Te Aoye Ilizarov external fixator he taputapu hei āwhina i te whakaora i ngā kōiwi pēpēhi. Hui atu ngā wāhanga maha e mahi ana hei tautoko me te whakapumautanga a te kōiwi e hou ana. Mātai tātou i ētahi atu mātauranga mō ngā huanga o te whakamahinga i te kākahu a Ilizarov me ngā matūriki o te kounga teitei e whakamahia ana ki tōna whakamahinga.
Ko te kākahu a Ilizarov he taputapu e whai paku mōhio ana, nō reira ko te tikanga e pīrangi ana ngā rongoā ki te whakatika i ngā whati o ngā kōiwi. Ko tētahi anonga o tēnei, ko te tika o te raranga o te kōiwi e taea ana te whakarerekē pakanga. Arā pea, e taea ana e ngā rongoā te whakarerekē i te taputapu pakanga i te wā o te hauora kia tika ai te hauora o te kōiwi. Āe rānei, he whanonga whānui te Ilizarov mō ngā mate kōiwi mai i ngā whati noa ake ki ngā āhua herenga herenga. Tae atu ki te pānga o te kore pēhi, te pānga ranei, ka pai ai mō ngā kaiwhiripori orthopedic. Anō hoki, kua whakaatuia ko te Ilizarov e hauora ana i te kōiwi mā te aronga e kiia nei ko te distraction osteogenesis. I te wā, ka pāngia te hāere o te kōiwi hou e wehe ana i ngā taha e rua o te kōiwi kua wehea, ā, ka taea te kōiwi hou te hāere i waenganui i ēra. Mā tēnei tikanga takitahi e āki ai ngā putanga angitu mō ngā whati kōiwi uaua.
Ko ngā matēriera koukī te whakamahia e te kaiwhakarāpopotonga ā-waho Ilizarov mō te pūmahara pūmau me te whakapono. Ko tētahi huinga tino nui o te kaiwhakarāpopotonga ko ngā porowhita stiniti tēlā he kore pakaru, he marino hoki ki te koroi. E mahi ana ēnei porowhita hei kāreta hei pupuri i te kōiwi, ā, i hangaia rātou kia pakari ki ngā kaha e tika ana i te wā o te hauora. Anō hoki, ko ngā pou e whakamahia ana i te kaiwhakarāpopotonga i hangaia mai i te paratā koukī he mama, he pakari hoki. Ko te takotoranga o ngā matēriera e āwhina ana kia pakari, ā, ka māmā ake te taumaha o te punaha Ilizarov kia taea e te nuinga te noho. I tua atu, ko ngā pereti me ngā harareka o te kaiwhakarāpopotonga i hangaia mai i ngā matēriera mataora e taea ai te whakauru. Kua whiriwhiria ēnei matēriera e taea ai te urupare ki te mate, ā, kia nui ake ai te wāhi mō te hauora o te kōiwi. Mā ngā matēriera koukī e whakamahia ana i te hanga i ana taputapu, ka tiakina e Aoye kia rite tonu te noho whakangāhau, te tiaki hoki mō ngā nuinga i tō rātou wā hauora.
Ko te tapa Ilizarov he kākahu ā-waho e whakamahia ana mō te whakaora i ngā whati o ngā kōiwi. Hangaia e ngā porowhita metara, ngā aho me ngā pini e pangia ana ki te roa o te waewae o te rata. Kei te huinga ngā porowhita ki tētahi atu ki ngā pou e taea ana te whakarerekē, mō te whakahaere tika i te tūnga me te āhuatanga o ngā kōiwi. Ko te mahi o tēnei ko te pupuri i ngā kōiwi whati ki te tūnga tūmau, pērā i te whakaoranga mā te whanake kōiwi, e timata ana mā te takotoranga hautau.
I te takotoranga hautau, ka wātea mai i waho i ngā wāhanga kōiwi e rua te tikanga Ilizarov. Ka aroha tēnei i te tinana ki te whanaketanga i ngā rongoā hou me te kapi i te wāhi, ka hangaia te whakaoranga kōiwi. Ko te kākahu ka tukuna hoki i te tautoko, e pupuri ana i ngā kōiwi ki te tūnga tika ake i te wā e whakaorangia ana kia kore ai e tipu te āhua kino me ngā rapunga.
Mō te roa o te wā e hiahia koe ki te kākahu, ka tuarangitia te rarahi o tō whati me te pono o te whakaoranga o ō kōiwi. Ko ngā rata e hiahia ana ki te whakamahi i te tapa mō ētahi wiki ki ētahi marama.
Kia tino pai ai ngā hua ka whakamahia te kākahu a Ilizarov, me ākiaki i ngā tohutohu a tō ratai. Ko te whakarite kia paro te kākahu, kia maroke hoki, kaua e uta ki te waewae i pa ana, me ngā wā tuhinga mō te whakaritenga me te mataara. Ka taea hoki te whakarato i te maimoatanga tinana, kia āwhina i te nukunuku me te kaha o te waewae i pa ana.
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