Introduction ʻO nā haʻihaʻi Tibial kekahi o nā ʻeha iwi lōʻihi i ʻike pinepine ʻia i ka trauma orthopedic. Ma muli o ka lawe ʻana o ka tibia i nā haʻahaʻa mīkini koʻikoʻi me ka liʻiliʻi o ka uhi ʻana o ka ʻiʻo palupalu, ʻo ka loaʻa ʻana o ka paʻa paʻa me ka ʻole o ka hoʻokaʻawale ʻana i ke koko, ʻo ia kekahi o nā

Ua ulu nui nā ʻoihana Orthopedic i nā makahiki, e hāʻawi ana i nā koho lapaʻau maikaʻi aʻe no nā haʻihaʻi a me nā deformities iwi. ʻO kekahi o ia holomua i ka hana orthopedic ʻo ia ka nail femoral intramedullary nail. Ua hoʻololi kēia ʻenehana hou i ka mālama ʻana i nā haʻihaʻi femoral

ʻO ka nail PFNA he ʻōnaehana hoʻoponopono intramedullary i hoʻohana nui ʻia no ka mālama ʻana i nā haʻihaʻi femoral proximal, ʻoi aku ka paʻa ʻole a me nā haʻi ʻūhā osteoporotic. Hoʻonui ka lāʻau antirotation i ka paʻa, kākoʻo i ka neʻe mua ʻana, a hōʻemi i ka hemahema o ka hoʻoponopono ʻana, e hana ana i ka PFNA he hopena kūpono i ka mālama ʻana i ka trauma orthopedic hou.

E noʻonoʻo i kahi holomua o ka lāʻau haʻihaʻi e hoʻololi i ke kaʻina hana hoʻōla, e ʻae i nā poʻe maʻi e hoʻihoʻi hou i ko lākou neʻe a me ka maikaʻi o ke ola ma mua o ka wā ma mua. Ke hoʻolauna nei i ka Titanium Elastic Nail, kahi ʻano hana ʻokiʻoki e hāʻawi ana i nā pono nui ma mua o nā kuʻuna.

ʻO ka haʻihaʻi ʻana o ka wahine, ʻoi aku ka nui o nā mea i loaʻa i ka femur (iwi ʻūhā), hiki ke hōʻeha nui a hoʻonāwaliwali. I nā hihia inā paʻakikī ka haʻihaʻi ʻana a i ʻole ka nalowale nui o ka iwi, ʻike pinepine ʻia ka hana hou ʻana o ka femoral nail intramedullary ma ke ʻano he koho lapaʻau kūpono. ʻO kēia ar