Pūnaehana Nail Intramedullary Tibia
Hoʻopau Kāpena
Pili 5.0 Kaulua
Pūnaehana Nail Laka
Māhele 4.5 kaula lua
ʻōnaehana nail laka
Nā hōʻailona
Haʻihaʻi ʻo Tibia
ʻO ka haʻihaʻi metaphyseal tibial
ʻAha ʻāpana tibial plateau intra-articular fracture
A me nā haʻihaʻi intra-articular o ka tibia distal
ʻO ka hoʻolālā ʻana o ka lua locking screw multi-planar ma ka hope proximal o ka nail nui, i hui pū ʻia me ka iwi iwi cancellous kūikawā, hāʻawi iā ia i ka "angular stability", e hoʻokō i nā koi no ka hoʻoponopono ʻana i ka iwi cancellous proximal o ka tibia, ikaika paʻa ikaika.
ʻO ka hoʻolālā hole i hoʻopaʻa ʻia e pale aku i ka nail laka mai ka puka ʻana a hoʻonui i ka hilinaʻi o ka hoʻoponopono.
Hāʻawi ka hoʻolālā puka laka ultra-distal i kahi laulā hoʻoponopono ākea.
Hoʻokomo ʻia ka nail paʻa mamao loa ma kahi kihi e pale aku i ka hōʻino ʻana i nā ʻiʻo palupalu koʻikoʻi e like me nā tendons a hoʻomaikaʻi i ke kūpaʻa o ka hoʻoponopono ʻana.
Nā mea kani
hihia
Nā Manaʻo Lapaʻau
ʻO ka ʻokoʻa ma waena o nā ʻokiʻoki
ʻO ke ala ʻo Parapatella: E hana i kahi ʻoki ʻoki ma ka ʻaoʻao o ka patella medial, e ʻoki i ke kāʻei kākoʻo patellar, a komo i ka lua hui.Pono kēia ʻano ʻokiʻoki i ka subluxation o ka patella.
ʻO ka hoʻokokoke suprapatellar: e komo pū i ka wahi hui no ka hana, aia ka ʻoki ʻoki ma ka patella kokoke i ka patella, a komo ka nail intramedullary ma waena o ka patella a me ka internodal groove.
ʻO ke kolu o ke kaʻina hana, e like me ka mea mua, hiki ke ʻoki ʻia i loko a i waho paha o ka patella, ʻo ka ʻokoʻa wale nō ʻaʻole ia e komo i ka lua hui.
ʻO ke ala infrapatellar
Ua manaʻo mua ʻia ia ma Kelemania i ka makahiki 1940 a ua lilo i ke kaʻina hana maʻamau no ka tibial intramedullary nails no nā tibial fractures.
ʻO kona mau hiʻohiʻona: liʻiliʻi invasive, ala maʻalahi, hoʻōla wikiwiki, hoʻōla kiʻekiʻe, hoʻomaʻamaʻa hana mua ma hope o ke ʻoki.
