Ua loaʻa i kahi Labrador retriever i kapa ʻia ʻo Ava i ka lua o ka ʻoki ʻoki ʻana i ka ʻūhā me ke kōkua ʻana o Texas A&M University veterinarians, computed tomography (CT)-guided planning and 3D printing technology.A laila e hoʻi i ka holo a pāʻani me kou ʻohana.
I ka pau ʻana o nā ʻūhā hope ʻelua i loaʻa iā Ava ma ke ʻano he ʻīlio hae i ka makahiki 2020, ua wehe ʻo Texas A&M veterinarians i nā hui kahiko a hoʻololi iā lākou me nā mea hou, me ka hoʻohana ʻana i ka hoʻolālā alakaʻi CT, nā hiʻohiʻona iwi paʻi 3D a hoʻomaʻamaʻa i nā ʻokiʻoki e hōʻoia i ka holo mālie a me ka ʻeha. .e holomua ana.
ʻAʻole nui nā ʻīlio i hele i ʻehā mau hōʻoki ʻana i ka hip replacement (THR) i ko lākou ola ʻana, akā ua kūikawā ʻo Ava.
"Hele mai ʻo Ava iā mākou i ka piha ʻana o ʻeono mahina a he mau mākua hānai ʻīlio mākou e noho ana ma Illinois," wahi a ka mea nona ʻo Ava ʻo Janet Dieter."Ma hope o ka mālama ʻana i nā ʻīlio he 40, ʻo ia kā mākou 'loser' mua a mākou i hāpai ai.Ua loaʻa iā mākou kekahi Labrador ʻeleʻele ʻē aʻe i kapa ʻia ʻo Roscoe i kēlā manawa, ka mea i makemake e huki i nā ʻīlio hānai, akā aloha koke iā Ava a ʻike mākou e noho ʻo ia.
Lawe mau ʻo Janet a me kāna kāne ʻo Ken i kā lāua ʻīlio i ke kula hoʻolohe me lāua, ʻaʻole ʻokoʻa ʻo Ava.Eia naʻe, ma laila i hoʻomaka ai nā kāne e ʻike i kahi mea ʻokoʻa e pili ana iā ia.
"Ua puka mai ke kumuhana e pili ana i ka hooki ana i kou ilio mai ka lele ana mai ia oe, a ua ike makou aole loa e lele mai o Ava maluna o makou," wahi a Janet."Ua lawe mākou iā ia i kahi kauka lapaʻau kūloko a ua hana lākou i kahi x-ray e hōʻike ana ua hemo ka ʻūhā o Ava."
Ua hāʻawi ʻia nā Dieters i kahi kauka lapaʻau hoʻololi āpau ʻike i hana i ka hoʻololi ʻana o Ava i ka makahiki 2013 a me 2014.
"He mea kupaianaha kona kūpaʻa," wahi a Janet."Ua hele ʻo ia i waho o ka haukapila me he mea lā ʻaʻohe mea i hana."
Mai ia manawa, ua kōkua ʻo Ava i nā ʻīlio hānai a nā kāne e ʻai ana i ka poʻe e pāʻani ai.I ka neʻe ʻana o ka ʻohana o Dieter mai Ilinoi a i Texas i kekahi mau makahiki i hala aku nei, ua lawe ʻo ia i ka hoʻololi ʻana.
"I loko o nā makahiki, ua hoʻopau nā pōpō artificial i ka liner plastic e pale ana i nā paia metala o nā hui artificial," wahi a Kauka Brian Sanders, ke kaukaʻi o nā orthopedic holoholona liʻiliʻi a me ka luna o nā lawelawe orthopedic holoholona liʻiliʻi ma ka Halemai Hoʻonaʻauao Veterinary."A laila ua hoʻopau ka pōleʻa hana i ke kumu metala, e hoʻoneʻe loa ai."
ʻOiai he kakaikahi ka lole a me ka waimaka o ka hui ʻūhā i nā ʻīlio, hiki ke hana i ka wā e hoʻololi ai i kahi hui i hoʻohana ʻia no nā makahiki he nui.
"I ka wā i hoʻokomo ʻia ai ʻo Ava i kona ʻūhā mua, ʻaʻole i hoʻomohala ʻia ka padding i ka hui pani e like me kēia manawa," wahi a Sanders."Ua holomua ka ʻenehana a hiki i kahi e liʻiliʻi ai kēia pilikia.He kakaikahi na pilikia e like me Ava, aka, i ka wa e puka mai ai, pono ka ike loea e loaa ai ka hopena maikai.
Ma waho aʻe o ka hoʻoheheʻe ʻia ʻana, ʻo ka ʻānai ʻana o nā paia metala o ka ʻūhā o Ava i hoʻoulu ai i nā ʻāpana metala liʻiliʻi e hōʻiliʻili a puni ka hui a i loko o ke kahawai pelvic, e hana ana i nā granulomas.
"ʻO ka granuloma kahi ʻeke o nā ʻiʻo palupalu e hoʻāʻo nei e paʻa i nā ʻāpana metala," wahi a Sanders."Ua loaʻa iā Ava kahi granuloma metala nui e ālai ana i ke komo ʻana i kona ʻāʻī ʻūhā a hoʻopilikia i kona ʻōpū i loko.Hiki i kēia ke hōʻole i kona kino i nā implants prosthetic THR.
