Tibial Plateau Yakasanganiswa neIpsilateral tibial shaft fract Zvidzidzo zvepamberi zvakawana kuti 8.4% yeTibial Plateau dzakabatana neChinotometan Shaft Fract Marvill Varwere vane miti yeTibial Tibial Plave. Zviripachena kuti kusanganiswa kweIpsilateral tibial Plateau uye Shaft Fractures haina kujairika.
Nekuda kweiyo yepamusoro-simba chimiro chekukuvara kwakadaro, panowanzove kwakasimba kupfava kwekukuvara. Mufundisi, ndiro uye Screw System ine zvakanakira kugadziriswa kwemukati kwePlateau Naizvozvo, parizvino pane maviri maviri anowanzo shandiswa kushandiswa kwekugadziriswa kwemukati kwe tibial Plateau mapepa akasanganiswa ne tibial shaft fraft fungidziro:
1. Mippo (zvishoma zvinosanganisira ndiro osteosynthesis) maitiro ane ndiro refu;
2. Intramedullary zvipikiri + Plateau Screw.
Ose sarudzo dzinotaurwa mumabhuku, asi parizvino hapana kubvumirana pane iyo yakakwirira kana yakaderera maererano nekupwanyika kupora chiyero, bracture kupora nguva, kuderera kwemberi kuwirirana, uye matambudziko. Kugadzirisa izvi, nyanzvi kubva muchipatara cheKorea yunivhesiti yakaita kudzidza kwakafanana.
Chidzidzo icho chinosanganisira varwere 48 vane tibial Plateau mapango akasanganiswa neTibial Shaft Fractures. Pakati pavo, makumi matatu nematatu akarapwa neyechipupa maitiro, uye nekuwisirwa kwemberi.
Date 1: Lalteral Mippo Steel Plate Mukati Kugadziriswa. Murume ane makore makumi mana nemashanu ekuzvarwa, akabatanidzwa mutsaona yemotokari, akaiswa pachena shaft fraft (Gustilo II Type) uye Medial Medial Tibial Plateau cracture (Schatzker IV Rudzi).
Case 2: tiibial Plateau Screw + Suprapatellar Intramedullary Chipikiri Chemukati. Murume ane makore makumi matatu nemasere, akabatanidzwa mutsaona yemotokari, yakaunzwa neyekuvhurika tsaf shaft fracture (Gustilo Tifia Tyley Type) uye Concomitant Lateral Tibial Plateau Fracture (Schatzker i Type). Mushure mekurwadza madhiri uye isina kunaka kudzvinyirira kurapa kurapa (vsd), ronda raive ganda rakabatirwa. Makumi maviri neshanu
Mhedzisiro yacho inoratidza kuti hapana musiyano wakakosha pakati pekusvika pakusvika kwekuvhiya maererano nekuvhiringidza nguva yekupora, kupwanya kurapa, kupaza mwero kuenderana, uye matambudziko.
Zvakafanana nemusanganiswa weTibial Shaft Fractures neAnkle Joint Fractures neyechikadzi bracts Muchirongwa chekiriniki, kudzivirira zvisizvo kushamwaridzana kwekufungidzira kwekuongororwa uye kurapwa. Pamusoro pezvo, mukusarudzwa kwenzira dzekuenzanisira, kunyangwe tsananguro yazvino inoratidza kusiyana kwakakosha, kuchine mapoinzi akati wandei ekufunga nezve:
1. Muzviitiko zveTibial Tibial Plateau Fraw Restop Screw Screw
2. Muzviitiko zvakadaro, kukoshesa kunogona kupihwa kuti screw chigadzirwa chinoteverwa ne suprapatellar intramedullary chipikiri cheTibial shaft.
Kutumira Nguva: Mar-09-2024
