{"id":33819,"date":"2023-05-15T23:19:49","date_gmt":"2023-05-15T16:19:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33819"},"modified":"2023-05-15T23:19:49","modified_gmt":"2023-05-15T16:19:49","slug":"tao-hinh-khop-hang-va-dau-tren-xuong-dui-khop-nhan-tao-va-vat-lieu-peek","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/15\/tao-hinh-khop-hang-va-dau-tren-xuong-dui-khop-nhan-tao-va-vat-lieu-peek\/","title":{"rendered":"T\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i b\u1eb1ng kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 v\u1eadt li\u1ec7u PEEK"},"content":{"rendered":"

\u00a0<\/span>T\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i sau c\u1eaft r\u1ed9ng r\u00e3i kh\u1ed1i u \u00e1c t\u00ednh x\u01b0\u01a1ng \u0111\u00f9i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 1943 b\u1edfi Austin Moore v\u1edbi 1 kh\u1edbp nh\u00e2n t\u1ea1o sau ph\u1eabu thu\u1eadt c\u1eaft r\u1ed9ng r\u00e3i kh\u1ed1i u t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i.\u00a0<\/b><\/p>\n

\u00a0 \u00a01.\u00a0 T\u1ed5ng quan t\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i\u00a0<\/strong><\/h2>\n

C\u00f3 2 xu h\u01b0\u1edbng l\u1ef1a ch\u1ecdn ch\u00ednh khi ph\u1ea3i ph\u1ee5c h\u1ed3i l\u1ea1i c\u00e1c khuy\u1ebft h\u1ed5ng x\u01b0\u01a1ng sau c\u1eaft b\u1ecf kh\u1ed1i u \u0111\u1ed1i v\u1edbi \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i, \u0111\u00f3 l\u00e0 s\u1eed d\u1ee5ng kh\u1edbp d\u1ea1ng megaprosthesis ho\u1eb7c s\u1eed d\u1ee5ng ph\u1ee9c h\u1ee3p kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i (APC). C\u00f3 nhi\u1ec1u tranh lu\u1eadn quanh vi\u1ec7c s\u1eed d\u1ee5ng 1 trong 2 l\u1ef1a ch\u1ecdn n\u00e0y tuy nhi\u00ean m\u1ed3i lo\u1ea1i c\u00f3 nh\u1eefng \u01b0u v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang do \u0111\u00f3 v\u1eabn c\u00f3 th\u1ec3 coi l\u00e0 2 l\u1ef1a ch\u1ecdn. V\u00ed d\u1ee5 x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i th\u00ec kh\u00f4ng ph\u1ea3i s\u1eb5n c\u00f3 nh\u01b0 kh\u1edbp megaprosthesis ho\u1eb7c x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i th\u00ec c\u00f3 nguy c\u01a1 v\u1ec1 c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m,…<\/span><\/p>\n

