??????THA??????????? ??3????????? - PowerPoint PPT Presentation

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??????THA??????????? ??3?????????

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Title: THA 3 Author: Kazuo Hirakawa, MD Last modified by: soumu – PowerPoint PPT presentation

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Title: ??????THA??????????? ??3?????????


1
??????????????????????????????
  • ????????????
  • ?? ??

2
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3
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4
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5
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6
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7
? ?
  • ??????????
  • ??????????
  • ????????????????????
  • ????????
  • ??????????????????????
  • ???????????????????

8
?????????????
  • ? ? ??????????????????
  • ?????? ???????????
  • ????? ??????????

9
??????????
  • ????????????????
  • ??????????????????????
  • ????????
  • ??????????????
  • ???? (?????34??)
  • ?????????????????
  • ???? (???????????????)
  • ????????????????????

10
???????
???
11
??????
12
?????
13
?????????
14
????(MIS)??? ?????????????
  • ???????
  • ???????????????????
  • ??????
  • ?????????????????
  • ??????
  • ??????????????????
  • ????

15
? ? ? ?
???
MIS???????
56cm
1520cm
??Total Hip Arthroplasty ed. Nas S. Eftekhar
16
? ? ? ?
???
MIS??????
??Total Hip Arthroplasty ed. Nas S. Eftekhar
17
??????
18
??????
19
??????????????
X
20
???????????
9????
61???
???????
80???
21
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22
80? ?? ??7?(??? ???????)
??
??
23
80? ?? ??8?
24
70? ?? ???? ??4? ??????? ???????????
??
??
25
70? ?? ???? ?10? ??????????????????
26
50? ?? ??? ??12, 7, 11??
27
12??
11??
7??
28
? ? ? ?
  • ?????? 12.7? (725)
  • ?????????
  • 23,25?????????, ??,??????
  • ??????????????????????
  • 7??????????
  • ??????????????????????

29
???????
?? 5.0 8.0cm ??? 6.5 9.0 6??
6.0 8.5 3??? 5.5 8.5
30
??????? ? ???????
MIS??????? ? ???????
6 cm
12 cm
52? ?? ??? ?????????MIS?? ?? 60?? ??
50Up ???????????? 11????
31
? ? ? ? ? ?
????? MIS
?????? 30-60? 13?
??? 10 6??
??? 10 15
?????? ????? ??3???? ???? ???????? ?????????
???? 36???? 35??? ???????
? ??????????????
32
???????????????
33
MIS???
  • ????????
  • ????????????????
  • ??????
  • ??????????
  • ??????? (???????)
  • ?????????????????

34
MIS????????????
  • 2?? 2,972,204 ?
  • 6? 2,606,818
  • 3? 2,058,739
  • 14? 1,876,046
  • 7? 1,693,353
  • 1? 1,536,759
  • MIS??????3?4???

1???? 100?? ??? ????
35
??30,000??????? 30,000 X 100?? 300 ??
36
????????????????
  • ??????????????
  • ???????????????
  • ??????????????????(PCA)
  • ?????????????? ??
  • ???????????????????

37
? ? ?
  • MIS??????????????
  • ?????????????????
  • ????????????????????
  • ????????????
  • ???????????
  • ????????????????

38
2??????????????
?????????? ??????? ??10?????? ???????????
3 cm
4cm
39
???????????
40
???????????????

41
56cm????? vs ???????
????? (400) ?????? (90) ???? 82
? 116 ? ???? 12 ? 9?
T????? 7 ? 35 T???????
8 ? 45 ???????????
42
?????
?????3??????
43
????????????????????????????????????
?????
???
??????
???
44
X
XXX
X
45
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46
5-6cm????? (Mini-One) vs ???????????? (MIS A/L)
Mini-One (400) MIS A/L
(35) ???? 82 ? 76 ????
13 ? 9 T??? 7 ??
2-3 T????? 8 ??
4 ?????(5??) 6.8 (28) 5.2
(06) ??????????
47
??????? (2-incision) vs ???????????? (MIS A/L)
2-incision (90) MIS A/L
(35) ???? 110?. 76 ????
10? 9 T??? 2-3?
2-3 T????? 5 (37)? 4
(17) ????? (5??) 6.1 (07) 5.2
(06) ??????????
48
????????????
???????????
49
(No Transcript)
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