Momwe mungasankhire Opaleshoni Yopanda Simenti kapena Simenti mu Total hip prosthesis operation

Kafukufuku woperekedwa pa Msonkhano Wapachaka wa 38 wa American Academy of Orthopedic Trauma (OTA 2022) posachedwapa adawonetsa kuti opaleshoni ya Cementless hip prosthesis ili ndi chiopsezo chowonjezereka cha kuthyoka ndi zovuta ngakhale kuti nthawi yogwira ntchito imachepetsedwa poyerekeza ndi opaleshoni ya simenti ya chiuno.

Kafukufuku Wachidule

Dr.Castaneda ndi anzake adasanthula odwala 3,820 (omwe ali ndi zaka 81) omwe anachitidwa opaleshoni yopangidwa ndi simenti ya m'chiuno (382 kesi) kapena arthroplasty opanda simenti (3,438 milandu) kwawachikazikusweka kwa khosi pakati pa 2009 ndi 2017.

Zotsatira za odwala zinaphatikizapo kupasuka kwa intraoperative ndi postoperative, nthawi ya opaleshoni, matenda, kusokonezeka, kuyambiranso ndi imfa.

Zotsatira za kafukufuku

Kafukufuku wasonyeza kuti odwala muMa prosthesis a m'chiuno opanda simentiGulu la opaleshoni linali ndi chiwopsezo chonse cha 11.7%, intraoperative fracture rate ya 2.8% ndi postoperative fracture rate ya 8.9%.

Odwala omwe ali m'gulu la opaleshoni ya Cemented hip prosthesis anali ndi chiwerengero chochepa cha 6.5%, 0.8% intraoperative ndi 5.8% postoperative fractures.

Odwala omwe ali m'gulu la opaleshoni ya hip prosthesis Non-Cemented anali ndi zovuta zambiri komanso zobwerezabwereza poyerekeza ndi gulu la opaleshoni ya Cemented hip prosthesis.

Malingaliro a ofufuza

M'nkhani yake, wofufuza wamkulu, Dr.Paulo Castaneda, adanena kuti ngakhale pali malingaliro ogwirizana pa chithandizo cha kusweka kwa khosi lachikazi kwa odwala okalamba omwe achoka, padakali mkangano ngati angayike simenti. Kutengera zotsatira za kafukufukuyu, azachipatala akuyenera kuyika simenti m'malo mwaodwala okalamba.

Maphunziro ena ofunikira amathandiziranso kusankha kwa opareshoni ya Cemented total hip prosthesis.

Kafukufuku wofalitsidwa ndi Pulofesa Tanzer et al. ndi kufufuza kwa zaka 13 anapeza kuti odwala> zaka 75 zakubadwa kwa khosi lachikazi kapena osteoarthritis, mlingo woyambirira wobwereza pambuyo pa opaleshoni (miyezi ya 3 pambuyo pa opaleshoni) unali wochepa kwa odwala omwe ali ndi kukonzanso kosimidwa kosankhidwa kusiyana ndi gulu lokonzanso lopanda simenti.

Kafukufuku wopangidwa ndi Pulofesa Jason H adapeza kuti odwala omwe ali mumagulu a simenti ya mafupa amaposa gulu lopanda simenti malinga ndi kutalika kwa nthawi, mtengo wa chisamaliro, kubwereza ndi kuyambiranso.

Kafukufuku wopangidwa ndi Pulofesa Dale adapeza kuti kuchuluka kwa kukonzanso kunali kwakukulu pagulu lopanda simenti kuposa mutsinde la simenti.