Pehea e koho ai i Non-Cemented a i ʻole Cemented i ka Total hip prosthesis surgery

ʻO ka noiʻi i hōʻike ʻia ma ka 38th Annual Meeting of the American Academy of Orthopedic Trauma (OTA 2022) i hōʻike ʻia i kēia manawa ua ʻoi aku ka nui o ka hōʻeha ʻana o ka hip prosthesis Cementless i ka haʻihaʻi ʻana a me nā hoʻopiʻi ʻoiai ke hoʻemi ʻia ka manawa hana i hoʻohālikelike ʻia me ka hōʻoki ʻana i ka hip prosthesis cemented.

Nīnau pōkole

Ua kālailai ʻo Dr.Castaneda a me nā hoa hana i nā maʻi 3,820 (mean makahiki 81 makahiki) i hana i ka ʻokiʻoki ʻana i ka hip prosthesis i hoʻopaʻa ʻia (382 mau hihia) a i ʻole ka arthroplasty hip ʻole (3,438 mau hihia) no kafemoralʻāʻī ʻāʻī ma waena o 2009 a me 2017.

ʻO nā hopena o nā mea maʻi i komo i loko o ka intraoperative a me ka postoperative fractures, ka manawa hana, ka maʻi, ka dislocation, ka hana hou a me ka make.

Nā hualoaʻa noiʻi

Ua hōʻike ka haʻawina i nā mea maʻi i kaʻAʻole-Cemented hip prosthesisHe 11.7% ka nui o ka ha'iha'i, he 2.8% ka ha'iha'i intraoperative a he 8.9%.

ʻO ka poʻe maʻi i ka hui ʻokiʻoki ʻana i ka hip prosthesis Cemented he haʻahaʻa haʻahaʻa haʻahaʻa o 6.5% ka nui, 0.8% intraoperative a me 5.8% postoperative fractures.

ʻO ka poʻe maʻi i loko o ka hui ʻoki ʻoki ʻoki ʻoki ʻole-Cemented hip prosthesis i ʻoi aku ka kiʻekiʻe o ka hoʻopiʻi holoʻokoʻa a me nā helu hana hou e like me ka Cemented hip prosthesis surgery group.

Ka manaʻo o ka mea noiʻi

Ma kāna hōʻike ʻana, ua ʻike ka mea noiʻi nui, ʻo Dr.Paulo Castaneda, ʻoiai aia kahi ʻōlelo aʻoaʻo no ka mālama ʻana i nā haʻihaʻi ʻāʻī o ka wahine i haʻalele ʻia i nā maʻi ʻelemakule, aia nō ka hoʻopaʻapaʻa no ka hoʻopaʻa ʻana iā lākou. Ma muli o nā hopena o kēia noiʻi ʻana, pono e hana nā kauka lapaʻau i nā pani pani hou i hoʻopaʻa ʻia i nā maʻi kahiko.

ʻO nā haʻawina kūpono ʻē aʻe e kākoʻo ana i ke koho ʻana i ka ʻokiʻoki ʻana i ka hip prosthesis.

ʻO kahi haʻawina i paʻi ʻia e Professor Tanzer et al. me ka 13-makahiki hahai i loaʻa i loko o nā maʻi> 75 makahiki me ka femoral'ā'ī haʻihaʻi ai 'ole osteoarthritis, ka mua postoperative revision rate (3 mahina postoperatively) i emi i loko o nā maʻi me ka koho cemented revision ma mua o ka non-cemented revision hui.

Ua ʻike ʻia kahi haʻawina a Professor Jason H ua ʻoi aku ka maikaʻi o ka poʻe maʻi i ka hui ʻana o ka iwi ciment i ka hui i hoʻopaʻa ʻole ʻia ma ke ʻano o ka lōʻihi o ka noho ʻana, ke kumukūʻai o ka mālama ʻana, ka heluhelu ʻana a me ka hana hou.

Ua ʻike ʻia kahi haʻawina a Professor Dale ua ʻoi aku ka kiʻekiʻe o ka hoʻoponopono hou ʻana i ka hui non-cemented ma mua o kakumu sima.