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%, chiwopsezo cha 2.8% cha 2.8% ndi chiwopsezo cha postoperative 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 Cemented total hip prosthesis operation.

Kafukufuku wofalitsidwa ndi Pulofesa Tanzer et al.ndi kutsatiridwa kwa zaka 13 kunapeza kuti odwala> zaka 75 zakubadwa kwa khosi lachikazi kapena osteoarthritis, chiwerengero choyambirira cha postoperative (miyezi ya 3 pambuyo pa opaleshoni) chinali chochepa kwa odwala omwe ali ndi kusinthidwa kovomerezeka kovomerezeka kusiyana ndi kusinthidwa kopanda simenti. gulu.

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.