ʻO 50% o nā haki ʻūhā ka haki ʻāʻī o ka femoral. No nā poʻe maʻi ʻaʻole i ʻelemakule me nā haki ʻāʻī femoral, ʻōlelo pinepine ʻia ka mālama ʻana i ka hoʻopaʻa ʻana i loko. Eia nō naʻe, ʻo nā pilikia ma hope o ke kaʻina hana, e like me ka nonunion o ka haki, ka necrosis poʻo femoral, a me ka pōkole ʻana o ka ʻāʻī femoral, he mea maʻamau ia i ka hana lapaʻau. I kēia manawa, ʻo ka hapa nui o ka noiʻi e kālele ana i ke ʻano o ka pale ʻana i ka necrosis poʻo femoral ma hope o ka hoʻopaʻa ʻana i loko o nā haki ʻāʻī femoral, ʻoiai ʻaʻole i hāʻawi nui ʻia ka nānā ʻana i ka pilikia o ka pōkole ʻana o ka ʻāʻī femoral.
I kēia manawa, ʻo nā ʻano hoʻopaʻa kūloko no nā haki ʻāʻī femoral, me ka hoʻohana ʻana i ʻekolu mau wili cannulated, FNS (Femoral Neck System), a me nā wili ʻūhā dynamic, e manaʻo ana e pale i ka varus ʻāʻī femoral a hāʻawi i ke kaomi axial e pale aku i ka nonunion. Eia nō naʻe, ʻo ke kaomi paheʻe ʻole i kāohi ʻia a nui paha e alakaʻi ai i ka pōkole ʻāʻī femoral. Ma muli o kēia, ua hāpai nā loea mai ka Halemai ʻElua o ka Poʻe i pili me ke Kulanui ʻo Fujian o ka lāʻau lapaʻau kuʻuna Kina, e noʻonoʻo ana i ke koʻikoʻi o ka lōʻihi o ka ʻāʻī femoral i ka ho'ōla ʻana i ka haki a me ka hana ʻūhā, i ka hoʻohana ʻana i kahi "wili anti-shortening" i hui pū ʻia me FNS no ka hoʻopaʻa ʻana i ka haki ʻāʻī femoral. Ua hōʻike kēia ʻano i nā hopena hoʻohiki, a ua paʻi ʻia ka noiʻi ma ka puke hou loa o ka puke pai Orthopaedic Surgery.
Ua ʻōlelo ka ʻatikala i ʻelua ʻano o nā "wili anti-shortening": ʻo kekahi he wili cannulated maʻamau a ʻo kekahi he wili me kahi hoʻolālā kaula pālua. Mai loko mai o nā hihia 53 i loko o ka hui wili anti-shortening, 4 wale nō hihia i hoʻohana i ka wili dual-threaded. Hāpai kēia i ka nīnau inā loaʻa maoli ka hopena anti-shortening i ka wili cannulated i wili hapa ʻia.
I ka wā i kālailai pū ʻia ai nā wili cannulated hapa wili a me nā wili wili pālua a hoʻohālikelike ʻia me ka hoʻopaʻa kūloko FNS kuʻuna, ua hōʻike nā hopena ua haʻahaʻa loa ke kiʻekiʻe o ka pōkole ʻana i ka hui wili anti-shortening ma mua o ka hui FNS kuʻuna ma nā wahi hahai 1-mahina, 3-mahina, a me 1 makahiki, me ke koʻikoʻi helu. Hāpai kēia i ka nīnau: No ka wili cannulated maʻamau a i ʻole ka wili wili pālua ka hopena?
Hōʻike ka ʻatikala i 5 mau hihia e pili ana i nā wili anti-shortening, a ma ka nānā pono ʻana, hiki ke ʻike ʻia i nā hihia 2 a me 3, kahi i hoʻohana ʻia ai nā wili cannulated i wili hapa ʻia, ua ʻike ʻia ka huki ʻana o ka wili a me ka pōkole ʻana (ʻo nā kiʻi i hōʻailona ʻia me ka helu like e pili ana i ka hihia like).
Ma muli o nā kiʻi o ka hihia, ua maopopo loa ka pono o ka wili wili pālua i ka pale ʻana i ka pōkole. No nā wili cannulated, ʻaʻole hāʻawi ka ʻatikala i kahi hui hoʻohālikelike kaʻawale no lākou. Eia nō naʻe, hāʻawi ka ʻatikala i kahi hiʻohiʻona waiwai nui e pili ana i ka hoʻopaʻa ʻana o loko o ka ʻāʻī femoral, e hōʻike ana i ke koʻikoʻi o ka mālama ʻana i ka lōʻihi o ka ʻāʻī femoral.
Ka manawa hoʻouna: Sep-06-2024
