Nail Humeral Multi-Loc: He Hoʻoponopono Hou no nā ʻAha Humerus Proximal
ʻO nā haʻihaʻi humerus proximal nā ʻeha maʻamau e hoʻopilikia pinepine i ka poʻe ʻelemakule me ka osteoporosis. Hiki i kēia mau hōʻeha ke hopena i ka ʻeha, ka nalowale o ka hana, a me ke kīnā. Hiki ke paʻakikī ka mālama ʻana i kēia mau haʻihaʻi ma muli o ke anatomy paʻakikī o ka hui poʻohiwi a me ka nui o ka pilikia o nā pilikia. ʻO ka Multi-Loc Humeral Nail he mea hou i kūkulu ʻia e hoʻoponopono i kēia mau pilikia. Ma kēiaʻatikala, e kūkākūkā mākou i nā hiʻohiʻona, nā pōmaikaʻi, a me nā palena o ka Multi-Loc Humeral Nail no ka mālamaʻana i nā'āpana humerus proximal.
Anatomy a me Biomechanics o ka Proximal Humerus
Ma mua o ko mākou kūkākūkā ʻana i ka Multi-Loc Humeral Nail, he mea nui e hoʻomaopopo i ke anatomy a me ka biomechanics o ka humerus proximal. Aia ka humerus proximal i ke poʻo humeral, ka nui o ka tuberosity, ka liʻiliʻi tuberosity, a me ke kumu. Hoʻopuka ke poʻo humeral me ka glenoid fossa o ka scapula e hana i ka hui poʻohiwi. ʻO ka nui a me ka liʻiliʻi tuberosities e lilo i wahi hoʻopili no nā ʻiʻo rotator cuff, he mea koʻikoʻi no ka paʻa ʻana o ka poʻohiwi a me ka hana.
Hiki i nā haʻihaʻi humerus kokoke ke komo i ke poʻo humeral, ka nui o ka tuberosity, ka liʻiliʻi o ka tuberosity, a i ʻole ke kumu. Hiki i kēia mau haʻihaʻi ke hoʻoneʻe i nā ʻāpana iwi, ka nalowale o ka waihona iwi, a me ka pōʻino i nā ʻiʻo palupalu a puni. ʻO ka mālama ʻana i nā haʻihaʻi humerus proximal e pili ana i ke koʻikoʻi o ka ʻeha, ke ʻano o ka neʻe ʻana, a me ka makahiki o ka mea maʻi a me ka pae hana.
Nā Koho Lapaʻau o kēia manawa no nā haʻihaʻi Humerus Proximal
ʻO nā koho lapaʻau i kēia manawa no nā haʻihaʻi humerus proximal e pili ana i ka hoʻokele non-surgical, open reduction and internal fixation (ORIF), a me ka poʻohiwi arthroplasty. He kūpono paha ka hoʻokele non-surgical no nā haʻi haʻihaʻi liʻiliʻi i nā maʻi me nā koi haʻahaʻa. Hoʻopili ʻo ORIF i ka hoʻopaʻa ʻana i ka ʻokiʻoki me nā papa, nā ʻili, a i ʻole nā kui. Pono paha ka arthroplasty poʻohiwi i nā hihia o ka neʻe nui ʻana, comminution, a i ʻole osteoporosis.
ʻOiai ka holomua ʻana o nā ʻano hana ʻokiʻoki a me nā hoʻolālā implant, paʻakikī ka mālama ʻana i nā haʻihaʻi humerus proximal. Hiki ke loaʻa nā pilikia e like me ka hiki ʻole o ka implant, non-union, malunion, a me avascular necrosis, ʻoi aku ka nui o nā poʻe maʻi me ka maikaʻi ʻole o ka iwi. ʻO ka Multi-Loc Humeral Nail he mea hana hou e hoʻomaikaʻi i nā hopena o ka lapaʻau ʻana o ka humerus fracture proximal.
Nā hiʻohiʻona a me nā pono o ka Multi-Loc Humeral Nail
ʻO ka Multi-Loc Humeral Nail kahi mea intramedullary i hoʻokomo ʻia i loko o ka humerus proximal e hoʻopaʻa i ka haki. Aia ka mea hana me kahi kui, nā wili laka he nui, a me ka bolt interlocking distal. Hoʻokomo ʻia ke kui i loko o ke kahawai medullary o ka humerus a hoʻopaʻa ʻia ma kahi me nā wili laka. Hoʻokomo ʻia ka bolt interlocking distal i loko o ke kumu o ka humerus e pale ai i ka neʻe ʻana a me ke axial o ke kui.
ʻO kekahi o nā hiʻohiʻona koʻikoʻi o ka Multi-Loc Humeral Nail ʻo ia kāna ʻōnaehana laka multi-planar. Hiki ke hoʻokomo ʻia nā wili paʻa i nā ʻaoʻao he nui, e ʻae ai i ka hoʻonui ʻia ʻana a me ka hoʻoponopono ʻana i nā ʻāpana haʻihaʻi. Hoʻemi ʻia kēia ʻōnaehana locking multi-planar i ka hopena o ka hemahema o ka implant a me ka hui ʻole.
ʻO kekahi pōmaikaʻi ʻē aʻe o ka Multi-Loc Humeral Nail ʻo kāna ʻenehana hoʻokomo liʻiliʻi loa. Hiki ke hoʻokomo ʻia ke kui ma kahi ʻoki liʻiliʻi a ʻaʻole koi i ka hoʻokaʻawale ʻana i nā ʻiʻo palupalu. Hoʻemi kēia i ka pilikia o nā pilikia e like me ka maʻi, ka ʻeha aʻalolo, a me ka hoʻōla maikaʻi ʻole.
