● Uburyo bw'ibanze bwo gusimbuza ikibuno cy'ubukorano
● Ubusembwa bw'inkende yo hafi y'ikirenge
● Kuvunika kw'inyuma y'ikibuno
● Osteosclerosis y'inyuma y'umugongo
● Kugabanuka kw'amagufwa yo mu gitsina hafi y'inkengero z'imbere
● Guhindura ingingo y'ikibuno y'ubukorano
● Ivunika rya periprosthetic
● Gufungura poroteyine
● Kwandura indwara biragenzurwa nyuma yo gusimburwa
Amahame ngenderwaho y’igishushanyo mbonera cy’ibiti bidafite sima bya DDS yibanda ku kugera ku buhamye bw’igihe kirekire, gukomera no gukura kw’amagufwa. Dore amwe mu mahame y’ingenzi y’igishushanyo mbonera:
Gusiga Imyenge: Uduti duto tudakoresha sima dukunze kugira imyenge ku buso buhura n'igufwa. Ubu buryo bwo gusiga imyenge butuma amagufwa akura neza kandi agahuza neza n'igufwa. Ubwoko n'imiterere y'imyenge bishobora gutandukana, ariko intego ni ugutanga ubuso buteye ubwoba butuma habaho ihuza ry'amagufwa.
Igishushanyo mbonera cya Modular: Inkingi zo kuvugurura akenshi zigira imiterere isanzwe kugira ngo zihuze imiterere itandukanye y'abarwayi kandi zemererwe guhindurwa mu gihe cyo kubagwa. Ubu buryo butuma abaganga babaga bahitamo uburebure butandukanye bw'inkingi, amahitamo yo gutandukanya, n'ingano y'umutwe kugira ngo bagere ku rwego rwiza kandi ruhamye. Gutunganya neza imiterere ya Proximal:
Imiti idafite sima ya DDS ishobora kuba irimo ibintu nk'imyirongi, amababa, cyangwa imbavu mu gice cyo hafi kugira ngo yongere ubushobozi bwo gufata neza. Ibi bintu bikora ku igufwa kandi bigatanga uburyo bworoshye bwo kuringaniza, bikarinda ko implant irekura cyangwa ngo igire imikorere mibi.
Uburyo bwo kubaga ingingo yo mu kibuno bugamije kunoza uburyo umurwayi agenda no kugabanya ububabare binyuze mu gusimbuza ingingo yo mu kibuno yangiritse n'ibikoresho by'ubukorano. Ubusanzwe bikorwa iyo hari ibimenyetso by'uko igufwa rihagije rizima kugira ngo rishyigikire kandi rihamye implants. THA irasabwa ku barwayi bafite ububabare bukomeye bw'ingingo zo mu kibuno n'ubumuga buterwa n'indwara nka osteoarthritis, rubagimpande iteye ubwoba, rubagimpande, na dysplasia yo mu kibuno. Irasabwa kandi ku bantu bafite indwara ya avascular necrosis y'umutwe wo mu kibuno, kuvunika umutwe wo mu kibuno cyangwa ijosi, kubagwa mu kibuno mbere byananiranye, hamwe n'izindi ndwara za ankylosis. Hemi-Hip Arthroplasty, ku rundi ruhande, ni uburyo bwo kubaga bukwiriye abarwayi bafite aho bahurira n'ikibuno (acetabulum) kandi bafite igufwa ryo mu kibuno rihagije kugira ngo rishyigikire igiti cyo mu kibuno. Ubu buryo bugaragazwa cyane cyane mu bihe byihariye, harimo kuvunika cyane kw'umutwe cyangwa ijosi ry'inyuma bidashobora kugabanuka neza no kuvurwa hakoreshejwe uburyo bwo gufunga imbere, kuvunika kw'ikibuno bidashobora kugabanuka neza no kuvurwa hakoreshejwe uburyo bwo gufunga imbere, kugabanuka kw'imitsi y'umutwe w'inyuma, kutumvikana kw'imvune z'ijosi ry'inyuma, kuvunika kw'ijosi ry'inyuma n'iry'inyuma ku barwayi bageze mu zabukuru, rubagimpande rugira ingaruka ku mutwe w'inyuma gusa kandi rudasaba gusimbuzwa acetabulum, ndetse n'indwara zifata umutwe/ijosi ry'inyuma n'iry'inyuma gusa zishobora gukemurwa neza binyuze mu buryo bwo gufunga hemi-hip. Icyemezo hagati ya Total Hip Arthroplasty na Hemi-Hip Arthroplasty giterwa n'ibintu bitandukanye, nko uburemere n'imiterere y'indwara y'ikibuno, imyaka n'ubuzima bw'umurwayi muri rusange, ndetse n'ubuhanga bw'umuganga n'ibyo akunda. Uburyo bwombi bwagaragaje ko bufite akamaro mu kugarura ubushobozi bwo kugenda, kugabanya ububabare, no kunoza ubuzima bw'abarwayi bafite indwara zitandukanye z'inyuma. Ni ngombwa ko abarwayi bagisha inama abaganga babo b'amagufwa kugira ngo bamenye uburyo bwo kubaga bukwiye hashingiwe ku mimerere yabo bwite.
