Aosite, kaha 1993
Puisano ka Tšebeliso ea Hinge ho Knee Prosthesis_Hinge Knowledge
Ho se tsitse ho matla ha lengole ho ka bakoa ke maemo a kang valgus le flexion deformities, collateral ligament rupture kapa tahlehelo ea mosebetsi, bokooa bo boholo ba masapo a distal femur le proximal tibia, le ho koaheloa ho sa phethoeng ha lisele tse bonolo. E le ho rarolla mathata ana, ho hlokahala mefuta e itseng ea li-prostheses tsa lengole, tse kang "hinged knee joint prosthesis".
The rotating hinge knee prosthesis (RHK) ke moloko oa boraro oa prosthesis ea mangole a hinged e sebelisoang haholo litsing tsa bongaka. E kenyelletsa lisebelisoa tsa maiketsetso tse kang S-ROM Modular Mobil-Bearing Hinge Prosthesis, Finn Knee, le Link PK. Li-prostheses tsena li hlōtse mefokolo ea meralo ea pejana mabapi le ho tsamaisa khatello ea maikutlo, lisebelisoa le lintlha tse ling, 'me li bontšitse liphetho tse betere tsa tleliniki ka ho fokotseha ha mathata.
Leha ho le joalo, ho bile le litlaleho tse hanyetsanang libukeng tse mabapi le katleho ea kliniki le mathata a RHK. Ka hona, boithuto bona bo ikemiselitse ho sekaseka lingoliloeng tse amehang ka mokhoa o hlophisehileng ho fumana mathata a akaretsang le ho hlaha ha mathata a maholo kamora RHK.
Boithuto bo ile ba etsa patlisiso e felletseng ea lingoliloeng litsing tse 'maloa tsa data mme ba sebelisa mekhoa ea ho kenyelletsa ho khetha lithuto tse nepahetseng. Boleng ba lingoliloeng tse kenyellelitsoeng bo ile ba hlahlojoa, 'me tlhahlobo ea lipalo-palo e ile ea etsoa ho bala litekanyetso tsa mathata a feletseng le mathata a itseng a kang tšoaetso ea periprosthetic, ho lokoloha ha aseptic ea li-prostheses, fractures ea periprosthetic, le mathata a amanang le patella.
Liphello li bontšitse hore kakaretso ea mathata ka mor'a RHK e ne e le 23.6%, 'me mathata a tloaelehileng e le tšoaetso ea periprosthetic (6.5%), ho lokoloha ha li-prostheses (2.9%), fractures ea periprosthetic (3.8%), le mathata a amanang le patella (3.8) %).
Ke habohlokoa ho hlokomela hore liphuputso tsena li thehiloe palo e fokolang ea lithuto 'me ho na le monyetla oa ho tlaleha ka leeme libukeng. Ka hona, lipatlisiso tse ling tsa boleng bo holimo lia hlokahala ho fana ka tlhahisoleseling e felletseng mabapi le ho hlaha ha mathata kamora RHK le ho tseba lisosa le mabaka a susumetsang.
Qetellong, ho utloisisa mathata a postoperative a RHK ho ka thusa lingaka ho etsa liqeto tse nang le tsebo le ho fana ka tlhokomelo e molemo ho bakuli. Ho hlokahala lipatlisiso tse ling ho ntlafatsa moralo oa RHK, ho ntlafatsa matšoao a kliniki, le ho ntlafatsa ts'ebetso ea morao-rao ea ts'ebetso e le ho eketsa melemo ho bakuli ba nang le maemo a mangole.
Ho feta moo, feme ea rona e fumane maikutlo a matle ho tsoa ho bareki, ba rorisitseng lisebelisoa tsa rona tsa tlhahlobo ea lihlahisoa le maikutlo a basebetsi ba rona ba mafolofolo le ba inehetseng mosebetsing. Re fana ka mefuta e mengata ea li-slide tsa li-drawer tse nang le mefuta e fapaneng, tse nang le litlhaloso tse ngata, tsa boleng bo botle le theko e utloahalang.
Ho sebelisoa ha hinge ho prosthesis ea lengole ke ea bohlokoa bakeng sa ho fana ka botsitso le ho fetoha ha maemo ha ho sisinyeha. Sehlooho sena se ikemiselitse ho araba lipotso tse atisang ho botsoa mabapi le tšebeliso ea li-hinges ho li-prosthetics tsa lengole le melemo ea tsona ho ntlafatsa boleng ba bophelo bakeng sa batho ba nang le maqeba a mangole kapa maemo a fokolang.
Ka moralo oa mehleng ea kajeno oa lehae, e le karolo ea bohlokoa ea kichineng le sebaka sa polokelo, likhabinete li hohetse tlhokomelo e kholo bakeng sa mesebetsi ea tsona le botle ba tsona. Phihlelo ea ho bula le ho koala ea mamati a k'habote e amana ka kotloloho le boiketlo le polokeho ea tšebeliso ea letsatsi le letsatsi. AOSITE reverse angle hinge e nyane, joalo ka sesebelisoa sa lisebelisoa tse ncha, e etselitsoe ho ntlafatsa boiphihlelo ba ts'ebeliso ea likhabinete.
Li-hinges tsa li-clip-on le li-hinge tse tsitsitseng ke mefuta e 'meli e tloaelehileng ea lihokelo tse sebelisoang ka thepa ea ka tlung le ka har'a likhabinete, e' ngoe le e 'ngoe e na le likarolo le melemo ea eona e ikhethang. Mona’s karohano ea liphapano tsa bohlokoa lipakeng tsa tsona:
Ka mokhabiso oa lapeng kapa ho etsa thepa ea ka tlung, hinge, e le sesebelisoa sa bohlokoa sa lisebelisoa se kopanyang monyako oa khabinete le 'mele oa khabinete, ke habohlokoa haholo ho khetha. Hinge ea boleng bo phahameng e ke ke ea netefatsa feela ho bula le ho koala ha lemati le boreleli, empa hape e ntlafatsa ho tšoarella le botle ba thepa eohle ea ka tlung. Leha ho le joalo, ka lebaka la mefuta e mengata e tsotehang ea lihlahisoa tse rekisoang, hangata bareki ba ikutloa ba lahlehetsoe. Kahoo, ke lintlha life tsa bohlokoa tseo re lokelang ho li ela hloko ha re khetha lihokelo? Mona ke lintlha tsa bohlokoa tseo u lokelang ho li ela hloko ha u khetha li-hinges:
Ha ho tluoa tabeng ea cabinetry—boemo ba leholimo ka kichineng, likamoreng tsa ho hlapela, kapa libaka tsa khoebo—motho a ka ’na a hlokomoloha bohlokoa ba lihokelo tse tšoarang mamati hantle. Leha ho le joalo, khetho ea thepa ea hinge e ka ama khabinete haholo’s tshebetso, nako e telele, le aesthetics ka kakaretso. Har'a lisebelisoa tse fapaneng tse fumanehang, tšepe e sa hloekang e se e tumme haholo joalo ka thepa ea khetho bakeng sa lihinji tsa khabinete. Sengoliloeng sena se hlahloba mabaka a etsang hore likhabote li sebelise lihinge tsa tšepe tse sa hloekang le melemo e mengata eo li e tlisang tafoleng.
Fetola 'maraka le puo
