ʻO nā'ā'ī'ā'ī o ka'ā'ī he 50% o ka'ā'ī'ā'ī. No nā poʻe maʻi ʻaʻole ʻelemakule me nā ʻāʻī o ka ʻāʻī femoral, ʻōlelo pinepine ʻia ka hoʻoponopono hoʻoponopono kūloko. Eia nō naʻe, ʻo nā hoʻopiʻi postoperative, e like me ka nonunion o ka haʻihaʻi, ka femoral head necrosis, a me ka pōkole ʻāʻī femoral, he mea maʻamau i ka hana lapaʻau. I kēia manawa, ʻo ka hapa nui o nā noiʻi e pili ana i ka pale ʻana i ka necrosis poʻo femoral ma hope o ka hoʻopaʻa ʻana i loko o nā ʻāʻī o ka ʻāʻī o ka ʻāʻī, ʻoiai ʻaʻole i hāʻawi ʻia ka nānā ʻana i ka pilikia o ka pōkole ʻāʻī femoral.
I kēia manawa, ʻo nā ʻano hana hoʻoponopono kūloko no nā ʻāʻī o ka ʻāʻī o ka wahine, me ka hoʻohana ʻana i ʻekolu mau ʻāʻī cannulated, FNS (Femoral Neck System), a me nā ʻāʻī ʻāʻī ikaika, ke manaʻo nei e pale i ka varus neck femoral a hāʻawi i ka compression axial e pale i ka nonunion. Eia nō naʻe, ʻo ka hoʻopaʻa ʻole ʻana a i ʻole ka nui o ka hoʻopiʻi ʻana e alakaʻi i ka pōkole ʻāʻī femoral. Ma muli o kēia, ua manaʻo ka poʻe loea mai ka Halemai o nā kānaka ʻelua i hui pū ʻia me Fujian University of Traditional Chinese Medicine, e noʻonoʻo ana i ke koʻikoʻi o ka lōʻihi o ka ʻāʻī o ka ʻāʻī i ka hoʻōla ʻana a me ka hana ʻūhā, ua manaʻo ʻia e hoʻohana i ka "anti-shortening screw" i hui pū me FNS no ka hoʻoponopono ʻana i ka ʻāʻī o ka femoral. Ua hōʻike kēia ala i nā hopena hoʻohiki, a ua paʻi ʻia ka noiʻi ma ka pukana hou loa o ka puke pai Orthopedic Surgery.
Hōʻike ka ʻatikala i ʻelua mau ʻano "anti-shortening screws": ʻo kekahi he wili cannulated maʻamau a ʻo kekahi he wili me kahi hoʻolālā ʻelua-wili. Ma loko o nā hihia he 53 i loko o ka hui anti-shortening screw, 4 wale nō mau hihia i hoʻohana i ka wili ʻelua. Hoʻoulu kēia i ka nīnau inā he hopena anti-shortening ka wili cannulated partially threaded.
I ka nānā ʻia ʻana o nā wili cannulated ʻāpana ʻāpana a me nā wili lua-wili a hoʻohālikelike ʻia me ka hoʻoponopono kūloko FNS kuʻuna, ua hōʻike nā hopena i ka haʻahaʻa o ke kiʻekiʻe o ka puʻupuʻu anti-shortening screw i haʻahaʻa loa ma mua o ka hui FNS kuʻuna ma ka 1-mahina, 3-mahina, a me 1-makahiki hahai-helu helu, me ka helu helu. Ke hāpai nei kēia i ka nīnau: ʻO ka hopena ma muli o ka wili cannulated maʻamau a i ʻole ka wili ʻelua?
Hōʻike ka ʻatikala i nā hihia 5 e pili ana i nā wili anti-shortening, a ma ka nānā ʻana, hiki ke ʻike ʻia ma nā hihia 2 a me 3, kahi i hoʻohana ʻia ai nā ʻūlū cannulated ʻāpana, ua ʻike ʻia ka hoʻihoʻi ʻana a me ka pōkole (nā kiʻi i hōʻailona ʻia me ka helu like me ka hihia like).
Ma muli o nā kiʻi hihia, ʻike maopopo ʻia ka maikaʻi o ka wili lua-wili i ka pale ʻana i ka pōkole. E pili ana i nā wili cannulated, ʻaʻole hāʻawi ka ʻatikala i kahi hui hoʻohālikelike ʻokoʻa no lākou. Eia nō naʻe, hāʻawi ka ʻatikala i kahi hiʻohiʻona koʻikoʻi e pili ana i ka hoʻopaʻa ʻana i loko o ka ʻāʻī femoral, e hoʻoikaika ana i ka pono o ka mālama ʻana i ka lōʻihi o ka ʻāʻī femoral.
Ka manawa hoʻouna: Sep-06-2024
