E 50% o ngā whati hope ko ngā whati o te kaki o te huha. Mō ngā tūroro kāore i te kaumātua me ngā whati o te kaki o te huha, ko te tikanga he maimoatanga whakapiri ā-roto te mea e taunakitia ana. Heoi, ko ngā raruraru i muri i te pokanga, pērā i te kore hononga o te whati, te mate o te pane o te huha, me te whakapoto o te kaki o te huha, he mea tino noa i roto i te mahi haumanu. I tēnei wā, ko te nuinga o ngā rangahau e aro ana ki te ārai i te mate o te pane o te huha i muri i te whakapiri ā-roto o ngā whati o te kaki o te huha, engari he iti ake te aro ki te take o te whakapoto o te kaki o te huha.
I tēnei wā, ko ngā tikanga whakapiri ā-roto mō ngā whati o te kaki o te huha, tae atu ki te whakamahi i ngā tīwiri cannulated e toru, FNS (Femoral Neck System), me ngā tīwiri hope hihiri, e whai ana kia ārai i te varus o te kaki o te huha me te whakarato i te pēhanga axial kia kore ai e hono. Heoi, ko te pēhanga reti kore whakahaere, nui rawa rānei ka arahi pea ki te whakapoto o te kaki o te huha. I runga i tēnei, i whakaarohia e ngā tohunga mai i te Hōhipera Tangata Tuarua e hono ana ki te Whare Wānanga Rongoā Hainamana Tuku Iho o Fujian, te hiranga o te roa o te kaki o te huha i roto i te whakaora whati me te mahi hope, me te whakaaro ki te hiranga o te roa o te kaki o te huha i roto i te whakaora whati me te mahi hope, ka tūtohu kia whakamahia he "tīwiri ārai-whakapoto" me te FNS mō te whakapiri whati o te kaki o te huha. Kua whakaatuhia e tēnei huarahi he hua pai, ā, i whakaputaina te rangahau i roto i te putanga hou o te puka Orthopaedic Surgery.
E rua ngā momo "wīri ārai-whakapoto" e whakahuatia ana i roto i te tuhinga: ko tētahi he tīwiri pūwero paerewa, ko tētahi he tīwiri he hoahoa miro-rua. I roto i ngā pouaka 53 o te rōpū tīwiri ārai-whakapoto, e whā noa iho ngā pouaka i whakamahi i te tīwiri miro-rua. Ka ara ake te pātai mēnā he pānga ārai-whakapoto tō te tīwiri pūwero miro-wāhanga.
I te tātaritanga ngātahi o ngā tīwiri miro-wāhanga me ngā tīwiri miro-rua, ā, i whakaritea ki te whakapiri ā-roto FNS tuku iho, i whakaatuhia e ngā hua he iti iho te nui o te whakapoto i roto i te rōpū tīwiri ārai-whakapoto i tērā i roto i te rōpū FNS tuku iho i ngā wā whai muri 1-marama, 3-marama, me te 1-tau, me te hiranga tatauranga. Ka ara ake te pātai: Nā te tīwiri miro-rua paerewa te pānga, nā te tīwiri miro-rua rānei?
E whakaatu ana te tuhinga i ngā kēhi e rima e pā ana ki ngā tīwiri ārai-whakapoto, ā, i te tirotiro tata atu, ka kitea i roto i ngā kēhi 2 me 3, i te wā i whakamahia ai ngā tīwiri miro-wāhanga, i kitea te hoki whakamuri me te whakapoto o te tīwiri (ko ngā whakaahua i tapaina ki te tau kotahi e rite ana ki te kēhi kotahi).
I runga i ngā whakaahua o te kēhi, e tino kitea ana te whai huatanga o te tīwiri miro-rua ki te aukati i te whakapoto. Mō ngā tīwiri kua whakapūmautia, kāore te tuhinga e whakarato i tētahi rōpū whakatairite motuhake mō rātou. Heoi, e tuku ana te tuhinga i tētahi tirohanga whai hua mō te whakapūmau ā-roto o te kaki o te huha, me te whakanui i te hiranga o te pupuri i te roa o te kaki o te huha.
Wā tuku: Hepetema-06-2024
