Akpụ pelvic bụ otu n'ime ụdị ịwa ahụ ọkpụkpụ dị mgbagwoju anya na nke siri ike karị, na mwepụ nke etuto ahụ nwere ike ibute nnukwu ọkpụkpụ.Ọdịdị anatomical na morphology nke pelvis dị mgbagwoju anya ma e jiri ya tụnyere mpaghara ndị ọzọ.Ọzọkwa, pelvis dị n'akụkụ akụkụ ahụ dị mkpa n'ime oghere afọ nke nwere ọtụtụ akụkụ anụ ahụ dị nro gbara ya gburugburu, ya mere enwere nnukwu ihe ịma aka na nhazi oge mbụ yana njikwa intraoperative.
N'ime nhazi nhazi nke prosthesis, ebe a na-emegharị ahụ kwesịrị ka e mee ya nke ọma dị ka ọrịa ọrịa onye ọrịa si dị, mgbe ahụ, a ghaghị ịhazi nhazigharị nke ebe emetụtara na ntinye nke prosthesis dị ka mpaghara resection si dị.
Ihe isi ike dị n'ịmepụta "prosthesis pelvic tumor" abụghị naanị na ọdịdị ahụ dị mgbagwoju anya nke pelvis kamakwa eziokwu ahụ bụ na ebe a na-ahụ maka ọrịa na-adịgasị iche site n'otu onye gaa na onye ọzọ, otú e si emepụta prosthesis nke nwere ike ime ka mkpa onye ọrịa dịkwuo mma ma nweta ya. nsonaazụ ịwa ahụ kachasị mma bụ isi ihe na-eme ka ọrụ ahụ gaa nke ọma.
Ndị injinia LDK na-enyocha ọdịiche morphological nke onye ọ bụla n'ime onye ọrịa, ebe ọkpụkpụ ọkpụkpụ na ebe a na-arụ ọrụ nke prosthesis ga-adị ndụ, "Chekwaa" ebe a na-ewughachi ma na-eme ihe ngosi kọmputa nke dabara adaba na ịkwa emo iji hụ na prosthesis ahụ. enwere ike ịkụnye ya na intraoperatively.N'isiokwu a, anyị ahọrọla atụmatụ 6 na-anọchite anya tumor prosthesis maka akụkụ dị iche iche nke pelvic tumor subdivisions na afọ 5 gara aga maka ntụle na mkparịta ụka.
1 mpaghara I pelvis etuto ahụ
Ikpe a bụ akpụ nke mpaghara pelvic m na itinye aka na nkwonkwo sacroiliac.A na-eme ka njedebe dị nso dị ka osteotomized site na nkwonkwo sacroiliac na nsọtụ mpụta nke sacral foramen, na njedebe dị anya bụ osteotomized kwụ ọtọ site na acetabular apex elu.A na-eji prosthesis pelvic ahaziri ahazi iji wughachi nku iliac nwere nkwarụ.Ụdị na nha nke prosthesis bụ ahaziri maka ntụpọ onye ọrịa, yanaprosthesis-ọkpụkpụ interface(ịkpọtụrụ ọkpụkpụ sacral na iliac) ka emebere ka ọ na-eṅomi nhịahụ nke ọkpụkpụ trabeculae iji mee ka ọkpụkpụ ọkpụkpụ dị mfe ma nweta nhazi nke prosthesis ogologo oge.Mgbidi dị n'azụ nke acetabulum nwere otu mpempe akwụkwọ ígwè e biri ebi na usoro ntu nwere ike itinye n'akụkụ azụ nke prosthesis iji meziwanye nkwụsi ike nke prosthesis.
