Hoʻohuli hope hoʻoliʻiliʻi liʻiliʻi

ʻO ka hoʻoliʻiliʻi liʻiliʻi hoʻoliʻiliʻi liʻiliʻi kahi hana i hoʻohana ʻia e hana i nā ʻoki pani hope. Hoʻohana ia i kahi ʻoki ʻoki liʻiliʻi. Eia kekahi, ʻoi aku ka liʻiliʻi o nā mākala e pili ana i ka ʻūhā e ʻoki a kaʻawale paha.

E hana i kēia ʻoki kino:

• E ʻokiʻoki ʻia i kekahi o nā wahi ʻekolu - ma ke kua o ka ʻūhā (ma luna o ka ʻūhā), ma ke alo o ka ʻūhā (kokoke i ke aʻa), a i ʻole ma ka ʻaoʻao o ka ʻūhā.
• I ka hapanui o nā hihia, ʻo ka ʻoki he 3 a 6 mau ʻīniha (7.5 a 15 mau kenimika) ka lōʻihi. I ke kīʻaha pani hakahaka maʻamau, ʻo ka ʻoki he 10 a 12 mau ʻīniha (25 a 30 mau kenimika) ka lōʻihi.
• E hoʻohana ka kaukoki i nā mea hana kūikawā e hana ai ma o ka ʻoki liʻiliʻi.
• ʻO ke ʻoki kino me ka ʻoki a me ka hemo ʻana o ka iwi. E hoʻopau ke kaukoki i kekahi mau mākala a me nā mākia ʻē aʻe. Wehe ʻia nā mea liʻiliʻi ma mua o ka ʻoki maʻamau. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoki a hoʻokaʻawale ʻia nā mākala.

Hoʻohana kēia kaʻina hana i ke ʻano like o nā ʻūhā pani hipa e like me ke kāʻei pani pani hou.

E like me ka hana maʻamau, hana ʻia kēia hana e hoʻololi a hoʻoponopono hou paha i kahi hui pū ʻia i hōʻino ʻia a i hōʻino ʻia hoʻi. ʻOi aku ka maikaʻi o kēia hana no ka poʻe ʻōpio a lahilahi. Hiki i nā ʻenehana hoʻouka minimally ke ʻae i kahi ola wikiwiki a me ka liʻiliʻi o ka ʻeha.

ʻAʻole paha ʻoe e kūpono no kēia kaʻina hana inā

• ʻOi loa ke koʻikoʻi o kāu arthritis.
• Loaʻa iā ʻoe nā pilikia olakino i ʻae ʻole iā ʻoe e hana i kēia ʻoki.
• Nui kou mau momona a momona paha i mea e pono ai nā ʻoki ʻoi aku ka nui e komo ai i ka ami.

Kamaʻilio me kāu kauka lāʻau e pili ana i nā pono a me nā pilikia. E nīnau inā he ʻike kāu kauka lāʻau me kēia ʻano ʻoki.

Hiki i ka poʻe i loaʻa i kēia ʻoki ke loaʻa kahi pōkole noho i ka haukapila a me ka hoʻōla wikiwiki. E nīnau inā he koho maikaʻi kēia hana nāu.

Uuku incision huina hip pani; ʻOki poʻohiwi MIS

Blaustein DM, Phillips EM. ʻO Osteoarthritis. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 140.

ʻO Harkess JW, ʻo Crockarell JR. Pākuʻi o ka uha. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 3.