"Ukubekwa ngokutsha kunye nokulungiswa kweefractures ezibandakanya ikholamu yangasemva kweplate ye-tibial yimiceli mngeni yeklinikhi.Ukongeza, kuxhomekeke kuluhlu lwekholamu emine yethafa le-tibial, kukho ukuguquguquka kwiindlela zotyando zokuqhekeka okubandakanya iikholamu ezingasemva okanye ezingasemva.
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