Tsvagiridzo yakaitwa paMusangano wegore negore wechi38 weAmerican Academy of Orthopaedic Trauma (OTA 2022) munguva pfupi yapfuura yakaratidza kuti kuvhiyiwa kwechiuno chisina simende kune njodzi yakakura yekutyoka uye matambudziko kunyangwe nguva yekuvhiyiwa yakadzikira zvichienzaniswa nekuvhiyiwa kwechiuno chakagadzirwa nesimbi.
Pfupiso Yekutsvaga
Dr.Castaneda nevamwe vake vakaongorora varwere 3,820 (avhareji yezera remakore 81) vakavhiyiwa chiuno chakasungirirwa nesimbi (zviitiko 382) kana kuti chiuno chisina simende (zviitiko 3,438) kuti vawane rubatsiro rwekurapa chirwere ichi.hunhu hwevakadzikutyoka kwemutsipa pakati pa2009 na2017.
Zvakabuda mumurwere zvaisanganisira kutyoka kwemapfupa panguva yekuvhiyiwa uye mushure mekuvhiyiwa, nguva yekuvhiyiwa, hutachiona, kubuda kwetsandanyama, kuvhiyiwazve uye kufa.
Mhedzisiro yekutsvagisa
Chidzidzo chacho chakaratidza kuti varwere vari muKugadzirwa kwechiuno kusina simendeBoka rekuvhiya raiva nehuwandu hwekutyoka hwe11.7%, huwandu hwekutyoka hwe2.8% panguva yekuvhiyiwa uye huwandu hwekutyoka hwe8.9% mushure mekuvhiyiwa.
Varwere vaiva muboka rekuvhiyiwa kweCemented hip prosthesis vaiva nehuwandu hwakaderera hwekutyoka hwe6.5%, 0.8% panguva yekuvhiyiwa uye 5.8% mushure mekuvhiyiwa.
Varwere vari muboka rekuvhiyiwa kwenhengo dzechiuno dzisina Cemented hip prosthesis vaive nematambudziko akawanda uye mukana wekuvhiyiwazve wakakwira zvichienzaniswa neboka rekuvhiyiwa kwenhengo dzechiuno dzakagadzirwa neCemented hip prosthesis.
Maonero emuongorori
Muhurukuro yake, mukuru wevanoongorora, Dr.Paulo Castaneda, akataura kuti kunyangwe paine kurudziro yekubvumirana pakurapa kutyoka kwemutsipa wefemoral kwakabva kune vakwegura, kuchine gakava rekuti vanofanira kusimbisa here kana kuti kwete. Zvichibva pamhedzisiro yechidzidzo ichi, vanachiremba vanofanira kuita mamwe machira echiuno akasimbiswa muvarwere vakwegura.
Dzimwe ongororo dzakakosha dzinotsigirawo sarudzo yekuvhiyiwa kweCemented total hip prosthesis.
Ongororo yakaburitswa naPurofesa Tanzer nevamwe vake ine makore gumi nematatu ekutevera yakawana kuti muvarwere vane makore anopfuura makumi manomwe nemashanu ekuberekwa vane mapfupa akatyoka emutsipa wefemoral kana osteoarthritis, mwero wekuvandudzwa kwemuviri mushure mekuvhiyiwa (mwedzi mitatu mushure mekuvhiyiwa) wakaderera muvarwere vane cemented revision yesarudzo pane muboka rekuvandudzwa risina simende.
Ongororo yakaitwa naProfessor Jason H yakawana kuti varwere vari muboka remabhande esimbi yemapfupa vakakunda boka risina simende kana tichitarisa nguva yekugara, mari yekurapwa, kudzoka kubasa uye kuvhiyiwazve.
Ongororo yakaitwa naProfessor Dale yakawana kuti mwero wekuvandudzwa kwezvekugadzira wakakwira muboka risina simende kupfuura muboka retsinde rakasimwa.
Nguva yekutumira: Kukadzi-18-2023
