Indlela yokukhetha i-Non-Cemented okanye i-Cemented kwi-Total hip prosthesis surgery

Uphando oluvezwe kwiNtlanganiso yoNyaka yama-38 ye-American Academy of Orthopaedic Trauma (OTA 2022) lubonise kutshanje ukuba utyando lwe-hip prosthesis olungenasimende lunomngcipheko omkhulu wokuqhekeka kunye neengxaki nangona ixesha lotyando linciphile xa lithelekiswa notyando lwe-hip prosthesis olunesimende.

Ingcaciso emfutshane yoPhando

UGqr.Castaneda kunye noogxa bakhe bahlalutye izigulana ezingama-3,820 (ubudala obuphakathi kweminyaka engama-81) ezenze utyando lwe-hip prosthesis olufakwe i-cemented (iimeko ezingama-382) okanye i-hip arthroplasty engena-cemented (iimeko ezingama-3,438) ukuze zifumane unyango.ubufaziukwaphuka kwentamo phakathi kowama-2009 nowama-2017.

Iziphumo zezigulane zaziquka ukwaphuka kwamalungu omzimba ngexesha lotyando nasemva kotyando, ixesha lotyando, usulelo, ukukhubeka, utyando kwakhona kunye nokufa.

Iziphumo zophando

Olu phononongo lubonise ukuba izigulane ezikwi-I-prosthesis yesinqe engafakwanga cementedIqela lotyando lalinomlinganiselo wokwaphuka opheleleyo we-11.7%, izinga lokwaphuka okwenzekileyo ngexesha lotyando lalingu-2.8% kunye nezinga lokwaphuka okwenzekileyo emva kotyando lalingu-8.9%.

Izigulana ezikwiqela lotyando lwe-Cemented hip prosthesis zazinezinga eliphantsi lokuqhekeka kwemisipha eliyi-6.5% iyonke, i-0.8% ngexesha lotyando kunye ne-5.8% emva kotyando.

Izigulana ezikwiqela lotyando lwe-Non-Cemented hip prosthesis zazineengxaki eziphezulu kunye namazinga otyando kwakhona xa kuthelekiswa neqela lotyando lwe-Cemented hip prosthesis.

Umbono womphandi

Kwintetho yakhe, umphandi oyintloko, uGqr.Paulo Castaneda, uqaphele ukuba nangona kukho isindululo esivumelanayo malunga nonyango lwezaphuko zentamo ye-femoral ezisusiweyo kwizigulana ezindala, kusekho ingxoxo malunga nokuba ziqiniswe na. Ngokusekelwe kwiziphumo zolu phononongo, oogqirha kufuneka benze utyando olungaphezulu lwezihlunu oluqinisiweyo kwizigulana ezindala.

Ezinye izifundo ezifanelekileyo zikwaxhasa ukhetho lotyando lwe-Cemented total hip prosthesis.

Uphononongo olupapashwe nguNjingalwazi uTanzer nabanye, olulandelelwano lweminyaka eli-13, lufumanise ukuba kwizigulane ezineminyaka engaphezulu kwama-75 ubudala ezineentlungu zentamo ye-femoral okanye i-osteoarthritis, izinga lokuhlaziywa kwangethuba emva kotyando (iinyanga ezi-3 emva kotyando) laliphantsi kwizigulane ezine-cemented revision ekhethiweyo kunakwiqela le-non-cemented revision.

Uphononongo olwenziwe nguNjingalwazi uJason H lufumanise ukuba izigulane ezikwiqela lesiphatho sesamente yamathambo ziphumelele kakhulu kunezo zingafakwanga isamente ngokwexesha lokuhlala, iindleko zokhathalelo, ukungeniswa kwakhona kunye notyando kwakhona.

Uphononongo lukaNjingalwazi uDale lufumanise ukuba izinga lokuhlaziywa laliphezulu kwiqela elingafakwanga isamente kunakwiqelaisiqu esifakwe isamente.