Kubera ko Sculco et al. Banza utanga amakuru make muri hip arthroplasy (tha) hamwe nuburyo bwibitabo muri 1996, impinduka nyinshi zidahinduka muburyo butandukanye. Muri iki gihe, igitekerezo kidashoboka cyandujwe cyane kandi buhoro buhoro n'abaganga. Ariko, haracyari umwanzuro usobanutse neza kugirango utange inzira zidashimishije cyangwa zisanzwe zigomba gukoreshwa.
Ibyiza byo kubaga bidafite ishingiro birimo ibizamini bito, kuva amaraso make, ububabare buke, no gukira vuba; Ariko, ingaruka zirimo umurima muto wo kureba, byoroshye kubyara ibikomere byubuvuzi, umwanya wa prosthos, no kongera ibyago byo kubagwa.
Muburyo buke bwibajije ibihumyo rwose (mibu - tha), igihombo cyimitsi yinyuma nimpamvu yo kubaga ikora gukira, kandi uburyo bwo kubaga ni ikintu cyingenzi kigira ingaruka kumitsi. Kurugero, uburyo bwa anterolarate kandi butaziguye bushobora kwangiza imitsi yimvura, biganisha ku gitsina gati (Trendelenburg LEP).
Mu rwego rwo kubona uburyo budashimishije bugabanya ibyangiritse mu mitsi, Dr. Amanatullah et al. Kuva ku ivuriro rya Mayo muri Amerika ugereranije inzira ebyiri za nabi, uburyo bwo mu rwego rwo hasi (Da) n'uburyo bwo hejuru (DS), ku buryo bwa Cadavelantique kugira ngo hamenyekane ibyangiritse n'imitsi n'imitsi. Ibisubizo by'ubu bushakashatsi bwerekanye ko uburyo bwa DS butangiza imitsi na romons kuruta uburyo bwa da kandi bushobora kuba inzira yatoranijwe kuri masike.
Igishushanyo mbonera
Ubushakashatsi bwakorewe ku bafatiri umunani bakonje hamwe n'umunani w'ibibuno 16 nta mateka yo kubaga ibijumba. Ikibuno kimwe cyatoranijwe kugikorwa nabi muri MIS-Tha hirya no kubindi binyuze kuri DS muburyo bumwe, kandi inzira zose zakozwe nabarwanyi b'inararibonye. Urwego rwa nyuma rwimitsi na Tendon rwasuzumwe nubuvuzi bwa orthopedic butagize uruhare mubikorwa.
Inzego za Anatolicali zasuzumwe zirimo: Gluteus Maxikus, Gluteus Medius na Tendon, Gluteus MINUMUS na Teadeus MINONE, Trapezis, Trapezis, Obturator Pinsicius, na Obturator Pinsuto, kandi Obturator Ponsuus, Imitsi yasuzumwe amarira yimitsi na ubwuzu bugaragara kumaso.
Igishushanyo 1 Igishushanyo cya Anatomique ya buri mutsi
Ibisubizo
1. Ibyangiritse byumutsima: Nta tandukaniro rikomeye ryibarurishamibare muburyo bwangiritse kuri Gluteus Medius hagati ya Da na DS yegereje. Ariko, kumitsi ya gluteus minimus, ijanisha ryimvune yubuso yatewe na da yari hejuru cyane kurenza ibyatewe nuburyo bwa DS, kandi nta tandukaniro rikomeye hagati yimitsi yombi kubice byombi. Nta tandukaniro rikomeye riri hagati yuburyo bubiri mubijyanye no gukomeretsa imitsi ya Quadrices, hamwe nijanisha ryibikomere byinshi kuri vatus tensor na ferimoris bya feriso na rectus byarakomeye hamwe na DS uburyo.
2. Gukomeretsa Tendon: ntabwo inzira zaviriyemo ibikomere bikomeye.
3. Gusobanura Teinton: Uburebure bwa Gluteus Minimus Tendon yahinduwe cyane mumatsinda ya Da kuruta mumatsinda ya DS, kandi ijanisha ryinshi ryagize hejuru cyane mumatsinda ya DS. Nta tandukaniro rikomeye ryo kwanduza Tendon rikomeretsa hagati yaya matsinda yombi kuri Pyriforsis na Obturator Pinsuur. Ikigereranyo cyo kubaga cyerekanwe ku gishushanyo cya 2, ishusho 3 cyerekana ubu buryo gakondo, kandi ishusho 4 byerekana uburyo gakondo.
Igishushanyo cya 2 1a. Gusobanura neza kwa Gluteus MINIMON mugihe cya da kuberako gukosorwa kwa femoral; 1B. Gusobanura igice cya Gluteus MINIMUS yerekana urugero rwimvune kuri Tendon ninda yimitsi. gt. urusto rukomeye; * Gluteus Minimus.
FIG
Igishushanyo 4 Kumenyekanisha imitsi yo hasi yo muri rotator yo hanze muburyo busanzwe
Umwanzuro no Kuvura Ivuriro
Inyigisho nyinshi zambere ntabwo zagaragaje itandukaniro rikomeye mubikorwa byimigambi, kugenzura ububabare, igipimo cyo guterwa, kubura amaraso, uburebure bwibitaro et tha by al. yerekanye itandukaniro rikomeye hagati yabo bombi, usibye kugabanuka kwinshi mububabare, kandi nta tandukaniro rikomeye mu kuva amaraso, ubworozi bwo kugenda, cyangwa gusana amasezerano. Inyigisho yubuvuzi na Gooden et al.
Rct ya goosen et al. yerekanye ubwiyongere busobanura HHS nyuma yuburyo budashimishije (gutangaza neza gukira neza), ariko igihe kirekire cyapa kandi kigaragara cyane kuri peteroli. Mu myaka yashize, habaye kandi ubushakashatsi bwinshi bwo gusuzuma imitsi nigihe cyo kugarura nyuma yo kubaga muburyo budasanzwe, ariko ibyo bibazo ntibyari bikemurwa. Ubu bushakashatsi kandi bwakozwe hashingiwe kubibazo nkibi.
Muri ubu bushakashatsi, basanze ko uburyo bwa DS bwateje ibintu bike byangiza imitsi kuruta ubu buryo buke kuri gluteus minimis. Ibyo bikomere byagenwe na da wege ubwayo kandi byari bigoye gusanwa nyuma yo kubagwa. Urebye ko ubu bushakashatsi ari urugero rwa Cadavelanic, rurakenewe mu iperereza ku busobanuro bw'amavuriro y'ibisubizo byimbitse.
Igihe cyohereza: Nov-01-2023
