Isihluthulelo sokwelashwa kokuqhekeka kwe-tibial plateau kaSchatzker uhlobo lwesibili ukunciphisa ubuso be-articular obuwile. Ngenxa yokuvaleka kwe-lateral condyle, indlela ye-anterolateral inokuvezwa okulinganiselwe ngesikhala samalunga. Esikhathini esidlule, ezinye izazi zazisebenzisa amasu okunciphisa i-cortical fenestration kanye ne-screw-rod ukuze zisethe kabusha ubuso be-articular obuwile. Kodwa-ke, ngenxa yobunzima bokubeka i-bone fragment ewile, kunezinkinga ekusetshenzisweni kwemitholampilo. Ezinye izazi zisebenzisa i-lateral condyle osteotomy, ziphakamise i-bone block ye-lateral condyle ye-plateau iyonke ukuze ziveze ubuso be-articular obuwile bethambo ngaphansi kombono oqondile, bese zilungisa ngezikulufo ngemva kokunciphisa, zifinyelele imiphumela emihle.
Oinqubo yokucubungula
1. Indawo: Indawo yokulala phansi, indlela yakudala ye-anterolateral.
2. Ukuhlinzwa kwe-lateral condyle osteotomy. I-Osteotomy yenziwa ku-lateral condyle eqhele ngamasentimitha angu-4 ukusuka epulatifomu, kwathi i-bone block ye-lateral condyle yaphendulwa ukuze kuvele ubuso obucindezelwe be-articular.
3. Ukulungiswa kabusha kulungisiwe. Ubuso be-articular obuwile busethwe kabusha, kwathi izikulufo ezimbili zanamathiselwa ku-cartilage ye-articular ukuze ziqiniswe, kwathi iphutha lafakwa ngethambo lokwenziwa.
4. Ipuleti lensimbi liqiniswe kahle.
Isikhathi sokuthunyelwe: Julayi-28-2023
