ʻO ka ʻOihana Oncology o nā iwi a me nā ʻiʻo palupalu he keʻena ʻoihana no ka mālama ʻana i nā ʻōpū o ka ʻōnaehana locomotion skeletal a me nā ʻiʻo, me nā ʻōpū iwi benign a me nā ʻino o nā lālā, nā pelvis a me ka iwi kuamoʻo, nā ʻōpū iwi benign a me nā ʻino o nā ʻiʻo palupalu a me nā ʻōpū metastatic like ʻole e pono ai ke komo ʻana o ka orthopedic.
ʻOihana Lapaʻau
ʻoki kino
Hoʻoikaika ʻia ka lāʻau hoʻōla lālā e pili ana i ka lāʻau lapaʻau piha no nā ʻōpū ʻino o ka iwi a me nā ʻiʻo palupalu. Ma hope o ka ʻoki nui ʻana o nā lesions kūloko, hoʻohana ʻia ka hoʻololi prosthesis artificial, ke kūkulu hou ʻana o ka vascular, ka hoʻoili ʻana o ka iwi allogeneic a me nā ʻano hana ʻē aʻe. Ua hana ʻia ka lāʻau hoʻōla lālā no nā poʻe maʻi me nā ʻōpū iwi ʻino o nā lālā. Ua hoʻohana ʻia ka ʻoki nui ʻana no ka sarcoma ʻiʻo palupalu, ʻoi aku hoʻi no ka sarcoma ʻiʻo palupalu hou a me ka refractory, a ua hoʻohana ʻia nā ʻili ʻili manuahi a me nā pedicled like ʻole e hoʻoponopono i nā kīnā ʻiʻo palupalu postoperative. Ua hoʻohana ʻia ka embolization vascular interventional a me ka occlusion vascular manawa pōkole o ka balloon aorta abdominal e hōʻemi i ke kahe koko intraoperative a wehe maluhia i ka ʻōpū no nā ʻōpū sacral a me pelvic. No nā ʻōpū metastatic o ka iwi, nā ʻōpū mua o ka iwi kuamoʻo a me nā ʻōpū metastatic, ua hui pū ʻia ka radiotherapy a me ka chemotherapy me ke ʻoki ʻana e like me nā kūlana o nā poʻe maʻi, a ua hoʻohana ʻia nā ʻano hana hoʻopaʻa kūloko like ʻole e like me nā wahi like ʻole.
Kemoterapia
Hoʻohana ʻia ka chemotherapy neoadjuvant preoperative no nā puʻupuʻu ʻino i hōʻoia ʻia e ka pathology i mea e hoʻopau ai i ka micrometastasis, loiloi i ka hopena o nā lāʻau chemotherapeutic, hoʻemi i ke kahua lapaʻau o nā puʻupuʻu kūloko, a hoʻomaʻamaʻa i ka resection ʻoki kino nui. Hoʻopili ʻia ia ma ke ʻano lapaʻau i kekahi mau puʻupuʻu iwi ʻino a me nā sarcomas palupalu.
Radiotherapy
No kekahi mau puʻupuʻu ʻino i hiki ʻole ke wehe nui ʻia e ke ʻoki hoʻōla lālā a i ʻole ke ʻoki kino, hiki i ka radiotherapy adjuvant ma mua a ma hope paha o ke ʻoki ʻana ke hōʻemi i ka hoʻi hou ʻana o ka puʻupuʻu.
Hoʻōla kino
No ka hana pono ʻole o ka neʻe ʻana ma hope o ka hana ʻana, ua hoʻohana ʻia ke ʻano o ke alakaʻi ʻoihana postoperative no ka hoʻoponopono hou ʻana i ka hana e hana i ka hana maikaʻi o nā lālā no ka hoʻihoʻi ʻana i ke ola kaiaulu maʻamau i ka hikiwawe loa.