Yakazotevera Condylar Onteotomy yekudzikiswa kweSchatzker Type THE II Tibial Plateau Fractures

Iyo kiyi yeku kurapwa kweScatzker Type II Tibial Plateau Fractures ndiko kuderedzwa kweiyo yakadonhedzwa mvura yehunyanzvi. Nekuda kweiyo occlusion yeiyo yakazotevera central, nzira yeAnterolateral ine kushoma kuratidzwa kuburikidza neiyo yakabatana nzvimbo. Munguva yakapfuura, vamwe vadzidzi vakashandisa anteerolateral cenestation uye screw-tsvimbo kuderedza maitiro ekugadzirisa zvakare zvakadonha pasi. Nekudaro, nekuda kwekunetseka mukumisa iyo yakadonhedzwa pfupa Vamwe nyanzvi vanoshandisa iyo yakazotevera condle Osteoty, simudza pfupa rezvikamu zvekare zvePlateau seyese kuti afumwe pamusoro pechiratidzo chakananga, uye chigadzirise necrews mushure mekuderedzwa, kuwana mibairo yakanaka.

OKuratidzira maitiro

1. Chinzvimbo: Supine Chinzvimbo, Classic AnteRolateral Agency.

2. Streal condyle osteotomy. Osteoty yakaitwa pane yakazotevera central 4cm kure nekuva pachikuva, uye pfupa rekadhiji rinotevera rakashandurwa kuti riwedzerwe nekumanikidza.

3. Reset yakagadziriswa. Iyo yakadonhedza trallular pamusoro yakagadzirwazve, uye zviyero zviviri zvakabatanidzwa neyenyengeri cartilage yekugadziriswa, uye urema hwakaiswa munzvimbo yekunaya.

4. Iyo simbi ndiro yakarongedzwa chaizvo.