Aosite, kuyambira 1993
Kusasunthika kwakukulu kwa mawondo kungayambitsidwe ndi zikhalidwe monga valgus ndi flexion deformities, collateral ligament ligament rupture kapena kutayika kwa ntchito, fupa lalikulu la mafupa mu distal femur ndi proximal tibia, ndi kuphimba kosakwanira kwa minofu yofewa. Pofuna kuthana ndi vutoli, mitundu ina ya mawondo amafunikira, monga prosthesis ya mawondo a hinged.
The rotation hinge knee prosthesis (RHK) ndi m'badwo wachitatu wa prosthesis ya hinged bondo yomwe imagwiritsidwa ntchito kwambiri pazachipatala. Zimaphatikizapo ma prosthesis monga S-ROM Modular Mobil-Bearing Hinge Prosthesis, Finn Knee, ndi Link PK. Ma prostheses awa agonjetsa malire a mapangidwe akale potengera kupsinjika, zida, ndi zinthu zina, ndipo awonetsa zotsatira zabwino zachipatala ndikuchepetsa kuchepa kwa zovuta.
Komabe, pakhala pali malipoti otsutsana m'mabuku okhudzana ndi mphamvu yachipatala ndi zovuta za RHK. Choncho, phunziroli likufuna kusanthula mwadongosolo mabuku oyenerera kuti adziwe zovuta zonse ndi zochitika zazovuta zazikulu pambuyo pa RHK.
Kafukufukuyu adafufuza mwatsatanetsatane m'mabuku angapo ndikugwiritsa ntchito njira zophatikizira kuti asankhe maphunziro oyenera. Ubwino wa mabuku omwe adaphatikizidwawo adawunikidwa, ndipo kusanthula kwachiwerengero kunachitidwa kuti awerengere kuchuluka kwa zovuta zonse ndi zovuta zina monga matenda a periprosthetic, aseptic kumasulidwa kwa prostheses, fractures periprosthetic, ndi zovuta zokhudzana ndi patella.
Zotsatira zake zidawonetsa kuti zovuta zonse pambuyo pa RHK zinali 23.6%, zovuta zomwe zimafala kwambiri ndi matenda a periprosthetic (6.5%), kumasuka kwa ma prostheses (2.9%), fractures ya periprosthetic (3.8%), ndi zovuta zokhudzana ndi patella (3.8) %).
Ndikofunika kuzindikira kuti zomwe zapezazi zimachokera ku chiwerengero chochepa cha maphunziro ndipo pali kuthekera kwa malipoti okondera m'mabuku. Choncho, kufufuza kwina kwapamwamba kumafunika kuti apereke chidziwitso chokwanira pazochitika za zovuta pambuyo pa RHK komanso kudziwa zomwe zimayambitsa ndi zomwe zimayambitsa.
Pomaliza, kumvetsetsa zovuta zapambuyo pa opaleshoni ya RHK kungathandize azachipatala kupanga zisankho zabwino komanso kupereka chisamaliro chabwino kwa odwala. Kafukufuku wowonjezereka akufunika kuti apange mapangidwe a RHK, kukonzanso zizindikiro zachipatala, ndi kupititsa patsogolo kukonzanso pambuyo pa opaleshoni kuti apindule kwambiri ndi odwala omwe ali ndi mawondo.
Kuphatikiza apo, fakitale yathu yalandira ndemanga zabwino kuchokera kwa makasitomala, omwe ayamikira malo athu oyendera zinthu komanso malingaliro a antchito athu akhama komanso odzipereka pantchito. Timapereka ma slide amitundu yosiyanasiyana omwe ali ndi mitundu yosiyanasiyana, omwe ali ndi mawonekedwe angapo, omwe ali abwino komanso okwera mtengo.
Kugwiritsa ntchito hinge mu prosthesis ya mawondo ndikofunikira kuti pakhale bata komanso kusinthasintha poyenda. Nkhaniyi ikufuna kuyankha mafunso omwe amafunsidwa kawirikawiri okhudzana ndi kugwiritsa ntchito ma hinges mu ma prosthetics a mawondo ndi ubwino wake popititsa patsogolo umoyo wa anthu omwe ali ndi vuto la mawondo kapena ofooka.