● Ukutshintshwa kwesinqe esenziwe ngokwenziwa
● Ukukhubazeka kwe-proximal femur
● Ukuqhekeka kwefemur ekufutshane
● I-Osteosclerosis ye-proximal femur
● Ukulahlekelwa ngamathambo e-proximal femoral
● Uhlaziyo lokufakelwa kwelungu lesinqe
● Ukuqhawuka kwe-periprosthetic femoral
● Ukukhulula i-prosthetic
● Usulelo luyalawulwa emva kokutshintshwa
Imigaqo yoyilo lweziqu zohlaziyo ezingenasimende ze-DDS igxile ekufezekiseni uzinzo lwexesha elide, ukuqina, kunye nokukhula kwamathambo. Nazi ezinye zemigaqo yoyilo ephambili:
Ukwaleka Okunemingxuma: Iziqu zokuhlaziywa ezingenasimende zihlala zinemingxuma phezu komphezulu odibana nethambo. Olu kwaleka olunemingxuma luvumela ukukhula okuphuculweyo kwamathambo kunye nokunxibelelana koomatshini phakathi kwe-implant kunye nethambo. Uhlobo kunye nolwakhiwo lwengxuma lunokwahluka, kodwa injongo kukubonelela ngomphezulu orhabaxa okhuthaza ukuhlanganiswa kwe-osseo.
Uyilo lweModular: Iziqu zohlaziyo zihlala zinesakhiwo semodular ukuze zilungele ii-anatomies ezahlukeneyo zesigulana kwaye zivumele uhlengahlengiso lwangaphakathi kotyando. Olu hlobo lwemodular luvumela oogqirha botyando ukuba bakhethe ubude besiqu obahlukeneyo, ukhetho oluchaseneyo, kunye nobukhulu beentloko ukuze bafikelele ekulinganeni nasekulungelelanisweni ngokugqibeleleyo. Ukulungiswa kweProximal okuphuculweyo:
Iziqu zohlaziyo ezingenasimende ze-DDS zinokubandakanya izinto ezifana neeflute, amaphiko, okanye iimbambo kwinxalenye ekufutshane ukuze kuphuculwe ukunamathelana kwazo. Ezi zinto zibandakanyeka kwithambo kwaye zibonelela ngozinzo olongezelelweyo, zithintela ukukhululeka kwe-implant okanye i-micromotion.
I-hip joint yinkqubo yotyando ejolise ekuphuculeni ukuhamba kwesigulane kunye nokunciphisa iintlungu ngokutshintsha i-hip joint eyonakeleyo ngezinto ezenziweyo. Ihlala yenziwa xa kukho ubungqina bokuba kukho ithambo elaneleyo eliphilileyo ukuxhasa nokuzinzisa ii-implants. I-THA iyacetyiswa kwizigulana ezinentlungu enzima ye-hip joint kunye/okanye ukukhubazeka okubangelwa zizifo ezifana ne-osteoarthritis, i-traumatic arthritis, i-rheumatoid arthritis, kunye ne-congenital hip dysplasia. Ikwaboniswa kwiimeko ze-avascular necrosis yentloko ye-femoral, ukwaphuka okubukhali kwentloko ye-femoral okanye intamo, utyando lwangaphambili lwe-hip olungaphumelelanga, kunye neemeko ezithile ze-ankylosis. I-Hemi-Hip Arthroplasty, kwelinye icala, lukhetho lotyando olufanelekileyo kwizigulana ezine-hip socket yendalo eyanelisayo (acetabulum) kunye nethambo le-femoral elaneleyo ukuxhasa isiqu se-femoral. Le nkqubo iboniswa ngokukodwa kwiimeko ezithile, kubandakanya ukwaphuka okukhawulezileyo kwentloko okanye intamo ye-femoral okungenakuncitshiswa ngempumelelo kwaye kunyangwe ngokuqiniswa kwangaphakathi, ukuqhekeka kwe-hip okungenakuncitshiswa ngokufanelekileyo kwaye kunyangwe ngokuqiniswa kwangaphakathi, i-avascular necrosis yentloko ye-femoral, ukungadibani kwaphuka kwentamo ye-femoral, ukwaphuka okuthile kwe-subcapital ephezulu kunye ne-femoral neck kwizigulana ezindala, i-arthritis ewohlokayo echaphazela kuphela intloko ye-femoral kwaye ayifuni ukutshintshwa kwe-acetabulum, kunye nezifo ezibandakanya intloko/intamo ye-femoral kunye/okanye i-proximal femur kuphela ezinokujongwa ngokwaneleyo nge-hemi-hip arthroplasty. Isigqibo phakathi kwe-Total Hip Arthroplasty kunye ne-Hemi-Hip Arthroplasty sixhomekeke kwizinto ezahlukeneyo, ezinje ngobunzima kunye nohlobo lwemeko ye-hip, ubudala kunye nempilo iyonke yesigulana, kunye nobuchule kunye nokukhetha kukagqirha wotyando. Zombini iinkqubo zibonakalise ukusebenza kakuhle ekubuyiseleni ukuhamba, ukunciphisa iintlungu, kunye nokuphucula umgangatho wobomi kwizigulana ezineengxaki ezahlukeneyo ze-hip joint. Kubalulekile ukuba izigulana zibonane noogqirha bazo bamathambo ukuze bamisele ukhetho olufanelekileyo lotyando ngokusekelwe kwiimeko zabo.
