ukuze afinyelele ukujoyina.

Ukulungiswa kwe-Femur

Udokotela ohlinzayo uzosusa ikhanda lesifazane elimele futhi alungise umsele we-femoral wokufakelwa.

Ukulungiswa kwe-Acetabulum

Udokotela ohlinzayo uzosusa i-acetabulum eyonakele futhi ayilungiselele ukufakelwa.

Ukufakelwa

Udokotela ohlinzayo uzofaka ingxenye yesifazane kanye nengxenye ye-acetabular, eqinisekisa ukufaneleka okufanele nokuzinza.

Ukuvala

Udokotela ohlinzayo uzovala ukusika futhi afake izingubo zokugqoka.

Ukunakekelwa Kwangemva Kokuhlinzwa

Iziguli ezibhekana nezinhlelo ze-hip eziphelele ezingenasimende zizodinga ukulandela uhlobo oluqinile lokunakekelwa kwangemva kokuhlinzwa, okuhlanganisa:

• Ukwelashwa ngokomzimba

• Ukuphathwa kwemithi

• Ukunakekelwa kwenxeba

• Imikhawulo yokuthwala isisindo

Isiphetho

Izinhlelo ze-hip eziyisisekelo ezingenasimende seziphenduke inketho ethandwayo ye-hip arthroplasty ngenxa yemiphumela yabo yomtholampilo ephakeme yesikhathi eside kanye nokunciphisa ingozi yezinkinga. Nakuba zinobubi obuthile, njengezindleko eziphakeme zokuqala kanye nesikhathi eside sokuhlinzwa, izinzuzo zivame ukudlula izithiyo.

Sekukonke, izinhlelo ze-hip eziyinhloko ezingenasimende zinikeza isisombululo esisebenzayo ezigulini ezinesifo esihlangene se-hip noma ukulimala. Ngokuhlela okufanele ngaphambi kokuhlinzwa, indlela yokuhlinzwa, nokunakekelwa kwangemva kokuhlinzwa, iziguli zingalindela umphumela ophumelelayo nezinga lempilo elithuthukisiwe.

Imibuzo Evame Ukubuzwa

1. Iyini isistimu yenyonga eyisisekelo engenasimende?

Isistimu ye-hip eyisisekelo engenasimende iwuhlobo lokuhlinza esikhundleni se-hip elingathembeli kusimende ukuze kubambe ukufakelwa endaweni. Esikhundleni salokho, isebenzisa ukulungiswa kwebhayoloji phakathi kwethambo nokufakelwa ukuze kube nokuzinza kwesikhathi eside.

1. Yiziphi izinzuzo ze-cementless primary total hip systems?

Izinzuzo zezinhlelo ze-hip eziyinhloko ezingenasimende zihlanganisa ingozi encishisiwe yokuxega, imiphumela engcono yomtholampilo yesikhathi eside, kanye nokunciphisa ingozi yezinkinga ezifana nokutheleleka kanye nokuphuka kwe-periprosthetic.

1. Yiziphi izinkomba zezinhlelo ze-hip eziphelele ezingenasimende?

Izinhlelo eziphelele ze-cementless primary hip ziboniswa ezigulini ezine-arthritis ye-rheumatoid, i-osteoarthritis, i-avascular necrosis, i-post-traumatic arthritis, ne-congenital hip dysplasia.

1. Ithini indlela yokuhlinza yamasistimu amanyonga aphelele angenasimende?

Indlela yokuhlinza yezinhlelo ze-hip eziyinhloko ezingenasimende ihlanganisa izinyathelo ezimbalwa, okuhlanganisa ukuhlela ngaphambi kokuhlinzwa, ukusika, ukulungiswa kwe-femur ne-acetabulum, ukufakwa, nokuvalwa.

1. Kuyini ukunakekelwa kwangemva kokuhlinzwa kweziguli ezithola amasistimu amanyonga aphelele angenasimende?

Ukunakekelwa kwangemva kokuhlinzwa kweziguli ezibhekana nezinhlelo ze-hip eziyisisekelo ezingenasimende kuhlanganisa ukwelapha ngokomzimba, ukuphathwa kwemithi, ukunakekelwa kwamanxeba, nemikhawulo yokuthwala isisindo.