Ingxoxo ngokuSetyenziswa kweHinge kwi-Knee Prosthesis_Hinge Knowledge

Ukungazinzi okukhulu kwamadolo kunokubangelwa iimeko ezifana ne-valgus kunye ne-flexion deformities, i-collateral ligament rupture okanye ukulahlekelwa ngumsebenzi, iziphene ezinkulu zethambo kwi-distal femur kunye ne-proximal tibia, kunye nokugubungela okungaphelelanga kwezicubu ezithambileyo. Ukuze kulungiswe le miba, iintlobo ezithile zeeprostheses zamadolo ziyafuneka, ezifana ne-hinged knee joint prosthesis.

I-prosthesis yedolo ejikelezayo (RHK) sisizukulwana sesithathu se-prosthesis yamadolo e-hinged esetyenziswa ngokubanzi kwiikliniki. Iquka iiprostheses ezifana ne-S-ROM Modular Mobil-Bearing Hinge Prosthesis, Finn Knee, kunye ne-Link PK. Ezi prostheses zoyisile imida yoyilo lwangaphambili ngokwemigaqo yokuqhuba uxinzelelo, izixhobo, kunye nezinye izinto, kwaye zibonise iziphumo ezingcono zeklinikhi ngokuncipha kwezehlo zeengxaki.

Nangona kunjalo, kukho iingxelo eziphikisanayo kwiincwadi malunga nokusebenza kweklinikhi kunye neengxaki ze-RHK. Ke ngoko, olu phononongo lujolise ekuhlalutyeni ngokucwangcisiweyo uncwadi olufanelekileyo ukumisela iingxaki ezipheleleyo kunye nokuvela kweengxaki ezinkulu emva kweRHK.

Uphononongo luqhube uphando olubanzi loncwadi kwiindawo ezininzi zolwazi kwaye lusebenzisa imigaqo yokubandakanya ukukhetha izifundo ezifanelekileyo. Umgangatho woncwadi olubandakanyiweyo uhlolwe, kwaye uhlalutyo lwezibalo lwenziwa ukubala amaxabiso eengxaki ezipheleleyo kunye neengxaki ezithile ezifana nokusuleleka kwe-periprosthetic, ukukhulula i-aseptic ye-prostheses, i-periprosthetic fractures, kunye neengxaki ezinxulumene ne-patella.

Iziphumo zibonise ukuba umlinganiselo weengxaki ezipheleleyo emva kwe-RHK yayiyi-23.6%, kunye neengxaki ezixhaphakileyo yi-periprosthetic infection (6.5%), i-aseptic loosening ye-prostheses (2.9%), i-periprosthetic fractures (3.8%), kunye neengxaki ezinxulumene ne-patella (3.8) %).

Kubalulekile ukuqaphela ukuba ezi ziphumo zisekelwe kwinani elilinganiselweyo lezifundo kwaye kukho ithuba lokunika ingxelo ecalanye kuncwadi. Ngoko ke, uphando olongezelelweyo oluphezulu oluphezulu luyafuneka ukubonelela ngolwazi olubanzi malunga nokuvela kweengxaki emva kwe-RHK kunye nokuchonga izizathu kunye nezinto ezichaphazelayo.

Ekugqibeleni, ukuqonda iingxaki ze-postoperative ye-RHK kunokunceda oogqirha benze izigqibo ezinolwazi kunye nokubonelela ngononophelo olungcono kwizigulane. Uphando olongezelelweyo luyafuneka ukuze kuphuculwe uyilo lwe-RHK, ukucokisa izikhombisi zeklinikhi, kunye nokuphucula ukuvuselelwa emva kokuhlinzwa ukuze kwandiswe izibonelelo kwizigulane ezineemeko zamadolo.

Ukongeza, umzi-mveliso wethu ufumene ingxelo entle evela kubathengi, abaye bancoma izibonelelo zethu zokuhlola imveliso kunye nesimo sengqondo sabasebenzi bethu sokukhuthala nokuzinikezela. Sinikezela ngoluhlu lwezilayidi zedrowa eziziintlobo ngeentlobo, ezinengcaciso ezininzi, kwaye zikumgangatho olungileyo kunye nexabiso elifanelekileyo.

Ukusetyenziswa kwe-hinge kwi-prosthesis yamadolo kubalulekile ekuboneleleni ukuzinza kunye nokuguquguquka ekuhambeni. Eli nqaku lijolise ekuphenduleni imibuzo ebuzwa rhoqo malunga nokusetyenziswa kweehenjisi kwiiprosthetics zamadolo kunye neenzuzo zabo ekuphuculeni umgangatho wobomi kubantu abanokulimala kwamadolo okanye iimeko eziphazamisayo.