Nā mea e pono ai ʻoe e ʻike e pili ana i ke ʻoki ʻana o ka kuʻekuʻe wāwae

I kekahi manawa, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha ma ko kākou mau kuʻekuʻe wāwae, ʻeā? He mea paʻakikī loa ke ola me kēia ʻeha e kū mai ana ʻaʻole wale i ka wā e hele ana, e piʻi ana i nā alapiʻi, akā i ka wā e kū wale ana. Inā ua lawe ʻoe i ka lāʻau lapaʻau a ua hana ʻia nā ʻano lāʻau like ʻole a ʻaʻole i emi ka ʻeha, e kuhikuhi paha kāu kauka iā ʻoe i kahi ʻoki kino i kapa ʻia ʻo 'Ankle Fusion'. I ka wā mua, ʻo ka lohe ʻana i kēia inoa e kani iki paha he mea weliweli. Akā inā mākou e aʻo hou e pili ana i ia mea, e maopopo iā ʻoe ke pono o kēia hopena. E nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, a he aha nā pōmaikaʻi a me nā hemahema o ia mea.

He aha ka Ankle Fusion?

I ka ʻōlelo maʻalahi, ʻo Ankle Fusion ka hoʻohui ʻoki ʻana o kekahi mau iwi i loko o kou hui kuʻekuʻe wāwae i hoʻokahi. Kāhea pū nā kauka i kēia he ankle arthrodesis.

ʻO kahi hui kekahi wahi o ko mākou kino kahi e hui ai nā iwi ʻelua. ʻO ko mākou hui kuʻekuʻe wāwae kahi e pili ai ko mākou wāwae i ko mākou wāwae lalo. ʻO ia hoʻi, kahi e hui pū ai ko mākou iwi ʻūhā (tibia) a me ka iwi lahilahi ma kona ʻaoʻao (fibula) me kahi iwi ma ko mākou kuʻekuʻe wāwae (talus).

Hana pinepine nā kauka i kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi kuʻekuʻe wāwae koʻikoʻi . Ke pau ke ʻano o ke cartilage i loko o kou hui ma muli o ka maʻi kuʻekuʻe wāwae, hoʻomaka nā iwi e hamo kekahi i kekahi. I ka hala ʻana o ka manawa, hiki i kēia ke hōʻino i ke hui a hōʻeha i ka ʻeha hiki ʻole ke hoʻomanawanui. ʻO ke ʻoki kino fusion kuʻekuʻe wāwae e pili ana i ka hoʻohui ʻana i nā iwi. A laila hoʻopau ʻia ka friction ma waena o nā iwi, a aneane pau loa ka ʻeha.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma hope o kou hoʻoholo ʻana e hana i ke ʻoki kino, pono ʻoe e hālāwai me kāu kauka a me ke kauka ʻoki kino. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona o kēia manawa, pehea ka hopena o ka ʻeha i kou ola o kēlā me kēia lā, a me nā lāʻau lapaʻau āu i hoʻāʻo ai ma mua a me ka nui o ka hōʻoluʻolu a lākou i hāʻawi mai ai.

He mea nui e haʻi pololei i kāu kauka e pili ana i nā mea āpau i kēia manawa. ʻOiaʻiʻo, makaʻu paha ʻoe e hana i ke ʻoki kino e hoʻololi mau loa i kou kuʻekuʻe wāwae. Akā, mai hoʻēmi i ka ʻeha a i ʻole ka ʻoluʻolu ʻole āu e ʻike nei. Inā ʻo kou ʻeha kuʻekuʻe wāwae e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā a inā ʻoe e pale ana i kekahi mau hana, e maopopo e pili ana i kēlā.

Pono ʻoe e hana i kēia mau mea ma mua o ka lā o ke ʻoki kino:

• He hoʻokolokolo kino piha e ʻike ai inā ua lawa kou olakino e kū ai i ke ʻoki kino.
• He mau hoʻāʻo koko.
• Nā hoʻāʻo kiʻi, e like me ka X-ray . Hiki ke noi ʻia iā ʻoe e hana i kahi MRI (Magnetic Resonance Imaging) a i ʻole CT (Computed Tomography) scan .

