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Nzira yekuvhiya yekufumura iyo posterior column yetibia plateau

"Kudzoreredza uye kugadzirisa kwezvimedu zvinosanganisira posterior column yetibial plateau matambudziko ekiriniki.Pamusoro pezvo, zvichienderana nechikamu chechina chechikamu chetibial plateau, kune misiyano yenzira dzekuvhiya dzekutyoka dzinosanganisira posterior medial kana posterior lateral columns.

 Kuvhiya nzira yekufumura1

Iyo tibial plateau inogona kukamurwa kuita matatu-column uye ina-column mhando

Iwe wakambopa sumo yakadzama yekuvhiya nzira dzekutyoka dzinosanganisira posterior lateral tibial plateau, kusanganisira nzira yeCarlson, Frosh nzira, yakagadziridzwa Frosh nzira, nzira iri pamusoro pemusoro wefibula, uye lateral femoral condyle osteotomy nzira.

 

Nekuratidzwa kweiyo posterior column yetibial plateau, dzimwe nzira dzinowanzozivikanwa dzinosanganisira S-yakaumbwa kumashure kwepakati nzira uye reverse L-yakaita maitiro, sezvakaratidzwa mumufananidzo unotevera:

 Kuvhiya nzira yekufumura2

a: Lobenhoffer nzira kana yakananga posterior medial approach (green line).b: Direct posterior approach (mutsetse weorenji).c: S-shaped posterior medial approach (blue line).d: Reverse L-shaped posterior medial approach (mutsara mutsvuku).e: Posterior lateral approach (yepepuru mutsara).

Nzira dzekuvhiya dzakasiyana dzine madhigirii akasiyana-siyana ekuratidzwa kwekoramu yemashure, uye muhutano hwehutano, kusarudzwa kwekutsvaga nzira kunofanira kugadziriswa zvichienderana nenzvimbo chaiyo yekuputsika.

Kuvhiya nzira yekufumura3 

Nzvimbo yakasvibirira inomiririra kuratidzwa kweiyo reverse L-yakaita nzira, nepo yero nzvimbo inomiririra kuratidzwa kweiyo posterior lateral nzira.

Kuvhiya nzira yekufumura4 

Nzvimbo yakasvibira inomiririra nzira yekumashure yepakati, nepo orange nzvimbo inomiririra posterior lateral approach.


Nguva yekutumira: Sep-25-2023