Talanoaga i le Fa'aogaina o le Fa'aigoa i Tuliuli Fa'apolofesa_Malamalamaga

O le le mautonu o tulivae ogaoga e mafai ona mafua mai i tulaga e pei o le valgus ma le flexion deformities, collateral ligament rupture poʻo le leiloa o galuega, ponaivi ponaivi ponaivi ponaivi ponaivi i le femur mamao ma le proximal tibia, ma le le atoatoa o le ufiufi o masini vaivai. Ina ia mafai ona foia nei mataupu, e manaʻomia nisi ituaiga o tui tulivae, e pei o le soʻotaga sooga tulivae.

O le fa'asolosolo o le tulivae fa'asolosolo (RHK) o le lona tolu lea o augatupulaga ole fa'aoga tulivae e masani ona fa'aaogaina ile falema'i. E aofia ai tui fa'apolofesa pei ole S-ROM Modular Mobil-Bearing Hinge Prosthesis, Finn Knee, ma le Link PK. O nei prostheses ua faʻatoʻilaloina tapulaʻa o mamanu muamua e tusa ai ma le faʻalavelave faʻalavelave, meafaitino, ma isi mea, ma ua faʻaalia ai le sili atu o le falemaʻi ma le faʻaitiitia o faʻalavelave faʻalavelave.

Ae ui i lea, o loʻo i ai faʻamatalaga feteʻenaʻi i tusitusiga e uiga i le aoga faʻapitoa ma faʻalavelave a le RHK. O le mea lea, o lenei suʻesuʻega e faʻamoemoe e suʻesuʻe faʻasolosolo tusitusiga talafeagai e fuafua ai le aotelega o faʻalavelave ma faʻalavelave tele pe a uma le RHK.

O le suʻesuʻega na faʻatautaia se suʻesuʻega faʻapitoa i tusitusiga i le tele o faʻamaumauga ma faʻaogaina tulaga faʻapipiʻi e filifili ai suʻesuʻega talafeagai. O le tulaga lelei o tusitusiga na aofia ai na iloiloina, ma faʻataʻitaʻiga faʻamaumauga e fuafua ai fua faatatau o faʻalavelave faʻapitoa ma faʻalavelave faʻapitoa e pei o le periprosthetic infection, aseptic loosening of prostheses, periprosthetic fractures, ma patella-related complications.

O faʻaiʻuga na faʻaalia ai o le aofaʻi o faʻalavelave faʻafuaseʻi ina ua maeʻa le RHK e 23.6%, faʻatasi ai ma faʻalavelave sili ona taatele o faʻamaʻi pipisi (6.5%), faʻamavaeina o faʻamaʻi (2.9%), gau o le periprosthetic (3.8%), ma faʻalavelave faʻapitoa (3.8). %).

E taua le maitauina o nei suʻesuʻega e faʻavae i luga o se numera faʻatapulaʻa o suʻesuʻega ma o loʻo i ai se avanoa o lipoti faʻaituau i tusitusiga. O le mea lea, e manaʻomia nisi suʻesuʻega maualuga e tuʻuina atu ai faʻamatalaga sili atu i luga o faʻalavelave faʻalavelave pe a uma le RHK ma faʻamaonia mafuaʻaga ma aʻafiaga.

I le fa'ai'uga, o le malamalama i fa'alavelave fa'afuase'i a le RHK e mafai ona fesoasoani i foma'i e fai fa'ai'uga fa'ailoa ma maua ai le tausiga lelei mo gasegase. E manaʻomia nisi suʻesuʻega e faʻaleleia atili ai le mamanu o le RHK, faʻaleleia faʻamaoniga o falemaʻi, ma faʻaleleia le toe faʻaleleia o le postoperative ina ia faʻateleina le aoga mo tagata mamaʻi ma tulaga tulivae.

E le gata i lea, ua maua e le matou fale gaosi ni tali lelei mai tagata faʻatau, o loʻo viia a matou fale suʻesuʻe oloa ma uiga maelega ma le tuuto a matou tagata faigaluega. Matou te ofoina atu le tele o ata faʻataʻavalevale e eseese i ituaiga, e tele faʻamatalaga, ma e lelei le lelei ma le tau talafeagai.

O le faʻaogaina o se faʻamau i le tulivae tulivae e taua tele mo le tuʻuina atu o le mautu ma le fetuutuunai i le gaioiga. O lenei tusiga e faʻamoemoe e tali fesili e masani ona fesiligia e uiga i le faʻaogaina o faʻamau i tulivae faʻamaʻi ma o latou aoga i le faʻaleleia o le lelei o le olaga mo tagata taʻitoʻatasi o loʻo i ai manuʻa tulivae poʻo tulaga faʻaleagaina.