Whao intramedullary tibialhewhakaurunga wheuai hangaia motuhake hei whakau me te tautoko i ngā whati o te tibia (te wheua nui ake i te waewae o raro). He rongonui tēnei tikanga pokanga nā te mea he iti noa te whakaekenga, ka whakatairanga i te whakaora whati whai hua, ā, ka taea te nekeneke wawe o te tūroro.
TeMASTIN whao ā-roto-pūtauhe tokotoko roa, angiangi e whakaurua ana ki roto i te awaawa medullary o te tibia. Ka rere te awaawa mā waenganui o te tibia, ā, ka whakarato i tētahi taiao kaha, pumau hoki mō te whakau i te whao. Ko te tikanga ka mahia te pokanga mā roto i tētahi tapahi iti e tata ana ki te turi, ki te pona rānei, ā, ka whakaurua te whao intramedullary ki roto. Kia oti tewhao ā-roto-pūtauina whakaurua, ka whakamahia ngā tīwiri ki ia pito hei whakamau pūmau ki te wheua.
Tehuinga whao intramedullaryhe whao tibial MASTIN, he taupoki pito, he pūtu raka DCD, he pūtu raka me ētahi atu wāhanga.
Ngā Painga oTohunga Whao Tibial
1. Ko te kōtaha o raro i te pito tata
2. Te kōhao kōpeketanga tuaka ka taea te whakahaere, Ko te tawhiti kōpeketanga mōrahi ko te 7mm
3. Hoahoa piko 9º mō te ngāwari o te whakauru whao
Ngā kōwhiringa raka tata maha:
E toru ngā kōwhiringa raka auaha, me ngā tīwiri raka wheua whakakorekore, ka whakapiki i te pumau o te kongakonga proximal mō ngā whati tuatoru proximal.
E rua ngā kōwhiringa raka waenga-taha hou e āhei ai te pēhanga tuatahi, te whakakaha tuarua rānei.
Ka ārai te taupoki pito i te tipu o te kiko, ā, ka āwhina i te tango i ngā whao
Ka noho te taupoki pito 0mm ki te whao. Ka whakaroahia te teitei o te whao e ngā taupoki pito 5mm me te 10mm mēnā kua nui rawa te whao i te whakaurunga.
Kua whakapūmautia
He kōhao raka-ā-unoa mō te ngāwari o te tango i te taupoki pito me te ngāwari o te whakauru
Ngā kōwhiringa raka tawhiti matatau:
Kōwhiringa raka whakarara tawhiti hei ārai i te kino o ngā kiko ngohengohe me te whakapiki i te pumau o
te wāhanga tawhiti
E rua ngā kōwhiringa ML me te kotahi AP raka mō te pumau o te kongakonga distal
Ngā tīwiri maukati wheua whakakorekore:
E tohuhia ana mō ngā kōwhiringa raka e toru mō ngā diameter whao tibial katoa
He hoahoa matua rua mō te hoko pai ake i roto i te wheua cancellous
Unicortical
Ngā roa: 40 mm–75 mm
Ngā tīwiri raka paerewa:
He nui ake te wāhanga whakawhiti hei whakapai ake i te ātete miihini
Φ4.0 mm mō ngā whao tibial Φ8.0 mm me Φ9.0 mm, roa: 28 mm–58 mm
Φ5.0 mm mō ngā whao tibial Φ10.0 mm, roa: 28 mm–68 mm