I ngā whakapainga o te tibia, kei te kōwhiringa matua ko te intramedullary interlocking tibia. Ko tēnei taputapu hauora hōu i hangaia e Aoye, he mea nui rawa atu ina hiahiatia koe e tere ana, ā, he pūnoa hoki hei āwhina i te hoki ki te noho pai i ngā whati o te kākā wāewae. Ā, āta tirohia ake ai te take i te whiriwhiri ki te intramedullary interlocking nail tibia mō te whakapainga hei kōwhiringa pai, me pēhea hoki te whai hua o te hoki ki te noho pai. Taputapu Oratopa tibia. Ko tēnei taputapu hauora hōu i hangaia e Aoye, he mea nui rawa atu ina hiahiatia koe e tere ana, ā, he pūnoa hoki hei āwhina i te hoki ki te noho pai i ngā whati o te kākā wāewae. Ā, āta tirohia ake ai te take i te whiriwhiri ki te intramedullary interlocking nail tibia mō te whakapainga hei kōwhiringa pai, me pēhea hoki te whai hua o te hoki ki te noho pai.
Ko te tūponotanga mō te tibia pakaru he mea nui. Ko tētahi o ngā take e whakamahia ana e ngā tohunga hauora te tōpene tibia intramedullary arataki, nā te mea he mea tino āhuatia ki te tūponotanga me te tautoko i muri i te whai ora. Ka taea e ngā kaiwhaiora te whakapono kua pupuri ngā waipu o te kōiwi ki te takiwā tika mō te whaiora, mā te whakauru i te tōpene ki roto i te wāhi pōrohu ki te pokapū o te tibia. Kātahi ka heke ki tētahi āhuatanga atu, arā ko te 'arataki' o te tōpene, nō reira e kīa ana kāore e taea e te kōiwi te rorohiko, ka iti ake te mamae ki te tuākana i te wā o te whaiora i ngā take tuturu. Ko tēnei tikanga whakapaeumu ki roto me te tōpene tibia intramedullary arataki e hāngai ana ki te haere tere ake i te whaiora, me te itinga o te putanga o te herekanga hē/kore herekanga. Anō, ko tēnei tikanga he mea iti noa te whai oranga, arā he iti ake ngā karanga, iti ake te patunga ki ngā whatukuhā, me te wā tere ake hoki mō te whaiora mō ngā tuākana tēnā i te whaiora takotoranga.
I whakaatu te whāinga o te whakamahinga i te ingoa tibia intramedullary huinga-ki-te-tihi i ngā mahi mātai mō ngā rongoā e pā ana ki ngā herekau o te tibia. Mā te pakanga pakanga roto, ka taea e te ingoa te whakawhitinga i te wā kotahi me te tautoko kāmuana kia kore ai te rewharewha o ngā kāmuana me te pūpahi o ngā tuanui. Ko tēnei hokinga marie atu ki te noho tikangia e āwhina ai i te hoki marie ake, me ngā putanga hoki pai ake mō ngā rongoā. Anō, ko te hoahoa o te ingoa huinga-ki-te-tihi e āraite ana ki te hauora o te kiko, arā, ko te tohatoha toto ki te kōiwi pourewa e mau ana, ā, he aha anō te whanaketanga o te kōiwi hou (callus). Kei te āwhina tēnei ariā bioloikī i te hauora, i te wā e pēhi ana i te wa roa e huinga ai te kōiwi. I te mutunga, ko te ingoa intramedullary huinga-ki-te-tihi - tibia he kōwhiringa tūpono mō ngā kaiwhakarongo i rapu ai i te hua pai rawa atu ina rongoā ana i ngā herekau o te tibia, ā, hei whakapai ake i te kounga o te oranga o ngā rongoā.
Ina e pa ana ki te whakauru i te ingoī tibia intramedullary, kei ētahi aratohu e me mātua āta whai mā ngā kaimahi hauora kia pūmau ai te angitu. Ko tētahi waewae matua ko te āta whakamātau i te rāwarawa, ka whakatau ai menā he tika tēnei momo mātauranga mōna. E mahia ana tēnei mā roto i ngā tātari tinana katoa, pērā i ngā tātari whakaahua kia mōhio ai ki te rahinga o te mate, me te mātauranga e tika ana.
Ko tētahi waewae nui atu ko te whakaritenga pai o te whakaurunga i mua i te whakamahi i te ingoī. Me whiriwhiri i te roa tika, me te momo ingoī mō te anatomi takitahi o te rāwarawa, me te aronga o te mate. Heoi anō hoki te wāhi tika, me te āhuatanga o te ingoī hei pupuri i te pūmahara, me te āwhina i te hauora. E whakarārearangia ana ngā kaiwhiriporo kia whai i ō rātou aratohu mōhiotia, me ngā tikanga kia iti ake ai ngā take pouri mō te hua pai rawa.
Mō ngā whanaketanga hou hake i ngā rīwai tibia intramedullary interlocking, kua oti kē ētahi whanaketanga nui ka whakapakari ake i te mōhio me te haumātao o tēnei momo mātai. Ko tētahi whakarerekenga hou e pā ana ki ngā rīwai he rīwai titanium e kaha ake ana me te haurua noa o te taumaha o ngā rīwai stainless steel e whakamahia ana ināianei. E whakapai ake nei tēnei i te pakanga me te iti ake ngā tūponotanga o te taka o te paraihe.
Mō ngā kōwhiringa iti utu atu mō ngā rīwai tibia intramedullary interlocking, ka taea e ngā hōhipera te whakamahi i ētahi aronga hei whakaiti i ngā utu kaua ko te kounga o te tiaki. Ko tētahi whai wāhi noa ko te whakaritenga i te ara e whakamahia ai ētahi rīwai rahi, āhuatanga rānei e rite ana mā roto i ētahi tikanga, e tuku tāpiritanga ōrite i ngā utu mā te māmā o te whakahaere taonga. He mea anō mō ngā mōhini kia whakawhirinaki i ngā utu toharā mai i ngā kaihautū, kaihanga rānei, e āwhina ai pea ki te whakaiti i ngā utu hokohoko me te utu hoki o tēnei mātai ki te mōhini.