Isihluthulelo sokwelashwa kweSchatzker Type II Tibial Plateau Fractures ukwehliswa kwendawo yokuqothula. Ngenxa yokukhulikiswa kwe-conderyle ye-lateral, indlela ye-ampetelelatal inokuvezwa okulinganiselwe ngendawo ehlanganyelwe. Esikhathini esedlule, ezinye izazi zasebenzisa amasu wokunciphisa ama-anteraterational kanye ne-screw-rod yokunciphisa ukusetha kabusha indawo yokuqothula. Kodwa-ke, ngenxa yobunzima ekukhuliseni isiqephu sethambo esiwa, kukhona ababi kwisicelo sezempilo. Ezinye izazi zisebenzisa i-wateral collyle osteotomy, phakamisa i-bone block ye-lateral eyonakala yethafa elizonke ukudalula indawo yokuqothula yombono oqondile, bese uyilungisa ngezikulufo ngemuva kokuncishiswa, ukufeza imiphumela emihle.
OInqubo Yokuphinda
1. Isikhundla: Isikhundla se-Supine, indlela ye-ansolatal ye-Classic.
2. I-Hoteral Collecle Osteotomy. I-Osteotomy yenziwa nge-conderle ye-wateral 4cm kude neplatifomu, futhi i-bone block ye-wateral condom yaphendulwa ukudalula indawo ecindezelwe.
3. Setha kabusha. I-articular ebunjiwe yahlelwa kabusha, futhi izikulufo ezimbili zazinamathiselwe kwi-cartilage ye-articular ukuze zilungiswe, futhi isici safakwa ngethambo lokufakelwa.
4. Ipuleti lensimbi lihleliwe ngqo.
Isikhathi sePosi: Jul-28-2023
