Ucwaningo olwethulwe eMhlanganweni Waminyaka Yonke Wama-38 we-American Academy of Orthopaedic Trauma (OTA 2022) muva nje lubonise ukuthi ukuhlinzwa kwe-hip prosthesis ngaphandle kwe-cement kunengozi enkulu yokuphuka kanye nezinkinga naphezu kwesikhathi sokuhlinzwa esincishisiwe uma kuqhathaniswa nokuhlinzwa kwe-hip prosthesis okuqinisiwe.
Ucwaningo Olufushane
UDkt.Castaneda kanye nozakwabo bahlaziye iziguli ezingu-3,820 (isilinganiso seminyaka engu-81) ezahlinzwa nge-cemented hip prosthesis (amacala angu-382) noma i-non-cemented hip arthroplasty (amacala angu-3,438) ukuze zithole ukwelashwa.isifemuukuphuka kwentamo phakathi kuka-2009 no-2017.
Imiphumela yesiguli yayihlanganisa ukwaphuka kwamathambo ngesikhathi sokuhlinzwa nangemva kokuhlinzwa, isikhathi sokuhlinzwa, ukutheleleka, ukuhlukana kwezicubu, ukuhlinzwa kabusha kanye nokufa.
Imiphumela yocwaningo
Ucwaningo lubonise ukuthi iziguli ezise-I-prosthesis yesinqe engafakwanga usimendeIqembu lokuhlinzwa lalinamazinga okuphuka okuphelele angu-11.7%, izinga lokuphuka ngesikhathi sokuhlinzwa elingu-2.8% kanye nezinga lokuphuka ngemva kokuhlinzwa elingu-8.9%.
Iziguli eziseqenjini lokuhlinzwa le-Cemented hip prosthesis zazinezinga eliphansi lokuphuka elingama-6.5%, u-0.8% ngesikhathi sokuhlinzwa kanye no-5.8% ngemva kokuhlinzwa.
Iziguli eqenjini lokuhlinzwa kwe-Non-Cemented hip prosthesis zazinezinkinga eziningi kanye namazinga okuhlinzwa kabusha aphezulu uma kuqhathaniswa neqembu lokuhlinzwa kwe-Cemented hip prosthesis.
Umbono womcwaningi
Enkulumweni yakhe, umphenyi oyinhloko, uDkt.Paulo Castaneda, uphawule ukuthi nakuba kukhona isincomo esivumelanayo sokwelashwa kokuphuka kwentamo ye-femoral ephukile ezigulini ezindala, kusenempikiswano ngokuthi kufanele yini kuqiniswe. Ngokusekelwe emiphumeleni yalolu cwaningo, odokotela kufanele benze ukufakwa kwemisipha yesinqe okuqinisiwe ezigulini ezindala.
Ezinye izifundo ezifanele nazo zisekela ukukhetha ukuhlinzwa kwe-Cemented total hip prosthesis.
Ucwaningo olwanyatheliswa nguSolwazi Tanzer nabanye olunemiphumela yokulandelela yeminyaka eyi-13 luthole ukuthi ezigulini ezineminyaka engaphezu kwengu-75 ubudala ezinezinhlungu zentamo ye-femoral noma i-osteoarthritis, izinga lokubuyekezwa kwangaphambi kokuhlinzwa (izinyanga ezi-3 ngemva kokuhlinzwa) laliphansi ezigulini ezinezinhlungu zokuvuselelwa ezifakwe i-cemented ezingakhethwanga kunaseqenjini lokubuyekezwa elingafakwanga i-cemented.
Ucwaningo lukaSolwazi uJason H luthole ukuthi iziguli eziseqenjini lezibambo zesimende samathambo ziphumelele kakhulu kuneqembu elingenasimende ngokwesikhathi sokuhlala, izindleko zokunakekelwa, ukwamukelwa kabusha kanye nokuhlinzwa kabusha.
Ucwaningo lukaSolwazi uDale luthole ukuthi izinga lokubuyekezwa laliphezulu eqenjini elingakasimende kunaseqenjiniisiqu esiqinisiwe.
Isikhathi sokuthunyelwe: Feb-18-2023
