Isibhedlela Esihamba Phambili Sokuhlinzwa Kwe-Bipolar Hemiarthroplasty e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kwe-Bipolar Hemiarthroplasty

Ukuphuka kwe-hip kuthinta izinkulungwane zabantu unyaka ngamunye emhlabeni jikelele. Lokhu kulimala kudala imiphumela eshintsha impilo kubantu abadala abaningi. I-bipolar hemiarthroplasty ivela njengenye yezindlela zokwelapha eziphumelela kakhulu zokuhlinzwa zokuphuka kwentamo yesifazane, emele cishe ingxenye yawo wonke ama-hip. ukuphuka.

Isidingo sokwelashwa okuphumelelayo kokuphuka kwe-hip siyaqhubeka sikhula. Lokhu kugcizelela ukubaluleka kokuqonda izinketho zokwelapha ezifana ne-cemented bipolar hemiarthroplasty noma i-bipolar hemiarthroplasty engafakwanga ezigulini ezibhekene nalokhu kulimala okuyinkimbinkimbi.

Kungani Izibhedlela Zeqembu Lokunakekelwa Kuyisinqumo Sakho Esiphezulu Sokuhlinzwa Kwe-Bipolar Hemiarthroplasty e-Hyderabad

Izibhedlela ze-CARE sekuyizona ezihamba phambili zokukhetha ezigulini ezidinga i-bipolar hemiarthroplasty e-Hyderabad. Nakhu okubenza bakhetheke:

• Ithimba Lokuhlinza Elinolwazi: Odokotela babo abahlinzayo bamathambo banokuhlangenwe nakho kweminyaka eminingi ekuhlinzeni esikhundleni se-hip ngempumelelo emtholampilo efakazelwe.
• Amasu Ahlasela Kancane: Ithimba labahlinzayo lisebenzisa izindlela zesimanje ezishiya amanxeba amancane futhi zisize iziguli zelaphe ngokushesha.
• Indlela Yokunakekela Ephelele: Isibhedlela sinikeza ukwesekwa okuphelele kusukela ekuxilongweni kuya ekunakekelweni kwangemva kokuhlinzwa ngamanani afanelekile.
• Ukugxila Okugxiliswe Esigulini: Isiguli ngasinye sithola uhlelo lokwelashwa lomuntu siqu lokuthuthukisa izinga lempilo yaso.

Ukuzinikela okuqinile kwesibhedlela kwenza isiqiniseko sokuthi iziguli zithola ukunakekelwa okungcono kakhulu ngesikhathi sokwelashwa kwazo.

Odokotela Abahlinzayo Abangcono Kakhulu Be-Bipolar Hemiarthroplasty eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. (Lt Col) P. Prabhakar

  Umqondisi Womtholampilo kanye Nomnyango Oyinhloko Wezokwelapha Zamathambo kanye Nokushintshwa Okuhlanganyelwe

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Anand Babu Mavoori

  Umqondisi Womtholampilo Wokululeka kanye ne-HOD, I-Orthopedics, Ukubuyisela Ngokuhlanganyela kanye Nokuhlinzwa Kwe-Arthroscopic

  I-Orthopedics

  Bhala iNqunto
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  UDkt. BN Prasad

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. KSPraveen Kumar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sandeep Singh

  Inhloko yoMnyango - I-Orthopedics,
  Umeluleki Omkhulu - Ukuhlinzwa Kwerobhothi Nokulimala Kwezemidlalo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Behera Sanjib Kumar

  Umqondisi Womtholampilo kanye neNhloko Yomnyango - I-CARE Bone and Joint Institute

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Sharath Babu N

  Umxhumanisi - Ukubuyiselwa Kwamajoyinisi, Udokotela Ohlinzayo Wamathambo kanye NeRobhothi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. P. Raju Naidu

  umxhumanisi

  ISITHOMBE SAMAJOPHO

  Bhala iNqunto
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  Dr. AK Jinsiwale

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Jagan Mohana Reddy

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ankur Singhal

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Lalit Jain

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pankaj Dhabaliya

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Manish Shroff

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Prasad Patgaonkar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Repakula Kartheek

  Umxhumanisi - Odokotela Bamathambo kanye Nokuhlinzwa Kokubuyisela Ngokuhlanganyela

  I-Orthopedics kanye Nokushintshwa Kwamalunga

  Bhala iNqunto
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  UDkt. Chandra Sekhar Dannana

  Sr. Consultant

  I-Trauma kanye ne-Orthopedics

  Bhala iNqunto
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  UDkt. Hari Chaudhari

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Kotra Siva Kumar

  Umxhumanisi - I-Orthopedics & Sports Medicine

  Imithi Yamathambo Nezemidlalo

  Bhala iNqunto
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  UDkt. Romil Rathi

