TKA Prosthesis- LDK X4 Tuatahi Tapeke Arthroplasty Turi
1.
Ko te condyle o mua o te porowhita wahine he iti te whanui me te matotoru hei whakaheke i te pehanga condyloid o mua me te awangawanga o te whaa. Ko te ahua o te ahua o te sagittal me te ahua maeneene e kore e taea e te patella te whakanui ake i te kaha o te quadriceps femoris i te wa e toro ana te turi me te whakaheke. I roto i te whakakotahitanga me te hohonu o te patellar trochlear groove, ka taea te whakarite kia mau tonu te patella me roto i te riu tae noa ki te whakaheke teitei kaore he wehenga, ka mau tonu te whakapiri i waenga i te patella me te porowhita wahine i nga wa katoa.
2.
He mea hoahoa te porowhita wahine ki te rererangi korou paku piko hei whakanui ake i te waahi whakapiri kia iti ake te pehanga teitei ki te whakauru polyethylene. Ka whakakorehia te waahi o te taha ki te tohu i te wa o te hurihanga varus-valgus o te turi, kia mau tonu ai te hononga o te tibiofemoral ki te kanohi ki te kanohi.
3.
Ko te kakari patellar o mua o te whakauru polyethylene e whakaiti ana i te pehanga me te taumahatanga ki runga i nga whaewha quadriceps i te wa o te pikinga teitei.
4.
Ka piki ake te kopikopiko o muri. Ko te mata toi tibiofemoral ka mau tonu te whakapiri ki te mata, kaua ki te whakapiri i te tohu ka eke ki te 135 nga nekehanga.
5.
Whakatuwherahia te hoahoa o te kohanga intercondylar: Ka whakahekehia te osteotomy intercondylar, ka tiakina te wheua ki te tino nui mo te manawanui.
6.
Ko te hanganga o te kamera-whakapaipai ake: Kei te mau tonu te kamera i te turanga o te poupou i te wa e nui ana te piko o te turi, e kore ai e puta mai te wehenga o te kopu i te wa o te whakahekenga teitei ki te iti noa.
7.
Ka whakaratohia he tikanga raka whakauru motuhake. Ko te whakatikanga tuarua me nga punga whakarewa ka taea te whakakore i nga kakahu pouri i waenga i nga mea e rua.
8.
Ko te hanganga toru-parirau ka aukati i te hurihanga me te karo i te kukū o te ahotea.
Femoral Condyle Whakatakotoranga
Rauemi: Co-Cr-Mo
Tawhā Hangarau Matua o Femoral Condyle (RY A201)
Waeine (mm)
| Tauira Hua | Whakatakotoranga | Diamita Whakawhiti | AP Diamita |
| 50111P | 1L | 57 | 53 |
| 50112P | 2L | 60 | 56 |
| 50113P | 3L | 63 | 59 |
| 50114P | 4L | 66 | 62 |
| 50115P | 5L | 71 | 66 |
| 50116P | 1R | 57 | 53 |
| 50117P | 2R | 60 | 56 |
| 50118P | 3R | 63 | 59 |
| 50119P | 4R | 66 | 62 |
| 50120P | 5R | 71 | 66 |
Whakatakotoranga Paepae Tibial
Rauemi: Co-Cr-Mo
Tawhā Hangarau Matua o te Paepae Tibial (RY B401)
Waeine (mm)
| Tauira Hua | Whakatakotoranga | Diamita Whakawhiti | AP Diamita |
| 50126 | 1# | 61 | 41 |
| 50127 | 2# | 64 | 43 |
| 50128 | 3# | 67 | 45 |
| 50129 | 4# | 71 | 47 |
| 50130 | 5# | 76 | 51 |
Tibial Insert Whakatakotoranga
aterial: Ultra-High Molecular Weight Polyethylene
Tawhā Hangarau Matua o te Whakauru Tibial (RY C401)
Waeine (mm)
| Tauira Hua | Whakatakotoranga | Diamita Whakawhiti | AP Diamita |
| 50126 | 1# | 61 | 41 |
| 50127 | 2# | 64 | 43 |
| 50128 | 3# | 67 | 45 |
| 50129 | 4# | 71 | 47 |
| 50130 | 5# | 76 | 51 |
Patella
Rauemi: Polyethylene Weight Molecular Weight
Tawhā Hangarau Matua o Patella (RY D01)
Waeine (mm)
| Tauira Hua | Whakatakotoranga | Diamita Whakawhiti | AP Diamita |
| 50147B-8 | Φ30/ 8 | Φ30 | 8 |
| 50141B-8 | Φ32/ 8 | Φ32 | 8 |
| 50141B-10 | Φ32/ 10 | Φ32 | 10 |
| 50142B-8 | Φ35/ 8 | Φ35 | 8 |
| 50142B-10 | Φ35/ 10 | Φ35 | 10 |
| 50143B-10 | Φ38/ 10 | Φ38 | 10 |
