132° CDA
Kokoke aku i ke ʻano anatomical kūlohelohe
50° Osteotomy huina
E pale i ka calcar femoral no ke kākoʻo kokoke
ʻAi ʻāʻī
E ho'ēmi i ka hopena i ka wā o ka hana a hoʻonui i ka laulā o ka neʻe
Hoʻemi ʻia ka poʻohiwi lateral
E pale i ka trochanter nui a e ʻae i ka hōʻoki ʻana i ka liʻiliʻi
E hoemi i ka nui M/L
Hāʻawi i ka pilina cortical proximal no A Shape femur e hoʻonui i ka paʻa mua
Hoʻolālā Groove ma nā ʻaoʻao ʻelua
Pono ka mālama ʻana i ka nui o ka iwi iwi a me ka hāʻawi koko intramedullary ma nā ʻaoʻao AP o ke kumu femoral a hoʻonui i ka paʻa o ka hoʻololi.
Hoʻolālā ʻaoʻao ʻaoʻao ʻaoʻao ʻehā
Hoʻonui i ka paʻa antirotation.
Curved Distal
Pōmaikaʻi i ka hoʻokomo ʻana i ka prosthesis ma o nā hoʻokokoke mua a me anterolateral, ʻoiai e pale ana i ka neʻe ʻana o ke kaumaha.
ʻO ka ʻōkole kiʻekiʻeno ka paʻa koke o ka postoperative
ʻOi aku ka mānoanoa o ka uhi ʻana a me ka porosity kiʻekiʻee hoʻonui i ka ʻiʻo iwi i loko o ka uhi ʻana, a loaʻa nō hoʻi kahi paʻa lōʻihi.
●500 μm mānoanoa kokoke
●60% porosity
●Roughness: Rt 300-600μm
A hoʻokomo pūhakahe lāʻau lapaʻau i hoʻohana ʻia e pani ai i kahi hui pūhaka ʻeha a maʻi paha, hoʻomaha i ka ʻeha a hoʻihoʻi i ka neʻe. ʻO ka hui ʻūhā he hui pōpō a me ke kumu e hoʻopili ai i ka femur (iwi ʻūhā) i ke pelvis, e ʻae ai i kahi ākea ākea. Eia nō naʻe, ʻo nā maʻi e like me ka osteoarthritis, rheumatoid arthritis, fractures a i ʻole avascular necrosis hiki ke hōʻemi nui i ka hui, e alakaʻi ana i ka ʻeha mau a me ka liʻiliʻi o ka neʻe. I kēia mau hihia, hiki ke ʻōlelo ʻia kahi implant hip.
Mai ka makahiki 2012-2018, aia he 1,525,435 mau hihia mua a me ka hooponopono hou ana.pani ami a me ke kuli, ma waena o ia mau kuli mua he 54.5%, a he 32.7%.
Ma hope o kapani hui, ka helu helu o ka haʻihaʻi periprosthetic:
THA kumu mua: 0.1~18%, kiʻekiʻe ma hope o ka hoʻoponopono ʻana
TKA kumu: 0.3~5.5%, 30% ma hope o ka hooponopono
Elua ano nui ohoʻokomo ʻia i ka ʻūhā: pani ʻāʻī pihaapani ʻūhā hapa. Apani ʻāʻī pihapili i ka ho'ololi 'ana i ka acetabulum (socket) a me ke po'o femoral (poepoe), a'o ka ho'ololi 'ana o ka 'ūhā hapa ma ke po'o femoral wale nō. ʻO ka koho ma waena o nā meaʻelua e pili ana i ka nui o kaʻeha a me nā pono kiko'ī o ka mea maʻi. He ʻokoʻa ka hoʻihoʻi ʻana ma hope o ka hoʻopaʻa ʻana i ka hip implant, akā hiki i ka hapa nui o nā maʻi ke hoʻomaka i ka hoʻōla kino ma hope koke o ke kaʻina e hoʻoikaika i nā ʻiʻo a puni a hoʻomaikaʻi i ka neʻe. Me ka holomua o nā ʻano hana ʻokiʻoki a me ka ʻenehana implant, nui ka poʻe i ʻike i ka hoʻomaikaʻi nui ʻana i ko lākou ola ma hope o ke kaʻe ʻana o ka hip implant, e ʻae iā lākou e hoʻi i kā lākou mau hana punahele me ka ikaika hou.
Ka lōʻihi o ke kumu | 110mm/112mm/114mm/116mm/120mm/122mm/124mm/126mm/129mm/131mm |
Laulā Mākaʻikaʻi | 7.4mm/8.3mm/10.7mm/11.2mm/12.7mm/13.0mm/14.8mm/15.3mm/17.2mm/17.7mm |
Ka lōʻihi o ka ʻōpū | 31.0mm/35.0mm/36.0mm/37.5mm/39.5mm/41.5mm |
Offset | 37.0mm/40.0mm/40.5mm/41.0mm/41.5mm/42.0mm/43.5mm/46.5mm/47.5mm/48.0mm |
Mea waiwai | Huina Titanium |
Lapaʻau ʻili | Ti Pauda Plasma Spray |