chij

Yuav ua li cas xaiv Non-Cemented lossis Cemented hauv Total hip prosthesis phais

Kev tshawb fawb tau nthuav tawm ntawm 38th Lub Rooj Sib Tham Txhua Xyoo ntawm American Academy of Orthopedic Trauma (OTA 2022) tsis ntev los no tau qhia tias Cementless hip prosthesis phais muaj kev pheej hmoo ntawm pob txha thiab teeb meem txawm tias lub sij hawm txo qis dua piv rau cemented hip prosthesis phais.

Kev tshawb fawb luv

Dr.Castaneda thiab cov npoj yaig tau txheeb xyuas 3,820 tus neeg mob (txhais tau tias muaj hnub nyoog 81 xyoo) uas tau txais kev phais mob pob txha pob txha (382 tus neeg) lossis tsis yog cemented hip arthroplasty (3,438 tus neeg) raufemoralcaj dab tawg ntawm 2009 thiab 2017.

Cov txiaj ntsig ntawm tus neeg mob muaj xws li kev phais mob thiab kev phais mob tom qab phais, lub sijhawm ua haujlwm, kev kis mob, kev txav mus los, rov ua haujlwm dua thiab kev tuag.

Cov txiaj ntsig tshawb fawb

Txoj kev tshawb no qhia tau hais tias cov neeg mob nyob rau hauv lubTsis-Cemented hip prosthesispawg phais muaj tag nrho cov pob txha pob txha ntawm 11.7%, ib qho kev puas tsuaj ntawm cov pob txha ntawm 2.8% thiab cov pob txha tom qab ntawm 8.9%.

Cov neeg mob hauv pawg Cemented hip prosthesis phais tau qis dua ntawm 6.5% tag nrho, 0.8% intraoperative thiab 5.8% postoperative fractures.

Cov neeg mob nyob rau hauv pab pawg uas tsis yog-Cemented hip prosthesis phais muaj ntau dua tag nrho cov teeb meem thiab rov ua dua tus nqi piv rau Cemented hip prosthesis pawg phais.

txg (1)

Cov neeg tshawb nrhiav pom

Hauv nws qhov kev nthuav qhia, tus kws tshawb fawb tseem ceeb, Dr.Paulo Castaneda, tau sau tseg tias txawm hais tias muaj kev pom zoo pom zoo rau kev kho mob ntawm lub caj dab femoral caj dab tawg hauv cov neeg laus, tseem muaj kev sib cav txog seb puas yuav ua rau lawv.Raws li cov txiaj ntsig ntawm qhov kev tshawb fawb no, cov kws kho mob yuav tsum ua ntau dua cemented hip hloov hauv cov neeg laus.

Lwm cov kev tshawb fawb tseem ceeb kuj txhawb kev xaiv ntawm Cemented tag nrho hip prosthesis phais.

txg (2)

Ib txoj kev tshawb fawb luam tawm los ntawm xibfwb Tanzer li al.nrog rau 13-xyoo kev soj ntsuam pom tau hais tias nyob rau hauv cov neeg mob > 75 xyoo nrog femoral caj dab tawg los yog osteoarthritis, qhov kev kho mob thaum ntxov (3 lub hlis tom qab phais) yog qis dua nyob rau hauv cov neeg mob uas xaiv cemented kho dua nyob rau hauv cov tsis-cemented kho. pab pawg.

Ib txoj kev tshawb fawb los ntawm xibfwb Jason H pom tias cov neeg mob hauv cov pob txha pob txha ua haujlwm tau zoo dua cov pab pawg uas tsis yog cemented raws li qhov ntev ntawm kev nyob, tus nqi ntawm kev saib xyuas, kev nyeem ntawv thiab rov ua haujlwm dua.

Ib txoj kev tshawb fawb los ntawm xibfwb Dale pom tias qhov kev kho dua tshiab tau siab dua nyob rau hauv pab pawg uas tsis yog cemented dua li hauvcemented qia.


Post lub sij hawm: Feb-18-2023