Hoʻololi kuʻekuʻe wāwae

ʻO ke kuʻekuʻe wāwae kahi ʻoki e hoʻololi i ka iwi i hōʻino ʻia a me ka cartilage i ka ami ankle. Hoʻohana ʻia nā ʻāpana hui pū kekahi (prosthetics) i mea e pani ai i kou mau iwi ponoʻī. Aia nā ʻano ʻokoʻa o nā ʻoki pani kuʻekuʻe wāwae.

Hana pinepine ʻia ka ʻoki kuapo ankle ʻoiai ʻoe ma lalo o ka anesthesia ākea. ʻO kēia ka mea e hiamoe ʻoe a ʻaʻole ʻike i ka ʻeha.

Loaʻa iā ʻoe ke anesthesia spinal. Hiki iā ʻoe ke ala akā ʻaʻole e ʻike i kekahi mea ma lalo o kou pūhaka. Inā loaʻa iā ʻoe kahi anesthesia spinal, e hāʻawi ʻia ʻoe i ka lāʻau e kōkua ai iā ʻoe e hoʻomaha i ka wā o ka hana.

E ʻokiʻoki kāu kaukipoki i ka ʻoki kino i mua o kou kuʻekuʻe wāwae e hōʻike i ka ami kuʻekuʻe wāwae. E hoʻokuʻikuʻi aku kāu kauka lāʻau i nā ʻāʻī, nā aʻa, a me nā kīʻaha koko i ka ʻaoʻao. Ma hope o kēia, e hoʻoneʻe kāu mea kauka i ka iwi i hōʻino ʻia a me ka cartilage.

E lawe aku kāu kauka lāʻau i ka ʻeha o ka:

• ʻO ka hopena lalo o kou iwi shin (tibia).
• ʻO ka piko o kou iwi wāwae (talus) e kau ai nā iwi wāwae.

Hoʻopili ʻia nā ʻāpana metala o ka hui kuʻina hou i nā ʻāpana iwi ʻoki. Hiki ke hoʻohana ʻia kahi kāpili kūikawā / iwi simona e hoʻopaʻa iā lākou i kahi. Hoʻokomo ʻia kahi ʻāpana palaka ma waena o nā ʻāpana hao ʻelua. Hoʻokomo ʻia nā ʻūlū e hoʻokūpaʻa i kou kuʻekuʻe wāwae.

E hoʻihoʻi hou ka mea lapaʻau i nā kaula i kahi a pani i ka ʻeha me nā kuʻi (kuʻi). Pono paha ʻoe e ʻaʻa i kahi māʻoki, hoʻolei, a i ʻole ke kāʻei no kekahi manawa e mālama i ka kuʻekuʻe wāwae mai ka neʻe ʻana.

Hiki ke hana i kēia ʻoki inā hōʻinoʻino ka kuʻekuʻe wāwae. ʻEhaʻeha paha kāu mau ʻōuli a nalowale o ka neʻe o ka kuʻekuʻe wāwae. ʻO kekahi mau kumu o ka hōʻino ʻia:

• Hoʻokumu ʻia ka artritis e nā ʻeha kuʻekuʻe wāwae a i ʻole ke ʻoki ʻana i ka wā i hala
• Haki iwi
• Maʻi kīnā
• ʻO Osteoarthritis
• Rheumatoid arthritis
• Tumo

ʻAʻole paha hiki iā ʻoe ke loaʻa i kahi kuʻekuʻe wāwae āpau inā loaʻa ʻoe i nā maʻi kuʻekuʻe wāwae i ka wā i hala.

Nā pilikia no kekahi ʻoki a me anesthesia:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahena
• Pūʻulu koko
• Maʻi kīnā

Nā pilikia no ka ʻoki kuapo ankle:

• Ka nāwaliwali o ka kuʻekuʻe wāwae, ʻoʻoleʻa, a i ʻole kūmau ʻole
• Loosening o ka ami hana i ka manawa
• ʻAʻole hoʻōla ka ʻili ma hope o ke kaha ʻana
• Poino nerve
• Poino ke kīʻaha koko
• Haki ka iwi i ke kahakaha ʻana
• Dislocation o ka ami hui
• ʻO ka hopena āpau i ka ami synthetic (ʻano maʻamau)

E haʻi mau i kāu mea mālama ola i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopihapiha, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o 2 mau pule ma mua o kou ʻoki kino:

