I-Tibial plateau fractures ixhaphake ukulimala kwekliniki, kunye ne-Schatzker type II fractures, ebonakaliswe ngokuhlukana kwe-cortical lateral kudityaniswe nokudandatheka kwe-lateral articular surface, eyona nto ixhaphake kakhulu. Ukubuyisela i-articular surface ecinezelekileyo kunye nokuvuselela ukulungelelaniswa okuqhelekileyo kwamadolo, unyango lotyando lunconywa ngokuqhelekileyo.
Indlela ye-anterolateral kwi-joint joint ibandakanya ukuphakamisa ngokuthe ngqo i-lateral articular surface ecaleni kwe-cortex yokwahlula ukubeka kwakhona indawo edangeleyo ye-articular kunye nokwenza i-bone grafting phantsi kombono othe ngqo, indlela esetyenziswa ngokuqhelekileyo kwikliniki eyaziwa ngokuba "ukuvulwa kwencwadi". Ukudala ifestile kwi-lateral cortex kunye nokusebenzisa i-elevator ngefestile ukubeka kwakhona umphezulu odangeleyo, owaziwa ngokuba bubuchule be-"windowing", ngokwethiyori yeyona ndlela yokuhlasela kancinane.
Akukho sigqibo siqinisekileyo sokuba yeyiphi kwezi ndlela zimbini igqwesileyo. Ukuthelekisa ukusebenza kweklinikhi kwezi ndlela zimbini, oogqirha baseNingbo Sixth Hospital baqhube uphando oluthelekisayo.
Uphononongo lubandakanya izigulane ze-158, kunye namatyala angama-78 asebenzisa ubuchule befestile kunye namatyala angama-80 asebenzisa indlela yokuvula incwadi. Idatha esisiseko yamaqela amabini ayibonisanga mahluko abalulekileyo ngokweenkcukacha-manani:
▲ Umfanekiso ubonisa iimeko zeendlela ezimbini zokunciphisa umphezulu we-articular: AD: ubuchule befestile, i-EF: ubuchule bokuvula incwadi.
Iziphumo zophononongo zibonisa:
- Kwakungekho nantlukwano ephawulekayo ngexesha lokulimala ukuya kukuhlinzwa okanye ixesha lotyando phakathi kweendlela ezimbini.
- I-postoperative CT scans ibonise ukuba iqela lefestile lineemeko ze-5 ze-postoperative articular surface compression, kanti iqela lokuvula incwadi linamatyala angama-12, umehluko ophawulekayo. Oku kuphakamisa ukuba ubuchule befestile bubonelela ngokunciphisa umgangatho ongcono we-articular kunendlela yokuvula incwadi. Ukongezelela, iziganeko ze-arthritis ezibuhlungu emva kokuhlinzwa kwakuphezulu kwiqela lokuvula incwadi xa kuthelekiswa neqela lefestile.
- Kwakungekho nantlukwano ephawulekayo kumanqaku omsebenzi wamadolo emva kokusebenza okanye amanqaku e-VAS (i-Visual Analog Scale) phakathi kwamaqela amabini.
Ngokwethiyori, indlela yokuvula incwadi ivumela ukubonwa ngokuthe ngqo komphezulu we-articular, kodwa kunokukhokelela ekuvulekeni okugqithisileyo komphezulu we-articular, okukhokelela kumanqaku esalathiso angonelanga okunciphisa kunye neziphene ekunciphiseni umphezulu we-articular olandelayo.
Kwinkqubo yeklinikhi, yeyiphi indlela onokuyikhetha?
Ixesha lokuposa: Jul-30-2024
