Hurukuro pamusoro peKushandiswa kweHinge muKnee Prosthesis_Hinge Knowledge

Kusagadzikana kwakanyanya kwemabvi kunogona kukonzerwa nemamiriro ezvinhu akadai se valgus uye flexion deformities, collateral ligament rupture kana kurasikirwa kwebasa, kukanganisa kukuru kwepfupa mu distal femur uye proximal tibia, uye kuvharwa kusina kukwana kwezvinyoro zvinyoro. Kuti ugadzirise nyaya idzi, mamwe marudzi emabvi eprostheses anodiwa, senge hinged knee joint prosthesis.

Iyo inotenderera hinge ibvi prosthesis (RHK) chizvarwa chechitatu che hinged knee prosthesis iyo inoshandiswa zvakanyanya mumakiriniki maitiro. Inosanganisira maprostheses akadai seS-ROM Modular Mobil-Bearing Hinge Prosthesis, Finn Knee, uye Link PK. Aya ma prostheses akakunda miganhu yemagadzirirwo ekutanga maererano nekushushikana kwekuita, zvinhu, uye zvimwe zvinhu, uye zvakaratidza zvirinani mhedzisiro yekiriniki nekuderedzwa kwezviitiko zvematambudziko.

Nekudaro, pave paine mishumo inopesana mumabhuku ane chekuita nekiriniki efficacy uye matambudziko eRHK. Nokudaro, chidzidzo ichi chine chinangwa chekuongorora zvakanyatsonaka mabhuku akakodzera kuti aone matambudziko ose uye kuitika kwematambudziko makuru mushure meRHK.

Chidzidzo ichi chakaita tsvakiridzo yakazara yemabhuku mune akati wandei dhatabhesi uye yakashandisa maitiro ekusanganisa kusarudza zvidzidzo zvakakodzera. Unhu hwemabhuku akabatanidzwa hwakaongororwa, uye kuongororwa kwenhamba kwakaitwa kuti kuverenge mazinga ematambudziko akazara uye mamwe matambudziko akadai sehutachiona hwehutachiona, aseptic kusunungurwa kweprostheses, periprosthetic fractures, uye matambudziko ane chokuita nepatella.

Mhedzisiro yacho yakaratidza kuti huwandu hwese hwekunetsekana mushure meRHK hwaive 23.6%, uye matambudziko akajairika ari periprosthetic infection (6.5%), aseptic loosening of prostheses (2.9%), periprosthetic fractures (3.8%), uye matambudziko ane chekuita nepatella (3.8) %).

Zvakakosha kucherechedza kuti izvi zvakawanikwa zvinobva pahuwandu hushoma hwezvidzidzo uye pane mukana wekutaura kwakarerekera mumabhuku. Naizvozvo, kumwe kutsvagurudza kwemhando yepamusoro kunodiwa kupa ruzivo rwakakwana pamusoro pekuitika kwematambudziko mushure meRHK uye kuona zvikonzero uye zvinofurira zvinhu.

Mukupedzisa, kunzwisisa matambudziko epashure eRHK anogona kubatsira varapi kuita zvisarudzo zvine ruzivo uye kupa hutano huri nani kuvarwere. Kumwe kutsvagisa kunodiwa kuvandudza dhizaini yeRHK, kunatsa zviratidzo zvekiriniki, uye kuwedzera postoperative rehabilitation kuitira kuti kuwedzere mabhenefiti kune varwere vane mabvi mamiriro.

Uye zvakare, fekitori yedu yakagamuchira mhinduro yakanaka kubva kune vatengi, avo vakarumbidza zvivakwa zvedu zvekuongorora zvigadzirwa uye maitiro evashandi vedu anoshingaira uye akazvipira kushanda. Isu tinopa huwandu hwemadhirowa masiraidhi akasiyana mumhando, ane akawanda mataurirwo, uye ari emhando yakanaka uye mutengo unonzwisisika.

Iko kushandiswa kwehinge mumabvi prosthesis kwakakosha pakupa kugadzikana uye kuchinjika mukufamba. Ichi chinyorwa chine chinangwa chekupindura mibvunzo inowanzo bvunzwa pamusoro pekushandiswa kwehinges mumabvi prosthetics uye mabhenefiti avo mukuvandudza hupenyu hwevanhu vane kukuvara kwemabvi kana mamiriro ekuderera.