ʻO nā haʻihaʻi o ka kuʻekuʻe wāwae i loko e koi pinepine i ka hoʻohaʻahaʻa insional a me ka hoʻopaʻa ʻana i loko, a i ʻole me ka hoʻopaʻa wili wale ʻana a i ʻole me ka hui pū ʻana o nā papa a me nā wili.
ʻO ka mea maʻamau, hoʻopaʻa ʻia ka haʻihaʻi no ka manawa pōkole me kahi pine Kirschner a laila hoʻopaʻa ʻia me ka hapalua-threaded cancellous tension screw, hiki ke hoʻohui pū ʻia me kahi hui hoʻopaʻapaʻa.Ua hoʻohana kekahi poʻe naʻauao i nā wili wili piha no ka mālama ʻana i nā haki kuʻekuʻe wāwae waena, a ʻoi aku ka maikaʻi o ko lākou ʻoi aku ka maikaʻi ma mua o nā wili kuʻuna haʻahaʻa.Eia nō naʻe, ʻo ka lōʻihi o nā wili piha piha he 45 mm, a ua hoʻopaʻa ʻia lākou i ka metaphysis, a ʻo ka hapa nui o nā maʻi e loaʻa i ka ʻeha ma ka kuʻekuʻe wāwae ma muli o ka protrusion o ka hoʻoponopono kūloko.
Manaʻo ʻo Dr Barnes, mai ke Keʻena o Orthopedic Trauma ma St Louis University Hospital i USA, hiki i nā ʻūlū hoʻopiʻi poʻo ʻole ke hoʻopaʻa paʻa i nā haʻi kuʻekuʻe wāwae i loko o ka ʻili o ka iwi, e hōʻemi ana i ka ʻeha mai ka puka ʻana o ka hoʻoponopono ʻana i loko, a me ka hoʻoikaika ʻana i ka hoʻōla ʻana.ʻO ka hopena, ua alakaʻi ʻo Dr Barnes i kahi noiʻi e pili ana i ka maikaʻi o nā wili hoʻopiʻi poʻo ʻole i ka mālama ʻana i nā haki kuʻekuʻe wāwae i loko, i paʻi ʻia ma ka Injury.
Aia i loko o ke aʻo ʻana he 44 mau maʻi (mean makahiki 45, 18-80 makahiki) i mālama ʻia no nā haʻihaʻi kuʻekuʻe wāwae o loko me nā wili hoʻoemi poʻo ʻole ma Saint Louis University Hospital ma waena o 2005 a me 2011. Ma hope o ka hana, ua hoʻopaʻa ʻia nā mea maʻi i nā splints, casts a braces a hiki i ka loaʻa ʻana. hōʻike kiʻi no ka ho'ōla ʻana i ka haʻihaʻi ma mua o ka holo ʻana i ke kaumaha.
ʻO ka hapa nui o nā haʻihaʻi ma muli o ka hāʻule ʻana i ke kūlana kū a ʻo ke koena no nā ulia kaʻa kaʻa a i ʻole nā haʻuki a me nā mea ʻē aʻe (Papa 1).He iwakāluakūmākolu o lākou he mau wāwae wāwae ʻelua, 14 he ʻekolu mau wāwae wāwae a ʻo ke koena he 7 he mau wāwae wāwae hoʻokahi (Figure 1a).Intraoperatively, 10 nā mea maʻi i mālama ʻia me hoʻokahi poʻo ʻole hoʻopaʻa paʻa ʻana no nā wāwae kuʻekuʻe wāwae medial, aʻo nā mea maʻi 34 i koe i loaʻa i ʻelua wili hoʻopiʻi poʻo ʻole (Figure 1b).
Papa 1: Mechanism o ka eha
Kiʻi 1a: ʻAha kuʻekuʻe wāwae hoʻokahi;Kiʻi 1b: Hana ʻia ka haʻi kuʻekuʻe wāwae hoʻokahi me 2 mau wili hoʻoemi poʻo ʻole.
Ma kahi o 35 mau pule (12-208 mau wiki), ua loaʻa nā hōʻike kiʻi o ka ho'ōla haʻihaʻi i nā maʻi āpau.ʻAʻohe mea maʻi i koi i ka wehe ʻana i ka wili ma muli o ka puka ʻana o ka wili, a hoʻokahi wale nō mea maʻi i makemake e wehe i ka wili ma muli o kahi maʻi MRSA ma mua o ka hana ma ka ʻaoʻao haʻahaʻa a me ka cellulitis postoperative.Eia kekahi, he 10 mau maʻi i loaʻa ka ʻehaʻeha ma ka palpation o ka wāwae wāwae.
No laila, ua hoʻoholo nā mea kākau i ka hoʻomaʻamaʻa ʻana i nā haʻihaʻi kuʻekuʻe wāwae i loko me nā wili hoʻopiʻi poʻo ʻole i loaʻa i kahi kiʻekiʻe o ka hoʻōla ʻana o ka haʻi, ʻoi aku ka maikaʻi o ka hana kuʻekuʻe wāwae, a me ka liʻiliʻi o ka ʻeha postoperative.
Ka manawa hoʻouna: Apr-15-2024
