Me pēhea te whiriwhiri i te kore-simeni, te simeni rānei i roto i te pokanga prosthesis hope katoa

I whakaatuhia i roto i ngā rangahau i whakaaturia i te Hui-ā-Tau 38 o te American Academy of Orthopaedic Trauma (OTA 2022) i ngā wā tata nei, ahakoa te poto o te wā pokanga, he nui ake te tūponotanga o te whati me ngā raruraru o te pokanga hope kore-sima ki te pokanga hope kua simahia.

Whakarāpopototanga Rangahau

I tātarihia e Tākuta Castaneda mā ngā hoa mahi he 3,820 ngā tūroro (te pakeke toharite 81 tau) i pokangahia te prosthesis hope kua whakapirihia (382 ngā take) i pokangahia rānei te arthroplasty hope kāore i whakapirihia (3,438 ngā take) mōfemurngā whati o te kaki i waenga i te tau 2009 me te tau 2017.

Ko ngā putanga o te tākuta i uru atu ki ngā whati i te wā o te tākutatanga me muri i te tākutatanga, te wā tākutatanga, te mate, te nekehanga o te wheua, te tākutatanga anō me te matenga.

Ngā hua rangahau

I whakaatuhia e te rangahau ko ngā tūroro i roto i teProsthesis hope kore-simeniKo te tapeke o ngā whati o te rōpū pokanga he 11.7%, ko te tapeke whati i te wā o te pokanga he 2.8%, ā, ko te tapeke whati i muri i te pokanga he 8.9%.

He iti ake te auau whati o ngā tūroro i roto i te rōpū pokanga hope sima, arā, 6.5% te tapeke, 0.8% i te wā e pokanga ana, ā, 5.8% i muri i te pokanga.

He nui ake ngā uauatanga me ngā auau pokanga anō mō ​​ngā tūroro i roto i te rōpū pokanga hope kāore i whakapirihia ki te raima, ki te whakaritea ki te rōpū pokanga hope kua whakapirihia ki te raima.

Te tirohanga a te kairangahau

I roto i tana whakaaturanga, i kī te kairangahau matua, a Tākuta Paulo Castaneda, ahakoa he taunakitanga whakaae mō te maimoatanga o ngā whati o te kaki femur kua nekehia i roto i ngā tūroro kaumātua, kei te tautohetohe tonu mēnā me whakapiripiri. I runga i ngā hua o tēnei rangahau, me mahi e ngā tākuta he whakakapinga hope whakapiripiri ake i roto i ngā tūroro kaumātua.

E tautokona ana hoki e ētahi atu rangahau e tika ana te kōwhiringa o te pokanga prosthesis hope katoa kua whakapirihia ki te raima.

I roto i tētahi rangahau i whakaputaina e Ahorangi Tanzer me ētahi atu, i kitea i roto i ngā tūroro neke atu i te 75 tau te pakeke me ngā whati o te kaki o te femur, te osteoarthritis rānei, he iti ake te auau whakatikatika wawe i muri i te pokanga (3 marama i muri i te pokanga) i roto i ngā tūroro me te whakatikatika sima whiriwhiri i tērā i roto i te rōpū whakatikatika kāore i sima.

I kitea i roto i tētahi rangahau nā Ahorangi Jason H, he pai ake te mahi a ngā tūroro i roto i te rōpū kakau sima wheua i te rōpū kāore i simahia, e pā ana ki te roa o te noho, te utu tiaki, te whakaurunga anō me te pokanga anō.

I kitea i roto i tētahi rangahau a Ahorangi Dale he teitei ake te tere o te arotake i roto i te rōpū kāore i te whakapirihia i tērā i roto i te rōpūkakau sima.