ʻO ke kiʻi i hōʻike ʻia ma ka ʻōnaehana hoʻopaʻa ʻole

Pūnaehana Uila Paʻa ʻole

ʻO ka wehewehe pōkole:

Hiki ke hoʻohana pū ʻia ʻo Locking Screw me ka pā paʻa e hoʻokō i ka hopena o ka hoʻoponopono ʻana i ka haki.Ua hoʻolālā ʻia e hāʻawi i nā mea lapaʻau a me nā maʻi me kahi implant kūpono.Hiki ke kōkua ka implant i kūpono i ka hōʻemi ʻana i ka OR-manawa ma ka hōʻemi ʻana i ka pono e kulou i ka pā, a hiki ke kōkua i ka hōʻemi ʻana i ka haʻihaʻi malalignment a me ka ʻike ʻana o ka ʻiʻo palupalu.

E hoʻouna i ka leka uila iā mākou Hoʻoiho ma ke ʻano he PDF

Huahana Huahana

Nā kikoʻī o nā huahana

Hana ʻia ia me nā mea TC4.
ʻO ke ʻano o nā wili he HA iwi iwi iwi, HB cancellous iwi wili a me HC locking screw.Loaʻa nā wili HB i ka milo piha a me ka hapalua.
Loaʻa i nā ʻuliki o nā ʻano nui nā mea hana ʻoki like ʻole.
Nui o HA: Φ2.0, Φ2.5,Φ2.7, Φ3.5, Φ4,5
Nui o HB;Φ4.0 piha, Φ4.0 hapalua, Φ6.5 piha, Φ6.5 hapalua

Nā Manaʻo Lapaʻau

Hoʻohana ʻia nā wili cortical maʻamau no nā iwi diaphyseal, me ke poʻo like (3.5 + 4.5) a me nā kaula asymmetrical.
Hoʻohana ʻia nā wili iwi cancellous maʻamau no ka metaphysis a i ʻole epiphysis, me ke anawaena nui o waho a me ke kaula hohonu.
He ʻelua ʻāpana mechanical ka ʻenehana lag screw: 1 ke kaha pōʻai (friction force) ma ke kaula, 2 ka ikaika axial i ka wā e hoʻopaʻa ai, ʻo ka wīwī a i ʻole ka lua hoʻoheheʻe e hiki ai ke huki ʻia ka poloka nahā contralateral i ke poʻo wili.

Ka hoʻokaʻawale ʻana o nā wili

ʻO ka wili cortical maʻamau, no ka iwi diaphyseal, ke poʻo like ʻole, ke kaula asymmetrical.
ʻO ka wili iwi cancellous maʻamau, hoʻohana ʻia no ka metaphysis a i ʻole ka epiphysis, ke anawaena nui o waho, ke kaula hohonu.

Nā wili kūikawā ʻē aʻe
1. ʻO ka wili maloʻo, ka wili liʻiliʻi ma waena o ka iwi a me ka pā
2.ʻO ka laka paʻa, ke poʻo a me ka paʻa ʻana o ka pā (kiʻi paʻa)
3. ʻO Schanz screw, hoʻohana ʻia no ka bracket fixation waho