daim ntawv tshaj tawm

Yuav ua li cas xaiv Non-Cemented los yog Cemented hauv kev phais mob pob qij txha tag nrho

Cov kev tshawb fawb uas tau nthuav tawm ntawm Lub Rooj Sib Tham Txhua Xyoo 38th ntawm American Academy of Orthopaedic Trauma (OTA 2022) tsis ntev los no tau qhia tias kev phais mob pob qij txha tsis siv cement muaj kev pheej hmoo ntawm kev tawg thiab teeb meem ntau dua txawm tias lub sijhawm phais luv dua piv rau kev phais mob pob qij txha uas siv cemented.

Kev Tshawb Fawb Luv ​​Luv

Dr.Castaneda thiab cov npoj yaig tau tshuaj xyuas 3,820 tus neeg mob (hnub nyoog nruab nrab 81 xyoo) uas tau phais mob pob qij txha nrog cemented (382 tus neeg mob) lossis non-cemented hip arthroplasty (3,438 tus neeg mob) raupob txha nqaj qaumpob txha caj dab tawg ntawm xyoo 2009 thiab 2017.

Cov txiaj ntsig ntawm tus neeg mob suav nrog kev tawg pob txha hauv kev phais thiab tom qab phais, lub sijhawm phais, kev kis kab mob, kev tawg pob txha, kev rov ua dua tshiab thiab kev tuag.

Cov txiaj ntsig tshawb fawb

Cov kev tshawb fawb qhia tau hais tias cov neeg mob hauvKev kho lub duav uas tsis yog cementedPawg phais mob muaj tag nrho cov pob txha tawg ntawm 11.7%, qhov feem pua ​​​​​​ntawm pob txha tawg hauv kev phais mob ntawm 2.8% thiab qhov feem pua ​​​​​​ntawm pob txha tawg tom qab phais mob ntawm 8.9%.

Cov neeg mob hauv pawg phais mob Cemented hip prosthesis muaj qhov feem pua ​​​​​​ntawm kev tawg qis dua ntawm 6.5% tag nrho, 0.8% kev tawg thaum phais thiab 5.8% kev tawg tom qab phais.

Cov neeg mob hauv pawg phais pob qij txha uas tsis siv Cemented muaj feem ntau dua ntawm kev mob thiab kev phais dua piv rau pawg phais pob qij txha uas siv Cemented.

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Tus kws tshawb nrhiav lub tswv yim

Hauv nws cov lus nthuav qhia, tus kws tshawb nrhiav tseem ceeb, Dr.Paulo Castaneda, tau hais tias txawm hais tias muaj kev pom zoo rau kev kho mob ntawm cov pob txha caj dab uas raug tshem tawm hauv cov neeg mob laus, tseem muaj kev sib cav txog seb puas yuav ua kom lawv ruaj khov. Raws li cov txiaj ntsig ntawm txoj kev tshawb fawb no, cov kws kho mob yuav tsum ua cov kev hloov pauv ntawm lub duav kom ruaj khov dua rau cov neeg mob laus.

Lwm cov kev tshawb fawb tseem ceeb kuj txhawb nqa qhov kev xaiv ntawm kev phais mob cemented total hip prosthesis.

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Ib txoj kev tshawb fawb uas tau luam tawm los ntawm Xibfwb Tanzer et al. nrog rau kev saib xyuas 13 xyoo pom tias rau cov neeg mob hnub nyoog ntau dua 75 xyoo uas muaj pob txha caj dab lossis osteoarthritis, qhov kev kho dua tshiab tom qab phais thaum ntxov (3 lub hlis tom qab phais) qis dua rau cov neeg mob uas xaiv tau kho dua tshiab dua li cov neeg mob uas tsis tau kho dua tshiab.

Ib txoj kev tshawb fawb los ntawm Xibfwb Jason H pom tias cov neeg mob hauv pawg neeg uas siv pob txha ua ke tau zoo dua pawg neeg uas tsis siv pob txha ua ke hauv qhov ntev ntawm kev nyob, tus nqi kho mob, kev rov qab mus kho mob thiab kev phais dua.

Ib txoj kev tshawb fawb los ntawm Xibfwb Dale pom tias tus nqi kho dua siab dua hauv pawg tsis tau cemented dua li hauvqia cemented.


Lub sijhawm tshaj tawm: Lub Ob Hlis-18-2023