"Ukulungiswa ngokutsha kunye nokulungiswa kweefractures ezibandakanya ikholomu yangasemva yeplateau ye-tibial yimiceli mngeni yekliniki." Ukongezelela, kuxhomekeke kuluhlu lwezintlu ezine ze-plateau ye-tibial, kukho ukuhluka kwiindlela zokuhlinzwa zokuphuka ezibandakanya i-posterior medial okanye i-posterior lateral columns. "
I-plateau ye-tibial ingahlelwa kwiikholamu ezintathu kunye nodidi lwekholamu ezine
Unikeze ngaphambili isingeniso esicacileyo kwiindlela zotyando zokuphuka ezibandakanya i-posterior lateral tibial plateau, kubandakanywa nendlela ye-Carlson, indlela ye-Frosh, indlela ye-Frosh elungisiweyo, indlela engaphezulu kwentloko ye-fibular, kunye ne-lateral femoral condyle osteotomy.
Ukuvezwa kwekholamu yangasemva yeplateau ye-tibial, ezinye iindlela eziqhelekileyo ziquka indlela ye-S-shaped medial approach kunye ne-reverse ye-L-shaped approach, njengoko kuboniswe kulo mzobo ulandelayo:
a: Indlela ye-Lobenhoffer okanye indlela ye-posterior medial ngqo (umgca oluhlaza). b: Indlela ethe ngqo yangasemva (umgca weorenji). c: Indlela ephakathi ngasemva emise okwe-S (umgca oblowu). d: Reverse L-shaped medial approach (umgca obomvu). e: Indlela esecaleni yangasemva (umgca omfusa).
Iindlela ezahlukeneyo zotyando zinee-degrees ezihlukeneyo zokuvezwa kwikholamu yangasemva, kwaye ekusebenzeni kweklinikhi, ukukhethwa kwendlela yokubonakalisa kufuneka kunqunywe ngokusekelwe kwindawo ethile yokuphuka.
Indawo eluhlaza imele uluhlu lwe-exposure ye-reverse L-shaped approach, ngelixa indawo etyheli ibonisa uluhlu lwe-exposure lateral approach.
Indawo eluhlaza imele i-posterior medial approach, ngelixa indawo ye-orange imele i-posterior lateral approach.
Ixesha lokuposa: Sep-25-2023