| Ubude besiqu | Ububanzi obukude | Ubude besibeleko
| 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) yinkqubo yotyando ejolise ekuphuculeni ukuhamba kwesigulane kunye nokunciphisa iintlungu ngokutshintsha ilungu le-hip elonakeleyo ngezinto ezenziweyo. Ihlala yenziwa xa kukho ubungqina bokuba kukho ithambo elaneleyo eliphilileyo ukuxhasa nokuzinzisa izifakelo. I-THA icetyiswa kwizigulana ezinentlungu enzima yamalungu e-hip kunye/okanye ukukhubazeka okubangelwa zizifo ezifana ne-osteoarthritis, i-traumatic arthritis, i-rheumatoid arthritis, kunye ne-congenital hip dysplasia. Ikwaboniswa kwiimeko ze-avascular necrosis yentloko ye-femoral, ukwaphuka okubukhali kwentloko ye-femoral okanye intamo, utyando lwangaphambili lwe-hip olungaphumelelanga, kunye neemeko ezithile ze-ankylosis. I-Hemi-Hip Arthroplasty, kwelinye icala, lukhetho lotyando olufanelekileyo kwizigulana ezine-hip socket yendalo eyanelisayo (acetabulum) kunye nethambo le-femoral elaneleyo ukuxhasa isiqu se-femoral. Le nkqubo iboniswa ngokukodwa kwiimeko ezithile, kubandakanya ukwaphuka okukhawulezileyo kwentloko okanye intamo ye-femoral okungenakuncitshiswa ngempumelelo kwaye kunyangwe ngokuqiniswa kwangaphakathi, ukuqhekeka kwe-hip okungenakuncitshiswa ngokufanelekileyo kwaye kunyangwe ngokuqiniswa kwangaphakathi, i-avascular necrosis yentloko ye-femoral, ukungadibani kwaphuka kwentamo ye-femoral, ukwaphuka okuthile kwe-subcapital ephezulu kunye ne-femoral neck kwizigulana ezindala, i-arthritis ewohlokayo echaphazela kuphela intloko ye-femoral kwaye ayifuni ukutshintshwa kwe-acetabulum, kunye nezifo ezibandakanya intloko/intamo ye-femoral kunye/okanye i-proximal femur kuphela ezinokujongwa ngokwaneleyo nge-hemi-hip arthroplasty. Isigqibo phakathi kwe-Total Hip Arthroplasty kunye ne-Hemi-Hip Arthroplasty sixhomekeke kwizinto ezahlukeneyo, ezinje ngobunzima kunye nohlobo lwemeko ye-hip, ubudala kunye nempilo iyonke yesigulana, kunye nobuchule kunye nokukhetha kukagqirha wotyando. Zombini iinkqubo zibonakalise ukusebenza kakuhle ekubuyiseleni ukuhamba, ukunciphisa iintlungu, kunye nokuphucula umgangatho wobomi kwizigulana ezineengxaki ezahlukeneyo ze-hip joint. Kubalulekile ukuba izigulana zibonane noogqirha bazo bamathambo ukuze bamisele ukhetho olufanelekileyo lotyando ngokusekelwe kwiimeko zabo.