He maha ngā wā e hiahiatia ana te tapahi me te whakapiri ā-roto mō ngā whati o te pona o roto, mā te whakapiri tīwiri anake, mā te whakakotahitanga rānei o ngā pereti me ngā tīwiri.
Ko te tikanga, ka whakatikatikahia te whati mō te wā poto ki te pine Kirschner, kātahi ka whakatikatikahia ki te tīwiri kume haurua-miro, ka taea hoki te whakakotahi me te whitiki kume. Kua whakamahia e ētahi tohunga ngā tīwiri miro-katoa hei rongoā i ngā whati pona waenga, ā, he pai ake te whai huatanga o ēnei tīwiri kume haurua-miro tuku iho. Heoi, ko te roa o ngā tīwiri miro-katoa he 45 mm, ā, kua mau ki te metaphysis, ā, ko te nuinga o ngā tūroro ka mamae te pona waenga nā te putanga mai o te whakapiringa o roto.
E whakapono ana a Tākuta Barnes, nō te Tari Whara Orthopaedic i te Hōhipera o te Whare Wānanga o St Louis i te USA, ka taea e ngā tīwiri pēhi upoko te whakatika i ngā whati o roto o te pona waewae ki te mata o te wheua, te whakaiti i te mamae mai i te whakapiri o roto, me te whakatairanga i te whakaora whati. Nō reira, i whakahaerehia e Tākuta Barnes tētahi rangahau mō te whai huatanga o ngā tīwiri pēhi upoko ki te rongoā i ngā whati o roto o te pona waewae, i whakaputaina tata nei i roto i te Injury.
I whakaurua ki te rangahau ngā tūroro e 44 (te pakeke toharite 45, 18-80 tau) i rongoatia mō ngā whati pona o roto ki ngā tīwiri kōpeketanga kore-upoko i te Hōhipera o te Whare Wānanga o Saint Louis i waenga i te tau 2005 me te 2011. I muri i te pokanga, i herea ngā tūroro ki ngā whitiki, ki ngā mea whakarewa, ki ngā whitiki tautoko rānei kia tae rā anō ki te wā e kitea ai te tohu whakaahua o te whakaora whati i mua i te haere tonu me te pikau taumaha.
Ko te nuinga o ngā whati i puta mai i te hinganga i te tūnga, ā, ko te toenga i puta mai i ngā aituā motopaika, i ngā hākinakina rānei (Ripanga 1). E rua tekau mā toru o rātou he whati rua o te pona waewae, 14 he whati toru o te pona waewae, ā, ko te toenga e whitu he whati kotahi o te pona waewae (Pikitia 1a). I te wā o te pokanga, 10 ngā tūroro i rongoatia ki te tīwiri pēhi kotahi kore-upoko mō ngā whati o te pona waewae o waenganui, ko ngā tūroro 34 e toe ana he tīwiri pēhi e rua kore-upoko (Pikitia 1b).
Ripanga 1: Tikanga o te whara
Pikitia 1a: Whati pona kotahi; Pikitia 1b: Whati pona kotahi i rongoatia ki ngā tīwiri pēhi kore-upoko e rua.
I te toharite o te aroturukitanga o te 35 wiki (12-208 wiki), i kitea he tohu whakaahua mō te whakaora whati i roto i ngā tūroro katoa. Kāore he tūroro i hiahia kia tangohia te tīwiri nā te mea i puta te tīwiri, ā, kotahi anake te tūroro i hiahia kia tangohia te tīwiri nā te mate MRSA i mua i te pokanga i te pito o raro me te cellulitis i muri i te pokanga. Hei tāpiri, 10 ngā tūroro i pāngia e te mamae iti i te pā o te pona o roto.
Nō reira, ko te whakatau a ngā kaituhi ko te maimoatanga o ngā whati o roto o te pona waewae me ngā tīwiri kōpeketanga kore-upoko i hua ake ai he tere whakaora nui ake o te whati, he pai ake te whakaoranga o te mahi a te pona waewae, me te iti ake o te mamae i muri i te pokanga.
Wā tuku: 15 Paenga-whāwhā 2024
