Tibial tibial lateral locking plate ka kɛnɛyako ni jago siratigɛ la .

Clau kari cɛmancɛ la (fracture/cnee subluxation) .

V suguya: .

Bicondylar kari min bɛ kɛ ni cɛmancɛ ni kɔkanna plateau splits ye .

VI suguya:

Plateau kari fila ni tibial metaphyse farali ka bɔ tibial stem .

Indications absolues .

• Joint surface bin >2mm walima lateral displacement >5mm .

• Osteofascial compartment syndrome kari/ka fara ɲɔgɔn kan.

• Gɛnɛgɛnɛ basigibaliya (kɔnɔna/kɛnɛma jiginni >5°) walima joli-sira-funu min bɛ dilan.

Taamaʃyɛnw bɛ tali kɛ ɲɔgɔn na .

• Banabagatɔ kɔrɔbaw minnu mago bɛ u la joona .

• Meniscus joginni faralen ɲɔgɔn kan min bɛ joli segin-seginni wajibiya .

1. Opereli sɔrɔli .

Opereli tigɛcogo bɛ sugandi ka kɛ gɛnɛgɛnɛ kɛrɛfɛ walima cɛmancɛ la, ka kɛɲɛ ni kariyɔrɔ ye. Lateral incision (kɛrɛfɛ tigɛ) bɛ kɛ ka caya lateral plateau fractures (kɛrɛnkɛrɛnnenya la) la, a bɛ bɔ kɔkanna senkɔniw na ka jigin ka taa a bila lateral tibial tuberosity la. Fari bɛ tigɛ ka sɔrɔ ka a fara ɲɔgɔn kan ka kɛɲɛ ni layɛrɛ ye, k’a janto peroneal nerve commune lakanani na, wa lamaga ka kan ka nɔgɔya ni a bɛ kari laban bɔ kɛnɛ kan walasa a kana farikolo yɔrɔ nɔgɔlen joginni juguya.

2. Joli-sira-funu-yɔrɔ-ko-yɔrɔ-ko-yɔrɔ-ko .

Joli-sira-funu-yɔrɔ min binna, o bɛ kɔrɔta ni periosteal stripper ye, wa a kɛcogo bɛ Sɛmɛntiya ni fluoroscopie segin-segin ye ni C-arm masin ye. Walasa ka kari minnu bɛ tigɛ, tuma dɔw la, a ka kan ka alografu walima kolosinsinnanw don u la minnu bɛ sɔrɔ joli-sira-funu yɔrɔ jukɔrɔ. Jogindaw ka kan ka kɛ fla ye ani danfara min bɛ kɛnɛya fan fɛ, o man kan ka tɛmɛ milimɛtɛrɛ 2 kan, o bɛ joli baara kɛnɛyali ɲɛfɔ k’a ɲɛsin a ma opereli kɔfɛ.

3. Kuncɛli .

Kari gɛlɛnw minnu bɛ kɛ ni metafizi ye, olu bɛ kɛ ni dɛmɛnanw ye minnu bɛ kɛ ka fɛnw siri, ni L-cogo da tugulanw bɛ kɛ ka caya lateral plate ani T-shaped plates la cɛmancɛ ta kama. Bikondili kariw la, operelikɛla dɔw bɛ plati fila-fila-fila-minɛnw sugandi, nka aw ka kan ka aw janto u la walasa u kana kɔnɔbara basigilen bɔ ka caya, o bɛ se ka nɔ bila joli la.

Anatomique fit:

Dilancogo min bɛ kɛ ka kɔn Azi, Afiriki ani Latin Ameriki jamanadenw ɲɛ ni tibiw cogoya ye (biomechanical comparaison charts bɛ se ka nɔrɔ a la).

Multi-axial locking screw system bɛ a yɛrɛ ladamu kolosinsinnanw na minnu tɛ kelen ye (misali la, koloci min bɛ kɛ Afiriki baliku kɔrɔbaw la, fanga caman bɛ sɔrɔ Azi baliku fitiniw na)

musaka ni nafa hakɛ:

Dɔ farala taabolo kelen kan min bɛ se ka kɛ ka ɲɛtaa sɔrɔ ani ka segin musakaw dɔgɔya (ka fara plati kunnafoniw kan minnu bɛ kɛ ka caya) .

A bