ʻO ka haʻihaʻi ʻana o ka patella he pilikia lapaʻau paʻakikī. Aia ka pilikia ma ke ʻano e hōʻemi ai, e ʻokiʻoki iā ia e hana i kahi ʻili hui piha, a pehea e hoʻoponopono ai a mālama i ka paʻa. I kēia manawa, nui nā ʻano hoʻoponopono kūloko no nā haʻihaʻi patella comminuted, me ka Kirschner wire tension band fixation, cannulated nail tension band fixation, wire cerclage fixation, patellar claws, etc. he. ʻAʻole i like ke ʻano o ka haki i ka mea i manaʻo ʻia.
Eia kekahi, ma muli o ka loaʻa ʻana o nā mea hoʻoponopono kūloko metala a me ke ʻano anatomical superficial o ka patella, nui nā pilikia e pili ana i ka postoperative internal fixation, me ka implant irritation, K-wire withdrawal, wire breakage, etc. ma ka hana lapaʻau. No kēia hopena, ua noi ka poʻe ʻepekema ʻē aʻe i kahi ʻenehana e hoʻohana ai i nā hili hiki ʻole ke hoʻohana ʻia a me nā humuhumu mesh, i kapa ʻia ʻo "speder web technology", a ua loaʻa i nā hopena lapaʻau maikaʻi.
Ua hōʻike ʻia ke ʻano humuhumu penei (mai ka hema a i ka ʻākau, mai ka lālani luna a i ka lālani lalo):
ʻO ka mua, ma hope o ka hoʻemi ʻia ʻana o ka haʻihaʻi, ua humuhumu ʻia ka tendon patellar a puni a puni ka patella e hana i kekahi mau hale semi-annular wehe i mua o ka patella, a laila hoʻohana ʻia nā sutures e hoʻopaʻa i kēlā me kēia hale annular wehe i loko o ke apo a hoʻopaʻa ʻia i loko. he puʻupuʻu.
Hoʻopaʻa ʻia a hoʻopaʻa ʻia nā humu a puni ka tendon patellar, a laila humuhumu ʻia ʻelua mau humu diagonal e hoʻopaʻa i ka patella, a ma hope e hoʻopaʻa ʻia nā humuhumu a puni ka patella no hoʻokahi pule.
Ke wili ʻia a hoʻolōʻihi ʻia ka hui kuli, hiki ke ʻike ʻia ua paʻa paʻa ka haki a paʻa ka ʻili o ka hui.
Kaʻina ho'ōla a me ke kūlana hana o nā hihia maʻamau:
ʻOiai ua loaʻa i kēia ʻano nā hopena lapaʻau maikaʻi i ka noiʻi, ma lalo o nā kūlana o kēia manawa, ʻo ka hoʻohana ʻana i nā implants metala ikaika paha ke koho mua ʻana o nā kauka kūloko, a hiki paha ke kōkua i ka postoperative plaster immobilization e hāpai i nā haki a pale i ka hoʻoponopono kūloko. ʻO ka hemahema ka pahuhopu mua; ʻO ka hopena o ka hana a me ka ʻoʻoleʻa o ke kuli paha ke kumu lua.
Hiki ke hoʻohana maʻalahi kēia koho ʻokiʻoki i kekahi mau maʻi kūpono i koho ʻia a ʻaʻole ʻōlelo ʻia no ka hoʻohana maʻamau. Kaʻana like i kēia ʻano ʻenehana no ka ʻike ʻana e nā kauka.
Ka manawa hoʻouna: Mei-06-2024