C\u00e1c k\u1ebft qu\u1ea3 g\u1ea7n c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n nay cho th\u1ea5y s\u1ef1 kh\u00e1c bi\u1ec7t ch\u01b0a \u0111\u00e1ng k\u1ec3 trong th\u1eddi gian theo d\u00f5i g\u1ea7n. T\u1ea1i Vi\u1ec7t Nam, vi\u1ec7c s\u1eed d\u1ee5ng kh\u1edbp megaprosthesis c\u0169ng nh\u01b0 ph\u1ee9c h\u1ecdp APC kh\u00f4ng d\u1ec5 d\u00e0ng do s\u1ef1 kh\u00f4ng c\u00f3 s\u1eb5n c\u1ee7a kh\u1edbp megaprosthesis v\u00e0 x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i. Nh\u00e2n 2 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt s\u1eed d\u1ee5ng ph\u1ee9c h\u1ee3p d\u1ea1ng APC nh\u01b0ng ch\u00fang t\u00f4i thay th\u1ebf x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i b\u1eb1ng x\u01b0\u01a1ng nh\u00e2n t\u1ea1o b\u1eb1ng v\u1eadt li\u1ec7u sinh h\u1ecdc PEEK (polyetheretherketon), l\u00e0 v\u1eadt li\u1ec7u \u1ee9ng d\u1ee5ng nhi\u1ec1u trong vi\u1ec7c t\u1ea1o h\u00ecnh c\u00e1c t\u1ed5n khuy\u1ebft x\u01b0\u01a1ng c\u1ee7a c\u01a1 th\u1ebf. \u0110\u00f3 l\u00e0 v\u1eadt li\u1ec7u PEEK (polyetheretherketone). B\u1ea3n ch\u1ea5t l\u00e0 Polimer t\u1ed5ng h\u1ee3p, nh\u1ef1a PEEK \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o nh\u1eefng th\u1eadp ni\u00ean n\u0103m 60, l\u00fac \u0111\u00f3 th\u00e0nh ph\u1ea7n ch\u1ee7 y\u1ebfu l\u00e0 cacbon v\u00e0 c\u00e1c lo\u1ea1i s\u1ee3i th\u1ee7y tinh. T\u1eeb nh\u1eefng n\u0103m 80 \u0111\u1ebfn nay th\u00ec v\u1eadt li\u1ec7u PEEK ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u trong chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh v\u00e0 c\u1ed9t s\u1ed1ng v\u1edbi \u0111\u1eb7c t\u00ednh v\u01b0\u1ee3t tr\u1ed9i. N\u00f3 tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn do \u0111\u1ed9 \u0111\u00e0n h\u1ed3i t\u1ed1t h\u01a1n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 x\u01b0\u01a1ng ng\u01b0\u1eddi. Y\u00eau c\u1ea7u \u0111a d\u1ea1ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u1ea5y gh\u00e9p PEEK trong l\u0129nh v\u1ef1c y t\u1ebf nh\u01b0 sau:<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 <\/span>Ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng cho b\u1ec7nh nh\u00e2n: v\u1eadt li\u1ec7u PEEK c\u1ea5y gh\u00e9p gi\u00fap ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 <\/span>Ch\u00ednh x\u00e1c: c\u00e2y gh\u00e9p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1edfi v\u1eadt li\u1ec7u n\u00e0y c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c t\u1ed1t h\u01a1n v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 <\/span>\u00c1p d\u1ee5ng d\u1ec5 d\u00e0ng trong khi ph\u1eabu thu\u1eadt: v\u00ec c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo th\u00f4ng s\u1ed1 k\u1ef9 thu\u1eadt c\u00e1 nh\u00e2n v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u1ec5 d\u00e0ng \u0111\u1ec3 ph\u1eabu thu\u1eadt.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 <\/span>T\u00ednh m\u1ec1m d\u1ebbo, linh ho\u1ea1t: nh\u1eefng v\u1eadt li\u1ec7u n\u00e0y c\u00f3 t\u00ednh linh ho\u1ea1t cao h\u01a1n nh\u01b0 s\u1ea3n xu\u1ea5t van tim cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh tim.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 <\/span>Hi\u1ec7u qu\u1ea3: c\u1ea5y gh\u00e9p c\u00f3 th\u1ebf h\u1ed7 tr\u1ee3 t\u1ea3i tr\u1ecdng c\u1ee7a c\u01a1 th\u1ebf l\u00e0m t\u0103ng hi\u1ec7u qu\u1ea3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 <\/span>T\u0103ng t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a ho\u1ea1t \u0111\u1ed9ng<\/span><\/p>\n

Trong qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng, c\u00e1c v\u1eadt li\u1ec7u c\u1ea5y gh\u00e9p n\u00e0y l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 ho\u1ea1t \u0111\u1ed9ng th\u00e0nh c\u00f4ng do t\u00ednh ch\u1ea5t c\u1ee7a n\u00f3. H\u1ea1n ch\u1ebf c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y l\u00e0 th\u1eddi gian theo d\u00f5i ng\u1eafn, ch\u01b0a \u0111\u00e1nh gi\u00e1 c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 v\u1ec1 kinh th\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/span><\/p>\n

