He aha tātou ka whakamahi aitīwiri waewaemō ngā whati o te tuaiwi?
Ko te tuaiwi hope, te hanganga o raro o te tuaiwi tangata, koinei te wāhanga matua e amo ana i te taumaha katoa o te tinana o runga.Heoi, ka taea e te tuaiwi hope te "kore pumau" nā ngā take maha. Hei tauira, ko ngā whati o te tuaiwi hope, te spondylolysis, te degenerative lumbar spondylolisthesis rānei, te degenerative lumbar scoliosis, te herniation lumbar disc me te mumura o te vertebral endplate, ngā osteophytes rite ki te waha tuwhera i ngā taha o mua me muri o ngā vertebrae, te hypertrophy nui o ngā tukanga hononga o muri, me te whakangaromanga wheua iatrogenic. I roto i ēnei take, ka raru pea te raupapa o te tuaiwi hope, ka huri rānei, ka nekehia, ka arahi ki te ngoikore o te pumau me te mamae o te tuara o raro i roto i ngā tūroro. Nō reira, ina puta mai ngā āhuatanga "kore pumau" o te tuaiwi hope, ā, ka kore e angitu te maimoatanga matatika, me "whakapiri tīwiri" hei pupuri me te whakarei ake i te pumau o te hope.
He aha ngā pūāhua o tātou Pūnaha Tīwiri Waewae Tuaiwi?
Tō mātouhurihurite waewae etīwiriE ono ngā whakatakotoranga whānui o ngā hua, tae atu ki te φ4.5mm, φ5.0mm, φ5.5mm, φ6.0mm, φ6.5mm, me te φ7.0mm.
Mā te hoahoa o te miro takirua mō te wheua cortical me te cancellous, ka pai ake te hoko tīwiri, e tika ana mō ngā āhuatanga kounga wheua whānui o ngā tūroro. Mā te pito tīwiri e pato-ake ka māmā ake te whakauru.

Ka ārai te tīwiri pakaru i te pakaru o ngā miro nā te kaha rawa o te mahi.
Ka ārai te miro koki whakamuri i te hoki whakamuri o te tīwiri.
Mā te hoahoa o te tīmatanga miro koi-pūmau ka ārai i te miro whakawhiti.

Momo Hononga Whakawhitiwhiti, whānuitanga nekehanga 35° mō te whakahaere ngāwari me te ngāwari.

He aha ngā wāhanga matua o tētahipūnaha waewae tuaiwi?
Hepūnaha whakatikatika tuaiwi ā-rotohe tīwiri, he tīwiri whakatū, he tokotoko hononga, me te hononga whakawhiti. Ko te waewae he hanganga wheua kei te taha o muri o te tinana tuaiwi tuaiwi, he kaha, he pumau hoki. Mā te whakauru i te tīwiri waewae ki roto i te waewae, ka whakamahia te kaha o te wheua o te waewae hei whakarato i te pumau pumau, ka hanga i ngā āhuatanga pai mō te whakaora me te whakaora i te tuaiwi.
He aha ngā kete o te pūnaha waewae o te tuaiwi?
Tō mātoutīwiri tuarā me te kete parakore hei whakaiti i te tere piko, hei whakateretere i te hononga wheua me te whakapoto i te roa o te whakaora.

Wā tuku: Whiringa-ā-rangi 27-2025
