Whārangi Utu mō te Kowiri tira Waro maitai Wcb A216 hononga whānui rapa porowhita kotahi

Ehara i te mea ka whakapau kaha mātou ki te whakarato i ngā otinga tino pai ki ngā kaihoko katoa, engari ka rite hoki mātou ki te whiwhi i ngā whakaaro katoa a ō mātou kaihoko mō te Whārangi Utu mō te Hononga Whānui Rapa Wcb A216 Porowhita Kotahi, ina rapu ana koe i te kounga teitei i te utu pai me te tuku tika. Whakapā mai ki a mātou.
Ehara i te mea ka whakapau kaha mātou ki te whakarato i ngā otinga tino pai ki ngā kaihoko katoa, engari ka rite hoki mātou ki te whiwhi i ngā whakaaro katoa a ō mātou kaihokoHononga Whānui Rapa Haina me te Hononga Whānui Ngāwari, I te aroaro o te whakataetae nui o te mākete o te ao, kua whakarewahia e mātou te rautaki hanga waitohu, ā, kua whakahoutia te wairua o te "ratonga pono me te aro ki te tangata", me te whāinga kia mōhiotia ā-ao me te whanaketanga pumau.

Tirohanga Whānui o te Hua

Ka whakaratohia e mātou ki a koe ngā pūnaha turi piko teitei, ngā pūnaha turi ārai me ngā prosthesis turi pukupuku ritenga. Ko te prosthesis whakakapinga turi mata katoa he mea hanga i te pona femur, he paepae tibial, me te papa tibial. Kei te wātea ngā wāhanga i roto i ngā momo whakaritenga hei whakatutuki i ngā hiahia haumanu.
Pūnaha hononga turi piko teitei: he hoahoa nekehanga pouaka tuwhera whakamuri, e pupuri ana i te rahinga o te wheua, e pupuri ana i te haere tonu o te wheua cortical o mua, he hoahoa āhua-J iti o te malleolus o muri o te femur, he hoahoa cam kua whakapaitia, he watea mō te piko teitei, he kokonga 3-tohu o te kakau o te kōhao medullary o te paepae tibial. Ko te hoahoa paepae tibial anatomical, he anga whakamuri, ka whakanui ake i te kapi o te mata osteotomy tibial, ka whakapai ake i te pou mokowā tibial, ā, ka whakanui ake i te hurihanga o te femoral i te piko teitei. Ka tapahia te mokowā tibial ki mua hei whakaiti i te pānga ki te patella i te piko hohonu. He roa, he hohonu, he taha hoki te awaawa trochlear o te pona femoral hei whakapai ake i te ara o te femur, ka taea te whakawhāiti i te taunga whānui o te prosthesis hononga turi.
Pūnaha hononga turi ārai: he pai mō te whakakapinga turi tuatahi matatini me te whakakapinga turi whakahou, ka urutau ki te kore pumau taha me ngā āputa piko, he pihi-J, he hoahoa maha-radius e rite ana ki te hanganga tangata, ka whakamahia tahi me te ngira medulla hei whakaora i te hononga turi. Te pumau, te hoahoa whānui me te whakanui i muri, ka kitea te herenga o te hurihanga oneone o roto me waho ±1.2 nekehanga, te hurihanga o roto me waho ±2 nekehanga, te hoahoa paepae tibial ōrite, te koki whakamuri 0 nekehanga, te whakaora pai ake o te āputa toronga me te piko, ngā whakatakotoranga me ngā tauira rerekē o ngā papa, e tutuki ai ngā hiahia haumanu. Pūnaha hononga turi katoa: ko te prosthesis pona femoral o mua koki teitei o te malleolus o te 5 nekehanga hei karo i te koki; kei mua te fossa i waenga i ngā pona hei whakaiti i te osteotomy, ka neke te chute pona femoral ki waho ka hohonu, ka kore e ngawari te wehe o te patella, ka whakamahia te papa tibial ki te cassette me te raka rua o te tīwiri, he tino oro te mata pa o te paepae tibial, ā, ka whakarite te kakau parirau paepae tibial i te pumau o te tukanga whakamaroke sima.

Hei whakarite i te hononga turi me whakarato koe i ngā tawhā taipitopito, pēnei i ngā kiriata CT, ngā pikitia MRI me ētahi atu mōhiohio, kia taea ai e mātou te whakarite i ngā hua tino tika me te whaitake māu.

Ngā Āhuatanga o te Hua

Ngā tawhā hua

He aha mātou i whiriwhiri ai

Ngā Ratonga

Ehara i te mea ka whakapau kaha mātou ki te whakarato i ngā otinga tino pai ki ngā kaihoko katoa, engari ka rite hoki mātou ki te whiwhi i ngā whakaaro katoa a ō mātou kaihoko mō te Whārangi Utu mō te Hononga Whānui Rapa Wcb A216 Porowhita Kotahi, ina rapu ana koe i te kounga teitei i te utu pai me te tuku tika. Whakapā mai ki a mātou.
Whārangi Utu mō te Hononga Whānui Rapa Haina me te Hononga Whānui Ngāwari, I te aroaro o te whakataetae mākete o te ao, kua whakarewahia e mātou te rautaki hanga waitohu me te whakahou i te wairua o te "ratonga tangata me te pono", me te whāinga kia whiwhi i te mana o te ao me te whanaketanga pumau.