Pehea e koho ai i ka Non-Cemented a i ʻole Cemented i ka ʻoki kino prosthesis hip holoʻokoʻa

Ua hōʻike ʻia ma ka noiʻi i hōʻike ʻia ma ka 38th Annual Meeting of the American Academy of Orthopaedic Trauma (OTA 2022) ua ʻoi aku ka nui o ka pilikia o ka haki ʻana a me nā pilikia ma ke ʻoki ʻana i ka ʻūhā prosthesis Cementless ʻoiai ua emi ka manawa hana i hoʻohālikelike ʻia me ke ʻoki ʻana i ka ʻūhā prosthesis i hoʻopaʻa ʻia.

Pōkole Noiʻi

Ua kālailai ʻo Kauka Castaneda a me nā hoa hana i 3,820 mau maʻi (ʻawelike makahiki 81 mau makahiki) i hana ʻia i ke ʻoki prosthesis hip cemented (382 mau hihia) a i ʻole ka hip arthroplasty i hoʻopaʻa ʻole ʻia (3,438 mau hihia) noʻūhānā haki ʻāʻī ma waena o 2009 a me 2017.

ʻO nā hopena o ka mea maʻi ua komo pū me nā haki intraoperative a me postoperative, ka manawa ʻoki, ka maʻi, ka dislocation, ke hana hou ʻana a me ka make.

Nā hopena noiʻi

Ua hōʻike ka haʻawina i nā maʻi i loko o kaʻO ka prosthesis hip ʻaʻole i hoʻopaʻa ʻiaʻO ka huina o ka haki o ka hui ʻoki kino he 11.7%, ʻo ka nui o ka haki intraoperative he 2.8% a ʻo ka nui o ka haki postoperative he 8.9%.

ʻOi aku ka haʻahaʻa o ka helu haki o nā maʻi ma ka hui ʻoki kino prosthesis Cemented o 6.5% ka huina, 0.8% intraoperative a me 5.8% postoperative fractures.

ʻOi aku ka kiʻekiʻe o ka pilikia a me ke hana hou ʻana o nā maʻi ma ka hui ʻoki prosthesis hip Non-Cemented i hoʻohālikelike ʻia me ka hui ʻoki prosthesis hip Cemented.

Manaʻo o ka mea noiʻi

Ma kāna hōʻikeʻike, ua ʻōlelo ka mea noiʻi nui, ʻo Kauka Paulo Castaneda, ʻoiai aia kahi ʻōlelo aʻoaʻo kuikahi no ka mālama ʻana i nā haki ʻāʻī femoral i hoʻoneʻe ʻia i nā poʻe maʻi ʻelemakule, aia nō ka hoʻopaʻapaʻa e pili ana i ka hoʻopaʻa ʻana iā lākou. Ma muli o nā hopena o kēia noiʻi, pono nā kauka lapaʻau e hana i nā pani ʻūhā i hoʻopaʻa ʻia i nā poʻe maʻi ʻelemakule.

Kākoʻo pū kekahi mau haʻawina pili i ke koho ʻana o ke ʻoki ʻana i ka ʻūhā holoʻokoʻa i hoʻopaʻa ʻia.

Ua ʻike ʻia kahi noiʻi i paʻi ʻia e Polofesa Tanzer et al. me kahi hahai ʻana he 13 makahiki i nā poʻe maʻi >75 mau makahiki me nā haki ʻāʻī femoral a i ʻole osteoarthritis, ʻoi aku ka haʻahaʻa o ka helu hoʻoponopono mua ma hope o ka hana (3 mau mahina ma hope o ka hana) i nā poʻe maʻi me ka hoʻoponopono sima koho ma mua o ka hui hoʻoponopono ʻole i sima ʻia.

Ua ʻike ʻia i loko o kahi noiʻi na Polofesa Jason H ua ʻoi aku ka maikaʻi o nā maʻi ma ka hui ʻoki lima sima iwi ma mua o ka hui ʻaʻole i sima ʻia ma ke ʻano o ka lōʻihi o ka noho ʻana, ke kumukūʻai o ka mālama, ke komo hou ʻana a me ke hana hou ʻana.

Ua ʻike ʻia kahi noiʻi na Polofesa Dale ua ʻoi aku ke kiʻekiʻe o ka helu hoʻoponopono ma ka hui ʻaʻole i hoʻopaʻa ʻia ma mua o ka huikumu sima.