Isikhundla se-Prosthesis: Uka prosthesis averhang uzoletha imiphi imiphumela?

I-Unicompartmental Knee arthroplasty (UCA) iyindlela ehlukile yokuhlinza i-Fnoval Knee Arthroplasty (TKA) yokwelashwa kwe-Unicompartmental Osteoarthritis. Kodwa-ke, idatha esezingeni lokuhluleka kwe-UCA ikhombisa isilinganiso seminyaka engu-7 yokusinda kwama-74%, okuphansi kakhulu kunaleyo ye-TKA (92%). Yize izici zeziguli ezazi zikhulisa ubungozi bokwehluleka, ezinjengeziguli ezincane kanye ne-Higho Body Mass Index (BMI) kungangezelela ubungozi bokuhluleka kwe-UKA, amaphutha obuchwepheshe obuthile abhekwe njengezici ezibalulekile zobungozi zokuhluleka kwengozi. E-Uka, kuyinselele ukufeza ukuqondanisa okuhle kwe-prostetic kanye ne-overhang (ngokweqile). I-tibial prosthesis kufanele ihlukaniswe futhi ifakwe ngendlela enciphisa ukucasuka kwezicubu ezithambile, futhi i-medial tibial averhang engaphezulu kuka-3 mm ikhonjiswe ukuthi ibe yinto ebalulekile yengozi ye-Oxford Knee Score (OKS) kanye nobuhlungu obukhulayo. Inhloso yokuqala yalolu cwaningo bekuwukuhlola imiphumela ephelele yomtholampilo kanye nemicabango ye-Uka. Injongo yesibili kwakuwukuhlola umphumela we-prosthetic maletic nyalalignment kanye nokuthobela ukusinda okusinda.uunicompal knee arthroplasty (UCA) yindlela ehlukile yokuhlinza okuphelele ye-knee arthroplasty (TKA) yokwelashwa kwe-osteoarthritis evamile. Kodwa-ke, idatha esezingeni lokuhluleka kwe-UCA ikhombisa isilinganiso seminyaka engu-7 yokusinda kwama-74%, okuphansi kakhulu kunaleyo ye-TKA (92%). Yize izici zeziguli ezazi zikhulisa ubungozi bokwehluleka, ezinjengeziguli ezincane kanye ne-Higho Body Mass Index (BMI) kungangezelela ubungozi bokuhluleka kwe-UKA, amaphutha obuchwepheshe obuthile abhekwe njengezici ezibalulekile zobungozi zokuhluleka kwengozi. E-Uka, kuyinselele ukufeza ukuqondanisa okuhle kwe-prostetic kanye ne-overhang (ngokweqile). I-tibial prosthesis kufanele ihlukaniswe futhi ifakwe ngendlela enciphisa ukucasuka kwezicubu ezithambile, futhi i-medial tibial averhang engaphezulu kuka-3 mm ikhonjiswe ukuthi ibe yinto ebalulekile yengozi ye-Oxford Knee Score (OKS) kanye nobuhlungu obukhulayo. Inhloso yokuqala yalolu cwaningo bekuwukuhlola imiphumela ephelele yomtholampilo kanye nemicabango ye-Uka. Injongo yesibili kwakuwukuhlola umphumela wokuma emthethweni kanye nokuqubuka ekusindeni okumele.

Izindlela

Lolu cwaningo luyisifundo esiseduze nesikhungo esisodwa esasihlanganisa neziguli zabesilisa nabesifazane ezihlanza i-Medial Uka esikhungweni sethu kusukela ngoJanuwari 2007, kanye nazo zonke iziguli i-arthritis ezijwayelekile, i-Patellofemoral agment arthritis, ukuhanjiswa kweTibial Imiphumela yemitholampilo kanye nemifanekiso yatholakala ekubuyekezweni kabusha kwamarekhodi emitholampilo kanye nemininingwane yezikhungo. Ama-angles angama-sororal nama-angles we-sagittal (FCA kanye ne-FSA) kanye ne-tibial angles nama-angles we-sagittal (i-TCA ne-TSA) alinganiswe kuma-radiographs kuwo wonke amapulatifomu ahleliwe, njengoba kukhonjisiwe.

