I ngā tau tata nei, i te kaumātuatanga o te taupori, kua piki haere te maha o ngā whati o te huha tata i ia tau. E ai ki ngā tatauranga kāore i oti, tata ki te 1.66 miriona ngā tūroro whati hope e pā ana ki te osteoporosis puta noa i te ao i te tau 1990, ā, e matapaetia ana ka eke tēnei tau ki te 6.26 miriona i te tau 2050.
He nui te mate o ngā tūroro kaumātua e pāngia ana e ngā whati o te femur proximal nā runga i ngā āhuatanga tinana me ngā raruraru maha. I roto i ēnei, ko te mate o ngā whati intertrochanteric e eke ana ki te 15%–20%.
Ko te whati hope i waenga i ngā uaua o te hope (intertrochanteric fracture) he momo whati hope noa iho i roto i ngā kaumātua, inā koa ko te hunga he osteoporosis. He rerekē, ko te nuinga o ngā tūroro taitamariki e pāngia ana e ngā whara nui-kaha.
He maha ngā kōwhiringa mō te maimoatanga pokanga mō ngā whati intertrochanteric:
Te whakapiri i waho o te hononga o te uaua, pērā i te tīwiri hope hihiri (DHS), te tīwiri condylar hihiri, me ētahi atu.
Te whakapiringa intramedullary, pērā i teKāmaNmate, Pwhao femur tata(PFN), tata ki te tahawhao femurte ārai-hurihuri (PFNA), te Intertan, me ētahi atu.
I tēnei rā ka hiahia mātou ki te whakauru atu i ngāWhao Intramedullary e Honohono Anahangarau.
Ko te painga nui rawa atu oTitanium FemoralNaiKei roto i te medullary te l, e tautoko ana i te medullary me te ārai i te hinganga nui, ā, kāore tēnei e whakawhirinaki ana ki te kaha tautoko o te cortex lateral.
Hei tāpiritanga, ko te wāhi intramedullary me te ringa poto poto e whakarato ana i ngā painga koiora-mekanika, ā, ka taea te whakaiti i te auau o te ngoikore o ngā taputapu whakapiri ā-roto. I taua wā, he iti ake te tūponotanga o te pūnaha whakapiri intramedullary ki te coxa vara ahakoa ka ngaro te tautoko o te cortex medial. Nō reira, kāore i te tūtohutia te whakaiti me te whakapiri motuhake mō ngā whati trochanter iti kua nekehia.
PFNAWhao I roto i te Medullary
He tikanga maukati porowhita te mata o te whao o te PFNA. He nui te mata o te mata, ā, he whānui haere te whānui o te matua. Ina pāngia ki te wheua, ka taea e te mata porowhita te hurihuri i a ia anō, ka pā he pānga pēhi ki te pūtake wheua, kia mau tonu ai te papatipu wheua, kia tata ai te hononga i waenganui i te mata me te wheua.
Ka whakarei ake tēnei i te kaha o te punga o te mata porowhita. I taua wā, ka ārai i te hurihuri me te pumau o te koki, ka taea ai te whakaiti i te auau o ngā hapa pēnei i te coxa vara.
InterzanWhao I roto i te Medullary
He whakatupuranga hou a IntertanWhao Femoral Intramedullaryhe mea hanga motuhake mō ngā whati o te femur i waenga i ngā trochanteric. He trapezoidal tōna whiti-proximal, e whai ana i te hanganga o te wāhanga proximal o ngā prostheses hononga, e āhei ai te whao ki te ōrite pai ake ki te kōhao medullary me te hangai ki ngā āhuatanga koiora o te femur proximal.
I taua wā tonu,Whao Femur Intertanka taea te tiaki i te pūtake wheua o te pakitara taha o te trochanter nui i te wā pokanga, ā, ka whakarei ake i te kaha ki te ātete i te hurihanga me te ahotea contralateral.
E rua ngā momo whao intramedullary e whakamahi ana i tētahi hoahoa marau distal, e taea ai te marara pai ake te ahotea.ngā tīwiri raka tawhitikei tawhiti rawa atu i te pito tawhiti o te whao matua, ā, ka whakaitihia te mōrearea o ngā whati o te femur tawhiti.
Ki te hiahia koe ki te ako atu mō ngāWhao Honohono mō te Femur,tēnā koa, kia mōhio maiwhakapā mai; mā tā mātou tīma koe e whakarato ki te tautoko ngaio me ngā whakautu.
Wā tuku: 24-Pepuere-2026