● Kutsiva chiuno chakagadzirwa nemaoko
● Kuremara kwefemur yepedyo
● Kutsemuka kwechiuno chepamberi pechifuva
● Osteosclerosis yeproximal femur
● Kurasikirwa nemapfupa emudumbu
● Kugadziriswa kwejoini rechiuno rekugadzira
● Periprosthetic femoral kuputsika
● Kusunungura jira rekugadzira
● Utachiona hunodzorwa mushure mekutsiva
Nheyo dzekugadzira matsi eDDS asina simende dzakanangana nekuwana kugadzikana kwenguva refu, kugadzikana, uye kukura kwemapfupa. Heano mamwe mazano makuru ekugadzira:
Kuputira Maburi: Maburi ekugadzirisa asina simende anowanzova nejira rine maburi pamusoro rinosangana nepfupa. Kuputira uku kune maburi kunoita kuti mapfupa awedzere kukura uye kubatana kwemuchina pakati pechinhu chakaiswa nepfupa. Rudzi uye chimiro chejira rine maburi zvinogona kusiyana, asi chinangwa ndechekupa nzvimbo isina kusimba inokurudzira kubatana kwemapfupa.
Kugadzira Modular: Madzinde ekugadzirisa anowanzo kuve nekugadzirwa kwemodular kuti agone kutakura mhando dzakasiyana dzemuviri wemurwere uye kubvumira kugadziriswa mukati mekuvhiyiwa. Kugadziriswa uku kunobvumira vanachiremba kusarudza hurefu hwakasiyana hwedzinde, sarudzo dzekunze, uye saizi yemusoro kuti vakwane uye vagadzirise zvakanaka. Kugadziriswa kweProximal Kwakawedzerwa:
Madzinde eDDS asina simende anogona kusanganisira zvinhu zvakaita senyere, zvipete, kana mbabvu muchikamu chepedyo kuti zviwedzere kusimba. Zvinhu izvi zvinobata pfupa uye zvinopa kugadzikana kwakawedzerwa, zvichidzivirira kusunungura kana kufamba-famba kwechinhu chakaisirwa.
Kuvhiya kwehudyu inzira yekuvhiya ine chinangwa chekuvandudza kufamba kwemurwere uye kuderedza marwadzo nekutsiva chiuno chakakuvara nezvinhu zvakagadzirwa. Inowanzoitwa kana paine humbowo hwekuti mapfupa akakwana akasimba ekutsigira nekugadzirisa ma implants. THA inokurudzirwa kuvarwere vane kurwadziwa kwakanyanya kwehudyu uye/kana kuremara kunokonzerwa nemamiriro ezvinhu akadai se osteoarthritis, traumatic arthritis, rheumatoid arthritis, uye congenital hip dysplasia. Inoratidzwawo kune zviitiko zve avascular necrosis yemusoro we femoral, kutyoka kwakanyanya kwemusoro we femoral kana mutsipa, kuvhiyiwa kwehudyu kwakakundikana, uye mamwe mamiriro e ankylosis. Hemi-Hip Arthroplasty, kune rumwe rutivi, isarudzo yekuvhiya yakakodzera varwere vane soketi yehudyu inogutsa (acetabulum) uye mapfupa e femoral akakwana kutsigira hunde ye femoral. Maitiro aya anonyanya kuratidzwa mumamiriro ezvinhu chaiwo, anosanganisira kutyoka kwakanyanya kwemusoro wefemoral kana mutsipa uko kusingakwanise kuderedzwa zvinobudirira uye kurapwa ne internal fixation, kutyoka kwehudyu uko kusingakwanise kuderedzwa zvakakodzera uye kurapwa ne internal fixation, avascular necrosis yemusoro wefemoral, kusabatana kwekutyoka kwemutsipa wefemoral, mamwe maronda emutsipa we subcapital ne femoral muvarwere vakwegura, degenerative arthritis iyo inokanganisa musoro wefemoral chete uye isingade kutsiviwa kweacetabulum, pamwe nezvirwere zvinosanganisira musoro wefemoral/mutsipa uye/kana proximal femur chete zvinogona kugadziriswa zvakakwana kuburikidza ne hemi-hip arthroplasty. Sarudzo pakati peTotal Hip Arthroplasty ne Hemi-Hip Arthroplasty inoenderana nezvinhu zvakasiyana-siyana, zvakaita sekuoma uye hunhu hwehudyu, zera nehutano hwemurwere, uye hunyanzvi hwachiremba uye zvaanoda. Maitiro ese ari maviri akaratidza kushanda zvakanaka mukudzorera kufamba, kuderedza marwadzo, uye kuvandudza hupenyu hwevarwere vane matambudziko akasiyana ehudyu. Zvakakosha kuti varwere vabvunze vanachiremba vavo vemapfupa kuti vasarudze sarudzo yakakodzera yekuvhiya zvichienderana nemamiriro avo ega.
