Ko te totohu pūpahi ārai mate kiri tōpua he tikanga pai mō te hauora i ngā whati o ngā kōiwi. Ko te tikanga he whakauru i ngā pou taraiwa, maroke hoki ki te pokapū wāwahi o te kōiwi kia pakari ai te whati e hauora ana. Engari he kaha aua pou, ka whakakīia hoki ki ngā mea rahi pea pērā i te titanium, i te tēlika inuani, kia kaua ai e whati pea mua i te hauora tonu. Heoi anō, he kaha aua pou kia kaua ai te taumaha o te kōiwi e tapa i te hawhe. Kei te mahi tino pai tēnei rongoā mō ngā whati o ngā kōiwi roa pērā i te femur, i te tibia, kia pakari ai, kia tika ai te takotoranga kia rerekē ai te hauora.
Ko te whakapātata i roto i te kōiwi e aki ai ngā kōiwi pakaru, kia houa tika. Ina pakaru tētahi kōiwi, ka ririhau pea, ā, ka tīmata te houinga mua i te mōhio ki a koe. Ko te tikanga he iti noa ngā torehenga e tata ana ki te wāhi i pakaru ai, ka whakaurua ai ngā kōiwi, ka fafast. He pērā te pū o ngā kōiwi, ā, he iti noa te nuinga o te nekeneke e āwhina ana i te houinga. Ki te tīmata te kōiwi ki te tipu tahi anō, ko ngā kōiwi hei tapaumu matua i roto, e pupuri ana i ngā mea katoa ki te wāhi tika. He iti ake te pā ki tēnei tikanga i ngā atamira whānui ake, arā, ka hou haere ngā rāwarawa me ngā hua pai ake.
Hokohoko MĀ TĀTOU KORERO Ko Aoye e whai katoa ana i ngā momo totohu waewae kōpiko mō te tāpoi hauropi me ngā hoahoa rereke, me ngā matapae rereke hoki. Ko ō maatau hua kua hangaia ki te kounga, ki te pono hoki, ā, ko te mahi pai rawa atu ka whakarārangitia mō te tiaki i ngā rīhi katoa. Mā roto i te whānui o ngā rahi, o ngā matapae, tae atu hoki ki ngā kōwhiringa motuhake mō ētahi here, ka taea e tā maatau kōwhiringa hokohoko te whakatutuki i te haerenga whānui o ngā hiahia hauora. Mā te mahi tahi me Aoye, ka māia ngā whakaritenga hauora ki te whakautu e tino pai ana, e tino āhua ana hoki ki ngā here waewae mā te totohu waewae kōpiko. Ko tā maatau whakapā atu ki te ao hou, ki te kounga, me te urupare anō ki ngā hiahia a ō maatau kaihoko e hāngai ai i A.L.U.M.A.™ hei tahi o ngā kaiwhakarato mātārangi i te ao mō ngā tikanga tiaki here taonga hauropi.
I te whakahaere i ngā whati o te kōiwi mokopuna, ko te nailing intramedullary pūmahara kaukau (ESIN) he arataki whānui, ā, he tino hua. Ko te ESIN te whakauru i tētahi rīpene maroke ki roto i te kōiwi kia tu ai pea i te wā e houhia ana. E hia ngā tikanga e whakamahia ana e ngā kiruriri orthopedic hei mahi i te ESIN, ā, kei tēnā, kei tēnā tōna anuanu. Ko tētahi o ēnei tikanga ko te ara retrograde, arā, ko te whakauru i ngā rīpene mai i te mutunga takotoranga o te whati. Ka tuku tēnei tikanga i te whakahaere me te pono ake i te mahi. Tētahi atu tikanga ko te tikanga antegrade i whakaurua ai ngā rīpene i te taha kotahi kei reira te whati. Whakamahia tēnei tikanga mō ngā whati e noho ana i te mutunga o ngā kōiwi. Heoi anō, ko te tikanga pai rawa atu mo te ESIN e hāngai ana ki ngā āhuatanga o te whati, me ngā āhuatanga hoki o te nuinga.
E whai pikinga mōrearea ana a ESIN mō ngā ririhau pēpi me ngā here. Ko tētahi o ana painga matua ko te āheinga ki te whakangao i te wā kotahi, e aukati ai i te pānga ki te wehi me te iti ake i te wā e hiahiatia ana mō te hoki. Ka taea hoki e ESIN te pupuri pakari i ngā here, me te pikinga iti ki ngā raruraru, pērā i te here kore tika, i te kore hononga. Anō hoki, he iti ake te whakauru a ESIN i te arataki tūmatanui, ā, he iti ake hoki te mamae me ngā totohu mata. Hei huatau rawa mō ngā tamariki tēnei, nā te mea ka iti ake pea te awe, ā, ka pai ake te wheako whakaora. I ngā mea katoa, he ara haumaru, he ara hua (efficacious) hoki a ESIN hei whakaora i ngā here whenua tamariki, nā te mea e whai anuanuenga maha ana mō te oranga o ngā ririhau me ngā rongoā.