ʻO ka haʻihaʻi intertrochanteric o ka femur, ʻike ʻia hoʻi ʻo ka haʻihaʻi intertrochanteric, he haki ʻokoʻa ʻē aʻe. ʻO nā hōʻike nui o ka haʻihaʻi intertrochanteric he ʻeha nui a me ka pehu, ecchymosis nui, hiki ʻole i ka mea maʻi ke kū a hele paha, pōkole nui.

I kēia manawa, manaʻo ʻia ʻo ka hollow nail hollow internal fixation no ka haʻihaʻi ʻana i ka ʻāʻī o ka ʻāʻī he mau mea maikaʻi o ka manawa hana pōkole, liʻiliʻi trauma a me nā kumu kūʻai haʻahaʻa, akā ʻo ka hapa nui o nā poʻe maʻi e hele pū me ka osteoporosis, no laila ke kūpaʻa o ka

ʻO ka haki ʻana o ka tendon extensor ma hope o ka hoʻopaʻa ʻana o ka volar plate he pilikia nui i ka hoʻoponopono ʻana i nā haʻihaʻi radius distal. ʻO ka tendon i hoʻopili pinepine ʻia ʻo ka extensor pollicis longus (EPL) tendon, no ka mea, paʻa ia i loko o ke awāwa EPL. ʻO ka hōʻike i hōʻike ʻia o ka haki ʻana o ka tendon EPL ma hope o ka vola

ʻO nā haʻihaʻi hoʻoneʻe o ka humerus distal i nā pākeke he pilikia paʻakikī ma muli o ke anatomy paʻakikī o ka hui kuʻekuʻe, nā ʻāpana haʻi liʻiliʻi, a me ka nui o ka iwi subchondral. Hoʻokumu ʻia nā kolamu ʻaoʻao a me waena o ka humerus distal i kahi paʻa triangular paʻa.

No ka loaʻa hou ʻana o ka hoʻopaʻa paʻa i ka hoʻonohonoho ʻana o nā osteoporotic a i ʻole comminuted fractures, ʻo ka ʻenehana pāʻani like no ka mālama ʻana i nā haʻihaʻi humeral distal e hoʻokumu ʻia ma ke kumu o ka hoʻomaikaʻi ʻana i ka hoʻoponopono ʻana i nā haʻihaʻi distal. ʻO ke kī i ka paʻa o kēia hoʻonohonoho hoʻopaʻa ʻana ʻo ia ka th