Ko Aoye he kamupene e here ana ki te tuku hokohoko huinga tuarangi retrograde. Ko ēnei rongoā hei āwhina i ngā kaimahi hauora kia tika te whakatutukitanga o ngā whati o te kōiwi poka. Ko te mātai retrograde femoral he pou mētara e whakauruhia ana ki te kōiwi poka mai i raro i te puka, hei āwhina i te kōiwi whati kia pūmau me te tautoko i te wā o te houhonga. Tāua ngā huinga retrograde femoral nailing kounga teitei: Ingoa Huinga Retrograde Femoral Kounga Teitei Tiwhikete CE/ISO Mātai Titanium /Stainless Steel Roa 160mm-260mm Anuanutanga: Māmā & Pakari Ka hanga tāua i te tauwāhi katoa o ngā punaha huinga retrograde femoral kia ōrite ki ngā herekenga a ngā tohunga hauora me ō rātou rāwarawa.
Ko te takotoranga hē o te rākau he rarangi noa i ngā mahi whakapōkai pūnaha ki te rākau. Mā te takotoranga hē o te rākau ki roto i te femur ka puta ai te kore whakauru me te māuiui. Me pēhea mātou e arahi ai i tēnei rarangi? HĀTEPAHIA Me pēhea mātou e wehe ai i te hiahia ki te tango i te rākau? matatau ki te whakatakoto me te whakatinana i te tikanga, te whakaputanga i te rākau ki te wāhi tika – ki te wāhi ka tautoko ai me te whakapapa ai anō. Tohunga Tibia Intramedullary Nail
Ko te pakaru o te rāpaki he raru hoki mō te nāhi whakauru ki te pūnaha tuarangi. Ka taea tēnei kaupapa kia pakaru te rāpaki i te pānga nui, i te hapa rānei i te rāpaki. Kia kaua ai te rāpaki e pakaru ana, me whai pūnaha nā Aoye hei whakauru i te rāpaki ki te pūnaha tuarangi pai kounga. Ka āwhina koe ki te mōhio kei te kaha ake ēnei, nō reira kaore he raru pakaru i te wā e hōpü ana i tō wheronga. Ko te Takotoranga Matua o te Ripa Karuwha Intramedullary
Ākene hoki te patua o ngā whatua me ngā kōrohirohi i te wā e whakauru ana i te rāpaki ki te pūnaha tuarangi mēnā kāore ngā āhuatanga e whakahaeretia ana me te arataki. Kia kaua ai ngā raru e hua mai ana i te wā o te mahi kirurgi e whakamahia ana te rīma me te pito, me mōhio te kairātahi ki te takotoranga o te pūnaha tuarangi me ōna wāhi e pā ana. Mā te pūnaha whakauru rāpaki tuarangi no Aoye e mōhiotia ana, ka mōhio ngā rātou kairātahi kei te hoatu e rātou te tiaki pai rawa atu mō ō rātou rāwarawa, ā, ka iti ake te aronga o ngā raru. Ko te Takotoranga Matua o te Ripa Karuwha Intramedullary
Ko te tohu tuarangi (retrograde femoral nailing) he tikanga mātai mō te whakaora i ngā whati o te hipi me ngā kōiwi o te waewae (femur). Ko te poutōrino he poutaha metara ka uru ki te pokapoka o te kōiwi waewae (femur) hei āki ai, hei tautoko hoki i te kōiwi whati ake e maroke ana. Ka uru te poutōrino ki te tibia trūia te wāhi iti ki te tarau, ka whakauruhia ki roto i te kōiwi ki te wāhi e noho ana te mate. Ki te uru kē ana, ka mahi te poutōrino hei tika ake te kōiwi, hei maroke hoki pai ake. Ka meatia tēnei i ētahi wā ina he nui te whati ake, ā, e kore e taea te whakaora mā ētahi atu tikanga—pērā i te karapoti, i te pouaka rānei.
Ko ngā huarahi rerehua kei te wātea hei whakatinana i te tohuokanga tuarangi o te femoral ā, he mea tōaitanga ngā huara e ōrite ana. Ko tētahi o ngā huarahi mōrearea ko te āhuatanga o te whakarewa kati i te wā e whakauru ana te pakitara ka tūhonoa, ka tūhertia rānei te whatukuhā. He iti ake te pānga o tēnei tikanga, ā, ka pēpiha ake te wā whakahou o te nuinga. Ko tētahi atu huarahi ko te whakamahi i ngā torikawa poukai e āwhina ana i te pou e mau ai, kia kaua e neke haeretia ina hōhonu ana te upoko. Mā konei ka pakari ake te take mo te nuinga, ā, ka pai ake te putanga o muri. sete Inihini mō te Papaku Toto 5.5 & 6.0mm