Ayaresa ne Aguadi mu Nkitahodi a Ɛwɔ Proximal Tibial Lateral Locking Plate no mu

medial plateau a ɛpaapae (abubu/kotodwe a ɛkɔ fam) .

Ɔkwan a wɔfa so yɛ V:

Bicondylar fracture a ɛfa mfinimfini ne akyi asasetaw a ɛpaapae ho

Ɔkwan a wɔfa so yɛ VI:

Afã abien a ɛyɛ asasetaw a ɛpaapae a ɛtetew tibial metaphysis ne tibial stem mu

Nsɛnkyerɛnne a edi mũ

• Nkwaa no ani a ɛhwe ase >2mm anaasɛ akyi a ɛtwetwe >5mm

• Open fracture/osteofascial compartment syndrome a wɔaka abom

• Kotodwe a entumi nnyina (mfinimfini/akyi ɛkyinkyini >5°) anaasɛ ligamentous opira a ɛhwehwɛ sɛ wosiesie.

Nsɛnkyerɛnne a ɛfa ho

• Ayarefo a wɔn mfe akɔ anim a wohia sɛ wɔboaboa wɔn ano ntɛm

• Meniscus opira a wɔaka abom a ɛhwehwɛ sɛ wɔyɛ nhwehwɛmu wɔ ntini mu

1. Oprehyɛn a wɔde ma

Wɔpaw oprehyɛn a wɔde twa kotodwe no sɛ ɛnyɛ akyi anaa mfinimfini kosi kotodwe no so, a egyina baabi a abubu no so. Wɔtaa de afã a wɔatwa no di dwuma ma akyi asasetaw a abubu, a efi akyi asen no mu kɔ fam kosi akyi tibial tuberosity no so. Wotwa honam ani na afei wɔtetew mu ntoatoaso biara, na wɔhwɛ sɛnea peroneal ntini a ɛtaa ba no bɔ ho ban, na ɛsɛ sɛ kankyee no yɛ brɛoo bere a ɛda nea abubu no awiei adi no na amma ntini a ɛyɛ mmerɛw no apira no ayɛ kɛse.

2. Ntini no ani a wɔde si baabi foforo

Wɔde periosteal stripper ma articular no ani a abubu no so, na wɔde fluoroscopy a wɔde C-arm afiri yɛ mpɛn pii si adeyɛ no so dua. Wɔ nnompe a abubu a, ɛtɔ mmere bi a ɛho hia sɛ wɔde allograft anaa nnompe a wɔde ayɛ nnompe a wɔde gyina so hyɛ ntini no ase. Ɛsɛ sɛ nkwaa no ani yɛ petee na ɛnsɛ sɛ nsonsonoe a ɛwɔ sorokɔ mu fi ɔfã a ɛwɔ apɔwmuden no boro mm 2, na ɛno na ɛkyerɛ sɛnea nkwaa no dwumadi bɛsan ayɛ yiye wɔ oprehyɛn no akyi tẽẽ.

3. Nea wodi akyi

Mpaapaemu a ɛyɛ den a ɛfa metaphysis ho no hwehwɛ sɛ wɔde mprɛte a ɛboa no si hɔ, a mprɛte a ɛte sɛ L a wɔde to mu a wɔtaa de di dwuma ma akyi mprɛte no ne mprɛte a ɛte sɛ T ma mfinimfini de no. Wɔ bicondylar a ɛpaapae ho no, nnuruyɛfo binom paw mprɛte a wɔde si afã abien, nanso ɛsɛ sɛ wɔhwɛ yiye na wɔakwati sɛ wobeyi periosteum no afi hɔ dodo, na ebetumi aka mogya a wɔde ma no.

Anatomical Fit:

Nsusuwii a wɔadi kan ayɛ ama Asia, Afrika, ne Latin Amerikafo a wɔwɔ tibial morphology (wobetumi de biomechanical comparison charts abata ho).

Multi-axial locking screw nhyehyɛe no dannan nnompe mu duru ahorow (sɛ nhwɛso no, nnompe mu yare wɔ Afrikafo mpanyimfo a wɔn mfe akɔ anim mu, ahodwiriw a ahoɔden wom kɛse wɔ Asiafo mmerante ne mmabaa a wɔadu mpanyin afe so mu)

Ɛka ne mfaso a wonya fi mu:

Adeyɛ biako nkonimdi dodow a ɛkɔ soro ne nsakrae ho ka a ɛso atew (fa toto mprɛte so nsɛm a wɔtaa de di dwuma ho) .

Nneɛma a ɛtra hɔ kyɛ kɛse ne mpɛn dodow a wɔsesa nnwinnade wɔ mmeae a ɛwɔ akyirikyiri no so tew.

Adwumayɛfo adamfofa su:

Oprehyɛn nhyehyɛe a wɔayɛ no mmerɛw (sɛ nhwɛso no, MIPO minimally invasive technique), maa adesua kwan tiaa maa oprehyɛnfo.

Nnwinnade a wɔde boa a wotumi fa so ma mmeae a nneɛma kakraa bi na ɛwɔ hɔ