Kuvhiyiwa kwemapfupa emusana weSchatzker type II tibial plateau kuderedza kupwanyika kwemapfupa

Chinhu chikuru pakurapa kuputsika kweSchatzker type II tibial plateau ndiko kudzikiswa kwenzvimbo yakakoromoka ye articular. Nekuda kwekuvharika kwe lateral condyle, nzira ye anterolateral haina mukana wakakwana wekuona kuburikidza nenzvimbo yejoini. Kare, vamwe vaongorori vaishandisa anterolateral cortical fenestration uye screw-rod reduction techniques kuti vagadzirise nzvimbo yakakoromoka ye articular. Zvisinei, nekuda kwekuoma kwekuisa chidimbu chepfupa chakakoromoka, pane zvakashata pakushandiswa kwekiriniki. Vamwe vaongorori vanoshandisa lateral condyle osteotomy, kusimudza pfupa re lateral condyle ye plateau yese kuti varatidze nzvimbo yakakoromoka ye articular yepfupa vachiona zvakananga, uye kuigadzirisa ne screws mushure mekuderedzwa, zvichiwana mhedzisiro yakanaka.

Omaitiro ekuverenga

1. Nzvimbo: Nzvimbo yakarara, nzira yekare yekurara netsoka.

2. Kuvhiyiwa kwemapfupa emudumbu. Kuvhiyiwa kwemapfupa emudumbu kwakaitwa pamucheto wedumbu uri kure ne4cm kubva pachikuva, uye pfupa remudumbu remudumbu rakatenderedzwa kuti rionekwe pamusoro pedumbu rakamanikidzwa.

3. Kugadziriswazve kwakagadziriswa. Nzvimbo yakakoromoka ye articular yakadzorerwazve, uye screws mbiri dzakasungirirwa pa articular cartilage kuti dzisimbiswe, uye chikanganiso chakaiswa nemapfupa ekugadzira.

4. Ndiro yesimbi yakagadziriswa zvakanaka.