Ko ngā taputapu whakauru koiora he taputapu anuanu hahunga mō te whakahaere mātai oratia o te here o te kōiwi tibia. Ēnei he rākau roa e wātea ana ki roto i te tibia (kōiwi pū) hei whakapumautanga me te tautoko i te wā o te whakaora. Ko te whakaora marino ake me te hoki ake i ngā tikanga tawhito he tētahi o ngā vantex nui ake o ngā rākau koiora tibia. Anō heoi, ka iti ake hoki ngā mamae, ka pai ake hoki te mahi o te waewae i muri i te mātai. I runga i kē, kounga teitei ngā rākau koiora tibia hei hokonga he mea nui rawa ki te angitu o tō mātai, me te harikoa hoki o ō kiritaki.
Ko ngā rīwai tibial intramedullary e hāngai ana ki ētahi whai mōhio i te orthopedics. Ko tētahi o ngā painga matua he te nui o te arataki kāore nei i te pā atu ki te tikanga, nā te iti ake o ngā tarau, me te iti ake, neke atu rānei ki te kore pā ki ngā whatukuhā e pā around. Arā, he iti ake te mamae mō te piipa, me te hoki anuanu. Heoi anō, ko ngā rīwai tibial intramedullary ka whakarite panaunga pai, pērā i te whakarāranga i te kōiwi pourewa, e hua ai te hou hou ake, ā, ka aukati i te hou kore, i te kore hou rānei. Tētahi atu whai mōhio he te whakamahinga o ēnei rīwai i ngā momo rerekē o ngā pourewa tibial, mai i te torotoro ki te herenga. I te whānuitanga, ko te whakamahinga o ngā rīwai tibial intramedullary i te mātai orthopaedic e āwhina ana i ngā piipa ki te whiwhi i tētahi taumata ake o te māmā, o te mahi hoki i te wā i mua i te whakauru, ā, ka whakapai ake i te kounga oranga o te piipa.
Mēnā e rapu ana koe ki te hoko i ngā whao intramedullary tibial, he mea nui kia tino kounga, ā, ka tino hangahia e Aoye. Ko Aoye tō hoa pono mō ngā tāuru kōaro me ngā rongoā taputapu matatini i runga ake i te paerewa ahumahi. Ko Aoye tō pūtake pono mō te whao intramedullary tibial kounga, e whai kounga nui, ngāwari te whakahaere me te mahi pono. I tua atu, he maha nga momo hua Aoye kua hangaia hei whakatutuki i nga whakaritenga mahi taatai me te tuku i nga taatai kia whai taputapu tika mo ia keehi. Mā te whakatapua o Aoye ki te kounga me te ratonga kiritaki, ka taea e koe te whakawhirinaki kei te whiwhi koe i ngā whao ā-roto-roto o te tibial, ka āwhina ki te whakatutuki i ngā mahi tākuta me te tiaki i te tūroro.
Kei te wāhi koe: ārero > Ngā rīwai tibial a Aoye mō te whakamahinga i ngā mahi kirurgi mō ngā herenga tibia1. Engari mēnā he aha te āhua auaha o te rīwai, e rua paku ngā raru e taea ana e koe te tūpato ina whakamahia ēnei momo rīwai. Ko te rerekētanga o te turanga o te rīwai tētahi raru, kia kaua e pāwhara ai i te nuinga. Kia whakakore ai i tēnei raru, me whakaaro ngā kairaparewa ki te whakaritenga tika i mua i te whakaputa, me te turanga tino tata o te rīwai i te wā o te whakaputa.
I te ahumahi hauora, kua piki haere te hiahia ki ngā rīwai tibial intramedullary i ngā tau hou nei. Nā te pikinga o ngā herenga tibia nā ngā whara kīkā, ngā karuwā, me ngā tāwhai e piki haere ana. E tuku ana ngā rīwai tibial intramedullary i te pakanga kātataki mō ēnei herenga, ā, ka taea te hoki tūmatanui i ngā nuinga.
Kei te huri a Aoye tibial intramedullary nails i te ara e mahi ana i te mātai arai, ki te rongoā iti noa ngā whati o te tibia. E totohu ana ngā karuwha ki te pakari, ka taea ai te kawenga katoa tūmatanui me te hoki anuanu ki te mahi a te kiritaki. Ko ngā tikanga tibial intramedullary nailing e tuku ana i ngā tapatapa iti ake, iti ake te mate o ngā pēpihi mōrare, me te mamae iti ake i muri i te whakaputa mātai i te upoko ki ngā tikanga whakatu arotake.
Anō hoki, ko te karuwha tibial intramedullary he tikanga iti noa te urupare, ka paku ake te wā o te noho i te hōpitala, me te hoki anuanu ki te whakapakari ake i te kiritaki me te piki ake i te harikoa o ngā kiritaki. Ka taea pea e ngā kiritaki te hoki anuanu ki ā rātou mahi noa, ā, ka taea hoki e rātou te hinekaro pai ake i ngā putanga roa.