T\u00ednh t\u1edbi th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i, c\u1ea3 2 b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt h\u01a1n 1 n\u0103m, ch\u1ee9c n\u0103ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, v\u1ea7n ti\u1ebfp t\u1ee5c theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1.<\/span><\/p>\n

2. Nh\u1eefng \u0111i\u1ec3m l\u01b0u \u00fd<\/span><\/h2>\n

\u0110\u01b0\u1eddng m\u1ed5: Ch\u00fang t\u00f4i s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng ph\u00eda sau v\u00e0o kh\u1edbp h\u00e1ng k\u00e9o d\u00e0i xu\u1ed1ng d\u1ecdc theo x\u01b0\u01a1ng \u0111\u00f9i \u0111\u1ea3m b\u1ea3o ph\u1eabu t\u00edch xu\u1ed1ng ph\u1ea7n x\u01b0\u01a1ng l\u00e0nh ph\u00eda d\u01b0\u1edbi u \u0111\u1ec3 ki\u1ec3m so\u00e1t khi b\u1ed9c l\u1ed9 kh\u1ed1i u v\u00e0 b\u00f3c t\u00e1ch l\u1ea5y u kh\u1ecfi c\u01a1 th\u1ec3. v\u1ec1 ph\u00eda tr\u00ean, \u0111\u01b0\u1eddng m\u1ed5 k\u00e9o d\u00e0i h\u01b0\u1edbng v\u1ec1 gai ch\u1eadu sau tr\u00ean \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 r\u1ed9ng \u0111\u1ec3 ph\u1eabu t\u00edch l\u1ea5y kh\u1ed1i u ra kh\u1ecfi c\u01a1 th\u1ec3 \u201c1 kh\u1ed1i\u201d.<\/span><\/p>\n

Kh\u1edbp h\u00e1ng nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 b\u1ed9 kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n chu\u00f4i d\u00e0i, c\u00f3 v\u00edt ch\u1ed1t c\u1ed1 \u0111\u1ecbnh chu\u00f4i \u1edf \u0111\u1ea7u xa. Li\u00ean k\u1ebft gi\u1eefa chu\u00f4i kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 \u0111o\u1ea1n x\u01b0\u01a1ng \u0111\u00f9i b\u1eb1ng v\u1eadt li\u1ec7u PEEK \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng xi m\u0103ng sinh h\u1ecdc. Chi\u1ec1u d\u00e0i chu\u00f4i kh\u1edbp nh\u00e2n t\u1ea1o ph\u1ea3i v\u01b0\u1ee3t qua ch\u1ed7 ti\u1ebfp n\u1ed1i gi\u1eefa \u0111o\u1ea1n PEEK v\u00e0 x\u01b0\u01a1ng th\u1eadt c\u1ee7a b\u1ec7nh nh\u00e2n t\u1ed1i thi\u1ec3u 20cm \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ef1 v\u1eefng ch\u1eafc.<\/span><\/p>\n

Vi\u1ec7c ph\u1eabu t\u00edch c\u00e1c g\u00e2n c\u1ee7a c\u00e1c kh\u1ed1i c\u01a1 ch\u00ednh x\u00e1c, \u0111\u00e1nh d\u1ea5u v\u00e0 \u0111\u01b0\u1ee3c kh\u00e2u ph\u1ee5c h\u1ed3i v\u00e0o x\u01b0\u01a1ng nh\u00e2n t\u1ea1o d\u1ef1a tr\u00ean c\u00e1c l\u1ed7 khoan t\u1ea1o h\u00ecnh tr\u00ean x\u01b0\u01a1ng nh\u00e2n t\u1ea1o. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c g\u00e2n c\u00f2n \u0111\u01b0\u1ee3c gia c\u1ed1 v\u00e0o c\u00e1c ph\u1ea7n m\u1ec1m l\u00e2n c\u1eadn t\u1ea1o k\u1ebft d\u00ednh v\u1eefng ch\u1eafc \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng v\u1ec1 sau.<\/span><\/p>\n

