Hemi-hip arthroplasty inoratidzwa mumamiriro ezvinhu aya apo kune humbowo hwekugutsikana kwechisikigo acetabulum uye pfupa revakadzi rakakwana kuti rigare uye ritsigire chikadzi chechikadzi.Hemi-hip arthroplasty inoratidzwa mumamiriro ezvinhu anotevera: Kuputsika kwakanyanya kwemusoro wemukadzi kana mutsipa usingagoni kuderedzwa uye kurapwa nekugadzirisa mukati;kuputsika kwehudyu kusingagoni kuderedzwa zvakakodzera uye kurapwa nekugadzirisa mukati, avascular necrosis yemusoro wevakadzi;kusabatanidzwa kwekuputsika kwemutsipa wevakadzi;zvimwe zvakakwirira subcapital uye femoral mutsipa fractures mune vakwegura;degenerative arthritis inosanganisira chete musoro wechikadzi umo iyo acetabulum haidi kutsiva;uye patholoay inosanganisira chete femoral musoro / mutsipa uye / kana proximal femur iyo inogona kurapwa zvakakwana nehemi-hip arthroplasty.
Kunyange iyo bipolar acetabular mukombe dhizaini ine zvakawanda zvakanaka, kune zvakare zvimwe zvingango pikisa zvekufunga nezvazvo.Izvi zvinogona kusanganisira: Pfupa Yakaputsika: Kana murwere akaputsika zvakanyanya kana kukanganisa pfupa muacetabulum (hip socket) kana femur (chidya), kushandiswa kwebipolar acetabular cup kungave kusina kukodzera.Iyo pfupa inoda kuva nehutano hwakakwana hwekuita kuti itsigire kuisirwa.Unhu Hwakashata hweBone: Varwere vane hutano husina kunaka, sevaya vane osteoporosis kana osteopenia, vangave vasina kukodzera kukwikwidza bipolar acetabular cup.Pfupa rinoda kuva nehuwandu hwakakwana uye simba kuti ritsigire kuiswa uye kumira masimba anoshandiswa pamubatanidzwa.Infection: Kushanda kwehutachiona muhudyu yehudyu kana matishu akapoteredzwa inopesana nemhando ipi zvayo yekugadzirisa hip, kusanganisira kushandiswa kwebipolar acetabular cup. .Utachiona hunogona kukanganisa kubudirira kwekuvhiyiwa uye hunogona kudiwa kurapwa kusati kwafunga kuchinjwa kwekubatana.Kunyanya Kusagadzikana Kwekubatana: Muzviitiko apo murwere ane kusagadzikana kwakanyanya kwekubatana kana ligamentous laxity, bipolar acetabular cup inogona kusapa kugadzikana kwakakwana.Muzviitiko izvi, mamwe magadzirirwo ekudyara kana maitiro anogona kutariswa.Patient-Specific Factors: Preexisting medical conditions, zvakadai sekukanganisa immune system, kubuda ropa, kana chirwere cheshuga chisingadzoreki, zvinogona kuwedzera njodzi dzinosangana nekuvhiyiwa uye zvinogona kuita bipolar acetabular cup contraindicated. mune vamwe vanhu.Murwere wega wega nhoroondo yehutano hwehutano uye hutano hwakakwana hunofanira kunyatsoongororwa vasati vasarudza sarudzo yakanakisisa yekusima.Zvakakosha kutaurirana nechiremba ane ruzivo rwemapfupa emapfupa kuti aongorore mamiriro ega ega uye kuona kana bipolar acetabular cup ndiyo sarudzo yakakodzera kumurwere.Vanachiremba vanovhiya vachafunga zvakasiyana-siyana, kusanganisira nhoroondo yehutano hwemurwere, mamiriro emapfupa, kugadzikana kwemajoini, uye zvinangwa zvekuvhiyiwa, vasati vaita chisarudzo chekupedzisira.