He mea hoʻopaʻa haki ka papa laka me kahi lua wili. Ke wili ʻia kahi wili me ke poʻo wili i loko o ka lua, lilo ka papa i mea hoʻopaʻa kihi (wili). Hiki i nā papa kila laka (paʻa ke kihi) ke loaʻa nā lua wili laka a me nā lua wili ʻaʻole laka no nā wili like ʻole e wili ʻia (i kapa ʻia hoʻi he mau papa kila i hui pū ʻia).
1. Mōʻaukala a me ka hoʻomohala ʻana
Ua hoʻolauna mua ʻia nā papa laka ma kahi o 20 mau makahiki i hala aku nei no ka hoʻohana ʻana i nā ʻokiʻoki iwi kuamoʻo a me ka maxillofacial. I ka hopena o nā makahiki 1980 a me 1990, ua hoʻolauna nā haʻawina hoʻokolohua ma nā ʻano like ʻole o nā mea hoʻopaʻa kūloko i nā papa laka i ka mālama ʻana i nā haki. Ua hoʻomohala mua ʻia kēia ʻano hoʻopaʻa paʻa e pale aku i ka ʻoki ʻana o nā ʻiʻo palupalu.
Ua hoʻonui kekahi mau kumu i ka hoʻohana ʻana i kēia lāʻau lapaʻau, ʻo ia hoʻi:
Ke hoʻomau nei ka piʻi ʻana o nā haki i ʻoki ʻia i ka hoʻomaikaʻi ʻana o nā helu ola i nā poʻe maʻi me nā ʻeha ikehu kiʻekiʻe a me ka piʻi ʻana o ka nui o nā poʻe maʻi ʻelemakule me ka osteoporosis ma ʻEulopa Komohana a me ʻAmelika ʻĀkau.
ʻAʻole māʻona nā kauka a me nā maʻi i nā hopena o nā lāʻau lapaʻau no kekahi mau haki periarticular.
ʻO nā kumu hoʻolaha ʻē aʻe ʻaʻole pili i ke olakino e komo pū ana: ka hoʻolaha ʻana o ka ʻoihana i nā ʻenehana hou a me nā mākeke hou; ka kaulana mālie o ke ʻoki kino minimally invasive, a pēlā aku.
2. Nā ʻano a me nā loina paʻa
ʻO ka ʻokoʻa biomechanical nui ma waena o nā papa laka a me nā papa kuʻuna, ʻo ia ka hilinaʻi ʻana o ka mea hope i ka friction ma ka interface iwi-papa e hoʻopau i ke kaomi ʻana o ka iwi e ka papa.
ʻO nā hemahema biomechanical o nā papa kila kuʻuna: e hoʻopaʻa i ka periosteum a hoʻopilikia i ke kahe koko i ka hopena haki. No laila, ʻo ka osteosynthesis papa paʻa paʻa kuʻuna (e like me ka hoʻopaʻa ʻana o ka interfragmentary a me nā wili lag) he kiʻekiʻe ka nui o ka pilikia, me ka maʻi, ka haki papa, ka hoʻopaneʻe ʻana o ka hui ʻana, a me ka nonunion.
I ka piʻi ʻana o ke kaʻina hana ukana axial, hoʻomaka nā wili e wehe a hoʻemi i ka friction, a laila e wehe ai ka papa. Inā wehe ka papa ma mua o ka ho'ōla ʻana o ka haki, e lilo ka hopena haki i mea paʻa ʻole a i ka hopena e haki ka papa. ʻO ka paʻakikī o ka loaʻa ʻana a me ka mālama ʻana i ka paʻa o nā wili paʻa (e like me ka metaphysis a me nā hopena iwi osteoporotic), ʻo ka paʻakikī o ka mālama ʻana i ke kūpaʻa o ka hopena haki.
Kumumanaʻo paʻa:
ʻAʻole hilinaʻi nā papa laka i ka friction ma waena o ka pilina iwi-papa. Mālama ʻia ke kūpaʻa e ka pilina paʻa kihi ma waena o ka wili a me ka papa kila. Ma muli o ka paʻa o kēia ʻano mea hoʻopaʻa kūloko laka, ʻoi aku ka kiʻekiʻe o ka ikaika huki o ka wili poʻo laka ma mua o nā wili maʻamau. Inā ʻaʻole i huki ʻia a haki paha nā wili a puni, he paʻakikī ke huki ʻia a haki paha kahi wili.
3. Nā Hōʻailona
ʻAʻole pono ka hapa nui o nā haki i mālama ʻia e ke ʻoki kino i ka hoʻopaʻa ʻana i ka papa laka. Inā e hahai ʻia nā kumumanaʻo o ke ʻoki kino orthopedic, hiki ke ho'ōla ʻia ka hapa nui o nā haki me nā papa kuʻuna a i ʻole nā kui intramedullary.
Eia nō naʻe, aia nō kekahi mau ʻano haki kūikawā i maʻalahi i ka nalowale o ka hōʻemi ʻana, ka haki ʻana o ka papa a i ʻole ka wili, a me ka hui ʻole o ka iwi ma hope. ʻO kēia mau ʻano, i kapa pinepine ʻia he mau haki "i hoʻoholo ʻole ʻia" a i ʻole "pilikia", e komo pū me nā haki comminuted intra-articular, nā haki iwi pōkole periarticular, a me nā haki osteoporotic. ʻO ia mau haki he mau hōʻailona no nā papa laka.
4. Noi
Ke hāʻawi pū nei ka nui o nā mea hana i nā papa anatomical me nā lua laka. No ka laʻana, nā papa anatomical i hoʻonohonoho mua ʻia no nā femurs proximal a me distal, nā tibias proximal a me distal, ka humerus proximal a me distal, a me ka calcaneus. ʻO ka hoʻolālā ʻana o ka papa kila e hōʻemi nui i ka pilina ma waena o ka papa kila a me ka iwi i nā manawa he nui, no laila e mālama ana i ka lako koko periosteal a me ka perfusion o ka hopena haki.
LCP (pā paʻa paʻa)
Hoʻohui ka papa hoʻopaʻa laka hou i ʻelua mau ʻenehana hoʻopaʻa kūloko like ʻole i loko o hoʻokahi implant.
Hiki ke hoʻohana ʻia ʻo LCP ma ke ʻano he pā hoʻopaʻa, kahi pale paʻa o loko, a i ʻole ka hui pū ʻana o nā mea ʻelua
Hoʻokomo iki ʻia:
Ke piʻi nei ka nui o nā papa laka i loaʻa nā lima stent waho, nā mea paʻa, a me nā hoʻolālā wēlau blunt e hiki ai i nā kauka ke kau i ka papa ma lalo o nā muscular a i ʻole ma lalo o ke kino no nā kumu invasive minimally.
Inā makemake ʻoe e ʻike e pili ana i kā mākou huahana, e ʻoluʻolu e kelepona mai iā:
ʻIōyo
Whatsapp/Kelepona: +86 15682071283
Ka manawa hoʻouna: Sep-25-2023
