"Ukubeka kabusha nokulungisa ama-fracture ahilela ikholomu engemuva ye-tibial plateau kuyinselele yezokwelapha. Ngaphezu kwalokho, kuye ngokuthi i-tibial plateau inamakholomu amane, kunezindlela ezahlukene zokuhlinzwa zama-fracture ahilela i-posterior medial noma i-posterior lateral columns."
I-tibial plateau ingahlukaniswa ibe uhlobo lwamakholomu amathathu kanye nohlobo lwamakholomu amane
Ngaphambilini unikeze isingeniso esiningiliziwe ngezindlela zokuhlinzwa zokuphuka kwethambo le-tibial elingemuva, okuhlanganisa indlela ye-Carlson, indlela ye-Frosh, indlela ye-Frosh eguquliwe, indlela engaphezulu kwekhanda le-fibular, kanye nendlela ye-lateral femoral condyle osteotomy.
Ukuze kuvezwe ikholomu engemuva ye-tibial plateau, ezinye izindlela ezivamile zifaka phakathi indlela ye-posterior medial enomumo we-S kanye nendlela ye-reverse-shaped L, njengoba kuboniswe kumdwebo olandelayo:
a: Indlela kaLobenhoffer noma indlela eqondile yokuxhumana ngemuva (umugqa oluhlaza). b: Indlela eqondile yokuxhumana ngemuva (umugqa ophuzi). c: Indlela eqondile yokuxhumana ngemuva (umugqa oluhlaza okwesibhakabhaka). d: Indlela engemuva yokuxhumana ngemuva efana no-L (umugqa obomvu). e: Indlela engemuva engemuva (umugqa onsomi).
Izindlela ezahlukene zokuhlinzwa zinezinga elihlukahlukene lokuchayeka kwekholomu engemuva, futhi emtholampilo, ukukhetha indlela yokuchayeka kufanele kunqunywe ngokusekelwe endaweni ethile yokuqhekeka.
Indawo eluhlaza imelela ububanzi bokuchayeka kwendlela engemuva efana no-L, kanti indawo ephuzi imelela ububanzi bokuchayeka kwendlela engemuva engemuva.
Indawo eluhlaza imelela indlela engemuva ephakathi, kanti indawo e-orenji imelela indlela engemuva ehlangothini.
Isikhathi sokuthunyelwe: Septhemba-25-2023
