Lateral condylar osteotomy yekuderedza Schatzker mhando II tibial plateau fractures.

Chinokosha pakurapa kweSchatzker type II tibial plateau fractures ndiko kuderedzwa kwekuputsika kwe articular surface. Nekuda kwekuvhara kweiyo lateral condyle, iyo anterolateral nzira ine zvishoma kuratidzwa kuburikidza nenzvimbo yakabatana. Kare, dzimwe nyanzvi dzaishandisa anterolateral cortical fenestration uye makurusi-rod kudzikisa matekiniki kugadzirisa patsva nzvimbo yakadhirika. Zvisinei, nekuda kwekuoma kwekuisa chimedu chepfupa chakaputsika, pane zvisingabatsiri mukushandiswa kwekliniki. Dzimwe nyanzvi dzinoshandisa lateral condyle osteotomy, simudza bhonzo re lateral condyle yeplateau yose kuti ibudise yakaputsika articular pamusoro pebhonzo pasi pekuona kwakananga, uye kuigadzirisa ne screws mushure mekuderedza, kuwana migumisiro yakanaka.

Operating process

1. Position: Supine position, classic anterolateral approach.

2. Lateral condyle osteotomy. Osteotomy yakaitwa pa lateral condyle 4cm kure nepuratifomu, uye bhonzo rebhokisi re lateral condyle rakashandurwa kuti ribudise pachena yakamanikidzwa articular surface.

3. Reset yakagadziriswa. Iyo yakadonha articular surface yakagadziridzwa, uye screws mbiri dzakanamirwa kune articular cartilage kuti igadziriswe, uye chirema chakaiswa neine pfupa rekugadzira.

4. Iyo ndiro yesimbi inogadziriswa chaizvo.