"ʻO ka waiho ʻana o ka metala - kahi hana erosive e hōʻiliʻili ai i nā ʻāpana metala i loko o nā granulomas - hiki ke hoʻololi i nā cellular e hoʻoneʻe ai ka iwi a puni ka ʻūhā hou.Ua like ia me ka waiho ʻana i ke kino i ke ʻano pale e pale iā ia iho mai nā mea o waho, "wahi āna.
Ma muli o ka paʻakikī o ke kaʻina hana no ka wehe ʻana i ka granuloma a hoʻoponopono hou i ka ʻūhā o Ava, ua ʻōlelo ʻo Diters 'veterinary local e ʻike lākou i kahi loea orthopedic ma Texas A&M University.
No ka hōʻoia ʻana i ka holomua o ka hana paʻakikī, ua hoʻohana ʻo Sanders i ka hoʻolālā ʻokiʻoki alakaʻi alakaʻi CT a me ka ʻenehana paʻi 3D.
"Hoʻohana mākou i ka hoʻohālike kamepiula 3D e hoʻoholo i ka nui a me ka hoʻokomo ʻana o nā implants prosthetic," wahi a Saunders.“Ua paʻi maoli mākou i kahi kope pololei o ka ʻūhā i hoʻokaʻawale ʻia o Ava a ua hoʻolālā pololei i ke ʻano o ka hana ʻana i ke kaʻina hoʻoponopono me ka hoʻohana ʻana i ke kumu hoʻohālike 3D o ka iwi.ʻO ka ʻoiaʻiʻo, ua hoʻomaʻemaʻe mākou i nā hiʻohiʻona plastik a hoʻohana iā lākou i loko o ka lumi hana e kōkua ai i ke kaʻina hana hou.
“Inā ʻaʻole kāu polokalamu paʻi 3D ponoʻī, pono ʻoe e hoʻohana i kahi kaʻina hana uku no ka lawelawe e hoʻouna i nā scan CT i kahi hui ʻaoʻao ʻekolu.Hiki ke paʻakikī i ka manawa o ka huli ʻana, a nalowale pinepine ʻoe i ka hiki ke komo i ke kaʻina hoʻolālā, "wahi a Sanders.
ʻO ka loaʻa ʻana o kahi kope o ka ʻāʻī o Ava he mea kōkua nui i ka noʻonoʻo ʻana i ka granuloma o Ava e hoʻoikaika paʻakikī ana i nā mea.
"I mea e pale aku ai i ka THR, hoʻohana mākou i kahi CT scan a hana pū me kahi hui o nā mea lapaʻau palupalu palupalu e wehe i ka nui o ka granuloma metala mai ke kahawai pelvic a hiki i ka hoʻi ʻana no ka hoʻoponopono THR.A laila ke hana mākou i ka loiloi, hiki iā mākou ke hoʻopau i ke kaʻina ma kēlā ʻaoʻao ma ka wehe ʻana i ke koena granuloma ma kekahi ʻaoʻao, "wahi a Sanders."ʻO ka hoʻohana ʻana i nā hiʻohiʻona 3D no ka hoʻolālā ʻana a me ka hana pū ʻana me ka hui ʻiʻo palupalu ʻelua mau mea nui i kā mākou holomua."
ʻOiai ua holo maikaʻi ka hana hou ʻana o ka ʻūhā mua o Ava, ʻaʻole i pau kona ʻeha.I kekahi mau pule ma hope o ka ʻoki mua ʻana, ua pau a hemo ka papa THR ʻē aʻe o Ava.Pono ʻo ia e hoʻi i VMTH no ka hoʻoponopono hou ʻana o ka hip.
"ʻO ka mea pōmaikaʻi, ʻaʻole i hōʻeha nui ʻia ka ʻūhā ʻelua e like me ka mua, a ua loaʻa iā mākou kahi hiʻohiʻona 3D o kona iwi mai kāna hana hou ʻana, no laila ʻoi aku ka maʻalahi o ka hoʻoponopono hou ʻana o ka ʻūhā ʻelua," wahi a Saunders.
"Ke holo mau nei ʻo ia a puni ka pā hale a me ko mākou kahua pāʻani," wahi a Janet."Ua lele ʻo ia ma luna o ka sofa."
"I ka wā i hoʻomaka ai ʻo ia e hōʻike i nā hōʻailona mua o ka ʻaʻahu ʻana ma kona pūhaka, manaʻo mākou ʻo ia paha ka hopena a pīhoihoi mākou," wahi a Ken."Akā ua hāʻawi nā mea lapaʻau ma Texas A&M i kona ola hou."
Ua ʻōlelo ka poʻe loea lāʻau lapaʻau ma Texas A&M University ʻo ka hāʻawi ʻana i kahi "wahi palekana" no nā pōpoki ke kī nui i nā hoʻolauna kūleʻa.
Hiki i nā ʻenehana lāʻau lapaʻau ke puhi ʻia a ʻelima mau manawa o ka make ʻana i ke ola kino ma mua o ka lehulehu.
E hana nā kānaka ʻepekema e hoʻomaopopo i ke ʻano o ka laha ʻana o ka maʻi i hoʻokumu ʻia ai ka COVID-19 i waena o nā dia a pehea e pili ai i ko lākou olakino holoʻokoʻa.
Hoʻopili ʻo Drew Kearney '25 i ka ʻikepili hui e hoʻomaikaʻi i nā hoʻolālā hoʻomohala pāʻani.
Ua ʻōlelo ka poʻe loea lāʻau lapaʻau ma Texas A&M University ʻo ka hāʻawi ʻana i kahi "wahi palekana" no nā pōpoki ke kī nui i nā hoʻolauna kūleʻa.
Ka manawa hoʻouna: Dec-18-2023