Utyando lwe-lateral condylar osteotomy lokunciphisa ukwaphuka kwe-Schatzker type II tibial plateau

Eyona nto iphambili ekunyangeni ukwaphuka kwe-tibial plateau yeSchatzker yohlobo lwesibini kukunciphisa umphezulu we-articular owileyo. Ngenxa yokuvaleka kwe-lateral condyle, indlela ye-anterolateral yayinokuvezwa okuncinci kwindawo edibeneyo. Ngaphambili, abanye abaphengululi babesebenzisa iindlela zokunciphisa i-anterolateral cortical fenestration kunye neendlela zokunciphisa i-screw-rod ukuze babuyisele umphezulu we-articular owileyo. Nangona kunjalo, ngenxa yobunzima bokubeka iqhekeza lethambo eliwileyo, kukho iingxaki ekusetyenzisweni kweklinikhi. Abanye abaphengululi basebenzisa i-lateral condyle osteotomy, baphakamise ibhloko lethambo le-lateral condyle ye-plateau iyonke ukuze baveze umphezulu wethambo owileyo phantsi kombono othe ngqo, baze bayilungise ngezikrufu emva kokunciphisa, bafumane iziphumo ezilungileyo.

Oinkqubo yokucoca

1. Indawo: Indawo yokulala phantsi, indlela yakudala ye-anterolateral.

2. Utyando lwe-lateral condyle osteotomy. I-Osteotomy yenziwe kwi-lateral condyle ekude nge-4cm ukusuka eqongeni, kwaye ibhloko yethambo le-lateral condyle yaguqulwa ukuze kubonakale umphezulu ocinezelweyo we-articular.

3. Ukulungiswa kwakhona. Umphezulu we-articular owileyo walungiswa kwakhona, kwaye izikrufu ezimbini zancamathiselwa kwi-cartilage ye-articular ukuze ziqiniswe, kwaye isiphene safakwa ngethambo lokwenziwa.

4. Ipleyiti yentsimbi ilungisiwe ngokuchanekileyo.