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Shiva Shankar Challa

  I-Consultant Joint Replacement & Robotic Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Mir Zia Ur Rahaman Ali

  Sr. Consultant Orthopedic & Joint Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Arun Kumar Teegalapally

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashwin Kumar Talla

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pratik Dhabalia

  umxhumanisi

  I-Orthopedics (Ukubuyisela Ngokuhlanganyela)

  Bhala iNqunto
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  UDkt. Subodh M. Solanke

  I-Arthroplasty engu-Consultant (Ukubuyisela Ngokuhlanganyela) kanye Nodokotela Wamathambo

  Umnyango Wokuhlinza Amathambo

  Bhala iNqunto
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  UDkt. Raghu Yelavarthi

  Umxhumanisi - Udokotela Wamathambo, Ukubuyisela Ngokuhlanganyela kanye Nodokotela Ohlinza Izandla

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ravi Chandra Vattipalli

  I-Robotic Knee Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Madhu Geddam

  Umxhumanisi - Udokotela Wamathambo, Ukushintshwa Kwamalunga, Ukuhlukumezeka kanye Nodokotela Ohlinza Amathambo

  Uchwepheshe wezifo zamathambo kanye nemithi yezemidlalo

  Bhala iNqunto
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  UDkt. Vasudeva Juvvadi

  Umxhumanisi - Udokotela Wokuhlinza Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ashok Raju Gottemukkala

  Umqondisi Womtholampilo kanye Nomeluleki Sr. - Amathambo

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Yadoji Hari Krishna

  Umxhumanisi - Udokotela Wamathambo & Udokotela Ohlinza I-Arthroscopy

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Ajay Kumar Paruchuri

  Sr. Consultant - I-Orthopedics

  I-Orthopedics

  Bhala iNqunto
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  UDkt. ES Radhe Shyam

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
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  UDkt. Pushpvardhan Mandlecha

  Sr. Consultant Pediatric Orthopedist

  I-Pediatric Orthopedics

  Bhala iNqunto
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  UDkt. Zafer Satvilkar

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto

Izindlela Ezintsha Zokuhlinza Ezisezingeni eliphezulu ezibhedlela ze-CARE

Izibhedlela ze-CARE zihola indlela ngezindlela ezimbalwa eziyisisekelo ze-bipolar hemiarthroplasty ezinikeza imiphumela engcono:

• I-Direct Anterior Approach (DAA): Le ndlela ye-intermuscular ifinyelela ekuhlanganyeleni kwe-hip ngaphandle kokukhipha imisipha. Iziguli zingahamba ngokushesha. Ucwaningo lukhombisa ukuthi iningi leziguli ze-DAA zingahamba ngokuzimela emasontweni amabili ngemuva kokuhlinzwa. 
• I-Conjoined Tendon-preserving Posterior (CPP) Indlela: Le ndlela inciphisa ukuhlukaniswa ngemva kokuhlinzwa ngaphandle kokwengeza izinkinga. 

Izibhedlela ze-CARE zisebenzisa izindlela ezithuthukisiwe zokulungisa izintambo phakathi ne-bipolar hemiarthroplasty. Lezi zindlela ziyindlela enhle yokuthola ukulungiswa okungcono kwezingcezu ze-trochanteric fracture.

Izimo Zokuhlinzwa Kwe-Bipolar Hemiarthroplasty

Izibhedlela ze-CARE zincoma i-bipolar hemiarthroplasty:

• Ukuphulwa kwentamo ye-femoral displaced, ikakhulukazi ezigulini esezikhulile
• Ukuphuka kwe-intertrochanteric okungazinzile 
• I-subcapital neck fractures engozini enkulu yekhanda lesifazane i-avascular necrosis (Ukuphuka kweGarden III kanye ne-IV)
• Izimo lapho i-osteosynthesis ingase ibangele izinkinga ezifana nokungavumelani noma ukusika
• Iziguli ezidinga ukuthutha kusenesikhathi ukuze zihlale zikhuthele ekuphileni kwansuku zonke

Ukuphuka kwe-Intertrochanteric kuye kwanda kakhulu njengoba abantu bephila isikhathi eside. I-bipolar hemiarthroplasty isiza iziguli ukuthi zihambe ngaphambi kwe-osteosynthesis. Lokhu kunyakaza okusheshayo kunganciphisa izingozi zangemuva kokuhlinzwa kwe-cerebrovascular.

