Tibial plateau fractures inowanzokuvara kuchipatara, neSchatzker type II fractures, inoratidzirwa ne lateral cortical split pamwe chete ne lateral articular surface depression, iyo inonyanya kupararira. Kuti udzorere yakaora mwoyo articular pamusoro uye kugadzirisa zvakare yakajairika majoini kurongeka kwebvi, kurapwa kwekuvhiya kunowanzo kukurudzirwa.
The anterolateral approach kumabvi akabatanidzwa anosanganisira zvakananga kusimudza lateral articular surface pamwe nekupatsanurwa cortex kuti agadzirise yakaora mwoyo articular pamusoro uye kuita pfupa grafting pasi pekuona zvakananga, nzira inowanzoshandiswa mumakiriniki maitiro anozivikanwa se "bhuku rekuvhura" nzira. Kugadzira hwindo mu lateral cortex uye kushandisa elevator nepahwindo kuti uisezve nzvimbo yakaora mwoyo, inozivikanwa se "window" nzira, inzira yekufungidzira ishoma.
Hapana mhedziso chaiyo yekuti ndeipi nzira mbiri iri nani. Kuenzanisa kushanda kwekiriniki kwemaitiro maviri aya, vanachiremba vanobva kuNingbo Sixth Hospital vakaita chidzidzo chekuenzanisa.
Chidzidzo ichi chaisanganisira varwere zana nemakumi mashanu nevasere, vaine 78 kesi vachishandisa tekinoroji yewindow uye makumi masere emakesi vachishandisa nzira yekuvhura bhuku. Iyo yekutanga data yemapoka maviri aya haina kuratidza misiyano yakakosha:
▲ Nhamba inotaridza zviitiko zvemaitiro maviri articular ekudzikisa pasi: AD: hwindo rekuita, EF: bhuku rekuvhura nzira.
Mhinduro dzechidzidzo dzinoratidza:
- Kwakange kusina nhamba yakasiyana yakasiyana-siyana kubva pakukuvadzwa kusvika pakuvhiyiwa kana nguva yekuvhiyiwa pakati penzira mbiri.
- Postoperative CT scans yakaratidza kuti boka remahwindo raiva ne5 zviitiko zve postoperative articular surface compression, asi boka rekuvhura bhuku raiva nematare gumi nemaviri, mutsauko wakakosha. Izvi zvinoratidza kuti nzira yewindow inopa zvirinani kuderedzwa kwepamusoro pane nzira yekuvhura bhuku. Pamusoro pezvo, chiitiko chekukuvara kwakanyanya kweArthritis mushure mekuvhiyiwa kwaive kwakakwira muboka rekuvhura bhuku richienzaniswa neboka remahwindo.
- Kwakange kusina mutsauko wakakosha mumashure ekuvhiyiwa kwebvi basa zvibodzwa kana VAS (Visual Analog Scale) zvibodzwa pakati pemapoka maviri.
Tichifunga, nzira yekuvhura bhuku inobvumira kutarisisa kwakananga kweiyo articular surface, asi inogona kutungamira kuvhurika kwakanyanya kweiyo articular surface, zvichikonzera kusakwana kwereferensi mapoinzi ekudzikisa uye kukanganisa kunotevera kuderedzwa kwepasi.
Mukuita zvekiriniki, ndeipi nzira yaungasarudza?
Nguva yekutumira: Jul-30-2024
