Chogulitsa chotentha cha Ti alloy JDS cholowa m'chiuno chonse cha titanium cholowa m'malo Chithunzi Chowonetsedwa

Kugulitsa kotentha kwa Ti alloy JDS total hip replacement titanium joint prosthesis

Kufotokozera Kwachidule:

Tsinde Lopanda Simenti la JDS

Zakuthupi: Ti Aloyi

Kuphimba pamwamba: Ti Ufa Spray

Tumizani imelo kwa ife

Tsatanetsatane wa Zamalonda

Ma tag a Zamalonda

Mafotokozedwe Akatundu

132° CDA

Pafupi ndi kapangidwe kachilengedwe ka thupi

Ngodya ya 50° Osteotomy

Tetezani calcar ya femoral kuti mupeze chithandizo chowonjezereka chapafupi

Khosi Lopindika

Chepetsani mphamvu panthawi ya ntchito ndikuwonjezera kuchuluka kwa mayendedwe

Kuchepa kwa phewa la mbali

Tetezani trochanter yayikulu ndipo lolani opaleshoni yocheperako

Chepetsani kukula kwa distal M/L

Perekani kukhudzana kwa proximal cortical kwa A Shape femur kuti muwonjezere kukhazikika koyamba

Kapangidwe ka groove mbali zonse ziwiri

Ndibwino kusunga mafupa ambiri ndi magazi mkati mwa mbolo m'mbali mwa AP ya tsinde la femoral ndikuwonjezera kukhazikika kwa kuzungulira.

Kapangidwe ka proximal-lateral-rectangular

Kapangidwe kake kamakona kozungulira kozungulira

Wonjezerani kukhazikika kwa antirotation.

Di yokhotakhotastal

Ndi bwino kuika prosthesis kudzera m'njira zakunja ndi zakunja, komanso kupewa kupsinjika kwakutali.

Kukhwima kwakukulukuti pakhale bata pambuyo pa opaleshoni

Kukhuthala kwakukulu komanso kupendekera kwakukuluzimapangitsa kuti minofu ya mafupa ikule kwambiri mkati mwa chophimbacho, komanso kukhala ndi kukhazikika kwabwino kwa nthawi yayitali.

●Kukhuthala kwapafupi ndi 500 μm
●60% porosity
●Kuuma: Rt 300-600μm

Chopangira cholumikizira m'chiuno

A choyika m'chiunondi chipangizo chachipatala chomwe chimagwiritsidwa ntchito m'malo mwa cholumikizira cha m'chiuno chomwe chawonongeka kapena chodwala, kuchepetsa ululu ndikubwezeretsa kuyenda. Cholumikizira cha m'chiuno ndi mpira ndi socket zomwe zimalumikiza femur (fupa la ntchafu) ku chiuno, zomwe zimapangitsa kuti pakhale kuyenda kosiyanasiyana. Komabe, matenda monga osteoarthritis, rheumatoid arthritis, fractures kapena avascular necrosis angayambitse kuwonongeka kwakukulu kwa cholumikizira, zomwe zimapangitsa kuti pakhale kupweteka kosatha komanso kuyenda pang'ono. Pazochitika izi, chojambulira cha m'chiuno chingalimbikitsidwe.

Kuyambira 2012-2018, pali milandu 1,525,435 ya milandu yoyambirira ndi yosinthidwa.kusintha malo olumikizirana mafupa a chiuno ndi bondo, mwa izi bondo loyamba ndi 54.5%, ndipo chiuno choyamba ndi 32.7%.

Pambuyo pakusintha malo olumikizirana mafupa, kuchuluka kwa kusweka kwa periprosthetic:
THA Yoyamba: 0.1 ~ 18%, yokwera pambuyo pokonzanso
TKA Yoyamba: 0.3~5.5%, 30% pambuyo pokonzanso

Pali mitundu iwiri ikuluikulu yazoyika m'chiuno: kusintha kwathunthu kwa chiunondikusintha pang'ono chiuno. Akusintha kwathunthu kwa chiunoKumaphatikizapo kusintha acetabulum (soketi) ndi mutu wa femoral (mpira), pomwe kusintha pang'ono kwa chiuno nthawi zambiri kumalowa m'malo mwa mutu wa femoral wokha. Kusankha pakati pa ziwirizi kumadalira kukula kwa kuvulala ndi zosowa za wodwalayo. Kuchira pambuyo pa opaleshoni yoyika chiuno kumasiyana, koma odwala ambiri amatha kuyamba chithandizo chamankhwala atangomaliza opaleshoni kuti alimbikitse minofu yozungulira ndikuwonjezera kuyenda. Ndi kupita patsogolo kwa njira zochitira opaleshoni ndi ukadaulo woyika, anthu ambiri amakumana ndi kusintha kwakukulu pa moyo wawo atachita opaleshoni yoyika chiuno, zomwe zimawalola kubwerera ku zochita zawo zomwe amakonda ndi mphamvu zatsopano.

Kugwiritsa Ntchito Mankhwala Oletsa Kupweteka kwa Mchiuno

Tsatanetsatane Wosinthira Chiuno Cholumikizirana

Utali wa Tsinde	110mm/112mm/114mm/116mm/120mm/122mm/124mm/126mm/129mm/131mm
Kutalika kwakutali	7.4mm/8.3mm/10.7mm/11.2mm/12.7mm/13.0mm/14.8mm/15.3mm/17.2mm/17.7mm
Utali wa Khomo la M'chiberekero	31.0mm/35.0mm/36.0mm/37.5mm/39.5mm/41.5mm
Kuchotsera	37.0mm/40.0mm/40.5mm/41.0mm/41.5mm/42.0mm/43.5mm/46.5mm/47.5mm/48.0mm
Zinthu Zofunika	Aloyi wa Titaniyamu
Chithandizo cha Pamwamba	Ti ufa Plasma Spray