Tsvagiridzo yakapihwa paMusangano Wepagore we38 weAmerican Academy of Orthopedic Trauma (OTA 2022) nguva pfupi yadarika yakaratidza kuti kuvhiyiwa kweCementless hip prosthesis kune njodzi yakawedzera yekutyoka uye matambudziko kunyangwe yakaderedzwa nguva yekushanda ichienzaniswa nekuvhiyiwa kwehudyu prosthesis.
Tsvakurudzo pfupi
Dr.Castaneda uye vaaishanda navo vakaongorora varwere ve3,820 (kureva zera remakore 81) vakavhiyiwa cemented hip prosthesis (382 kesi) kana kwete-cemented hip arthroplasty (3,438 kesi) yezvechikadzimutsipa wakatyoka pakati pa2009 na2017.
Mhedzisiro yemurwere yaisanganisira intraoperative uye postoperative fractures, nguva yekushanda, hutachiona, dislocation, reoperation uye kufa.
Tsvagiridzo zvawanikwa
Chidzidzo chacho chakaratidza kuti varwere vari muchipataraNon-Cemented hip prosthesisboka rekuvhiya raiva nehuwandu hwekuputsika kwe11.7%, intraoperative fracture rate ye2.8% uye postoperative kuputsika kwe8.9%.
Varwere vari muCemented hip prosthesis boka rekuvhiya vaiva nekashoma kuputsika kwe6.5% yose, 0.8% intraoperative uye 5.8% postoperative fractures.
Varwere vari muNon-Cemented hip prosthesis boka rekuvhiya vaive nepamusoro pese kucompplication uye reoperation mitengo kana ichienzaniswa neCemented hip prosthesis boka rekuvhiya.
Maonero emutsvakurudzi
Mumharidzo yake, muongorori mukuru, Dr.Paulo Castaneda, akacherechedza kuti kunyange zvazvo pane kubvumirana kurudziro yekurapa kwevakadzi vakatyoka mutsipa muvarwere vakura, pachine gakava pamusoro pokuti voisimbisa here.Zvichienderana nemhedzisiro yeongororo iyi, varapi vanofanirwa kuita mamwe simende kutsiva hudyu muvarwere vakura.
Zvimwe zvidzidzo zvakakodzera zvinotsigirawo kusarudzwa kweCemented yakazara hip prosthesis kuvhiyiwa.
Chidzidzo chakaburitswa naProfessor Tanzer et al.ine 13-gore yekutevera yakawana kuti kune varwere> 75 yemakore ezera vane femoral neck fractures kana osteoarthritis, yekutanga postoperative revision rate (3 mwedzi mushure mekushanda) yakanga yakaderera kune varwere vane sarudzo yakagadziriswa yakasimwa pane iyo isina-cemented revision. boka.
Ongororo yakaitwa naProfessor Jason H yakawana kuti varwere vari muboka resamende pfupa vakapfuura boka risina simende maererano nehurefu hwekugara, mari yekutarisira, kuverenga uye kushanda zvakare.
Chidzidzo chakaitwa naProfessor Dale chakawana kuti chiyero chekudzokorora chaive chakakwira muboka risina simende kupfuura mucemented stem.
Nguva yekutumira: Feb-18-2023
