Ama-Tibial Plateau Ama-Fractures alimala okuvamile emtholampilo, ngohlobo lweSchatzker Uhlobo II Fractures, ebonakaliswa yi-Lateral cortical split ehlanganiswe nokucindezelwa komhlaba okuyisisekelo, okuyiyona evame kakhulu. Ukubuyisela indawo ecindezelekile ye-articular yangaphambili futhi kwakha kabusha ukuqondanisa okujwayelekile kwedolo, ukwelashwa ngokuhlinzwa kunconywa ngokujwayelekile.
Indlela ye-antentalantal e-Knee Joint ihlanganisa ukuphakamisa ngokuqondile indawo ehlukaniswe yi-articular ebusweni yokubuyisa indawo ecindezelekile ye-articular futhi yenza i-grafting yethambo ngaphansi kwenqubo "yokuvulwa kwencwadi" eyaziwa ngokuthi "inqubo yokuvula incwadi" eyaziwa ngokuthi "inqubo yokuvula incwadi". Ukwakha iwindi e-cortex emuva nje futhi usebenzisa i-lifti ewindini ukuze ubeke kabusha indawo ecindezelekile ye-articular, eyaziwa ngokuthi yindlela "yewindows", iyindlela ye-inorgetically.
Asikho isiphetho esichazayo lapho kunesiphi izindlela ezimbili eziphakeme. Ukuze uqhathanise ukusebenza ngokomtholampilo kwalezi zinqubo ezimbili, odokotela abavela esibhedlela saseNingbo Sesithupha baqhuba isifundo sokuqhathanisa.
Lolu cwaningo lufake iziguli eziyi-158, ngamacala angama-78 asebenzisa izindlela zokufaka amakhemikhali namacala angama-80 esebenzisa inqubo yokuvula incwadi. Idatha eyisisekelo yamaqembu amabili ayikhombisanga umehluko obalulekile ngokwezibalo:
Isibalo sibonisa amacala amasu okuncishiswa kwezinhlanzi ezimbili: Isikhangiso: I-Window Technique, i-EF: Indlela yokuvula incwadi.
Imiphumela yokutadisha ikhombisa:
- Akekho umehluko obalulekile ngokwezibalo ngesikhathi ekulimaleni ukuhlinzwa noma isikhathi sokuhlinzwa phakathi kwalezi zindlela ezimbili.
- I-CT SCANS ye-CTPORATIVE ikhombisa ukuthi iqembu eliwinayo lalinamacala ama-5 we-postoperative articular compression, kanti iqembu elivulwa lencwadi lalinamacala ayi-12, umehluko obalulekile ngokwezibalo. Lokhu kuphakamisa ukuthi inqubo yokufanisa ihlinzeka ngokuncishiswa okungcono kwe-articular komhlaba kunendlela yokuvula incwadi. Ngaphezu kwalokho, izehlakalo zokuhlinzwa kwe-arththritis adratic aphezulu ziphakeme eqenjini lokuvula lencwadi kuqhathaniswa neqembu lewindi.
- Akekho nomehluko obalulekile ngokwezibalo kuma-POSTEPTION PEREE Work Scores noma i-VAS (ukubuka okubonakalayo kwe-analog) izikolo phakathi kwala maqembu amabili.
I-Theortetically, inqubo yokuvula incwadi ivumela ukubonwa okuqondile okuqondile kwe-articular ebusweni, kepha kungahle kuholele ekuvulekeni ngokweqile kwe-articular force, okuholela ezindaweni ezinganele zokuncishiswa kanye nokuphikisana nokuncishiswa komhlaba okulandelayo.
Ekusebenzeni kwemitholampilo, iyiphi indlela ongayikhetha?
Isikhathi sePosi: Jul-30-2024
