I-Lateral condylar osteotomy yokunciphisa uhlobo lwe-Schatzker lwe-II ye-tibial plateau fractures

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 elidilikileyo, 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.