● Ukufakwa esikhundleni kwesinqe sokwenziwa okuyinhloko
● Ukukhubazeka kwe-proximal femur
● Ukuphuka kwe-femur eseduze
● I-Osteosclerosis ye-proximal femur
● Ukulahlekelwa amathambo e-femoral aseduze
● Ukuvuselelwa kokufakelwa kwejoyinti lesinqe
● Ukuphuka kwezinsikazi ze-Periprosthetic
● Ukukhululeka kokufakelwa
● Ukutheleleka kulawulwa ngemva kokufakwa esikhundleni sako
Izimiso zokuklama zeziqu zokubuyekeza ezingenasimende ze-DDS zigxile ekufinyeleleni ukuzinza kwesikhathi eside, ukuqina, kanye nokukhula kwamathambo. Nazi ezinye zezimiso zokuklama ezibalulekile:
Ukufakwa Kwezimbobo: Iziqu zokubuyekezwa ezingenasimende ngokuvamile zinembobo ebusweni ethinta ithambo. Lokhu kufakwa kwezimbobo kuvumela ukukhula kwamathambo okuthuthukisiwe kanye nokuxhumana ngomshini phakathi kwe-implant nethambo. Uhlobo kanye nesakhiwo sembobo yezimbobo kungahluka, kodwa umgomo ukuhlinzeka ngobuso obumahhadlahhadla obukhuthaza ukuhlanganiswa kwe-osseo.
Umklamo We-Modular: Iziqu zokubuyekeza zivame ukuba nomklamo we-modular ukuze zivumelane nezinhlobo ezahlukene ze-anatomies zesiguli futhi zivumele ukulungiswa kwangesikhathi sokuhlinzwa. Lokhu kuguquguquka kuvumela odokotela abahlinzayo ukuthi bakhethe ubude besiqu obuhlukene, izinketho ze-offset, kanye nosayizi wekhanda ukuze kufezwe ukulingana okuhle kanye nokuqondana. Ukulungiswa Okuthuthukisiwe Kwe-Proximal:
Iziqu zokubuyekezwa ezingenasimende ze-DDS zingase zihlanganise izici ezifana nama-flute, amaphiko, noma izimbambo engxenyeni eseduze ukuze kuthuthukiswe ukuqina. Lezi zici zithinta ithambo futhi zinikeze ukuzinza okwengeziwe, zivimbele ukukhululeka kokufakelwa noma ukunyakaza okuncane.
I-hip joint inqubo yokuhlinzwa ehlose ukuthuthukisa ukuhamba kwesiguli nokunciphisa ubuhlungu ngokufaka esikhundleni se-hip joint eyonakele ngezingxenye zokwenziwa. Ngokuvamile yenziwa lapho kunobufakazi bethambo elanele eliphilile ukusekela nokuzinzisa izitho ezifakiwe. I-THA inconywa ezigulini ezihlushwa ubuhlungu obukhulu be-hip joint kanye/noma ukukhubazeka okubangelwa izimo ezifana ne-osteoarthritis, i-traumatic arthritis, i-rheumatoid arthritis, kanye ne-congenital hip dysplasia. Iphinde iboniswe ezimweni ze-avascular necrosis yekhanda le-femoral, ukuphuka okubuhlungu kwekhanda le-femoral noma intamo, ukuhlinzwa kwe-hip kwangaphambilini okuhlulekile, kanye nezimo ezithile ze-ankylosis. I-Hemi-Hip Arthroplasty, ngakolunye uhlangothi, iyindlela yokuhlinzwa efanelekile ezigulini ezine-hip socket yemvelo eyanelisayo (acetabulum) kanye nethambo le-femoral elanele ukusekela isiqu se-femoral. Le nqubo iboniswa ikakhulukazi ezimweni ezithile, okuhlanganisa ukuphuka okukhulu kwekhanda noma intamo ye-femoral okungenakuncishiswa ngempumelelo futhi kwelashwe ngokulungiswa kwangaphakathi, ukuqhekeka kwe-hip okungenakuncishiswa ngendlela efanele futhi kwelashwe ngokulungiswa kwangaphakathi, i-avascular necrosis yekhanda le-femoral, ukungahlangani kokuqhekeka kwentamo ye-femoral, ukuqhekeka okuthile kwentamo ye-subcapital ephezulu kanye ne-femoral ezigulini esezikhulile, i-arthritis ewohlokayo ethinta kuphela ikhanda le-femoral futhi engadingi ukushintshwa kwe-acetabulum, kanye nezifo ezihilela ikhanda/intamo ye-femoral kanye/noma i-femur ye-proximal kuphela ezingaxazululwa ngokwanele nge-hemi-hip arthroplasty. Isinqumo phakathi kwe-Total Hip Arthroplasty kanye ne-Hemi-Hip Arthroplasty sincike ezintweni ezahlukahlukene, njengobunzima kanye nohlobo lwesimo se-hip, ubudala kanye nempilo iyonke yesiguli, kanye nolwazi kanye nokukhetha kukadokotela ohlinzayo. Zombili lezi zinqubo zibonise ukusebenza kahle ekubuyiseleni ukuhamba, ukunciphisa ubuhlungu, kanye nokuthuthukisa ikhwalithi yokuphila kweziguli ezihlushwa yizifo ezahlukene ze-hip joint. Kubalulekile ukuthi iziguli zibonane nodokotela bazo bamathambo ukuze banqume inketho yokuhlinzwa efaneleke kakhulu ngokusekelwe ezimweni zabo ngabanye.
