I.No ke kumu he puka ka wili cannulated?
Pehea e hana ai nā ʻōnaehana wili cannulated? Ke hoʻohana nei i nā uea Kirschner lahilahi (K-wires) i wili ʻia i loko o ka iwi e kuhikuhi pololei i nā ala wili i loko o nā ʻāpana iwi liʻiliʻi.
ʻO ka hoʻohana ʻana i nā uwea-K e pale aku i ka wili nui ʻana i nā lua hoʻāʻo a hiki ke hoʻopaʻa ʻia nā ʻāpana iwi kokoke i ka wā e hoʻokomo ʻia ai nā wili. Hoʻokomo ʻia nā mea hana hakahaka a me nā wili hakahaka i loko o ka iwi ma luna o nā uwea-K. He mea pono ka hoʻopaʻa ʻana o ka wili cannulated i loko o ka iwi kuamoʻo cervical e hoʻopaʻa i nā haki odontoid a e mālama i ka paʻa ʻole o ka atlantoaxial.
He nui nā pono o nā wili cannulated i hoʻohālikelike ʻia me nā wili noncanulated: 1) alakaʻi nā uea K i ke kūlana wili i loko o ka iwi;
2) ʻo ke ala hele K-wire e maʻalahi ai ke kau hou ʻana inā ʻaʻole kūpono ke ala hele mua;
3) ʻae nā uea K i ka hoʻopaʻa mau ʻana o nā ʻāpana iwi paʻa ʻole e pili ana;
4) Pale nā uea-K i ka neʻe ʻana o nā ʻāpana iwi paʻa ʻole i ka wā e hoʻokomo ʻia ai ka wili.
Hiki ke hoʻemi ʻia nā pilikia e pili ana me ka K-wire (ka haki ʻana, ke kau hou ʻana, a me ka holomua) me ka hoʻohana ʻana i nā ʻano hana pololei. Ua hoʻomohala ʻia kahi ʻōnaehana mea hana wili cannulated kūikawā no ka hoʻopaʻa ʻana o ka cervical o luna e ʻae i ka ʻeli ʻana i ka percutaneous me ka hoʻohana ʻana i nā mea hana tunneling lōʻihi, nā ʻūpā ʻiʻo, nā alakaʻi wili, a me nā K-wire lōʻihi. ʻAe kēia mau mea hana i ka lawe ʻana i nā wili cannulated ma kahi kihi haʻahaʻa i ka iwi kuamoʻo ma o nā ala lōʻihi o nā ʻiʻo palupalu. Loaʻa i nā wili cannulated nā pono koʻikoʻi i hoʻohālikelike ʻia me nā wili noncannulated no ka hoʻopaʻa ʻana o ka iwi kuamoʻo cervical paʻa ʻole ma ka ʻōnaehana.
II.ʻO wai ka ʻoi aku ka maikaʻi o nā wili cannulated a i ʻole nā kui intrameduallary?
ʻO nā kui intramedullary a me nā kui cannulated he mau mea lapaʻau i hoʻohana ʻia no ka hoʻopaʻa ʻana i loko o nā haki. Loaʻa iā lākou ko lākou mau pono ponoʻī a kūpono no nā ʻano haki like ʻole a me nā pono lapaʻau.
| ʻAno | Pōmaikaʻi |
| Kui Intramedullary | He maikaʻi ka hopena hoʻopaʻa kui intramedullary i nā haki paʻa o nā iwi lōʻihi, me ka emi ʻana o ka ʻeha a me ka emi ʻana o ke kahe ʻana o ke koko. No ka hoʻopaʻa waena ʻana ka hoʻopaʻa kui intramedullary. Ke hoʻohālikelike ʻia me nā papa kila, hiki i nā kui intramedullary ke pale i ka pono o ka membrane extraosseous, pale i ka hoʻōla lohi ʻana o ka haki, a pāʻani i kahi kuleana i ka pale ʻana i ka maʻi. |
| Screw Cannulated | Hoʻohana nui ʻia ia ma nā wahi e like me nā haki ʻāʻī femoral, me nā hopena hoʻopaʻa kūikawā a me ke kaomi ʻana. Eia kekahi, he liʻiliʻi loa ka pōʻino a ʻaʻole pono nā papa kila. |
III. I ka manawa hea e hoʻohana ai i nā wili cancellous vs cortical?
ʻO nā wili Cancellous a me nā wili cortical ʻelua ʻano o nā implants orthopedic i hoʻohana ʻia i ka hoʻopaʻa ʻana i ka iwi, akā ua hoʻolālā ʻia lākou no nā ʻano iwi like ʻole a he mau noi like ʻole:
Hoʻolālā kūikawā ʻia nā wili Cancellous no ka hoʻohana ʻana i loko o ka iwi spongy, emi ka mānoanoa, a me ka iwi trabecular, i loaʻa pinepine ʻia ma nā wēlau o nā iwi lōʻihi, e like me ka femur a me ka tibia. Hoʻohana pinepine ʻia ma nā wahi i ʻoi aku ka porous o ka iwi a emi ka mānoanoa, e like me nā wahi metaphyseal o nā iwi lōʻihi. Hoʻohana pinepine ʻia lākou i nā kaʻina hana e pili ana i ka iwi kuamoʻo, pelvis, a me kekahi mau ʻāpana o ka poʻohiwi a me ka ʻūhā.
Ua hoʻolālā ʻia nā Cortical Screws no ka hoʻohana ʻana i ka iwi cortical ʻoi aku ka paʻa, ka mea e hana ana i ka papa waho o ka hapa nui o nā iwi a ʻoi aku ka paʻakikī a me ka ikaika ma mua o ka iwi cancellous. Hoʻohana nui ʻia i nā kūlana kahi e pono ai ka ikaika a me ke kūpaʻa nui, e like me ke kau ʻana i nā haki i loko o ka diaphysis (ʻau) o nā iwi lōʻihi. Hoʻohana ʻia hoʻi lākou i kekahi mau mea hana a me nā papa hoʻopaʻa kūloko.
I ka hōʻuluʻulu manaʻo, ʻo ke koho ma waena o nā wili cancellous a me nā cortical e pili ana i ke ʻano o ka iwi i hoʻopaʻa ʻia a me nā koi kikoʻī o ke kaʻina hana orthopedic. He kūpono nā wili cancellous no ka iwi palupalu a ʻoi aku ka porous, ʻoiai ʻo nā wili cortical he kūpono no ka iwi ʻoi aku ka paʻa a me ka ukana.
Ka manawa hoʻouna: Mei-09-2025