Vi\u1ec7c thi\u1ebft k\u1ebf kh\u1ed1i x\u01b0\u01a1ng nh\u00e2n t\u1ea1o d\u1ef1a tr\u00ean \u0111o \u0111\u1ea1c th\u00f4ng s\u1ed1 c\u1ee7a b\u1ec7nh nh\u00e2n tr\u00ean phim c\u1eaft l\u1edbp vi t\u00ednh d\u1ef1ng h\u00ecnh.<\/span><\/p>\n

3. Ca l\u00e2m s\u00e0ng t\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i b\u1eb1ng kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 v\u1eadt li\u1ec7u PEEK<\/strong><\/h2>\n

Hai b\u1ec7nh nh\u00e2n nam 46 tu\u1ed5i (b\u1ec7nh nh\u00e2n K.H.T) v\u00e0 50 tu\u1ed5i (b\u1ec7nh nh\u00e2n N.V.V), \u0111\u1ec1u xu\u1ea5t hi\u1ec7n kh\u1ed1i v\u00f9ng m\u1eb7t sau \u0111\u00f9i ph\u1ea3i t\u1eeb nh\u1ecf, t\u1ef1 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c, kh\u00f4ng \u0111au, \u0111i l\u1ea1i v\u00e0 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. Kh\u1ed1i u ng\u00e0y c\u00e0ng to d\u1ea7n v\u00e0 kho\u1ea3ng 1 n\u0103m nay th\u00ec th\u1ea5y k\u00edch th\u01b0\u1edbc kh\u1ed1i u t\u0103ng nhanh, \u0111au nhi\u1ec1u v\u00e0 bi\u1ebfn d\u1ea1ng v\u00f9ng \u0111\u00f9i ph\u1ea3i.M\u1ed9t b\u1ec7nh nh\u00e2n c\u00f2n c\u00f3 bi\u1ec3u hi\u1ec7n ch\u00e8n \u00e9p th\u1ea7n kinh h\u00f4ng to. C\u1ea3 hai b\u1ec7nh nh\u00e2n \u0111\u1ec1u r\u1ea5t kh\u00f3 ch\u1ecbu v\u00e0 kh\u1ed1i u \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn sinh ho\u1ea1t, \u0111\u1eb7c bi\u1ec7t r\u1ea5t kh\u00f3 n\u1eb1m ng\u1eeda m\u00e0 ch\u1ec9 n\u1eb1m nghi\u00eang tr\u00e1i \u0111\u1ec3 ng\u1ee7.<\/span><\/p>\n

Kh\u00e1m th\u1ea5y v\u00f9ng \u0111\u00f9i ph\u1ea3i m\u1eb7t sau ngo\u00e0i c\u00f3 kh\u1ed1i k\u00edch th\u01b0\u1edbc ~ 25 <\/span>X <\/span>20 cm, s\u00f2’ c\u00fang, \u1ea5n \u0111au nh\u1eb9. Kh\u1edbp h\u00e1ng h\u1ea1n ch\u1ebf g\u1ea5p v\u00e0 kh\u00e9p ch\u00e2n. XQ v\u00e0 MRI: h\u00ecnh \u1ea3nh u \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i ph\u1ea3i ngh\u0129 nhi\u1ec1u t\u1edbi u x\u01b0\u01a1ng s\u1ee5n. Ch\u1ea9n \u0111o\u00e1n: <\/span>u <\/span>x\u01b0\u01a1ng s\u1ee5n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i ph\u1ea3i theo d\u00f5i chuy\u1ec3n d\u1ea1ng \u00e1c t\u00ednh.<\/span><\/p>\n