| Ubude besiqu | Ububanzi obude | Ubude besibeletho
| I-Offset |
| 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 |
I-Total Hip Arthroplasty (THA) inqubo yokuhlinzwa ehlose ukuthuthukisa ukuhamba kwesiguli nokunciphisa ubuhlungu ngokufaka esikhundleni sejoyinti lesinqe elonakele ngezingxenye zokwenziwa. Ngokuvamile yenziwa lapho kunobufakazi bethambo elanele eliphilile ukusekela nokuzinzisa izitho ezifakiwe. I-THA inconywa ezigulini ezihlushwa ubuhlungu obukhulu bamalunga esinqe kanye/noma ukukhubazeka okubangelwa izimo ezifana ne-osteoarthritis, i-traumatic arthritis, i-rheumatoid arthritis, kanye ne-congenital hip dysplasia. Iphinde iboniswe ezimweni ze-avascular necrosis yekhanda lesinqe, ukwaphuka okubuhlungu kwekhanda lesinqe noma intamo, ukuhlinzwa kwesinqe kwangaphambilini okuhlulekile, kanye nezimo ezithile ze-ankylosis. I-Hemi-Hip Arthroplasty, ngakolunye uhlangothi, iyindlela yokuhlinzwa efanelekile ezigulini ezine-socket yemvelo yesinqe (acetabulum) eyanele kanye nethambo lesinqe elanele ukusekela isiqu sesinqe. Le nqubo iboniswa ikakhulukazi ezimweni ezithile, okuhlanganisa ukuphuka okukhulu kwekhanda noma intamo ye-femoral okungenakuncishiswa ngempumelelo futhi kwelashwe ngokulungiswa kwangaphakathi, ukuqhekeka kwe-hip okungenakuncishiswa ngendlela efanele futhi kwelashwe ngokulungiswa kwangaphakathi, i-avascular necrosis yekhanda le-femoral, ukungahlangani kokuqhekeka kwentamo ye-femoral, ukuqhekeka okuthile kwentamo ye-subcapital ephezulu kanye ne-femoral ezigulini esezikhulile, i-arthritis ewohlokayo ethinta kuphela ikhanda le-femoral futhi engadingi ukushintshwa kwe-acetabulum, kanye nezifo ezihilela ikhanda/intamo ye-femoral kanye/noma i-femur ye-proximal kuphela ezingaxazululwa ngokwanele nge-hemi-hip arthroplasty. Isinqumo phakathi kwe-Total Hip Arthroplasty kanye ne-Hemi-Hip Arthroplasty sincike ezintweni ezahlukahlukene, njengobunzima kanye nohlobo lwesimo se-hip, ubudala kanye nempilo iyonke yesiguli, kanye nolwazi kanye nokukhetha kukadokotela ohlinzayo. Zombili lezi zinqubo zibonise ukusebenza kahle ekubuyiseleni ukuhamba, ukunciphisa ubuhlungu, kanye nokuthuthukisa ikhwalithi yokuphila kweziguli ezihlushwa yizifo ezahlukene ze-hip joint. Kubalulekile ukuthi iziguli zibonane nodokotela bazo bamathambo ukuze banqume inketho yokuhlinzwa efaneleke kakhulu ngokusekelwe ezimweni zabo ngabanye.