Izinhlobo Zezinqubo Ze-Bipolar Hemiarthroplasty

Izibhedlela ze-CARE zinikeza izinhlobo ezahlukene ze-bipolar hemiarthroplasty ngokusekelwe ezidingweni zesiguli ngasinye:

• I-Cemented Bipolar Hemiarthroplasty: Odokotela abahlinzayo basebenzisa usimende wamathambo (methyl methacrylate) ukuze balungise i-prosthesis. Iziguli zingakwazi ukuthwala isisindo futhi zihambe nezinsiza zisuka nje. Lokhu kusebenza kahle ezigulini esezikhulile ezinamathambo abuthakathaka.
• I-Bipolar Hemiarthroplasty Engafakwanga: Indawo yokufakelwa isiza ithambo likhule ngaphandle kukasimende. Odokotela baphakamisa ukuba nesisindo esilinganiselwe amaviki angu-6-12 ukuze ithambo likhule libe yi-prosthesis.
• I-Modular Bipolar Hemiarthroplasty: Le ndlela yesimanje ivumela odokotela abahlinzayo bahlanganise iziqu ezihlukene, ubude bentamo, namakhanda. Iziguli zithola i-prosthesis elingana kangcono ehambisana nobude bomlenze futhi inciphisa ingozi yokugudluka.

Uhlobo ngalunye lunomklamo oyingqayizivele we-bipolar onama-bearings amabili avumela ikhanda linyakaze ngesikhathi sokunyakaza. Lolu hlelo lokunyakaza okubili lunciphisa ukuguga ekuhlanganyeleni kwe-hip, okwenza ukushintshwa kuhlale isikhathi eside. 

Mayelana Nokuhlinzwa

Okuhlangenwe nakho kokubuyela emuva kwe-hip nge-bipolar hemiarthroplasty kunezigaba ezimbalwa ezibalulekile. Amalungiselelo akho asekuqaleni okunakekelwa kwangemva kokuhlinzwa yizinyathelo ezibalulekile eziqinisekisa imiphumela ephumelelayo uma uphuke intamo yesifazane.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Iziguli kufanele zigcwalise izinyathelo ezimbalwa ezibalulekile ngaphambi kwe-bipolar hemiarthroplasty:

• Ukuhlolwa Komzimba: Odokotela bathola isithombe esigcwele ukuze bahlole isimo sezempilo sisonke.
• Ukuhlolwa Kwezithombe: Ama-X-ray, ama-CT scan, nama-MRIs asiza ukunquma izinga lokulimala kwenyonga.
• Ukuhlola Ngaphambi Kokuhlinzwa: Lokhu kuqinisekisa ukuthi isiguli sikulungele ukuhlinzwa.
• Ukuhlolwa Kwegazi: Lokhu kuhlola umsebenzi wokujiyisa futhi kuhlonze izifo eziwumsuka.

Uzothola iziyalezo eziqondile mayelana nemithi, izidingo zokuzila ukudla nokulindela usuku lokuhlinzwa.

Inqubo Yokuhlinzwa Ye-Bipolar Hemiarthroplasty

Inqubo yokuhlinzwa ithatha imizuzu engama-60-90 futhi inalezi zinyathelo ezibalulekile:

• I-Anesthesia Administration: Odokotela basebenzisa jikelele noma umgogodla i-anesthesia ngokusekelwe esimweni sesiguli.
• Indlela Yokuhlinza: Udokotela ohlinzayo wenza i-incision eduze kwethanga elingaphandle ngokusebenzisa indlela ye-anterolateral, eqondile ehlangothini, yangaphambili eqondile, noma engemuva.
• Ukususwa Kwekhanda Lowesifazane: Udokotela ohlinzayo ukhipha ikhanda elimele le-femoral kusuka ku-acetabulum ne-femur.
• Ukulungiswa Komsele We-Medullary: I-femur ikhishwa ukuze ilingane nesiqu sokufakelwa.
• I-Prosthesis Placement: Isiqu sensimbi singena kumsele wesifazane olungisiwe, sisebenzisa usimende wethambo (osimende) noma umklamo olingana ngokucindezela (ongafakwanga).
• Okunamathiselwe Kwekhanda: Udokotela ohlinzayo uvikela ikhanda lokwenziwa esiqwini.
• Ukuhlola Ukuzinza: Udokotela ohlinzayo uhlola ukuzinza okufanele kwamalunga kanye nohlu lokunyakaza ngaphambi kokuvala.

Ukubuyisela ngemva kokuhlinzwa

Ukululama ngemva kwe-bipolar hemiarthroplasty kuhamba ngezigaba eziningana:

• Ukuhlala Esibhedlela Okokuqala: Iziguli zihlala esibhedlela izinsuku ezi-3-5.
• Ukuphathwa Kwezinhlungu: Imithi ilawula ukungakhululeki ngesikhathi sokuphulukiswa.
• Ukugqugquzela Ngaphambi Kokuqala: Odokotela abaningi abahlinzayo bakhuthaza ukuma nokuhamba ngokusekelwa phakathi kwamahora angu-24-48 ngemva kokuhlinzwa.
• Ukuthwala Isisindo Okuqhubekayo: Iziguli ziqala ngezinsiza zokuhamba kanye nokuthinta uzwane-ukuthwala isisindo, bese ziqhubekela ekuthwaleni isisindo esigcwele emavikini ayisithupha.