\"T\u1ea1o
H\u00ecnh \u1ea3nh b\u00ean ngo\u00e0i kh\u1ed1i u g\u00e2y bi\u1ebfn d\u1ea1ng x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 phim XQ, MR1 b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc mo (b\u1ec7nh nh\u00e2n K.H. T)<\/figcaption><\/figure>\n

C\u1ea3 hai b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111o\u1ea1n x\u01b0\u01a1ng ch\u1ee9a u v\u00e0 ph\u1ea7n m\u1ec1m x\u00e2m l\u1ea5n xung quanh. Di\u1ec7n c\u1eaft x\u01b0\u01a1ng c\u00e1ch r\u00eca u > 5cm, di\u1ec7n c\u1eaft ph\u1ea7n m\u1ec1m c\u00e1ch r\u00eca u > 2 cm. Kh\u1ed1i u c\u1ee7a b\u1ec7nh nh\u00e2n th\u1ee9 nh\u1ea5t \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf c\u00f3 k\u00edch th\u01b0\u1edbc 14,5 <\/span>X <\/span>14,8 <\/span>X <\/span>13,2 cm, tr\u1ecdng l\u01b0\u1ee3ng l\u00e0 2kg, Kh\u1ed1i u c\u1ee7a b\u1ec7nh nh\u00e2n th\u1ee9 hai \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf c\u00f3 k\u00edch th\u01b0\u1edbc ~ 19 <\/span>X <\/span>14,5 <\/span>X <\/span>10 cm, tr\u1ecdng l\u01b0\u1ee3ng l\u00e0 1,6 kg.<\/span><\/p>\n

\"\"
Kh\u1ed1i u x\u01b0\u01a1ng s\u1ee5n \u0111\u01b0\u1ee3c l\u1ea5y b\u1ecf v\u00e0 t\u01b0\u01a1ng quan k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i u trong hai ca ph\u1eabu thu\u1eadt<\/figcaption><\/figure>\n

 <\/p>\n

Sau \u0111\u00f3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng ph\u1ea3i to\u00e0n ph\u1ea7n chu\u00f4i d\u00e0i c\u00f3 v\u00edt ch\u1ed1t ngang v\u00e0 ph\u1eabu thu\u1eadt thay th\u1ebf \u0111o\u1ea1n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i b\u1eb1ng \u0111o\u1ea1n <\/span>x\u01b0\u01a1ng ch\u1ebf t\u1ea1o t\u1eeb v\u1eadt li\u1ec7u PEEK.<\/span><\/p>\n

4. K\u1ebft lu\u1eadn<\/strong><\/h2>\n

\u00a0<\/span>C\u00f9ng v\u1edbi c\u00e1c h\u1ec7 th\u1ed1ng kh\u1edbp megaprosthesis ho\u1eb7c ph\u1ee9c h\u1ee3p kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i \u0111\u1ec3 thay th\u1ebf cho nh\u1eefng khuy\u1ebft h\u1ed5ng x\u01b0\u01a1ng l\u1edbn sau c\u1eaft u x\u01b0\u01a1ng r\u1ed9ng r\u00e3i th\u00ec s\u1ef1 ph\u1ed1i h\u1ee3p gi\u1eefa kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 \u0111o\u1ea1n x\u01b0\u01a1ng b\u1eb1ng v\u1eadt li\u1ec7u PEEK \u0111em l\u1ea1i th\u00eam 1 l\u1ef1a ch\u1ecdn cho c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean khi ph\u1ea3i x\u1eed l\u00fd nh\u1eefng khuy\u1ebft h\u1ed5ng x\u01b0\u01a1ng l\u1edbn b\u00ean c\u1ea1nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng.<\/span><\/p>\n

Xem th\u00eam: S\u1ef1 ph\u00e1t tri\u1ebfn c\u00e1c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 x\u01b0\u01a1ng v\u00e0 ph\u1ea7n m\u1ec1m<\/a><\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/span><\/p>\n

