Yadda za a zabi Non-Siminti ko Siminti a cikin Jimillar tiyatar prosthesis na hip

Binciken da aka gabatar a taron shekara-shekara na 38 na Cibiyar Nazarin Orthopedic Trauma ta Amurka (OTA 2022) kwanan nan ya nuna cewa tiyatar prosthesis ba tare da Cementless yana da haɗarin karaya da rikitarwa duk da raguwar lokacin aiki idan aka kwatanta da aikin tiyatar gyaran hanji.

Takaitaccen Bincike

Dr.Castaneda da abokan aiki sun binciki marasa lafiya 3,820 (ma'anar shekaru 81) waɗanda suka yi aikin tiyata na hanji (382 lokuta) ko arthroplasty ba tare da siminti ba (3,438 lokuta) donna matakaraya a wuya tsakanin 2009 da 2017.

Sakamakon marasa lafiya sun haɗa da ɓarna na ciki da na baya, lokacin aiki, kamuwa da cuta, rarrabuwa, sake aiki da mace-mace.

Sakamakon bincike

Nazarin ya nuna cewa marasa lafiya a cikinProsthesis na hip ba Siminti baƘungiyar tiyata tana da adadin karaya na kashi 11.7%, adadin karaya na ciki na 2.8% da kuma raunin raunin da ya faru na 8.9%.

Marasa lafiya a cikin rukunin tiyatar gyaran hanji na Cimented sun sami raguwar raguwar kashi 6.5% duka, 0.8% intraoperative da 5.8% raunin da ya faru.

Marasa lafiya a cikin rukunin tiyatar prosthesis na hip-cimented ba tare da siminti ba suna da haɓaka gabaɗaya da ƙimar sake yin aiki idan aka kwatanta da ƙungiyar tiyata ta cemented hip prosthesis.

Ra'ayin mai bincike

A cikin jawabinsa, babban mai binciken, Dr.Paulo Castaneda, ya lura cewa, ko da yake akwai shawarar da aka amince da ita don maganin karayar wuyan mata da aka yi gudun hijira a cikin tsofaffin marasa lafiya, har yanzu akwai muhawara game da ko za a yi musu siminti.Dangane da sakamakon wannan binciken, likitocin ya kamata su yi ƙarin maye gurbin siminti a cikin tsofaffin marasa lafiya.

Sauran karatun da suka dace kuma suna goyan bayan zaɓin Cimined jimlar tiyatar prosthesis na hip.

Wani binciken da Farfesa Tanzer et al.tare da bin diddigin shekaru 13 da aka gano cewa a cikin marasa lafiya> 75 shekaru masu shekaru tare da raunin wuyan mata na femoral ko osteoarthritis, farkon bita na bita (watanni 3 bayan aiki) ya kasance ƙasa da marasa lafiya tare da bita na siminti na zaɓi fiye da bita ba tare da siminti ba. rukuni.

Wani binciken da Farfesa Jason H ya yi ya gano cewa marasa lafiya a cikin rukunin simintin kashi sun zarce rukunin da ba su da siminti ta fuskar tsawon zama, farashin kulawa, sake dawowa da sake aiki.

Wani bincike da Farfesa Dale ya yi ya gano cewa adadin sake fasalin ya fi girma a cikin rukunin da ba su da siminti fiye da naciminti kara.