Ukuphuka kwe-tibial plateau kuyimbangela evamile yokulimala, lapho ukuphuka kwe-Schatzker type II, okubonakala ngokuhlukana kwe-cortex ohlangothini oluhlangene nokucindezeleka kobuso be-articular ohlangothini oluhlangothini, okuvame kakhulu. Ukuze kubuyiselwe ubuso be-articular obucindezelekile futhi kwakhiwe kabusha ukuhlangana okuvamile kwedolo, ukwelashwa ngokuhlinzwa kuvame ukunconywa.
Indlela ye-anterolateral eya edolweni ihilela ukuphakamisa ngqo ubuso be-lateral articular eduze kwe-partition cortex ukuze kubekwe kabusha ubuso be-articular obucindezelekile futhi kwenziwe i-bone grafting ngaphansi kombono oqondile, indlela evame ukusetshenziswa emtholampilo eyaziwa ngokuthi inqubo "yokuvula incwadi". Ukudala ifasitela ku-lateral cortex nokusebenzisa ilifti ngefasitela ukuze kubekwe kabusha ubuso be-articular obucindezelekile, eyaziwa ngokuthi inqubo "yokufaka amafasitela", ngokombono kuyindlela engangenisi kakhulu.
Akukho siphetho esiqinisekile sokuthi iyiphi kulezi zindlela ezimbili engcono kakhulu. Ukuze kuqhathaniswe ukusebenza kahle kwemitholampilo kwalezi zindlela ezimbili, odokotela baseNingbo Sixth Hospital benze ucwaningo lokuqhathanisa.
Ucwaningo luhlanganise iziguli ezingu-158, kanti amacala angu-78 asebenzisa indlela yokuvula amafasitela kanye namacala angu-80 asebenzisa indlela yokuvula incwadi. Idatha eyisisekelo yamaqembu amabili ayibonisanga umehluko obalulekile ngokwezibalo:
▲ Lesi sibalo sibonisa amacala amasu amabili okunciphisa ubuso ahlangene: AD: indlela yokufaka amafasitela, EF: indlela yokuvula incwadi.
Imiphumela yocwaningo ikhombisa ukuthi:
- Kwakungekho mehluko obalulekile ngokwezibalo ngesikhathi kusukela ekulimaleni kuya ekuhlinzweni noma isikhathi sokuhlinzwa phakathi kwalezi zindlela ezimbili.
- Ukuskena kwe-CT ngemva kokuhlinzwa kubonise ukuthi iqembu lamafasitela lalinamacala ama-5 okucindezelwa kobuso be-articular ngemuva kokuhlinzwa, kanti iqembu lokuvula incwadi lalinamacala ayi-12, umehluko obalulekile ngokwezibalo. Lokhu kusikisela ukuthi inqubo yamafasitela inikeza ukunciphisa ubuso be-articular okungcono kunendlela yokuvula incwadi. Ngaphezu kwalokho, ukwanda kwesifo samathambo esibuhlungu ngemva kokuhlinzwa kwakuphezulu eqenjini lokuvula incwadi uma kuqhathaniswa neqembu lamafasitela.
- Akukho mehluko obalulekile ngokwezibalo kumaphuzu okusebenza kwedolo ngemva kokuhlinzwa noma amaphuzu e-VAS (Visual Analog Scale) phakathi kwamaqembu amabili.
Ngokwethiyori, indlela yokuvula incwadi ivumela ukubonakala okuqondile okuningiliziwe kobuso obuhlangene, kodwa kungaholela ekuvulekeni ngokweqile kobuso obuhlangene, okuholela ekungabikho kwamaphuzu okubhekisela anele okunciphisa kanye namaphutha ekunciphiseni kobuso obuhlangene okulandelayo.
Emtholampilo, iyiphi indlela ongayikhetha?
Isikhathi sokuthunyelwe: Julayi-30-2024
