Indlela yokukhetha i-Non-Cemented or Cemented in the Total hip prosthesis surgery

Uphando olunikezelwe kwiNtlanganiso yoNyaka ye-38 ye-American Academy of Orthopedic Trauma (OTA 2022) kutshanje ibonise ukuba utyando lwe-Cementless hip prosthesis lunomngcipheko okhulayo wokuphuka kunye neengxaki nangona ixesha elincitshisiweyo lokusebenza xa kuthelekiswa notyando lwe-cemented hip prosthesis.

UPhando olufutshane

UDkt.Castaneda kunye noogxa bahlalutya izigulane ze-3,820 (iminyaka eyi-81 yobudala) abaye benza utyando lwe-hip prosthesis (amatyala angama-382) okanye i-hip arthroplasty engagxili (3,438 iimeko)femoralukuphuka kwentamo phakathi kwe-2009 kunye ne-2017.

Iziphumo zesigulane zibandakanya i-intraoperative kunye ne-postoperative fractures, ixesha lokusebenza, ukusuleleka, ukuchithwa, ukusebenza kwakhona kunye nokufa.

Iziphumo zophando

Uphononongo lubonise ukuba izigulane kwiIprosthesis yenyonga engafakwanga isamenteiqela lotyando libe nenani elipheleleyo lokuphuka kwe-11.7%, i-intraoperative fracture rate ye-2.8% kunye ne-postoperative fracture rate ye-8.9%.

Izigulane kwiqela lotyando lwe-Cemented hip prosthesis zinezinga eliphantsi lokuphuka kwe-6.5% iyonke, i-0.8% ye-intraoperative kunye ne-5.8% emva kokuphuka.

Izigulane kwiqela lotyando lwe-hip olungenaCemented luneengxaki eziphezulu kunye namazinga okusebenza kwakhona xa kuthelekiswa neqela le-Cemented hip prosthesis.

Uluvo lomphandi

Kwintetho yakhe, umphandi oyintloko, uGqr.Paulo Castaneda, waphawula ukuba nangona kukho isiphakamiso esivumelanayo malunga nokunyangwa kwe-femoral neck fractures kwizigulane ezikhulileyo, kusekho ingxoxo malunga nokuba ifakwe i-samente. Ngokusekelwe kwiziphumo zolu pho nonongo, oogqirha kufuneka benze ukutshintshwa kwe-cemented hip kwizigulane ezindala.

Olunye uphononongo olufanelekileyo lukwaxhasa ukhetho lweCemented total hip prosthesis surgery.

Uphononongo olupapashwe nguNjingalwazi Tanzer et al. kunye ne-13 yeminyaka elandelwayo ifumene ukuba kwizigulane> iminyaka eyi-75 ubudala kunye ne-femoral neck fractures okanye i-osteoarthritis, izinga lokuhlaziya i-postoperative yokuqala (iinyanga ze-3 emva kokusebenza) yayiphantsi kwizigulane ezinokhetho olukhethiweyo lwe-cemented revision kuneqela elihlaziyiweyo elingenasimenti.

Uphononongo olwenziwa nguNjingalwazi uJason H lufumene ukuba izigulane ezikwiqela le-samente yethambo zigqithise iqela elingenalo i-cemented malunga nobude bokuhlala, iindleko zokunyamekela, ukufundwa kunye nokusebenza kwakhona.

Uphononongo olwenziwa nguNjingalwazi uDale lufumene ukuba ireyithi yokuhlaziya yayiphezulu kwiqela le-non-cemented ngaphezu kweisiqu esakhiwe ngesamente.