• Nonoi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mea e paʻakikī ai ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nā koko lahilahi (e like me Warfarin a i ʻole Clopidogrel) a me nā lāʻau ʻē aʻe.
• E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​ʻano olakino ʻē aʻe, e noi ana kāu kauka iā ʻoe e ʻike i kāu mea nāna e mālama iā ʻoe no kēia mau ʻano.
• E haʻi i kāu mea hāʻawi inā inu ʻoe i ka nui o ka waiʻona, ʻoi aku ma mua o hoʻokahi a ʻelua paha mau inu i ka lā.
• Inā puhi ʻoe, pono ʻoe e hoʻokū. E noi i kāu mea hāʻawi mai i kōkua. Hiki i ka puhihihi ke hoʻolohi i ka ʻeha a me ka hoʻōla iwi. E hoʻonui loa ia i kāu pilikia ma hope o ke kahakaha ʻana.
• E hoʻomaopopo mau i kāu mea hoʻolako e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe āu e loaʻa ai ma mua o kāu ʻoki.
• Makemake paha ʻoe e kipa i ka mea hoʻoponopono kino e aʻo i kekahi ʻano hoʻoikaika kino e hana ma mua o ke ʻoki ʻana. Hiki i ke kauka lāʻau hoʻoikaika kino ke aʻo iā ʻoe pehea e hoʻohana pono ai i nā ʻauʻa.

I ka lā o kou ʻoki kino:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea no 6 a 12 mau hola ma mua o ke kaʻina hana.
• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.

E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

Ma hope o ke kaha ʻana, pono ʻoe e noho ma ka haukapila no hoʻokahi pō. Ua loaʻa paha iā ʻoe kahi poloka nerve e kaohi i ka ʻeha no ka 12 mua a 24 mau hola ma hope o ke kahakaha ʻana.

Aia kou kuʻekuʻe wāwae i ka mea hoʻolei a i ʻole ka haʻalulu ma hope o ke kahakaha ʻana. E waiho ʻia kahi ʻōmole liʻiliʻi e kōkua i ke kahe ʻana o ke koko mai ka kuʻekuʻe wāwae i kou kuʻekuʻe wāwae no 1 a i ʻole 2 mau lā. I kou wā hoʻōla mua, pono ʻoe e kaukaʻi i ka mālama ʻana i ka pehu ʻana ma ka hāpai ʻana i kou wāwae i luna ma mua o kou puʻuwai ʻoiai ʻoe e hiamoe ana a hoʻomaha paha.

ʻIke ʻoe i kahi mea hoʻoponopono kino, nāna e aʻo iā ʻoe i nā hoʻolālā e kōkua iā ʻoe e neʻe me ka maʻalahi. ʻAʻole hiki iā ʻoe ke hoʻokau i kekahi kaupaona ma ka kuʻekuʻe wāwae no kekahi mau mahina.

E kū paha kahi kuʻekuʻe wāwae kūleʻa:

• E hōʻemi a hoʻopau paha i kou ʻeha
• E ʻae iā ʻoe e hoʻoneʻe i kou kuʻekuʻe wāwae i luna a i lalo

I ka hapanui o nā hihia, he 10 a ʻoi paha mau makahiki ke kuʻekuʻe wāwae. Pehea kou lōʻihi e kau ai i kāu pae o ka hana, ke olakino holoʻokoʻa, a me ka nui o nā hōʻino i kou ami kuʻekuʻe wāwae ma mua o ke kahakaha ʻana.

Ankle arthroplasty - huina; Huina nui ʻōiwi kuʻekuʻe wāwae; Hoʻololi kuʻekuʻe wāwae Endoprosthetic; ʻOki kuʻekuʻe wāwae

• Hoʻololi kuʻekuʻe wāwae - hoʻokuʻu
• Ka palekana i ka lumipaku no nā mākua
• Pāleʻa ka pale ʻana
• Ke pale nei i ka hāʻule - he aha e nīnau aku ai i kāu kauka
• Mālama ʻeha ʻeha - wehe

• Anatomy kuʻekuʻe wāwae

ʻO Hansen ST. Hana hou i ka wāwae a me ka kuʻekuʻe wāwae. I: Browner BD, Jupiter JB, Krettek C, Anderson PA, hua. Trauma skeletal: ʻepekema kumu, ka hoʻokele, a me ke kūkulu hou ʻana. 5th lā. Piladelapia, PA: Elsevier Saunders; 2015: chap 68.

Myerson MS, Kadakia AR. Huina kuʻekuʻe wāwae āpau. I: Myerson MS, Kadakia AR, eds. Hana hou i ka wāwae a me ka wāwae: ka hoʻoponopono a me nā pilikia. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 18.

ʻO Murphy GA. Huina nui o nā kuʻekuʻe wāwae. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 10.