ʻO Osteotomy kahi hana ʻokiʻoki e hoʻoponopono ai i nā iwi a me nā deformities hui, ʻo ka mea nui i ke kuli, nā pūhaka a i ʻole ka ʻāʻī.

ʻO kahi osteotomy (mai ka Greek oste: iwi; a me ka tomē: cut) kahi hana ʻoki e pili ana i ka ʻoki ʻana i kahi iwi i mea e hoʻololi ai i kāna axis, ka nui a me kona ʻano. Hana ʻia kēia ʻano ʻoki kino no nā hana hoʻihoʻi i ka hanana o kahi malformation a i ʻole maʻi degenerative, e like me ka osteoarthritis o ke kuli a i ʻole ka hip, no ka laʻana. Akā i kekahi mau hihia, hiki i ka hana ke loaʻa kahi pahuhopu esthetic, e like me kahi laʻana i ka wā o ka hana o ka auwae a i ʻole kahi rhinoplasty (hana e hoʻololi i ke kinona a me ke ʻano o ka ihu).

Hana ʻia ʻo Osteotomy i nā hihia aʻe:

• kahi hemahema o ke ami kuli, e like me nā wāwae i kū i waho (ka genu varum) a i ʻole nā ​​wāwae i kū i loko a ʻōlelo paha "in X" (the genu valgum);
• hipplplasia (a i ʻole ka huki hakahaka), kahi hānau a loaʻa paha i ka deformity o ka hui pūhaka;
• osteoarthritis o ke kuli a i ʻole ka uha i mea e hoʻopaneʻe ai i ke kūpono ʻana o kahi prostesis i nā maʻi ʻōpio;
• kahi deformity o ka iwi kuamoʻo i hopena i ke kuli a i ʻole "hunchbacked" hoʻi (kyphosis) a i ʻole he lapaʻau ʻana o ka hopena hope loa i nā hihia ʻoi loa o ka scoliosis ("S" deformity o ka iwi kuamoʻo);
• kahi hana hewa o ka iwi ā lalo (mandible) a i ʻole luna (maxilla) e pale ai i ka hoʻopili maʻamau o nā niho;
• kahi bunion (a i ʻole hallux valgus) kahi hoʻololi o ka manamana nui i nā manamana wāwae ʻē aʻe a me ke ʻano o kahi puʻupuʻu i waho o ka hui.

Hana pū nā kauka lula ea i ka osteotomy e hoʻololi ai i ke kinona o ka auwae.

ʻO ka maʻamau, i ka wā o ke ʻoki ʻana, ʻokiʻoki ʻia nā iwi me nā mea hana loea. A laila, hoʻonohonoho hou ʻia nā wana ʻoki i ke kūlana i makemake ʻia a laila hoʻopaʻa ʻia me nā pā, nā ʻāpana a i ʻole nā ​​koʻokoʻo hao (nā kui kui intramedullary). Hana ʻia ka hana holoʻokoʻa ma lalo o ka anesthesia ākea a i ʻole ma lalo o ka anesthesia kūloko. Hoʻoholo ʻia e ka anesthetist i ka ʻaelike me ka mea hoʻomanawanui a kaukaʻi ʻia i ka ʻano osteotomy i hana ʻia.

ʻO ka hoʻōla hou ʻana ma muli o ke kaukō e pili i ka iwi i hoʻopili ʻia e ka osteotomy. ʻO ka maʻamau, kauoha ʻia e ka kauka ka lapaʻau hōʻoluʻolu ʻeha, a me ka hapa a i ʻole o ka huina immobilization o ka ami i hoʻolālā ʻia (hip, kuli, ʻāʻī). Hoʻololi pū ka hoʻihoʻi piha ʻana mai kekahi mau pule a i mau mahina e like me ka nui o ke kaha.

Ma hope o ka ʻoki ʻana o ka iwi ʻā, he ʻōlelo aʻoaʻo pinepine e hōʻalo i ka puhipaka.

E like me nā kaʻina hana ʻokiʻoki i hana ʻia ma lalo o ka anesthesia, hōʻike ka osteotomy i kahi pilikia o ka hopena maʻi i nā anesthetics a i ʻole ka hoʻomohala ʻana i nā pilikia hanu.

ʻO ka mea maʻamau, ʻo kēia ʻano hana e pili ana i nā pōpilikia kūlohelohe i nā hana ʻoki āpau. E ʻōlelo mākou e laʻana:

• ka hoʻomohala ʻana i kahi maʻi maʻi nosocomial;
• lilo ke koko;
• ke kūkulu ʻia ʻana o ke kōkuʻu koko ma ke kahua o ka hana (pinepine i ka wāwae i ka wā o ke kuli);
• hōʻino i ke aʻalolo e lilo ana i ka nalowale o ka noʻonoʻo a me ka neʻe ʻana o ka ami (kuli, ʻāʻī);
• ʻeha mau ma hope o ka hana;
• he haki iwi;
• ʻike makaʻu.

ʻO ka hope, ʻaʻole kūleʻa ka kūleʻa o ka hana. Eia kekahi, aia kahi pilikia o ka holomua a laila pono i nā ʻōpala hou aʻe.

ʻAʻole koi pinepine ʻia nā ʻoki kaumaha a me nā anesthesia laulaha no ka poʻe ʻelemākule a i ʻole nā ​​poʻe e ʻehaʻeha nei i nā maʻi ʻē aʻe e like me nā pilikia puʻuwai.