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 ʻana o ka tibial metaphyseal
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 wili 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 ai i ka hōʻino ʻana i nā ʻiʻo palupalu koʻikoʻi e like me nā tendons a hoʻomaikaʻi i ka paʻa 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: komo pū i ka lumi 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 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, ʻano maʻalahi, hoʻōla wikiwiki ʻana, hoʻōla kiʻekiʻe, hoʻomaʻamaʻa hana mua ma hope o ke ʻoki ʻana.
