I-Lateral Tibial Plateau Collapse noma ukuwa kwe-Split Collapse kuyindlela ejwayelekile kakhulu yeTibial Plateau Fracture. Umgomo oyinhloko wokuhlinzwa ukuze ubuyisele ubushelelezi bendawo ehlanganisiwe futhi uvumelanise umlenze ophansi. Indawo ehlanganisiwe ehlanganisiwe, lapho iphakama, ishiya isiphetha sethambo ngaphansi kwe-cartilage, ivame ukudinga ukubekwa kwethambo le-autogenous Iliac, ithambo le-allograft, noma ithambo lokufakelwa. Lokhu kusebenza ngezinhloso ezimbili: Okokuqala, ukubuyisela ukwesekwa kwesakhiwo se-bony, okwesibili, ukukhuthaza ukuphulukiswa kwamathambo.
Uma kucatshangelwa ukungezwani okungeziwe okudingekayo kwethambo le-outogenous Iliac, eliholela ekunciphiseni okukhulu, kanye nezingozi ezingaba khona ezihlotshiswe ngethambo lethambo le-allograft, ezinye izazi ziphakamisa enye indlela ngesikhathi sokuncishiswa kweTateral Tibial Plateau kanye nokulungiswa kwangaphakathi (ORIF). Baphakamisa ukunwebeka okufanayo okufanayo ngaphakathi kwenqubo futhi basebenzise ukufakwa kwamathambo kukhansula kusuka ku-eleveli yabesifazane. Imibiko yamacala amaningi iye yabhala le ndlela.
Ucwaningo lufake amacala ayi-12 ngemininingwane ephelele yokulandela yokucabanga. Kuzo zonke iziguli, kwasetshenziswa indlela ejwayelekile ye-teterior lateral. Ngemuva kokudalula i-tibial plateau, ukuvela kwandiswa phezulu ukuze kudalule i-comeral femoral conlord. Kwaqashwa indawo enamathambo ayi-12mm eckman, futhi ngemuva kokugaya i-cortex yangaphandle ye-soment eyongemuva, ithambo elikhanyisa elivela emthonjeni we-lateral lavunwa ezindaweni eziphindaphindwayo ezine. Ivolumu litholwe lisuka ku-20 liye ku-40cc.
Ngemuva kokunisela okuphindaphindiwe komsele wamathambo, isiponji se-hemostatic singafakwa uma kunesidingo. Ithambo elivunweyo elivunwe lifakwa kwisiphetho sethambo ngaphansi kwethafa le-tibial lateral Imiphumela ikhombisa:
① Okulungiswa kwangaphakathi kwethafa leTibial, zonke iziguli zithola ukuphulukiswa kokuqhekeka.
② Alukho izinhlungu ezibalulekile noma izinkinga ezazibonwe endaweni lapho kwakuvunwa ithambo lapho kuvunwa khona ithambo lisuka e-condery eateral.
③ Ukuphulukiswa kwethambo esizeni sokuvuna: Phakathi kweziguli eziyi-12, u-3 wakhombisa ukwelashwa okuphelele kwethambo le-cortical, 8 kukhombise ukwelashwa okuyingxenye, futhi 1 akukhombisanga ukwelashwa kwamathambo asobala.
Ukwakheka kwethambo lethambo lethambo esizeni sokuvuna: Emacaleni ayi-9, kwakungekho ukwakheka okubonakalayo kwethambo lethambo, kwathi ezimweni ezi-3, ukwakheka okuyingxenye kwethambo le-trabeculae kwaqashelwa.
⑤ Izinkinga ze-Osteoarthritis: Phakathi kweziguli eziyi-12, 5 adraumatic arthritis of the knee ahlangana. Isiguli esisodwa sithathe indawo ehlanganisiwe ngemuva kweminyaka emine kamuva.
Ekuphetheni, ukuvuna ithambo elikhanyiselwe kusuka ku-Ipsilatel Collecy Mealeralyle Fooseral Delice libangela ukuphulukiswa kwamathambo ethafa le-tibial plateau ngaphandle kokukhulisa ubungozi bezinkinga zokusebenzisa imali. Le ndlela ingabhekwa futhi iqondiswe ekusebenzeni kwemitholampilo.
Isikhathi sePosi: Oct-27-2023
