No nā haki o ke kuʻekuʻe wāwae o loko, pono pinepine ke ʻoki ʻoki ʻia a me ka hoʻopaʻa ʻana i loko, me ka hoʻopaʻa ʻana i nā wili wale nō a i ʻole me ka hui pū ʻana o nā papa a me nā wili.
Ma ke ʻano kuʻuna, hoʻopaʻa manawa pōkole ʻia ka haki me kahi pine Kirschner a laila hoʻopaʻa ʻia me kahi wili hoʻoluʻu cancellous hapalua-wili, hiki ke hoʻohui pū ʻia me kahi kāʻei hoʻoluʻu. Ua hoʻohana kekahi poʻe akamai i nā wili piha-wili e mālama i nā haki kuʻekuʻe wāwae medial, a ʻoi aku ka maikaʻi o ko lākou pono ma mua o nā wili hoʻoluʻu cancellous hapalua-wili kuʻuna. Eia nō naʻe, ʻo ka lōʻihi o nā wili piha-wili he 45 mm, a ua hoʻopaʻa ʻia lākou i loko o ka metaphysis, a ʻo ka hapa nui o nā maʻi e loaʻa ka ʻeha ma ke kuʻekuʻe wāwae medial ma muli o ka puka ʻana o ka hoʻopaʻa kūloko.
Manaʻo ʻo Kauka Barnes, mai ka 'Oihana Orthopaedic Trauma ma ka Halemai o ke Kulanui ʻo St. Louis ma USA, hiki i nā wili hoʻopaʻa poʻo ʻole ke hoʻopaʻa pono i nā haki kuʻekuʻe wāwae kūloko i ka ʻili o ka iwi, e hōʻemi ana i ka ʻoluʻolu ʻole mai ka hoʻopaʻa ʻana o loko, a paipai i ka ho'ōla ʻana o ka haki. ʻO ka hopena, ua hana ʻo Kauka Barnes i kahi noiʻi e pili ana i ka pono o nā wili hoʻopaʻa poʻo ʻole i ka mālama ʻana i nā haki kuʻekuʻe wāwae kūloko, i paʻi ʻia ma Injury.
Ua komo pū ka noiʻi me 44 mau maʻi (ʻo ka awelika makahiki he 45, 18-80 mau makahiki) i mālama ʻia no nā haki kuʻekuʻe wāwae kūloko me nā wili ʻūlū poʻo ʻole ma ka Halemai Kulanui ʻo Saint Louis ma waena o 2005 a me 2011. Ma hope o ke ʻoki ʻana, ua hoʻopaʻa ʻia nā maʻi i loko o nā splints, casts a i ʻole nā braces a hiki i ka loaʻa ʻana o nā hōʻike kiʻi o ka ho'ōla ʻana o ka haki ma mua o ka hele piha ʻana me ke kaumaha.
ʻO ka hapa nui o nā haki ma muli o ka hāʻule ʻana i ke kūlana kū a ʻo ke koena ma muli o nā ulia kaʻa kaʻa a i ʻole nā haʻuki a pēlā aku (Papa 1). He iwakāluakūmākolu o lākou i haki pālua i ke kuʻekuʻe wāwae, he 14 i haki ʻekolu kuʻekuʻe wāwae a ʻo ke koena he 7 i haki hoʻokahi kuʻekuʻe wāwae (Kiʻi 1a). I loko o ke ʻoki ʻana, ua mālama ʻia he 10 mau maʻi me kahi wili hoʻopaʻa poʻo ʻole no nā haki kuʻekuʻe wāwae medial, ʻoiai ʻo ke koena o nā maʻi 34 he ʻelua mau wili hoʻopaʻa poʻo ʻole (Kiʻi 1b).
Papa 1: ʻAno o ka hōʻeha
Kiʻi 1a: Haʻihaʻi kuʻekuʻe wāwae hoʻokahi; Kiʻi 1b: Haʻihaʻi kuʻekuʻe wāwae hoʻokahi i mālama ʻia me 2 mau wili ʻūmiʻi poʻo ʻole.
Ma ka awelika o 35 mau pule (12-208 mau pule), ua loaʻa nā hōʻike kiʻi o ka ho'ōla ʻana o ka haki i nā maʻi āpau. ʻAʻohe mea maʻi i koi ʻia e wehe i nā wili ma muli o ka puka ʻana o nā wili, a hoʻokahi wale nō mea maʻi i koi ʻia e wehe i nā wili ma muli o kahi maʻi MRSA ma mua o ke ʻoki ʻana ma ka ʻaoʻao haʻahaʻa a me ka cellulitis postoperative. Eia kekahi, he 10 mau maʻi i loaʻa ka ʻoluʻolu iki i ka palpation o ke kuʻekuʻe wāwae o loko.
No laila, ua hoʻoholo nā mea kākau ua hopena ka mālama ʻana i nā haki kuʻekuʻe wāwae kūloko me nā wili ʻūlū poʻo ʻole i ka wikiwiki o ka ho'ōla ʻana i ka haki, ka hoʻōla maikaʻi ʻana o ka hana kuʻekuʻe wāwae, a me ka emi ʻana o ka ʻeha ma hope o ka hana.
Ka manawa hoʻouna: ʻApelila-15-2024