Amaphrothokholi okuthola kabusha angahluka. Iziguli ezinezitho zokufakelwa zikasimende ngokuvamile ziqala ukuthwala isisindo ngokushesha ngezinsiza zokuhamba. Labo abanama-prostheses angahlanganisiwe bangadinga isisindo esilinganiselwe amaviki angu-6-12.

Izingozi Nezinkinga

I-bipolar hemiarthroplasty ivamise ukuphumelela kodwa inezingozi ezithile:

• Ukususwa
• Ukutheleleka kwezilonda ezijulile 
• Ukuphuka kwe-Periprosthetic
• Ukukhululeka kwe-Aseptic okubangela ukwehluleka kwe-prosthesis

Izinzuzo Zokuhlinzwa Kwe-Bipolar Hemiarthroplasty

Lokhu kuhlinzwa kunikeza izinzuzo eziningi kunezinye izindlela zokwelapha:

• Ukuzinza Okungcono: Idizayini enamacala amabili inciphisa kakhulu ingcuphe yokugudluka.
• Ukuhamba Kangcono: Iziguli zithola inkululeko eyengeziwe yokuhamba kanye nokunyakaza okuhlangene kwe-hip yemvelo.
• I-Less Wear and Tear: Isistimu enyakazayo ekabili inciphisa ukungqubuzana futhi inwebe impilo yokufakelwa.
• Ukubuyisela Ngokushesha: Isikhathi sokutakula sifushane uma siqhathaniswa nokushintshwa kwenyonga.
• Isakhiwo Sethambo Elingcono: Ingozi ephansi yokulahlekelwa amathambo isiza ukugcina isakhiwo semvelo.

Usizo Lomshwalense Wokuhlinzwa Kwe-Bipolar Hemiarthroplasty

Iningi lezinhlelo zomshwalense wezempilo zimboza lokhu kuhlinzwa, kodwa imininingwane yokufaka iyahlukahluka:

• Izinhlelo zivame ukukhokhela izindleko zokuhlinzwa, izimila, ukuhlala esibhedlela, nokuvuselelwa ngemva kokuhlinzwa.
• Izimo ezikhona ngaphambilini, ukukhetha kwesibhedlela/udokotela ohlinzayo, nokuhlinzwa okubukeziwe kuthinta ukutholakala.

Kufanele uhlole imininingwane yomshwalense wakho ngempela futhi uqinisekise imigomo yekhava nomhlinzeki wakho ngaphambi kokuhlinzwa.

Umbono Wesibili Wokuhlinzwa Kwe-Bipolar Hemiarthroplasty

Ukuthola eminye imibono yochwepheshe kusiza iziguli ezicabanga nge-bipolar hemiarthroplasty. Lokhu kuyabasiza:

• Qinisekisa ukuxilongwa kanye nesidingo sokuhlinzwa
• Funda ngezinye izindlela zokwelapha
• Qonda izingozi nezinzuzo
• Bazizwa beqiniseka ngokukhetha kwabo ukwelashwa

Odokotela abahlinza amathambo abanolwazi lwe-CARE Hospitals banikeza imibono yesibili ephelele. Bawahlola kahle amacala ukuze banikeze ukuqonda okubalulekile nezincomo.

Isiphetho

I-bipolar hemiarthroplasty inika abantu abadala asebekhulile ithuba lokuphinda bakwazi ukuhamba nokuzimela ngemva kokuphuka kwenyonga okulimazayo. Izibhedlela ze-CARE seziphenduke isikhungo esithenjwayo salokhu kuhlinzwa okuyisipesheli esinesipiliyoni seminyaka engu-15 nezindlela ezisezingeni eliphezulu.

Isipiliyoni sokuhlinzwa singase sizizwe singaphezu kwamandla ekuqaleni. Izibhedlela ze-CARE zikwenza kube lula ngokulungiselela okuningiliziwe ngaphambi kokuhlinzwa kanye nokunakekelwa okugxilile kwangemva kokuhlinzwa. Iziguli ziqala ukuhamba ngokusekelwa phakathi nezinsuku ngemva kokuhlinzwa futhi zakha amandla kancane kancane ngesikhathi sokululama.

Amasu amasha afana ne-Direct Anterior Approach kanye ne-Conjoined Tendon-Preserving Posterior izindlela zithuthukisa imiphumela yesiguli kakhulu. Izibhedlela ze-CARE zihamba phambili ngale ntuthuko futhi zinikeza ithemba kubantu abaningi abathintekayo ngenxa yokuphuka kwenyonga.