| Uburebure bw'igishishwa | Diameter ya kure | Uburebure bw'inkondo y'umura
| Gutangirana |
| 190mm/225mm | 9.3mm
| 56.6mm | 40.0mm |
| 190mm/225mm/265mm | 10.3mm | 59.4mm | 42.0mm |
| 190mm/225mm/265mm | 11.3mm | 59.4mm | 42.0mm |
| 190mm/225mm/265mm | 12.3mm | 59.4mm | 42.0mm |
| 225mm/265mm | 13.3mm | 59.4mm | 42.0mm |
| 225mm/265mm | 14.3mm | 62.2mm | 44.0mm |
| 225mm/265mm | 15.3mm | 62.2mm | 44.0mm |
Ubuvuzi bwo mu kibuno (THA) ni uburyo bwo kubaga bugamije kunoza uburyo umurwayi agenda no kugabanya ububabare binyuze mu gusimbuza ingingo y'ikibuno yangiritse n'ibice by'ubukorano. Ubusanzwe bukorwa iyo hari ibimenyetso by'uko igufwa rihagije rizima kugira ngo rishyigikire kandi rihamye implants. THA irasabwa ku barwayi bafite ububabare bukomeye bw'ingingo z'ikibuno cyangwa ubumuga buterwa n'indwara nka osteoarthritis, arthritis iteye ubwoba, rubagimpande, na dysplasia y'ikibuno yavutse. Irasabwa kandi ku bantu bafite indwara ya avascular necrosis y'umutwe w'ikibuno, kuvunika umutwe w'ikibuno cyangwa ijosi, kubagwa kw'ikibuno byakozwe mbere, hamwe n'izindi ndwara za ankylosis. Hemi-Hip Arthroplasty, ku rundi ruhande, ni uburyo bwo kubaga bukwiriye abarwayi bafite aho bahurira n'ikibuno (acetabulum) kandi bafite igufwa ry'ikibuno rihagije kugira ngo rishyigikire igiti cy'ikibuno. Ubu buryo bugaragazwa cyane cyane mu bihe byihariye, harimo kuvunika cyane kw'umutwe cyangwa ijosi ry'inyuma bidashobora kugabanuka neza no kuvurwa hakoreshejwe uburyo bwo gufunga imbere, kuvunika kw'ikibuno bidashobora kugabanuka neza no kuvurwa hakoreshejwe uburyo bwo gufunga imbere, kugabanuka kw'imitsi y'umutwe w'inyuma, kutumvikana kw'imvune z'ijosi ry'inyuma, kuvunika kw'ijosi ry'inyuma n'iry'inyuma ku barwayi bageze mu zabukuru, rubagimpande rugira ingaruka ku mutwe w'inyuma gusa kandi rudasaba gusimbuzwa acetabulum, ndetse n'indwara zifata umutwe/ijosi ry'inyuma n'iry'inyuma gusa zishobora gukemurwa neza binyuze mu buryo bwo gufunga hemi-hip. Icyemezo hagati ya Total Hip Arthroplasty na Hemi-Hip Arthroplasty giterwa n'ibintu bitandukanye, nko uburemere n'imiterere y'indwara y'ikibuno, imyaka n'ubuzima bw'umurwayi muri rusange, ndetse n'ubuhanga bw'umuganga n'ibyo akunda. Uburyo bwombi bwagaragaje ko bufite akamaro mu kugarura ubushobozi bwo kugenda, kugabanya ububabare, no kunoza ubuzima bw'abarwayi bafite indwara zitandukanye z'inyuma. Ni ngombwa ko abarwayi bagisha inama abaganga babo b'amagufwa kugira ngo bamenye uburyo bwo kubaga bukwiye hashingiwe ku mimerere yabo bwite.