Abstract: Chinangwa: Kuti uongorore zvinhu zvakabatana zvekushandisa kushanda kwekushandisa simbi plate yemukati yekugadzirisa iyoTibial Plateau Fracture. Nzira: 34 Varwere vane tibial Plateau plauseds nekushandisa simbi plate yemukati yekugadzirisa imwe kana mbiri, kugadziriswa kwakasimba, uye kwakatora nguva yekutanga kurovedza muviri. Mhedzisiro: Varwere vese vakateverwa kwemwedzi 4-36, avhareji yemwedzi gumi nemashanu, maererano neiyo rasmussen alama, varwere makumi maviri nevaviri vaive vakanaka, 8 mune zvakanaka, 3 mukubvuma, 2 muVarombo. Iyo yakanaka ratio yaive 85.3%. Mhedziso: Kubata mikana yakakodzera yekushanda, shandisa nzira dzakakodzera uye kutora pakutanga kushanda kurovedza muviri, tigonesa zvakanakisa mashandiro ekurapa mukurapatibialPlateau bracture.
1.1 General Ruzivo: Iri boka raive nevarwere makumi matatu nevarwere nevarume makumi maviri nevaviri uye vakadzi vasere. Varwere vaive vakweguru 27 kusvika ku72 nezera remakore 39.6. Paive nematambudziko makumi maviri emigwagwa yemotokari okukuvara, 11 nyaya dzekukuvara kudonha uye 3 kesi dzekupwanya kukuru. Zvese zviitiko zvaive zvakavharwa zvikanganiso zvisina kukuvara kwekusuwa. Paive nematanho matatu ekudzvinyirira Lignament anokuvadza, 4 zviitiko zvekubatikana Ligment yekukuvara uye 4 nyaya dzekukuvara kweManiscus. Fractures yakarongedzwa zvinoenderana neSchatzker: Varwere vese vakaongororwa neX-Ray, CT Scan yeTibial Plateau uye matatu-emhando Kuvakazve, uye vamwe varwere vakaongororwa naMr. Kunze kwezvo, nguva yekuvhiya yaive 7 ~ 21d mushure mekukuvara, avhareji 10D. Pane izvi, maive nevarwere makumi matatu vachigamuchira kurapwa kwepfupa, vateveri vatatu vanogamuchira kaviri plate kugadzirira, uye varwere vekuzorora vachibvuma kugadziriswa kwemukati.
1.2 Surgical nzira: kuitiswamusanaAnesthesia kana Intubation Anesthesia, murwere aive mune supine chinzvimbo, uye anoshanda pasi pesumatic tonoumtic. Iko kuvhiya kwashandisa iyo anteerolateral ibvi, anterior tibiel kana gare gareibvi rakabatanaposterior incision. Coronary Ligament yakanga inomisikidzwa padanho parwendo rwezasi rweMeniscus, uye yakafumura nzvimbo yeTibial Plateau. Kuderedza mapepa ekupwanya pasi pemaonero akakodzera. Mamwe mapfupa akatanga kuiswa neKiriviri mapini, uye akazoremerwa nemahwendefa akakodzera (gorofu-ndiro, l-tate, t-ndiro, kana kusanganiswa ne medial buttress plate). Iko kupfupa kwepfupa kwakazadzwa neAllogenic Bone (kutanga) uye allograft Bone ebraging. Mukuvhiya, chiremba anovhiya akaziva kuti anatomical kuderedzwa uye fungidziro yeatomical kudzikisira, akachengetedza yakajairika tiial axis, yakasimba yemukati yekugadziriswa, yakagadziriswa ganda repafuro uye rutsigiro rwakarurama. Pred the they pebvu uye meniscus yekuongororwa kwekutanga kana intra-inoshanda zviitiko, uye kuita maitiro ekugadzirisa akakodzera ekugadzirisa.
1.3 Postoperative Kurapa: Iyo Postiperative Lalastic Bandage inofanirwa kusungwa nemazvo, uye kunonoka kusanzwisisika kwakaiswa nedhisheni tube, iyo inofanirwa kusunungurwa na 48h. Rutine postoperative analgesia. Varwere vakatora mabhureki emhasuru mushure me 24h, ndokutora CPM maekisesaizi mushure mekubvisa dhiri rekudhirowa kune zvakapusa. Yakasanganiswa neLighlateral Ligament yekukuvara kweLigament yekukuvara, nekushingairira uye kusangoita ibvi mushure mekugadzirisa plaster kana brace kwemwedzi mumwe. Maererano ne X-Ray bvunzo mhinduro, chiremba wekuvhiya akatungamira kuti vatore zvishoma nezvishoma mitezo inorema, uye yakazara uremu kurodha kunofanirwa kuitwa mwedzi mina mushure memwedzi mina.
Post Nguva: Jun-02-2022
