Te Pūwhakatō Hononga me te Hope Titanium DDS Tino Hoko
Ngā tohu
● Te whakakapinga hope horihori tuatahi
● Te hē o te huha tata
● Te whati o te femur tata
● Te Osteosclerosis o te femur proximal
● Te ngaronga o te wheua femur tata
● Te whakahou i te whakakapinga o te hononga hope horihori
● Nga whati wahine periprosthetic
● Te wetewete i ngā hononga prosthetic
● Ka whakahaerea ngā mate urutā i muri i te whakakapinga
Kaupapa Hoahoa
Ko ngā mātāpono hoahoa mō ngā kakau whakatikatika kore-sima DDS e arotahi ana ki te whakatutuki i te pumau mō te wā roa, te piripono, me te tupu o te wheua. Anei ētahi mātāpono hoahoa matua:
Paninga Pūwero: Ko ngā kakau whakatikatika kore-sima he paninga pūwero kei runga i te mata e pā ana ki te wheua. Mā tēnei paninga pūwero ka taea te whakatipu ake i te wheua me te hononga ā-ringa i waenga i te mea i whakatōkia me te wheua. Ka rerekē pea te momo me te hanganga o te paninga pūwero, engari ko te whāinga he whakarato i tētahi mata taratara e whakatairanga ana i te whakaurunga wheua.
Hoahoa Āhua-Wāhanga: He maha ngā wā he hoahoa āhua-wāhanga ngā kakau whakatikatika hei whakauru i ngā momo hanganga tūroro, ā, hei tuku i ngā whakarerekētanga i te wā e pokanga ana. Mā tēnei āhua-wāhanga ka taea e ngā taote pokanga te whiriwhiri i ngā roa kakau rerekē, ngā kōwhiringa taurite, me ngā rahi o te pane kia tutuki ai te taunga me te whakarārangi pai rawa atu. Te Whakatikatika Tata Whakarei Ake:
Tērā pea kei roto i ngā kakau whakatikatika kore-sima o te DDS ngā āhuatanga pēnei i te putorino, ngā tara, ngā rara rānei i te wāhanga tata hei whakapai ake i te piri. Ka uru atu ēnei āhuatanga ki te wheua, ā, ka whakarato i te pumau tāpiri, ka ārai i te wetekina o te tāpiringa, i te nekehanga iti rānei.
te whakaurunga hope katoa Te tono haumanu
Ngā tohu
He pokanga te hononga hope e whai ana ki te whakapai ake i te nekenekehanga o te tūroro me te whakaiti i te mamae mā te whakakapi i te hononga hope kua pakaru ki ngā wāhanga horihori. I te nuinga o te wā ka mahia ina kitea he wheua hauora hei tautoko me te whakau i ngā mea kua tāpirihia. E taunakihia ana te THA mō ngā tūroro e pāngia ana e te mamae nui o te hononga hope me/ranei te hauātanga i puta mai i ngā āhuatanga pēnei i te osteoarthritis, te mate rumatiki whara, te mate rumatiki rheumatoid, me te mate pukupuku hope whānau. E tohuhia ana hoki mō ngā take o te avascular necrosis o te pane femoral, ngā whati whara ohorere o te pane femoral, o te kaki rānei, ngā pokanga hope o mua i rahua, me ētahi wā o te ankylosis. Ko te Hemi-Hip Arthroplasty, i tētahi atu taha, he kōwhiringa pokanga e tika ana mō ngā tūroro he pai te hononga hope tūturu (acetabulum) me te wheua femoral hei tautoko i te kakau femoral. He mea tino tika tēnei tikanga mō ngā āhuatanga motuhake, tae atu ki ngā whatiwhatinga ohorere o te pane o te huha, o te kaki rānei, kāore e taea te whakaiti me te rongoā mā te whakapiri ā-roto, ngā whatiwhatinga o te hope kāore e taea te whakaiti me te rongoā mā te whakapiri ā-roto, te mate pukupuku kore toto o te pane o te huha, te kore hononga o ngā whatiwhatinga o te kaki o te huha, ētahi whatiwhatinga o te kaki o raro me te hope i roto i ngā tūroro kaumātua, te mate rumatiki e pā ana ki te pane o te huha anake, ā, kāore e hiahiatia te whakakapinga o te acetabulum, me ngā mate e pā ana ki te pane/kaki o te huha me/ranei te hope proximal ka taea te whakatika mā te hemi-hip arthroplasty. Ko te whakatau i waenga i te Total Hip Arthroplasty me te Hemi-Hip Arthroplasty e whakawhirinaki ana ki ngā āhuatanga maha, pērā i te kaha me te āhua o te āhua o te hope, te tau me te hauora whānui o te tūroro, me te tohungatanga me te hiahia o te taote pokanga. Kua whakaatuhia e ngā tikanga e rua te whai huatanga ki te whakaora i te nekenekehanga, te whakaiti i te mamae, me te whakapai ake i te kounga o te oranga mō ngā tūroro e pāngia ana e ngā mate hononga hope rerekē. He mea nui kia kōrero ngā tūroro ki ā rātou taote pokanga wheua kia whakatauhia ai te kōwhiringa pokanga tino tika i runga i ō rātou āhuatanga takitahi.