    \n
  1. \u00a0 <\/span>Bickels J, Meller, I., Henshaw, R. M., & Malawer, M. M. (2000). Reconstruction of hip stability after proximal and total femur resections. Orthopaedics and Related Research (1976-2007). 2000;375:218-230.<\/span><\/li>\n
  2. \u00a0 <\/span>Morris HG, Capanna, R., Del Ben, M., & Campanacci, D.. Prosthetic reconstruction of the proximal femur after resection for bone tumors.. The Journal of arthroplasty. 1995; 10(3):293-299.<\/span><\/li>\n
  3. \u00a0 <\/span>Farid Y, Lin, p. p., Lewis, V. o., & Yasko, A. w. Endoprosthetic and allograft- prosthetic composite reconstruction of the proximal femur for bone neoplasms. Clinical Orthopaedics and Related Research\u00ae. 2006;442:223-229.<\/span><\/li>\n
  4. \u00a0 <\/span>Donati D, Giacomini, s., Gozzi, E., & Mercuri, M. (2002). . Proximal femur reconstruction by an allograft prosthesis composite. Clinical Orthopaedics and Related Research (1976-2007). 2002;394:192-200<\/span><\/li>\n
  5. \u00a0 <\/span>Nakahara I, Takao, M., Bandoh, s., Bertollo, N., Walsh, w. R., & Sugano, N. In vivo implant fixation of carbon fiber reinforced PEEK hip prostheses in an ovine model. Journal of Orthopaedic Research. 2013;31(3): 485-492.<\/span><\/li>\n
  6. \u00a0 <\/span>Kurtz SME. PEEK biomaterials handbook. 2019.<\/span><\/li>\n
  7. \u00a0 <\/span>Yang c, Tian, X., Li, D., Cao, Y., Zhao, F., & Shi, c. Influence of thermal processing conditions in 3D printing on the crystallinity and mechanical properties of PEEK material. Journal of Materials Processing Technology. 2017;248: 1-7.<\/span><\/li>\n
  8. \u00a0 <\/span>Nilsdotter A, & Bremander, A. Measures of hip function and symptoms: Harris hip score (HHS), hip disability and osteoarthritis outcome score (HOOS), Oxford hip score (OHS), Lequesne index of severity for osteoarthritis of the hip (LISOH), and American Academy of orthopedic surgeons (AAOS) hip and knee questionnaire. In. Arthritis care & research. Vol 63(S 11)2011 :S200-S207.<\/span><\/li>\n
  9. \u00a0 <\/span>Johnson ME, & Mankin, H. J. . Reconstructions after resections of tumors involving the proximal femur. The Orthopedic clinics of North America.1991;22(1): 87-103.<\/span><\/li>\n
  10. Joshi MG, Advani, s. G., Miller, F., & Santare, M. H. . Analysis of a femoral hip prosthesis designed to reduce stress shielding. Journal of biomechanics. 2000;33(12): 1655-1662.<\/span><\/li>\n<\/ol>\n

    \u00a0<\/span><\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    \u00a0T\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i sau c\u1eaft r\u1ed9ng r\u00e3i kh\u1ed1i u \u00e1c t\u00ednh x\u01b0\u01a1ng \u0111\u00f9i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 1943 b\u1edfi Austin Moore v\u1edbi 1 kh\u1edbp nh\u00e2n t\u1ea1o sau ph\u1eabu thu\u1eadt c\u1eaft r\u1ed9ng r\u00e3i kh\u1ed1i u t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i.\u00a0 \u00a0 \u00a01.\u00a0 T\u1ed5ng […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[],"yoast_head":"\nT\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i b\u1eb1ng kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 v\u1eadt li\u1ec7u PEEK - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i sau c\u1eaft r\u1ed9ng r\u00e3i kh\u1ed1i u \u00e1c t\u00ednh x\u01b0\u01a1ng \u0111\u00f9i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 1943 b\u1edfi Austin Moore.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ea1o h\u00ecnh kh\u1edbp h\u00e1ng v\u00e0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i b\u1eb1ng kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 v\u1eadt li\u1ec7u PEEK - 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