"Ukumiswa kabusha nokulungiswa kokuqhekeka okubandakanya ikholomu engemuva kwethafa le-tibial kuyinselele yomtholampilo.Ukwengeza, kuye ngezigaba ezine zamakholomu ethafa le-tibial, kukhona ukuhluka ezindleleni zokuhlinza zokuphuka okubandakanya amakholomu angemuva aphakathi nendawo noma angemuva.”
I-tibial plateau ingahlukaniswa ibe yikholomu emithathu kanye nohlobo lwamakholomu amane
Ngaphambilini unikeze isingeniso esiningiliziwe sezindlela zokuhlinza zokuqhekeka okubandakanya i-posterior lateral tibial plateau, okuhlanganisa indlela ye-Carlson, indlela ye-Frosh, indlela ye-Frosh elungisiwe, indlela engenhla kwekhanda le-fibular, kanye nendlela ye-lateral femoral condyle osteotomy.
Ukuze kuvezwe ikholomu engemuva kwethafa le-tibial, ezinye izindlela ezivamile zihlanganisa indlela ye-posterior emise okwe-S kanye nendlela ehlanekezela emise okwe-L, njengoba kukhonjisiwe kumdwebo olandelayo:
a: Indlela ye-Lobenhoffer noma indlela ye-posterior medial eqondile (umugqa oluhlaza).b: Indlela eqondile ngemuva (umugqa owolintshi).c: Indlela engemuva engemuva emise okuka-S (umugqa oluhlaza okwesibhakabhaka).d: Indlela engemuva engemuva emise okuka-L (umugqa obomvu).e: I-posterior lateral approach (umugqa onsomi).
Izindlela ezihlukene zokuhlinza zinamazinga ahlukahlukene okuchayeka kwekholomu yangemuva, futhi ekusebenzeni komtholampilo, ukukhethwa kwendlela yokuchayeka kufanele kunqunywe ngokusekelwe endaweni ethile yokuphuka.
Indawo eluhlaza imele ububanzi bokuchayeka bendlela ebuyela emuva emise okuka-L, kuyilapho indawo ephuzi imelela ububanzi bokuchayeka bendlela engemuva yangemuva.
Indawo eluhlaza imele indlela ye-posterior medial, kanti indawo ewolintshi imelela indlela engemuva yangemuva.
Isikhathi sokuthumela: Sep-25-2023
