I ke kaʻina hana ho'ēmi o ka haʻihaʻi comminuted, oi aku ka hilinaʻi, ka anteroposterior nānā 'ole ka lateral nana?

ʻO ka haʻihaʻi intertrochanteric femoral ka haʻihaʻi maʻamau maʻamau i ka hana lapaʻau a ʻo ia kekahi o nā haʻihaʻi maʻamau ʻekolu e pili ana i ka osteoporosis i ka poʻe ʻelemakule. Pono ka hoʻomaʻamaʻa conservative i ka hoʻomaha moe lōʻihi, e hōʻeha ana i nā maʻi ʻeha, nā maʻi pulmonary, pulmonary embolism, deep vein thrombosis, a me nā pilikia ʻē aʻe. He mea koʻikoʻi ka paʻakikī kahu hānai, a lōʻihi ka manawa hoʻōla, e kau ana i kahi ukana kaumaha ma luna o ka hui a me nā ʻohana. No laila, he mea koʻikoʻi ka hoʻomaʻamaʻa mua ʻana, inā hiki ke ʻae ʻia, no ka loaʻa ʻana o nā hopena hana maikaʻi i nā haʻi ʻūhā.

I kēia manawa, ʻo ka PFNA (proximal femoral nail antirotation system) ka hoʻoponopono kūloko i manaʻo ʻia ʻo ke kūlana gula no ka mālama ʻana i nā haʻi ʻūhā. He mea koʻikoʻi ka loaʻa ʻana o ke kākoʻo maikaʻi i ka wā o ka hōʻemi ʻana i nā haʻihaʻi hip no ka ʻae ʻana i ka hoʻomaʻamaʻa hana mua. Loaʻa i ka fluoroscopy intraoperative ka anteroposterior (AP) a me nā hiʻohiʻona ʻaoʻao e loiloi i ka hōʻemi ʻana o ka femoral anterior medial cortex. Eia nō naʻe, hiki ke kū mai nā paio ma waena o nā manaʻo ʻelua i ka wā o ka ʻoki ʻana (ʻo ia hoʻi, maikaʻi ma ka ʻaoʻao ʻaoʻao akā ʻaʻole i ka anteroposterior view, a i ʻole ka ʻaoʻao). Ma ia mau hihia, ʻo ka loiloi ʻana inā ʻae ʻia ka hōʻemi ʻana a inā makemake ʻia ka hoʻoponopono ʻana he pilikia paʻakikī no nā kauka lapaʻau. Ua kamaʻilio nā kānaka ʻepekema mai nā halemai kūloko e like me Oriental Hospital a me Zhongshan Hospital i kēia pilikia ma ka nānā ʻana i ka pololei o ka loiloi ʻana i ke kākoʻo maikaʻi a maikaʻi ʻole ma lalo o nā hiʻohiʻona anteroposterior a me ka ʻaoʻao me ka hoʻohana ʻana i nā scans ʻekolu-dimensional CT ma ke ʻano maʻamau.