I.He aha nā pilikia o ka hoʻopaʻa ʻana i ke kui femur?
Humerus interlocking nail system-multidimensional locking is a little different from humerus interlocking intramedullary nail system.
ʻO ka humerus interlocking intramedullary nail system kahi o ka humeral interlocking nail, humeral rotation blade, laka srcrew, nail a me ka pāpale a me ka lōʻihi o ka pāpale hope. ʻOiai ʻo humerus interlocking nail system-multidimensional locking is composed of humeral interlocking nail system-multidimensional locking (hema a me nā ʻano ʻākau),Φ4.5 multidimensional locking screw,Φ3.5 wili wili, ka pāpale hope a me ka pāpale hope lōʻihi.
He aha ke kumu o kēia ʻokoʻa ma waenahumerus interlocking nail system-multidimensional lockingahumerus interlocking intramedullary nail system?
Hiki i ka hoʻolālā hoʻopaʻa paʻa nui ke laka i ka pūnaewele haʻihaʻi ma nā ʻaoʻao he nui, e hāʻawi ana i kahi hopena hoʻoponopono paʻa a hilinaʻi, e hōʻemi ana i ka neʻe micro-movement o ka hopena haʻihaʻi, a me ka hoʻomaʻamaʻa ʻana i ka hoʻōla ʻana o ka haʻihaʻi. ʻOi aku ka maikaʻi no nā kūlana fracture paʻakikī. ʻOi aku ka maikaʻi o ka ʻōnaehana nail intramedullary non-multi-dimensional locking interlocking intramedullary nail o ka femur no nā kūlana haʻihaʻi maʻalahi.
II.He aha nā pōmaikaʻi o ka nailing intramedullary?
ʻO Humerus interlocking nail system-multidimensional locking he ʻōlelo lapaʻau holomua no nā haʻihaʻi humeral. Hōʻike ʻia kāna mau mea maikaʻi ma nā ʻano aʻe:
1)Loko kūloko kūikawā o ka wili e hoʻomaikaʻi i ke kūpaʻa.
2)Hoʻonui ʻia ka paʻa ʻana o nā haʻihaʻi oblique transverse a pōkole.
3)Hana ʻia me ka nail pōkole a me ka nail lōʻihi a he nui nā ʻano wili e koho ai e hoʻoponopono i nā haʻihaʻi maʻalahi a paʻakikī o ka humerus proximal a me ke axis humeral. Kūlike me ka iwi iwi, ka hoʻolālā hoʻoikaika ikaika, ka neʻe micro, hoʻoikaika i ka hui.
4)Ma ka hoʻohana ʻana i nā ʻenehana liʻiliʻi liʻiliʻi, liʻiliʻi ka ʻoki ʻoki ʻana, e hōʻemi ana i ka pōʻino i nā ʻiʻo palupalu a puni a hoʻohaʻahaʻa i ka hopena o ka maʻi postoperative a me nā pilikia.
5)Loaʻa iā ia ke kūpaʻa axial a me ka rotational, hiki ke kū i kahi ukana physiological nui, a kūpono i ka hana mua o nā maʻi.
III.I ka manawa hea e hoʻomaka ai ka lāʻau lapaʻau ma hope o ka haki ʻana o ka humerus?
Lapaʻau ʻokiʻoki：
1) Intramedullary nailing: ʻO kēia ka lāʻau lapaʻau maikaʻi loa no nā haʻihaʻi o ka femoral shaft, ʻoi aku hoʻi no nā poʻe maʻi ʻōpio a ikaika.
2)Ka hoʻopaʻa ʻana o ka pā: No kekahi mau haʻihaʻi paʻakikī a i ʻole nā maʻi kūpono ʻole no ka nailing intramedullary, hiki ke koho ʻia ka hoʻoponopono pā.
3)Hoʻoponopono waho: Hoʻohana nui ʻia no nā haʻihaʻi hāmama, nā maʻi me nā ʻeha he nui a i ʻole nā mea e koi ana i ka hoʻoponopono manawa.
4）Arthroplasty: No nā haʻihaʻi femoral proximal, ʻoi aku ka haʻi ʻana o ka ʻāʻī o ka ʻāʻī a i ʻole ka haʻi ʻana o ke kapikala i nā poʻe maʻi ʻelemakule, pono paha ka hip arthroplasty.
Ka lāʻau lapaʻau ʻole:
1）Traction Therapy: He kūpono ia no kekahi mau maʻi i kūpono ʻole no ka ʻoki ʻana, e like me ka poʻe ʻelemakule, ka poʻe maʻi kino kino, a i ʻole ka poʻe me nā maʻi kūloko.
2）Hoʻopaʻa paʻa a hoʻopaʻa paʻa: No kekahi mau haʻihaʻi wahine maʻalahi a hoʻoneʻe ʻole, hiki ke hoʻopaʻa ʻia i ka plaster fixation a i ʻole ka hoʻopaʻa paʻa ʻana.
Ka manawa hoʻouna: Jun-03-2025
