Paʻa laka pahu pahu Titanium

ʻO Median sternotomy ka mea maʻamau i hoʻohana ʻia i nā maʻi e hoʻopaʻa ʻia ana i ka ʻoki puʻuwai.ʻO ka maʻi ʻeha sternal hohonu (DSWI) he pilikia koʻikoʻi ma hope o ka sternotomy.ʻOiai he haʻahaʻa ka nui o ka DSWI (ma waena o 0.4 a 5.1%), pili ia me ka nui o ka make a me nā maʻi maʻi, ka noho lōʻihi o ka haukapila, a me ka hoʻonui ʻana i ka ʻeha a me ke kumukūʻai.ʻO ka hoʻomaʻamaʻa maʻamau o DSWI e pili ana i ka debridement ʻeha, ka ʻeha ʻeha ʻeha (VAC) a me ka hoʻihoʻi hou ʻana i ka sternal.Eia nō naʻe, ʻaʻole hiki ke hoʻohana ʻia nā sternums dehisced a i hoʻopili ʻia i ka maʻi i hiki ʻole ke hana hou, ʻoi aku hoʻi i nā maʻi me nā maʻi co-morbidities.Kūkā pinepine ʻia ke ʻoki kino no ka hana hou ʻana i ka paia o ka umauma inā ʻaʻole hiki ke hoʻopaʻa ʻia ka sternum.

ʻO ka haʻihaʻi ʻana o ka ʻōpū ma kahi o 3-8% o ke komo ʻana no ka trauma thoracic.ʻAʻole ia he mea maʻamau a loaʻa pinepine ʻia e ka ʻeha pololei, mua, blunt trauma i ka sternum.Ho'ōla ka hapa nui o nā haʻi o ka ʻōpū me ka mālama ʻana i ka mālama ʻana, akā ʻo kekahi mau hihia me ka paʻa ʻole a i ʻole ka neʻe ʻana e hiki ke alakaʻi i nā kūlana kīnā koʻikoʻi, e like me ka ʻeha o ka umauma, dyspnea, ka ʻū mau, a me ka neʻe ʻana o ka pā umauma.

ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia no kēia ʻano, ʻo ia ka corset fixation a me ka hoʻomaha moe no nā mahina, a i ʻole ka hoʻopaʻa ʻana i ka uea kila.Hoʻopau pinepine ka mālama ʻana ma muli o ka nalowale o ka ikaika tensile a i ʻole ka hopena ʻoki uea.Nui nā mea kākau i hōʻike i ka hopena maikaʻi o ka hoʻoponopono ʻana i loko o ka pā no ka maʻi sternal a i ʻole nonunion ma hope o ka sternotomy.He koho lapaʻau maikaʻi ʻo sternal plating no ka dehiscence ʻeha e pili ana me ka paʻa ʻole o ka sternal.He kūpono ka ʻenehana hoʻopaʻa uea kila no ka sternotomy longitudinal, akā ʻo ka hapa nui o nā haʻihaʻi ʻeha ʻeha he mau ʻoki transverse a i ʻole uniona.I kēia mau hihia, ʻoi aku ka maikaʻi o ka hoʻoponopono ʻana i loko me kahi pā paʻa titanium

ʻO ka hoʻopaʻa ʻana i ka pā Titanium he ala kūpono ia i ka mālama ʻana i nā ʻoki ʻoki.Hoʻohālikelike ʻia me ka mālama maʻamau, pili ka hoʻoponopono ʻana i ka pā sternal me nā kaʻina hana debridement liʻiliʻi a me ka hāʻule ʻole o ka mālama ʻana.I kēia manawa, hoʻohana ʻia ka clip U-shape i ka pā ʻano māhele, hiki ke hoʻokuʻu ʻia no ke kūlana pilikia.