Isihluthulelo sokwelashwa kwe-Schatzker uhlobo lwe-II ye-tibial plateau fractures ukuncishiswa kwe-articular surface ebhidlikile. Ngenxa yokuvaleka kwe-condyle ye-lateral, indlela ye-anterolateral ine-exposure elinganiselwe ngokusebenzisa isikhala esihlangene. Esikhathini esidlule, ezinye izazi zasebenzisa i-anterolateral cortical fenestration kanye namasu okunciphisa izikulufu ukuze zisethe kabusha indawo ye-articular egoqiwe. Kodwa-ke, ngenxa yobunzima bokubeka isiqeshana sethambo esibhidlikile, kunezinkinga ekusetshenzisweni komtholampilo. Ezinye izazi zisebenzisa i-condyle osteotomy engemuva, ziphakamise ibhulokhi yethambo lekhondisi engaseceleni yethafa lilonke ukuze kuvezwe indawo egoqekile yethambo ngaphansi kombono oqondile, futhi uyilungise ngezikulufo ngemva kokuncishiswa, ukuzuza imiphumela emihle.
Oinqubo ye-perating
1. Isikhundla: Isikhundla se-Supine, indlela yakudala ye-anterolateral.
2. I-condyle osteotomy yangasese. I-osteotomy yenziwa ku-condyle yangemuva engu-4cm ukusuka endaweni yesikhulumi, futhi ibhulokhi yamathambo yekhondisi engemuva yaphendulwa ukuze kuvezwe indawo ecindezelwe ye-articular.
3. Ukusetha kabusha kulungisiwe. Indawo ebhidlikile ye-articular isethwe kabusha, futhi izikulufu ezimbili zaxhunywa ku-articular cartilage ukuze zilungiswe, futhi isici safakwa ithambo lokwenziwa.
4. Ipuleti lensimbi lilungiswe ncamashi.
Isikhathi sokuthumela: Jul-28-2023
