Ucwaningo olwethulwe eMhlanganweni Wonyaka wama-38 we-American Academy of Orthopedic Trauma (OTA 2022) lusanda kukhombisa ukuthi ukuhlinzwa kwe-Cementless hip prosthesis kunengozi eyengeziwe yokuphuka kanye nezinkinga naphezu kwesikhathi esincishisiwe sokusebenza uma kuqhathaniswa nokuhlinzwa kwe-hip prosthesis eqinile.
Ucwaningo Olufushane
UDkt.Castaneda kanye nozakwabo bahlaziye iziguli ezingu-3,820 (iminyaka yobudala engama-81 ubudala) ezahlinzwa ngosimende we-hip prosthesis (amacala angu-382) noma i-hip arthroplasty engafakwanga (izimo ezingu-3,438)femoralukuphuka kwentamo phakathi kuka-2009 no-2017.
Imiphumela yesiguli yayihlanganisa ukuphuka kwe-intraoperative kanye ne-postoperative, isikhathi sokusebenza, ukutheleleka, ukuxoshwa, ukusebenza kabusha nokufa.
Imiphumela yocwaningo
Ucwaningo luveze ukuthi iziguli kuI-hip prosthesis engafakwanga usimendeiqembu labahlinzayo libe nenani eliphelele lokuphuka lika-11.7%, izinga lokuphuka kwe-intraoperative lika-2.8% kanye nezinga lokuphuka kwangemva kokuhlinzwa lika-8.9%.
Iziguli eziseqenjini lokuhlinza i-Cemented hip prosthesis zinezinga eliphansi lokuphuka lika-6.5% inani, i-0.8% ye-intraoperative kanye ne-5.8% ye-postoperative fractures.
Iziguli eziseqenjini lokuhlinza i-hip prosthesis elingasikiwe zinezinga eliphakeme kakhulu lezinkinga kanye namazinga okusebenza kabusha uma kuqhathaniswa neqembu lokuhlinza i-Cemented hip prosthesis.
Umbono womcwaningi
Ethula inkulumo yakhe, umphenyi omkhulu, uDkt.Paulo Castaneda, ubalule ukuthi nakuba kunezincomo zokuvumelana mayelana nokwelashwa kokuphuka kwentamo yesifazane ezigulini esezikhulile, kusenempikiswano ngokuthi kumele kufakwe usimende yini.Ngokusekelwe emiphumeleni yalolu cwaningo, odokotela kufanele benze ukushintshwa kwe-hip ka-cemented ezigulini ezindala.
Ezinye izifundo ezifanele futhi zisekela ukukhethwa kokuhlinzwa kwe-Cemented total hip prosthesis.
Ucwaningo olushicilelwe nguSolwazi Tanzer et al.ngokulandelwa kweminyaka engu-13 kutholwe ukuthi ezigulini> iminyaka engu-75 ubudala ene-femoral neck fractures noma i-osteoarthritis, izinga lokuqala lokubuyekezwa kwe-postoperative (izinyanga ezingu-3 ngemuva kokuhlinzwa) laliphansi ezigulini ezinokubuyekezwa okusikiwe okuzikhethela kunokubuyekezwa okungasikiwe. iqembu.
Ucwaningo olwenziwa nguSolwazi Jason H luthole ukuthi iziguli eziseqenjini lesibambo sikasimende samathambo zisebenza kahle kakhulu kuneqembu elingenasimende ngokwesikhathi sokuhlala, izindleko zokunakekelwa, ukufundwa nokusebenza kabusha.
Ucwaningo olwenziwa nguSolwazi Dale luthole ukuthi izinga lokubukeza liphezulu eqenjini elingasikiwe kunase-isiqu sikasimende.
Isikhathi sokuthumela: Feb-18-2023
