Sinergie clinique et commerciale de la lateral tibial proximale Locking plate

medial plateau fracture (kari/gɛnɛgɛnɛ subluxation) .

V suguya: .

Bikɔndili kari min bɛ kɛ ni cɛmancɛ ni kɔfɛla plateau tilali ye

Sugu VI: 1 .

Plateau fila kari ni tibial metaphyse ni tibial stem faralen don ɲɔgɔn kan

Taamaʃyɛnw dafalenw

• Joli yɔrɔ bɛ bin >2mm walima kɛrɛfɛla jiginni >5mm

• Osteofascial compartiment syndrome (kolo yɔrɔ karilen dafalen/banakisɛfagalanw faralen ɲɔgɔn kan).

• Gɛnɛgɛnɛ basigibaliya (kɔnɔna/kɛnɛma jiginni >5°) walima ligament jogin min ka kan ka dilan.

Taamaʃyɛnw minnu bɛ tali Kɛ ɲɔgɔn na

• Banabagatɔ kɔrɔbaw minnu mago bɛ mobilizasiyɔn na joona

• Meniscus joginni faralen ɲɔgɔn kan min bɛ a ɲini ka sɛgɛsɛgɛli kɛ ni joli-sira-funu ye

1. Opereli sɔrɔli

Opereli tigɛyɔrɔ bɛ sugandi ka kɛ kɛrɛfɛ walima cɛmancɛ la ka se gɛnɛgɛnɛ ma, ka kɛɲɛ ni a kariyɔrɔ ye. Kɛrɛfɛla tigɛcogo ka teli ka kɛ kɛrɛfɛla plateau fractures (kɛrɛfɛla plateau fractures) la, a bɛ bɔ kɔfɛla senkɔniw na ka jigin ka se kɛrɛfɛla sɔgɔsɔgɔninjɛ ma. Fari bɛ tigɛ ka sɔrɔ ka a faranfasi ka bɔ ɲɔgɔn na, ka aw janto ɲɛgɛnɛsiralabanaw lakanani na, wa a lamaga ka kan ka nɔgɔya ni aw bɛ kari dakun jira walasa ka farikolo yɔrɔ nɔgɔlen jogin juguya.

2. Ka joli-sira-funu-yɔrɔ bila yɔrɔ wɛrɛ la

Articular surface binnalen bɛ kɔrɔta ni periosteal stripper ye, ani o kɛcogo bɛ tiɲɛ ni fluoroscopie segin-segin ye ni C-arm machine ye. Ni kari tigɛlenw don, tuma dɔw la, a ka kan ka alografu walima kolotuguda dilannen don kolotuguda duguma. Joli yɔrɔ ka kan ka kɛ fla ye ani danfara min bɛ a janya ni fan kɛnɛman cɛ, o man kan ka tɛmɛ milimɛtɛrɛ 2 kan, o de bɛ kolotuguda baara seginni jira k’a ɲɛsin opereli kɔfɛ.

3. Ka tugu-tugu ɲɔgɔn kɔ

Kari gɛlɛn minnu bɛ kɛ ni metafizi ye, olu bɛ dɛmɛn plati sirili de wajibiya, ni L-cogo Locking platew bɛ kɛ ka caya kɛrɛfɛ-plati la ani T-cogo la plati cɛmancɛ la. Ni bikɔndili karilen don, operelikɛla dɔw bɛ plati fila sirili sugandi, nka aw ka kan ka aw janto a la walasa ɲɛgɛnɛsira kana bɔ kojugu, o bɛ se ka nɔ bila joli la.

Anatomie Fit: 1. Bamako, Mali.

Dilancogo min kɛra ka kɔn Azi, Afiriki ani Latin Ameriki jamanadenw ye ni tibial morphologie ye (biomechanical comparison charts bɛ se ka nɔrɔ a la).

Multi-axial Vis da ka tugu sigida bɛ ladamu kolo danfaralenw na (misali la, koloci bɛ kɛ Afiriki baliku kɔrɔbaw la, fanga caman bɛ sɔrɔ Azi baliku fitininw na)

Musaka ni nafa hakɛ: 1 .

Dɔ farala taabolo kelen ɲɛtaa hakɛ kan ani seginnkanni musakaw dɔgɔyali (aw ye plati kunnafoniw suma ɲɔgɔn na) .

A muɲuli ka bon ani minɛnw cili ka caya yɔrɔjanw na.

Operatɛri ka teriya:

Opereli kɛcogo nɔgɔman (misali la, MIPO min ka dɔgɔn kosɛbɛ), o ye kalan kɛcogo surunya operelikɛlaw fɛ.

Dɛmɛminɛn minnu bɛ se ka ta ka taa yɔrɔ wɛrɛw la, nafolo danmadɔ bɛ yɔrɔ minnu na