Ịdị elu titanium ikpere ngbanwe nkwonkwo ụkwụ
Ịkụnye ikperemakwaara dị kaikpere nkwonkwo prosthesis, bụ ngwaọrụ ahụike eji dochie nkwonkwo ikpere mebiri emebi ma ọ bụ ọrịa. A na-ejikarị ha agwọ ndị ọrịa nwere ọrịa ogbu na nkwonkwo siri ike, mmerụ ahụ, ma ọ bụ ọnọdụ ndị ọzọ na-akpata mgbu ikpere na-adịghị ala ala na obere njem. Ebumnuche bụ isi nke nkwonkwo ikpere ikpere bụ iji belata ihe mgbu, weghachite ọrụ, ma melite ogo ndụ zuru oke maka ndị ọrịa nwere nnukwu nkwonkwo ikpere.
Akụkụ femoral nke aikpere nkwonkwo nnọchibụ ígwè ma ọ bụ seramiiki nke na-anọchi anya njedebe nke apata ụkwụ (femur) na nkwonkwo ikpere. O nwere udi nke na-eṅomi ahụ anụ ahụ nke ọkpụkpụ iji nyere ya aka ịbanye na nkwonkwo ahụ nke ọma. A na-ejikọta akụkụ femoral n'ọkpụkpụ na-eji ciment pụrụ iche ma ọ bụ site na usoro ntinye aka nke na-akwalite uto ọkpụkpụ gburugburu ntinye.
N'ogeikpere nkwonkwo nnọchiịwa ahụ, dọkịta na-awa ahụ ga-eme mbepụ na ikpere ma wepụ akụkụ ahụ mebiri emebi nke femur. Dọkịta dọkịta na-awa ahụ ga-edozi ọkpụkpụ ahụ iji nata akụkụ femoral ịkụnye. A ga-edobe akụkụ femoral ma chekwaa ya site na iji ciment ọkpụkpụ ma ọ bụ usoro ntinye aka. Ozugbo akụkụ femoral dị, dọkịta na-awa ahụ ga-emechi mbepụ ahụ ma onye ọrịa ahụ ga-amalite usoro mgbake. Na-esote ịwa ahụ, ndị ọrịa ga-achọkarị isonye na mmemme ọgwụgwọ anụ ahụ iji nyere aka mee ka ikpere sie ike ma kwalite ọgwụgwọ. Mgbe ọnwa ole na ole nke mmezigharị gasịrị, ndị ọrịa nwere ike na-atụ anya na ikpere ga-adịkwu mma ma nweekwa ọrụ ka mma. Agbanyeghị, ọ dị mkpa ịgbaso ntuziaka ọ bụla dọkịta na-awa ahụ nyere iji hụ na ọgwụgwọ na mgbake kacha mma.
Zere pendency site na njirimara atọ
1.The multi-radius imewe na-enyes nnwere onwe nke mgbanwe na ntụgharị.
2.Nhazi nke radius decrescent nke J curve femoral condyles nwere ike iburu ebe kọntaktị n'oge mgbanwe dị elu ma zere ịtinye ihe.
Nhazi siri ike nke POST-CAM na-enweta osteotomy intercondylar pere mpe nke prosthesis PS. Àkwà mmiri ọkpụkpụ nke dị n'ihu na-aga n'ihu na-ebelata ihe ize ndụ mgbaji.
Nhazi trochlear dị mma
Patellatrajectory nkịtị bụ ụdị S.
● gbochie patella medial agbaghara n'oge mgbanwe dị elu, mgbe nkwonkwo ikpere na patella na-enwe ike nke ukwuu.
● Ekwela ka patella trajectory gafee ahịrị etiti.
1.Matchable wedges
2.The ukwuu polished intercondylar akụkụ mgbidi na-ezere post abrasion.
3.The na-emeghe intercondylar igbe na-ezere abrasion nke post top.
Flexion 155 ogo nwere ike ịbụenwetarana ezigbo usoro ịwa ahụ na mmega ahụ na-arụ ọrụ
Cones obibi akwụkwọ 3D iji mejuo nnukwu ntụpọ metaphyseal nwere igwe nwere oghere iji kwe ka mbanye.
Rheumatoid ogbu na nkwonkwo
Post-traumatic ogbu na nkwonkwo, osteoarthritis ma ọ bụ degenerative ogbu na nkwonkwo
Osteotomies dara ada ma ọ bụ nnọchi na-enweghị akụkụ ma ọ bụ ndochi ikpere zuru oke