Isitshixo sonyango lwe-Schatzker uhlobo lwe-II i-tibial plateau fractures kukunciphisa i-articular surface edilikileyo. Ngenxa yokuvalelwa kwe-condyle esecaleni, indlela ye-anterolateral ine-exposure encinci ngokusebenzisa indawo edibeneyo. Ngaphambili, abanye abaphengululi bebesebenzisa i-anterolateral cortical fenestration kunye ne-screw-rod yokunciphisa iindlela zokunciphisa umphezulu we-articular odilikileyo. Nangona kunjalo, ngenxa yobunzima bokubeka iqhekeza lethambo eliwileyo, kukho ukungonakali kwisicelo seklinikhi. Abanye abaphengululi basebenzisa i-osteotomy ye-condyle esecaleni, baphakamise ibhloko yethambo ye-condyle esecaleni ye-plateau ngokubanzi ukuze baveze i-articular surface yethambo phantsi kombono othe ngqo, kwaye uyilungise ngezikrufu emva kokunciphisa, ukuzuza iziphumo ezilungileyo.
Oinkqubo yokukhwela
1. Isikhundla: Isikhundla esiphezulu, indlela ye-classic anterolateral.
2. I-condyle osteotomy esecaleni. I-Osteotomy yenziwa kwi-condyle esecaleni ye-4cm kude neqonga, kwaye ibhloko yethambo ye-condyle esecaleni yaguqulwa ukuze iveze i-articular surface ecinezelekileyo.
3. Ukusetha kwakhona kulungisiwe. I-articular surface ediliziweyo yahlaziywa, kwaye izikhonkwane ezimbini zifakwe kwi-articular cartilage ukulungiswa, kwaye i-defect ifakwe ithambo lokufakelwa.
4. Ipleyiti yensimbi ilungiswe ngokuchanekileyo.
Ixesha lokuposa: Jul-28-2023