Umphumela

Ukulandela okushiwo kwakuyiminyaka engu-4,9 (0.03 kuye ku-10.2). Sikhombe ukuhlinzwa kwezibuyekezo ezingama-36 ngencazelo yeminyaka engu-3.7 (0.03 kuye ku-8.7) nge-postoperatively kanye nezinga lokuhluleka okucugezayo le-14.2%. Ukusinda kweminyaka engu-5 kwakungu-88.0% (i-95% yokuzithemba yokuzithemba [i-CI] = 82.0% kuya ku-91.0%) kanye nokusinda kweminyaka engu-10% (95% ci = 56.0% kuya ku-80.0%).

Izizathu ezivame kakhulu zokubuyekezwa kwakungukuqondakala okumpofu / okungazinzile kwe-prosthesis (31%), ukwehluleka kwemishini (22%), ukuqhubekela phambili kwe-osteoarthritis (14%), nobuhlungu obungachazwanga (8%).

I-11.9% kuphela ye-UCAS ithole konke ukuhambisana okufunayo kanye nokusethwa komoya. I-anterior anhang ye-prosthesis ibingeyona into ebalulekile yengozi yokuhluleka kwe-UKA (10.0% Izinga lokuhluleka, kanye ne-0.0%) kanye ne-38.006) kanye ne-provelial averhang ye-prosthesis

Xoxisana

Kulolu cwaningo, sihlole imiphumela yemitholampilo kanye nemicabango ye-Uka ye-Medial kanye nomthelela wokuqondanisa kanye nokweqisa. 5- kanye namazinga okusinda weminyaka eyi-10 kwakungama-88% nama-70%, ngokulandelana, futhi aphansi kakhulu kune-TKA. Izinkomba ezivame kakhulu zokubuyekezwa kwakuwukuqondanisa okuhle kwe-prostetic, ukwehluleka kwemishini nokuqhubeka kwe-osteoarthritis. Ukuqondanisa okuhle kwe-prosthesis kanye ne-poresior ne-methang yangaphandle kuyizici ezibalulekile zobungozi zokubuyekezwa kwe-UKA.

Ezincwadini ezishicilelwe, lezi zimbangela ezimbili eziphambili ze-Uka ukwehluleka ukukhishwa kwe-axeptic kanye nokuthuthuka kwe-osteoarthritic, zombili ezinokusatshalaliswa komthwalo ongalingani, ziphakamisa ukuthi izimbangela ezishiwo ngenhla, ziphakamisa ukuthi izimbangela ezishiwo ngenhla ze-UCA zingaba ngomshini wemvelo. Lobu bufakazi bubonisa ukuthi ukuqondanisa okuhle kwe-prosthethesis kuyimbangela yokuhluleka kwe-UKA ukwehluleka. Ngakho-ke, sikholwa ukuthi imizamo kufanele yenziwe ukuthuthukisa amasu okuhlinza ukuthuthukisa ukuqondana kwe-UKA grosthesis futhi kunciphise ukwenzeka kwe-overhang.

Okutholakele kwamanje kusikisela ukuthi ukuhlangana okuqinile phakathi kokuqondanisa okuhle kwe-prosthesis / i-overhang kanye nengozi yokubuyekezwa kuphakamisa indlela engahle ibe khona ngezilinganiso eziphezulu zokwehluleka ezibonakalayo kulolu cwaningo. Ikhono lodokotela ohlinzayo lokunemba ngokungaguquki ekubekeni ukubekwa kwe-prosthesis kuyinto ebalulekile ekusizeni ukuthuthukisa amanani okusinda kwe-UK.

Ungayithenga kanjani izimila zamathambo namathuluzi ama-orthopedic?

Ingomane I-CZMeditech , sinomugqa womkhiqizo ophelele we-Orthopedic Surgery izimila nezinsimbi ezihambisanayo, imikhiqizo kubandakanya izimila ze-spine, Izipikili ze-intramentundary, Ipuleti le-Trauma, Ukukhiya ipuleti, I-Cranial-maxillofacial, UProsuthesis, Amathuluzi Amandla, Finators yangaphandle, I-Arthroscopy, ukunakekelwa kwezilwane kanye nezinsimbi zabo ezisekelayo.

Ngaphezu kwalokho, sizibophezele ekuthuthukiseni ngokuqhubekayo imikhiqizo emisha kanye nokwandisa imigqa yomkhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela neziguli eziningi, futhi zenze inkampani yethu icindezele ngokwengeziwe ezindaweni zonke zemboni yama-orthopedic kanye nemboni yezinsimbi.

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