2 Mpaghara II akpụ pelvis
Onye ọrịa ahụ nwere obere ọnya na ọ bụ naanị akụkụ akụkụ nke acetabular ka a na-eme ya, na-eji osteotomy kwụ ọtọ na acetabulum nke onye ọrịa na osteotomy kwụ ọtọ na nsọtụ elu nke acetabulum, na-ewepụ ọkpụkpụ anụ ahụ na ichekwa alaka sciatic.A na-ebipụta prosthesis pelvic ahaziri ahazi n'otu ibe, ejiri ihe nrụnye-ọkpụkpụ nke prosthesis na-arụ ọrụ iji ṅomie nhịahụ nwere oghere nke trabeculae.A na-atụle dayameta dị n'èzí nke acetabulum onye ọrịa na iko acetabular cemented na-adaba na akụkụ acetabular nke onye ọrịa na-ekpebi na ọ ga-abụ isi maka nwughari, na-ebipụta efere ahụ n'otu akụkụ n'èzí nke prosthesis.Ngwọta a na-eme ka nchekwa nke ngalaba sciatic na akụkụ nke acetabulum maka onye ọrịa ahụ wee nweta nhazi nke ọma na nhazigharị.
3 Mpaghara I + II akpụ pelvis
N'okwu a, etuto ahụ mere na mpaghara I + II, osteotomy dị n'akụkụ sacral osteotomy belatara nkwonkwo sacroiliac.A na-echekwa alaka pubic na sciatic dịka ọnọdụ intraoperative siri dị.A na-eme ka ihu kọntaktị nke prosthesis pelvic ahaziri nke nwere sacrum ka ọ bụrụ nhịahụ nke na-eṅomi ọkpụkpụ trabeculae, nke nwere ihe nkwụsị nke e mere iji zuru ike n'akụkụ ime sacrum.A na-agbakọta nkwado iliac ahaziri ahaziri na iko acetabular dị iche iche ma bụrụkwa nke a na-agbanwe n'ime ime maka mgbakwunye dị mfe na ntụkwasị obi.A na-edobe ahịrị abụọ nke oghere ntu maka ntinye nke alaka pubic na sciatic echekwabara.
4 Mpaghara I + II akpụ pelvis
N'okwu a, etuto ahụ mere na mpaghara I + II, osteotomy dị n'akụkụ sacral osteotomy belatara nkwonkwo sacroiliac.A na-echekwa alaka pubic na sciatic dịka ọnọdụ intraoperative siri dị.N'elu kọntaktị elu nke ahaziri pelvic prosthesis na sacrum e machined n'ime a porous ntupu na-eṅomi ọkpụkpụ trabeculae, The posterior akụkụ nke prosthesis nwere ike jikọọ a ntu mmanya usoro, ogologo na nghazi nke kposara na sacrum na-ahaziri site na onye ọrịa. A na-emepụta data CT na mpụta nke prosthesis na ahịrị oghere nke suture iji kwado nhazi nke anụ ahụ dị nro.
5 Mpaghara II + III akpụ pelvis
Nke a bụ etuto dị na pelvis II + III nwere osteotomy kwụ ọtọ site na rim acetabular dị elu.Ihe mejupụtara prosthesis bụ pelvis ahaziri ahazi yana efere mgbakwunye ọkpụkpụ.A na-emepụta nha ihu kọntaktị nke prosthesis pelvis ahaziri dịka ọdịdị nke elu osteotomy siri dị ma na-emesi ya ike site na mpempe akwụkwọ mpempe akwụkwọ dị n'èzí.A na-ahazi efere mgbakwunye ọkpụkpụ anụ ahụ ka ọ bụrụ ọkpụkpụ ọkpụkpụ mbụ nke onye ọrịa ma tinye ya n'akụkụ ahụ ike nke ọkpụkpụ anụ ahụ.
6 Mpaghara IV pelvis tumor
N'okwu a, akpụ ahụ mere na mpaghara IV, akụkụ aka nri na aka ekpe bụ osteotomized site na nkwonkwo sacroiliac, na-echekwa akụkụ nke olecranon, a na-ejikọta prosthesis na ọkpụkpụ iliac n'akụkụ abụọ na na njedebe ala nke vertebra nke ise.A na-ebipụta prosthesis pelvic ahaziri ahaziri n'otu ibe ma nwee skru maka vertebrae lumbar na akụkụ aka nri na aka ekpe n'otu n'otu, na-enwe ike ijikọta usoro isi n'akụkụ azụ.
Oge nzipu: Feb-21-2023