ʻO ka hoʻohaʻahaʻa paʻa ʻia ke ʻano hana invasive liʻiliʻi hiki ke hoʻohana ʻia no nā haʻihaʻi paʻa o nā ʻaoʻao me ka ʻole o ke kahe o ke koko, ʻaʻohe pilikia o ka maʻi, hoʻihoʻi wikiwiki, hoʻemi nui ʻia nā kumukūʻai lapaʻau, a hiki ke hoʻohana ʻia no ka hoʻopaʻa ʻana i ka hollow nail a me ka intramedullary pin fixation mālama ʻana i nā ʻano ʻokoʻa paʻa ʻole, e like me ka ʻāʻī femoral fractures, femoral stem fractures. nā haʻihaʻi, a me nā mea'ē aʻe, e hoʻopau ana i ka lukuʻiaʻana o ke kahe o ke koko ma o ka ho'ēmiʻana.

ʻO ka haʻihaʻi ʻāʻī o ka wahine kekahi o nā hōʻeha orthopedic i ʻike pinepine ʻia i ka hana lapaʻau, me ka hapa nui o nā poʻe maʻi maʻi ma mua o 50% o nā haʻihaʻi hip. Wahi a nā helu helu, ua piʻi mālie ka nui o nā haʻihaʻi ʻāʻī o ka wahine i nā makahiki i hala iho nei, me

ʻO ka unicompartmental knee arthroplasty (UKA) kahi ʻokoʻa ʻokoʻa i ka holo ʻana o ke kuli kuli (TKA) no ka mālama ʻana i ka osteoarthritis unicompartmental. Eia naʻe, hōʻike ka ʻikepili i ka helu hāʻule o UKA i ka helu ola 7 makahiki o 74%, ʻoi aku ka haʻahaʻa ma mua o ka TKA (92%). ʻOiai ʻo nā kumu ponoʻī o ka poʻe maʻi e hoʻonui i ka pilikia o ka hāʻule ʻole, e like me nā poʻe maʻi ʻōpio a me ka helu helu kino kiʻekiʻe (BMI) hiki ke hoʻonui i ka pilikia o ka hiki ʻole o ka UKA, ua manaʻo ʻia nā hewa ʻenehana ʻoihana he mau kumu koʻikoʻi no ka hāʻule mua. Ma UKA, paʻakikī ka hoʻokō ʻana i ka alignment prosthetic maikaʻi loa a me ka overhang (overhang). Pono e hoʻonui ʻia ka prosthesis tibial a hoʻokomo ʻia ma ke ʻano e hōʻemi ai i ka ʻeha ʻana o ka ʻiʻo palupalu, a ʻo ka medial tibial overhang ʻoi aku ma mua o 3 mm ua hōʻike ʻia he kumu pilikia nui no ka emi ʻana o ka Oxford Knee Score (OKS) a me ka hoʻonui ʻana i ka ʻeha. ʻO ka pahuhopu nui o kēia noiʻi ʻana ʻo ia ka loiloi i nā hopena lapaʻau āpau a me nā kiʻi kiʻi o UKA.

Intramedullary tibial nailing: komo a me ka alignment, ʻeha o ke kuli mua

ʻO nā haʻihaʻi Clavicle kekahi o nā haʻihaʻi maʻamau, ʻo ia ka 3% o nā haʻihaʻi āpau. ʻO ka mōʻaukala, ua mālama ʻia me ka hana ʻole, akā ʻaʻole maikaʻi nā hopena. Hiki i ka lāʻau lapaʻau ʻole ke alakaʻi i nā hoʻopiʻi e like me ka ʻeha, malunion, a me ka maʻi thoracic outlet. Ma muli o ka hoʻomaikaʻi ʻana i nā ʻenehana hoʻoponopono ʻokiʻoki, ua koho nā kauka lapaʻau he nui e hoʻohana i ka hoʻoponopono ʻana no ka mālama ʻana i nā haʻihaʻi clavicle i hoʻoneʻe ʻia.