Ingxoxo ngokusetshenziswa kwe-Hinge ku-Knee Prosthesis_Hinge Knowledge

Ukungazinzi okukhulu kwamadolo kungabangelwa izimo ezifana nokukhubazeka kwe-valgus kanye ne-flexion, ukuphuka kwe-ligament yesibambiso noma ukulahlekelwa umsebenzi, ukukhubazeka okukhulu kwamathambo ku-distal femur kanye ne-proximal tibia, nokumbozwa okungaphelele kwezicubu ezithambile. Ukuze kuxazululwe lezi zinkinga, izinhlobo ezithile zama-prostheses amadolo ziyadingeka, njenge-hinged knee joint prosthesis.

I-rotating hinge knee prosthesis (RHK) isizukulwane sesithathu se-hinged knee prosthesis esetshenziswa kakhulu emisebenzini yomtholampilo. Ihlanganisa izitho zokufakelwa ezifana ne-S-ROM Modular Mobil-Bearing Hinge Prosthesis, Finn Knee, kanye ne-Link PK. Lawa ma-prostheses anqobe imikhawulo yemiklamo yangaphambili mayelana nokuqhutshwa kwengcindezi, izinto zokwakha, nezinye izici, futhi abonise imiphumela engcono yomtholampilo ngokuncipha kwezigameko zezinkinga.

Kodwa-ke, kube nemibiko engqubuzanayo ezincwadini mayelana nempumelelo yomtholampilo kanye nezinkinga ze-RHK. Ngakho-ke, lolu cwaningo luhlose ukuhlaziya ngokuhlelekile izincwadi ezifanele ukuze kutholwe izinkinga eziphelele kanye nokuvela kwezinkinga ezinkulu ngemva kwe-RHK.

Ucwaningo lwenze ucwaningo olunzulu lwezincwadi kudathabhethi eminingana futhi lwasebenzisa indlela yokufaka ukukhetha izifundo ezifanele. Ikhwalithi yezincwadi ezifakiwe yahlolwa, futhi ukuhlaziywa kwezibalo kwenziwa ukuze kubalwe amazinga ezinkinga eziphelele kanye nezinkinga ezithile ezifana nokutheleleka kwe-periprosthetic, ukuxegiswa kwe-aseptic kwama-prostheses, ukuphuka kwe-periprosthetic, kanye nezinkinga ezihlobene ne-patella.

Imiphumela yabonisa ukuthi inani eliphelele lenkinga ngemva kwe-RHK lalingu-23.6%, nezinkinga ezivame kakhulu ukutheleleka nge-periprosthetic (6.5%), ukuxegiswa kwe-aseptic kwama-prostheses (2.9%), ukuphuka kwe-periprosthetic (3.8%), kanye nezinkinga ezihlobene ne-patella (3.8) %).

Kubalulekile ukuqaphela ukuthi lokhu okutholakele kusekelwe enanini elilinganiselwe lezifundo futhi kukhona ithuba lokubika okuchemile ezincwadini. Ngakho-ke, ucwaningo olwengeziwe lwekhwalithi ephezulu luyadingeka ukuze kuhlinzekwe ulwazi olubanzi mayelana nokuvela kwezinkinga ngemva kwe-RHK kanye nokuhlonza izimbangela nezici ezinomthelela.

Sengiphetha, ukuqonda izinkinga zangemva kokuhlinzwa kwe-RHK kungasiza odokotela benze izinqumo ezinolwazi futhi banikeze ukunakekelwa okungcono kweziguli. Ucwaningo olwengeziwe luyadingeka ukuze kuthuthukiswe ukwakheka kwe-RHK, kucwengisiswe izinkomba zomtholampilo, nokuthuthukisa ukuvuselelwa kwangemva kokuhlinzwa ukuze kwandiswe izinzuzo zeziguli ezinezimo zamadolo.

Ngaphezu kwalokho, imboni yethu ithole impendulo eyakhayo kumakhasimende, aye atusa izikhungo zethu zokuhlola imikhiqizo kanye nesimo sengqondo sabasebenzi bethu sokukhuthala nokuzinikela emsebenzini. Sinikezela ngezinhlobonhlobo zamaslayidi ekhabethe anezinhlobo ezahlukene, anezicaciso eziningi, futhi awekhwalithi enhle namanani aphusile.

Ukusetshenziswa kwehinge ku-prosthesis yamadolo kubalulekile ekunikezeni ukuzinza nokuguquguquka ekuhambeni. Lesi sihloko sihlose ukuphendula imibuzo evame ukubuzwa mayelana nokusetshenziswa kwamahinge kuma-prosthetics amadolo kanye nezinzuzo zawo ekuthuthukiseni izinga lempilo yabantu abanokulimala kwamadolo noma izimo eziwohlokayo.