E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a me nā mea hoʻohui āu e hoʻohana ai. Hiki ke aʻo ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau ma mua o ke ʻoki ʻana. E haʻi ʻia aku hoʻi ʻoe e hoʻokē ʻai no kahi o 12 mau hola ma mua o ke ʻoki ʻana.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

I ka lā o ke ʻoki kino, e hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha. E hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā, ka mea e hoʻomoe loa iā ʻoe, a i ʻole ka anesthesia kūloko, ka mea e hoʻomānoʻo wale i ka wahi a puni kou kuʻekuʻe wāwae.

I ka wā o ke ʻoki ʻana, e hoʻohui ke kauka ʻoki i nā iwi o kou kuʻekuʻe wāwae. Hiki ke hana ʻia kēia ma nā ʻano ʻelua.

ʻO ka maʻamau, he mau hola ka lōʻihi o kēia hana ʻoki kino. Hiki ke loli ka manawa e pono ai ma muli o ka nui o ka hōʻino ʻia i kou hono a me ke kaʻina hana ʻoki kino i koho ʻia.

He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana a pehea ka lōʻihi e hoʻōla ai?

ʻO ka hapa nui o nā ʻokiʻoki kuʻekuʻe wāwae he mau kaʻina hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Ma hope o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i kahi kākoʻo a i ʻole kahi kāmaʻa kūikawā no kou kuʻekuʻe wāwae.Hana ia i kēia ma ka mālama ʻana i ke ami a me ka pale ʻana i ke kaumaha mai ka hāʻule ʻana ma luna.

Pono ʻoe e hoʻohana i nā koʻokoʻo a i ʻole kekahi kākoʻo ʻē aʻe no kekahi mau pule.

I ka wā o ke kaʻina ho'ōla, e hui mālie nā iwi i hoʻohui ʻia i hoʻokahi iwi ikaika. ʻO ka maʻamau, he 12 pule kēia, a i ʻole ʻekolu mahina . Hoʻōla kēlā me kēia kanaka i kahi wikiwiki ʻokoʻa. I loko o kēia manawa, e ikaika a paʻa kou kuʻekuʻe wāwae, a e nalowale loa ka ʻeha.

Hiki iā ʻoe ke hele hou ma ke ʻano maʻamau?

ʻAe, ʻoiaʻiʻo nō. Ma hope o ka hoʻōla ʻana, hiki iā ʻoe ke hele a hana maʻamau. Akā, e lōʻihi ka manawa e hoʻomaʻamaʻa ai i ke ami i hoʻopili hou ʻia. He mea nui loa ka loaʻa ʻana o ka lāʻau lapaʻau kino i ka wā hoʻōla. Hiki i kahi mea lapaʻau kino ke kōkua iā ʻoe e hoʻohana pono i kou kuʻekuʻe wāwae a loaʻa hou ka ikaika. ʻO ka maʻamau, hoʻokahi a ʻelua paha mahina ma mua o kou hoʻomaka ʻana e kau i ke kaumaha ma kou kuʻekuʻe wāwae a hele hou ma hope o ke ʻoki ʻana.

He aha nā pōmaikaʻi a me nā pōʻino o kēia ʻoki kino?

E like me nā lāʻau lapaʻau āpau, he mau pono kēia ʻoki kino a me kekahi mau pilikia.

I ka manawa e ʻike koke ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka ʻoki a i ʻole kekahi kauka ʻē aʻe.

• Kuni ma luna o 101 Fahrenheit (39 Celsius).
• Ke kahe mau nei ke koko o ka ʻoki.
• Nā hōʻailona o ka maʻi ma ka ʻoki (e like me ke kahe ʻana e like me ka pus, ka pehu nui, ka loli ʻana o ke kala, ka ʻala pilau, ka mehana ʻē).
• ʻEha hou a ʻeha paha.

ʻO ka mea hope loa, no kekahi mea i ʻeha i ka ʻeha kuʻekuʻe wāwae mau loa a ua hoʻāʻo i nā lāʻau lapaʻau ʻē aʻe akā ʻaʻole i loaʻa ka hōʻoluʻolu, he koho maikaʻi paha ke ʻoki ʻana i ka fusion kuʻekuʻe wāwae. ʻOi aku ka waiwai o ka hōʻoluʻolu ʻeha e hāʻawi ai ma mua o ka nalowale o ka neʻe ʻana.