Hoʻopili pū ʻia ka Multi-Loc Humeral Nail me nā ʻano hoʻokalakupua like ʻole, me ka deltopectoral, anterior, a me ka ʻaoʻao. ʻO kēia maʻalahi e hiki ai i ke kauka lapaʻau ke koho i ke ala maikaʻi loa e pili ana i ka wahi a me ka paʻakikī o ka haʻihaʻi, a me ke anatomy a me nā comorbidities o ka mea maʻi.
Eia kekahi, ua hoʻolālā ʻia ka Multi-Loc Humeral Nail e mālama i ka iwi iwi a e hōʻemi i ka pōʻino i nā ʻiʻo palupalu a puni. Hoʻokomo ʻia ke kui i loko o ke kahawai medullary o ka humerus, kahi e mālama ai i ke koko periosteal a hoʻoikaika i ka hoʻōla ʻana i ka haʻihaʻi. Hoʻohui ʻia, hiki ke hoʻokomo ʻia nā wili paʻa ma o nā ʻoki liʻiliʻi, e hōʻemi ana i ka nui o ka wehe ʻana o ka ʻiʻo palupalu a mālama i nā mea hoʻopili rotator cuff.
Ka palena o ka Nail Humeral Multi-Loc
ʻOiai ʻo kāna mau pōmaikaʻi he nui, aia ka Multi-Loc Humeral Nail i kekahi mau palena e pono e noʻonoʻo ʻia. ʻO ka mea mua, ʻaʻole kūpono ka hāmeʻa no nā ʻano haʻihaʻi humerus proximal. ʻOi aku ka maikaʻi o ka nail no nā ʻāpana ʻelua a me ʻekolu ʻāpana me ka valgus a varus angulation. No nā haʻihaʻi paʻakikī a i ʻole nā haʻihaʻi me ka comminution koʻikoʻi, pono paha nā koho lapaʻau ʻē aʻe.
ʻO ka lua, ʻo ka ʻenehana hoʻokomo o ka Multi-Loc Humeral Nail e koi i ka hoʻomaʻamaʻa kūikawā a me ka ʻike. Pono ke kauka lapaʻau e kamaʻāina i ke anatomy a me ka biomechanics o ka hui poʻohiwi, a me nā loina o ka hōʻemi ʻana a me ka hoʻoponopono ʻana. Ma nā lima ʻike ʻole, hiki i ka hāmeʻa ke alakaʻi i nā hoʻopiʻi e like me ka malunion, non-union, a me ka hemahema implant.
ʻO ka mea hope loa, ʻo ka Multi-Loc Humeral Nail he mea hou a ua kaupalena ʻia ka ʻikepili lōʻihi e pili ana i kona pono a me ka palekana. ʻOiai ke hoʻohiki nei nā hopena mua, pono nā noiʻi hou e loiloi i nā hopena lōʻihi o ka hāmeʻa a hoʻohālikelike i nā koho lapaʻau ʻē aʻe.
Ka hopena
I ka hōʻuluʻulu ʻana, ʻo ka Multi-Loc Humeral Nail he mea hana hou e hāʻawi ana i nā pono he nui no ka mālama ʻana i nā haʻihaʻi humerus proximal. ʻO kāna ʻōnaehana laka multi-planar, ʻenehana hoʻokomo liʻiliʻi liʻiliʻi, a me ka hoʻohālikelike ʻana me nā ʻano hoʻokalakupua like ʻole e lilo ia i koho hoʻohiki no nā ʻāpana ʻelua a ʻekolu ʻāpana me ka valgus a varus angulation. Eia naʻe, ʻaʻole kūpono ka mea hana no nā ʻano haʻihaʻi humerus proximal a koi i ka hoʻomaʻamaʻa kūikawā a me ka ʻike no ka hoʻokomo pono ʻana. Pono nā haʻawina hou e loiloi i nā hopena lōʻihi o ka hāmeʻa a hoʻohālikelike i nā koho lapaʻau ʻē aʻe.
FAQs
Ua kūpono anei ka Multi-Loc Humeral Nail no nā ʻano haʻihaʻi humerus proximal?
ʻAʻole, ʻoi aku ka maikaʻi o ka hāmeʻa no nā ʻāpana ʻelua a me ʻekolu ʻāpana me kahi angulation valgus a varus.
Pono anei ka Multi-Loc Humeral Nail i ka wehe ʻana i ka ʻiʻo palupalu?
ʻAʻole, hiki ke hoʻokomo ʻia ka hāmeʻa ma o kahi ʻoki liʻiliʻi a ʻaʻole pono e hoʻokaʻawale i ka ʻiʻo palupalu.
He aha nā pilikia o ka hoʻohana ʻana i ka Multi-Loc Humeral Nail?
ʻO nā pilikia kūpono e pili ana i ka malunion, non-union, a me ka hemahema implant.
Hiki ke hoʻohana ʻia ka Multi-Loc Humeral Nail me nā ala ʻoki ʻokoʻa?
ʻAe, ʻoluʻolu ka hāmeʻa me nā ʻano hoʻokalakupua like ʻole, me nā ala deltopectoral, anterior, a me ka ʻaoʻao.
He aha ka hopena lōʻihi a me ka palekana o ka Multi-Loc Humeral Nail?
Ua kaupalena ʻia ka ʻikepili lōʻihi e pili ana i ka pono a me ka palekana o ka hāmeʻa, a pono nā noiʻi hou aʻe e loiloi i kāna mau hopena lōʻihi a hoʻohālikelike i nā koho lapaʻau ʻē aʻe.