| Kureba kwehunde | Dhayamita yeDistal | Kureba kwemuromo wechibereko
| Kusawirirana |
| 190mm/225mm | 9.3mm
| 56.6mm | 40.0mm |
| 190mm/225mm/265mm | 10.3mm | 59.4mm | 42.0mm |
| 190mm/225mm/265mm | 11.3mm | 59.4mm | 42.0mm |
| 190mm/225mm/265mm | 12.3mm | 59.4mm | 42.0mm |
| 225mm/265mm | 13.3mm | 59.4mm | 42.0mm |
| 225mm/265mm | 14.3mm | 62.2mm | 44.0mm |
| 225mm/265mm | 15.3mm | 62.2mm | 44.0mm |
Kuvhiya kweTotal Hip Arthroplasty (THA) inzira yekuvhiya ine chinangwa chekuvandudza kufamba kwemurwere uye kuderedza marwadzo nekutsiva joini yehudyu yakakuvara nezvinhu zvakagadzirwa. Inowanzoitwa kana paine humbowo hwekuti mapfupa akagwinya akasimba anotsigira nekudzikamisa ma implants. THA inokurudzirwa kuvarwere vane kurwadziwa kwakanyanya kwejoini yehudyu uye/kana kuremara kunokonzerwa nemamiriro ezvinhu akadai se osteoarthritis, traumatic arthritis, rheumatoid arthritis, uye congenital hip dysplasia. Inoratidzwawo kune zviitiko zve avascular necrosis yemusoro we femoral, kutyoka kwakanyanya kwemusoro we femoral kana mutsipa, kuvhiyiwa kwehudyu kwakakundikana, uye mamwe mamiriro e ankylosis. Hemi-Hip Arthroplasty, kune rumwe rutivi, isarudzo yekuvhiya yakakodzera varwere vane soketi yehudyu inogutsa (acetabulum) uye mapfupa e femoral akakwana kutsigira hunde ye femoral. Maitiro aya anonyanya kuratidzwa mumamiriro ezvinhu chaiwo, anosanganisira kutyoka kwakanyanya kwemusoro wefemoral kana mutsipa uko kusingakwanise kuderedzwa zvinobudirira uye kurapwa ne internal fixation, kutyoka kwehudyu uko kusingakwanise kuderedzwa zvakakodzera uye kurapwa ne internal fixation, avascular necrosis yemusoro wefemoral, kusabatana kwekutyoka kwemutsipa wefemoral, mamwe maronda emutsipa we subcapital ne femoral muvarwere vakwegura, degenerative arthritis iyo inokanganisa musoro wefemoral chete uye isingade kutsiviwa kweacetabulum, pamwe nezvirwere zvinosanganisira musoro wefemoral/mutsipa uye/kana proximal femur chete zvinogona kugadziriswa zvakakwana kuburikidza ne hemi-hip arthroplasty. Sarudzo pakati peTotal Hip Arthroplasty ne Hemi-Hip Arthroplasty inoenderana nezvinhu zvakasiyana-siyana, zvakaita sekuoma uye hunhu hwehudyu, zera nehutano hwemurwere, uye hunyanzvi hwachiremba uye zvaanoda. Maitiro ese ari maviri akaratidza kushanda zvakanaka mukudzorera kufamba, kuderedza marwadzo, uye kuvandudza hupenyu hwevarwere vane matambudziko akasiyana ehudyu. Zvakakosha kuti varwere vabvunze vanachiremba vavo vemapfupa kuti vasarudze sarudzo yakakodzera yekuvhiya zvichienderana nemamiriro avo ega.