He whara haumanu noa te whati o te pona waewae. Nā te ngoikore o ngā kiko ngohengohe e karapoti ana i te hononga pona waewae, he nui te raruraru o te rere o te toto i muri i te whara, ā, he uaua ki te whakaora. Nō reira, mō ngā tūroro he whara pona waewae tuwhera, he whara kiko ngohengohe rānei kāore e taea te whakapiri tonu ki roto, ko ngā anga whakapiri o waho me te whakaiti kati me te whakapiri mā te whakamahi i ngā waea Kirschner te tikanga hei whakaū i te tūnga mō te wā poto. Ka mahia te maimoatanga whakamutunga i te wāhanga tuarua ina pai ake te āhua o te kiko ngohengohe.
I muri i te whatinga pakaru o te malleolus taha, ka kitea te whakapoto me te hurihuri o te fibula. Ki te kore e whakatikahia i te wāhanga tuatahi, ka uaua ake te whakahaere i te whakapotonga mau tonu o te fibula me te pirau hurihuri i te wāhanga tuarua. Hei whakatika i tēnei take, kua whakaarohia e ngā tohunga o tāwāhi he huarahi hou mō te whakaiti me te whakatika i ngā whatinga malleolus taha kotahi te wāhanga me te kino nui o te kiko ngohengohe, me te whāinga kia whakahokia mai te roa me te hurihuri.
Kaupapa Matua 1: Te whakatikatika i te whakapoto me te hurihuri o ngā muka.
Ko ngā whati maha, ngā whati motumotu rānei o te fibula/lateral malleolus te mea e hua ake ai te whakapoto o ngā fibular me te āhua hurihuri o waho:
▲ Whakaahua o te whakapoto o ngā muka (A) me te hurihanga o waho (B).
Mā te pēhi ā-ringa i ngā pito whati ki ngā maihao, ka taea te whakaiti i te whati o te malleolus taha. Mena kāore e ranea te pēhanga tika mō te whakaiti, ka taea te tapahi i tētahi tapahi iti i te taha o mua, o muri rānei o te fibula, ā, ka taea te whakamahi i tētahi kuku whakaiti hei pupuri me te whakanoho anō i te whati.
▲ Whakaahua o te hurihanga o waho o te malleolus taha (A) me te whakaiti i muri i te pēhi ā-ringa e ngā maihao (B).
▲ He whakaahua mō te whakamahi i tētahi tapahi iti me ngā kuku whakaiti hei āwhina i te whakaiti.
Kaupapa Matua 2: Te pupuri i te whakaiti.
Whai muri i te whakaiti i te whati o te malleolus taha, ka whakauruhia ngā waea Kirschner e rua, 1.6mm te roa, kāore he miro, mā roto i te wāhanga tawhiti o te malleolus taha. Ka whakanohoia tika ēnei hei whakapiri i te wāhanga malleolus taha ki te tibia, kia mau tonu ai te roa me te hurihuri o te malleolus taha, ā, kia kore ai e neke haere i te wā e rongoatia ana.
I te wā o te whakapiringa whakamutunga i te wāhanga tuarua, ka taea te miro i ngā waea Kirschner mā roto i ngā kōhao o te pereti. Kia mau te whakapiringa o te pereti, ka tangohia ngā waea Kirschner, kātahi ka whakaurua ngā tīwiri mā roto i ngā kōhao waea Kirschner hei whakau ake.
Wā tuku: Hakihea-11-2023
