Ko ngā patu makutu e rua o te mahi wheua whara, ko te pereti me te whao intramedullary. Ko ngā pereti hoki ngā taputapu whakatikatika ā-roto e whakamahia whānuitia ana, engari he maha ngā momo pereti. Ahakoa he wahi whakarewa katoa, ka taea te kī ko tō rātou whakamahinga he Avalokitesvara ringa mano, he mea e kore e taea te matapae. E mōhio ana koe ki ēnei katoa?
- Teihana Teihana Teihana
He here tāroaroa te pereti?
Ina whakawhitia te tikanga o ētahi wheua ki te whakapiringa rerekē, ko te pereti maitai te roopu kume, pērā i te hope, ā, me whakanoho te pereti maitai ki te taha kume.
2. Aratau Kōpeketanga
Ka mahia te pereti pēhanga mā te whakawiri i te tīwiri ki roto i te raka pari, e pā ana ki te mātāpono o te reti porowhita.
Heoi, mā te pēhanga ka nui rawa te pēhanga i waenganui i te pereti me te wheua, ā, i ētahi wā ka pā ki te whakaora o te wheua. Nō reira, ka hangaia he pereti pēhanga iti me te hononga pūwāhi, koinei te mea e kiia nei e tātou ko te LCP.
Ki te hiahia koe ki te pēhanga, i te wā e keri ana, me aro koe ki te meka me tata te keri ki te taha o te kōhao kī (runga), ā, ko te keri i waenganui kāore e pā ki te pēhanga o te pito whati (raro). Ka taea anake te whakanui ake i te pānga mā te 1mm pea.
- Pereti raka
Ko te pereti raka, arā, ko te tīwiri me te pereti kua honoa i mua kia raka. I te nuinga o te wā ka honoa te kōhao raka me te kōhao pēhanga, engari he rerekē rawa ngā mahi a ngā mea e rua.
Ka taea e ngā tīwiri raka te whakanui ake i te kaha o te whakapiri o roto, ā, he pai ake te ātete ki te kume, inā koa ko ngā tīwiri raka whakau koki, ko te mea tino kitea ko te pereti raka philos o te humerus proximal.
- Aratau Whakakore
Kāore te pereti whakakore e whakaputa pēhi i ngā pito whati, engari he pānga hono noa iho ki ngā pito whati. Nā te mea he pēhanga ngā pito whati e ngā tīwiri whakaroa, engari he iti noa te kaha o ngā tīwiri whakaroa ki te piko, ki te hurihanga, me te kutikuti, nō reira me whai pereti maitai hei āwhina.
I roto i te pereti maitai kua whakakorengia, ko te kaha matua ko te tīwiri whakaroa. Ina nui ake, ina roa ake hoki te rārangi whati, ka taea te whakamahi i ngā tīwiri whakaroa e 2-3 hei kukume poutū ki te rārangi whati, kātahi ka āwhinahia ki te whakapiri i te pereti whakakorengia.
Ko ngā pereti whakakore e whakamahia whānuitia ana mō te whakapiri i te malleolus taha me te clavicle.
- Pereti tautoko
Me pēhea te whakamahi i te tautoko i roto i te mahi tiaki wheua? Ko te whakamahinga matua he mea whakamahi mō ngā whati i te taha o ngā kaha kutikuti, ka whakatakotoria ki te ahunga o te nekehanga whanaunga. Kāore e hiahiatia kia matotoru rawa te pereti maitai tautoko ki te whakataurite ki ngā pereti maitai pēhanga noa, ā, kāore hoki e hiahiatia kia whakakīia ki ngā tīwiri.
Me piko te pereti maitai i mua, me whakawiri ngā tīwiri cortical mai i tawhiti ki tata, ā, me whakamahi ngā tīwiri cortical hei whakapiri i te pereti maitai. Nā tōna hoki whakamuri ngāwari, ka piko anō te pereti maitai, ā, ka whakamahia tēnei kaha hei mahi i te mahi tautoko.
- Pereti Ārai-rere
I muri i te whakapiringa o te pereti maitai, āraia te poraka whati kei paheke ki waho i raro i te kaha roa. Ka whakamahia te nuinga ki te pito tawhiti o te fibula.
- Te Whakakikorua Whānui, te Whakakikorua Piriti rānei
He putanga whakarerekētanga tēnei o te pereti whakakore, e aro ana ki te whati pakaru o te anga, mā te aroturuki i te fluoroscopy, ka whiti te pereti i te rohe whati ka whakatika i ngā pito tata me ngā pito tawhiti o te whati, ā, kāore te rohe whati i whakatikahia.
Ko te arotahi matua o tēnei momo hangarau ko te whakahāngai, te whakahāngai, te roa, me te hurihuri. Ka taea te mahi i te kuru waenga me te kore maimoatanga, ka taea ai te tiaki i te rere o te toto ki te pito whati o te whati. Heoi, me mōhio me nui te roa o te pereti maitai, me nui hoki te maha o ngā tīwiri i ngā pito e rua. I tēnei wā, he ngāwari te puta o ētahi wheua kore-hononga, me āta tupato.
Wā tuku: 28 o Ākuhata-2023