Ngā Taipitopito o te Kakau Hope o te DDS
| Te roa o te kakau | Diameter tawhiti | Te roa o te kaki
| Whakakorenga |
| 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 |
Ngā Tohu mō ngā Hononga Hope
Ko te Total Hip Arthroplasty (THA) he tikanga pokanga e whai ana ki te whakapai ake i te nekenekehanga o te tūroro me te whakaiti i te mamae mā te whakakapi i te hononga hope kua pakaru ki ngā wāhanga horihori. I te nuinga o te wā ka mahia ina kitea he wheua hauora hei tautoko me te whakau i ngā mea kua tāpirihia. E taunakihia ana te THA mō ngā tūroro e pāngia ana e te mamae nui o te hononga hope me/ranei te hauātanga i puta mai i ngā āhuatanga pēnei i te osteoarthritis, te traumatic arthritis, te rheumatoid arthritis, me te congenital hip dysplasia. E tohuhia ana hoki mō ngā take o te avascular necrosis o te pane femoral, ngā whati whara ohorere o te pane femoral, o te kaki rānei, ngā pokanga hope o mua i rahua, me ētahi wā o te ankylosis. Ko te Hemi-Hip Arthroplasty, i tētahi atu taha, he kōwhiringa pokanga e tika ana mō ngā tūroro he pai te hononga hope tūturu (acetabulum) me te wheua femoral hei tautoko i te kakau femoral. He mea tino tika tēnei tikanga mō ngā āhuatanga motuhake, tae atu ki ngā whatiwhatinga ohorere o te pane o te huha, o te kaki rānei, kāore e taea te whakaiti me te rongoā mā te whakapiri ā-roto, ngā whatiwhatinga o te hope kāore e taea te whakaiti me te rongoā mā te whakapiri ā-roto, te mate pukupuku kore toto o te pane o te huha, te kore hononga o ngā whatiwhatinga o te kaki o te huha, ētahi whatiwhatinga o te kaki o raro me te hope i roto i ngā tūroro kaumātua, te mate rumatiki e pā ana ki te pane o te huha anake, ā, kāore e hiahiatia te whakakapinga o te acetabulum, me ngā mate e pā ana ki te pane/kaki o te huha me/ranei te hope proximal ka taea te whakatika mā te hemi-hip arthroplasty. Ko te whakatau i waenga i te Total Hip Arthroplasty me te Hemi-Hip Arthroplasty e whakawhirinaki ana ki ngā āhuatanga maha, pērā i te kaha me te āhua o te āhua o te hope, te tau me te hauora whānui o te tūroro, me te tohungatanga me te hiahia o te taote pokanga. Kua whakaatuhia e ngā tikanga e rua te whai huatanga ki te whakaora i te nekenekehanga, te whakaiti i te mamae, me te whakapai ake i te kounga o te oranga mō ngā tūroro e pāngia ana e ngā mate hononga hope rerekē. He mea nui kia kōrero ngā tūroro ki ā rātou taote pokanga wheua kia whakatauhia ai te kōwhiringa pokanga tino tika i runga i ō rātou āhuatanga takitahi.
