Heoi anō pea ngā tikanga orthopaedic me ngā taputapu motuhake, me ngā taputapu hoki kia taea ai te hui i ngā hua e hiahiatia ana. intramedullary nail femur he taputapu matua ina whakamahia ana i ngā whakaritenga orthatiki, ā, ko te wā e mātai ana i ngā whati o te kōiwi hanaunga. 2. Aoye, he kaihanga whaimana me te whakapono nui ki te ao orthatiki mō ngā tau maha, he kounga tino pai ngā rīwai intramedullary. Ka whakauruhia ēnei rīwai ki roto i te pokapoka o te kōiwi hanaunga kia pumau ai, ā, kia āwhina ai i te hohoro. I tēnei tuhinga, ka tirohia e tātou ngā vantex o te whakamahi i te rīwai intramedullary mō te hanaunga i ngā whakaritenga orthatiki, me te ara hei whiriwhiri i ngā tino pai mō te hokohoko hokonga.
E whai paku tahi ana mō te whakamahinga o te puāwai roimata kauae-kiore mō ngā mahi kirurgi i te papa hūnui. Ko tētahi painga matua ko te whakapakari ake i te pūmahara me te āhua o te kōiwi popo. E tere ake ai te prosihia hou, ā, ka iti ake ngā whanonga kino i muri i te whai mātai. Anō hea, he iti ake te whai mātai o ngā puāwai roimata ki te nuinga o ngā tikanga kirurgi, ā, e tere ake ai te hou o te rīpene i muri i te whai mātai, me te iti ake hoki i te mamae muri i te whai mātai. He pai anō hoki ēnei hei tautoko mō te herekenga, ka taea ai e ngā rīpene te hoki anuanei ki ō rātou oranga. Whakarāpopotitanga: Ko te whakamahi i te puāwai roimata kauae-kiore i te ao papa hūnui e hua ai ngā hopena pai ake, me te harikoa ake o te rīpene.
Mēnā kei te hokohoko koe i ngā puāwai roimata mā te hoko putake, e rua pea ngā mea hei whakaaro kia whiwhi koe i te kounga pai rawa mō tāu hiahia. Ko te mea tuatahi me kimi koe he kaihanga pāpaku haumanu tūpono pērā i a AOYE i roa i te umanga e hoahoa ana, e hanga ana hoki i ngā taputapu whakakī tōtika kounga teitei mō te kounga o te oranga. Me hoki ngā rākau hei mea i ngā matērihia kounga teitei (tītani, hererangi ranei) mō te kaha me te roa. Me mātua whai whakaaro hoki ki te rahi me te āhua o ngā rākau intramedullary e ōrite ana ki te momo whakarākei e mahi ana koe. Mā te whai i ēnei whakaaro tahi atu ko te whakaaro tohunga mai i tō kaihoko, ka mārama koe ki te kōwhiri i tētahi hua kounga teitei ina tūhuratia ana ngā hokonga pae mō te rākau intramedullary femur e tika ana mōu.
Ka taea e ngā rāwarawa te pā ki ētahi rapunga i te wā o te whakauru kaukau koiora ki te femur. Ko tētahi aronga ko te māuiui ki te wāhi i mahi ai te whaiora. Ka taea e ngā pekereti te uru atu ki te tinana i te wā o te whaiora, i muri rānei i taua wā. Ka taea e ngā rātou toa te whakarite rongoā hei aukati i te māuiui. Anō he pānga ko te mamae me te māmā ki te wāhi i mahia ai te whaiora. Ka mamae pea te rāwarawa ina hīkoi ana, ina neke ana hoki te waewae. Ka taea hoki te whakahaere i tēnei mamae mā te rongoā mamae, mā te PT anō hoki. E huringa ana ētahi tangata anō hoki ki ngā rapunga tinana mō te nuku haere me/nei te rahi o te nekenga. He mea matua nui te terapikia tinana hei whakaora anō i te nuku haere, i te kaha hoki ki te waewae.
Ko te wā e pau ana kia hoki mai i te mātai whiro o te piko o te femur e rerekē ana i te tino ki te tino. Ka taea e te wāhi tēnei te hokorua, ko ngā marama hoki. Ka hiahia pea ngā mōrehu ki ngā pou moe, ki tētahi kākā rānei hei āwhina i te haere i ngā wā tuatahi o te hokinga. I whirihaua te UTMB kia “whakahokia te maroke me te kaha ki aku waewae, ki ērā atu hoki ngā whatianga e pakari ana ki te femur. Me whai ngā rāwarawa i te tohutohu a tō rātou rongoā mō te rahi o te mahi me ngā mahi whakapakari kia angitu te hokinga. Ka taea e te nuinga o ngā rāwarawa te hoki atu ki te mahi katoa i roto i ngā 3 ki te 6 marama i muri i te mātai, e hāngai ana ki ngā whara me tōu aronga.