"No ka haʻi ʻana o ka ʻāʻī o ka ʻāʻī wahine ʻole, ʻo ke ʻano hoʻopaʻa ʻana i loko ka hoʻonohonoho 'inverted triangle' me ʻekolu wili. Hoʻokomo ʻia ʻelua wili i kahi kokoke i ka ʻāʻī mua a me hope o ka ʻāʻī femoral, a hoʻonoho ʻia hoʻokahi wili ma lalo. ʻike ʻia kēia hoʻonohonoho ʻana i kahi hoʻonohonoho kūpono loa no nā screws.
"ʻO ka medial circumflex femoral artery ʻo ia ka hāʻawi koko mua i ke poʻo femoral. Ke kau ʻia nā wili 'in-out-in' ma luna o ka ʻaoʻao hope o ka ʻāʻī femoral, hiki ke pilikia i ka ʻeha iatrogenic vascular, hiki ke hoʻololi i ka hāʻawi ʻana o ke koko i ka ʻāʻī femoral a, no laila, e hopena i ka ho'ōla iwi."
No ka pale ʻana i ka hanana 'in-out-in' (IOI), kahi e hele ai nā wili i loko o ka ʻāʻī o waho o ka ʻāʻī femoral, puka i waho o ka iwi cortical, a komo hou i ka ʻāʻī femoral a me ke poʻo, ua hoʻohana nā loea ma ka home a me ka honua i nā ʻano loiloi kōkua like ʻole. ʻO ka hiʻohiʻona o ka ʻāʻī femoral a me ka acetabulum i ka ʻike anteroposterior, hiki i kekahi ke wānana a loiloi paha i ka pilikia o ka screw IOI.
▲ Hōʻike ke kiʻikuhi i ke kiʻi iwi cortical o ka acetabulum ma ka ʻike anteroposterior o ka hui pūhaka.
Ua hoʻopaʻa ʻia ka haʻawina i nā maʻi 104, a ua nānā ʻia ka pilina ma waena o ka iwi cortical o ka acetabulum a me nā ʻili hope. Ua hana ʻia kēia ma o ka hoʻohālikelike ʻana i nā hihi X a hoʻokō ʻia e ka postoperative CT reconstruction e loiloi i ka pilina ma waena o nā mea ʻelua. Ma waena o nā maʻi 104, ua hōʻike ʻo 15 i kahi hanana IOI maopopo ma nā kukui X, 6 i ʻike ʻole i ka ʻikepili kiʻi, a he 10 i hoʻonohonoho pono ʻia i kahi kokoke loa i ka waena o ka ʻāʻī femoral, e hana pono ʻole ai ka loiloi. No laila, he 73 mau hihia kūpono i hoʻokomo ʻia i ka nānā ʻana.
Ma nā hihia he 73 i hoʻopaʻa ʻia, ma nā hihi X, he 42 mau hihia i hoʻonoho ʻia ma luna o ka iwi cortical o ka acetabulum, aʻo 31 mau hihia i loaʻa nā wili ma lalo. Ua hōʻike ʻia ka hōʻoia ʻana o CT i ka hanana IOI i 59% o nā hihia. Hōʻike ka ʻikepili ʻikepili ma nā kukui X, ʻo nā wili i hoʻonoho ʻia ma luna o ka iwi cortical o ka acetabulum he 90% ka naʻau a me ka kikoʻī o 88% i ka wānana ʻana i ka hanana IOI.
▲ Kahi Hoʻokahi: Hōʻike ʻia ka X-ray hui hip ma ka ʻike anteroposterior i nā wili i hoʻonoho ʻia ma luna o ka iwi cortical o ka acetabulum. ʻO ka CT coronal a me nā hiʻohiʻona transverse e hōʻoia i ka hele ʻana o ka hanana IOI.
▲Mahi ʻElua: Hōʻike ʻia ka X-ray hui pūhaka ma ka ʻike anteroposterior i nā wili i hoʻonoho ʻia ma lalo o ka iwi cortical o ka acetabulum. Hōʻoia ka CT coronal a me nā hiʻohiʻona transverse aia nā wili hope i loko o ka cortex iwi.
Ka manawa hoʻouna: Nov-23-2023
