I-Lateral condylar osteotomy yokunciphisa uhlobo lwe-Schatzker uhlobo lwe-II lwe-tibial plateau fractures

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.