Hononga Hope Horihori FDH Upoko Femoral

Ko te Total Hip Arthroplasty (THA) he tikanga pokanga e whai ana ki te whakapai ake i te nekenekehanga o te tūroro me te whakamamae i te mamae mā te whakakapi i te hononga hope kua pakaru ki ngā wāhanga horihori. E taunakihia ana tēnei tikanga mō ngā tūroro he nui te wheua hauora hei tautoko i ngā mea i whakatōkia. I te nuinga o te wā, ka mahia te THA ki ngā tāngata e pāngia ana e te mamae nui me/ranei te hauātanga i puta mai i ngā āhuatanga pēnei i te osteoarthritis, te traumatic arthritis, te rheumatoid arthritis, te congenital hip dysplasia, te avascular necrosis o te pane femoral, ngā whati traumatic acute o te pane femoral, o te kaki rānei, ngā pokanga hope o mua i rahua, ngā take motuhake rānei o te ankylosis. I tētahi atu taha, ko te Hemi-Hip Arthroplasty he kōwhiringa pokanga e whakamahia ana i ngā take kei reira ngā taunakitanga o te acetabulum taiao (hip pocket) me te nui o te wheua femoral hei tautoko i te kakau femoral. E taunakihia ana tēnei tikanga mō ngā āhuatanga rerekē tae atu ki ngā whatiwhatinga ohorere o te pane o te huha, o te kaki rānei, kāore e taea te rongoā pai mā te whakapiri ā-roto, te whatiwhatinga o te hope kāore e taea te whakaiti tika me te rongoā mā te whakapiri ā-roto, te mate pukupuku kore toto o te pane o te huha, te korenga o te 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 he whakakapinga acetabulum, me ngā mate motuhake e pā ana ki te pane/kaki o te huha me/ranei te hope proximal ka taea te rongoā pai mā te hemi-hip arthroplasty. Ko te kōwhiringa i waenga i te Total Hip Arthroplasty me te Hemi-Hip Arthroplasty e whakawhirinaki ana ki ētahi āhuatanga pēnei 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 whakamātauhia he whai hua ngā tikanga e rua 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. He mea nui kia kōrero ngā tūroro ki ā rātou taote pokanga wheua kia whakatauhia ai te kōwhiringa pokanga tino pai i runga i ō rātou āhuatanga takitahi.