I-tibial tibial platesse iwa okanye i-spypse yoluhlu luhlobo oluqhelekileyo lwethafa le-tibial platiod. Eyona njongo iphambili yoqhaqhoko kukubuyisela ubuhle bomgangatho odibeneyo kwaye ulungelelanise ilungu elisezantsi. Umphezulu owenziweyo, xa uphakamileyo, ushiya isiphene sethambo phantsi kwe-cartilage, ngokufuthi efuna ukubekwa indawo ye-Autogenous ione, okanye ithambo le-Alloploft. Oku kusebenza iinjongo ezimbini: Okokuqala, ukubuyisela inkxaso ye-bony, kunye neyesibini, ukukhuthaza ukuphiliswa kwethambo.
Ukuqwalaselwa kweyona nto ifunekayo kwi-Autogenous Iliac Bone, ekhokelela kwi-suma enkulu yokuphangwa kunye nosulelo olunxulumene ne-Allograft Bone kunye ne-Alloplas iphakamisa enye indlela yokuncitshiswa kwe-tibial plates kunye nokulungiswa kwangaphakathi (i-Orif). Bacebisa ukwandisa i-inveloves efanayo phezulu ngexesha lenkqubo kwaye isebenzise ubusela bethambo kwithambo le-conmol yento yasemva kwexesha. Iingxelo ezininzi zamatyala zibhalile ukuba lo msebenzi.
Olu phononongo lubandakanya amatyala ali-12 ngedatha egqibeleleyo yokulandela. Kuzo zonke izigulana, ukusetyenziswa kwe-tibial ye-tifial ye-ANTART. Emva kokubhengeza i-tibial plateau, i-vemoon yandiswa phezulu ukuze ibhenca i-commoral yento yasemva. I-12mm ye-12mm ye-Eckman iqashiwe, kwaye emva kokubamba i-cortex yangaphandle ye-corteral of themoral, ithambo elinzima ukusuka kwi-concofy ephindaphindiweyo. Ivolumu efunyenwe ukusuka kwi-20 ukuya kwi-40cc.
Emva kokunkcenkceshela okuphindiweyo kwethambo, isiponji se-hermatic sinokufakwa xa kufanelekile. Ithambo elivunyiweyo lifakwe kwisiphene sethambo phantsi kwethafa le-tibial lamva, lalandelwa ngokulungiswa kwangaphakathi. Iziphumo zibonisa:
Ukulungiswa ngaphakathi kwethafa le-Tibial, zonke izigulana ziphumelele ukuphiliswa komtshato.
Akukho ntlungu ibalulekileyo okanye iingxaki ezibonisiweyo zaqwalaselwa kwindawo apho wavunwa kwithambo kwi-conforlings.
Ukuphiliswa kwethambo kwindawo yokuvuna: 3 Izigulana ezi-3 zibonisa ukuphiliswa ngokupheleleyo kwethambo elithi, 8 Ukuphiliswa kwethamsali, kwaye enye ayikhange iphiliswe ngaphandle kokuphiliswa kwethambo.
Ukuqulunqwa kwe-bone trabecucusulae kwindawo yokuvuna: kwiimeko ezili-9, kwakungekho sithuba se-bone trabeculae, kunye namatyala ama-3, ukumiswa kwenxalenye ye-Bone Trabeculae yaqwalaselwa.
Iingxaki ze-osteoarthritis: phakathi kwezigulana ezili-12, ezi-5 eziphuhlileyo ze-5 eziphuculweyo ze-arthritic ye-Ece. Isigulana esinye senziwa sibekwa endaweni yeminyaka emine kamva.
Ukuqukumbela, ukuvuna ithambo eliphumileyo kwi-IPSOTAL PROOLL PROOLL PROOLL ye-Tibial Plateau Plateau Plateau ukuphiliswa ngaphandle kokunyusa ubungozi beengxaki zendawo. Obu buchule bunokuqwalaselwa kwaye bakhutshelwe phambili kwikhondo leklinikhi.
Ixesha leposi: I-Oct-27 ukuya kwi-2023
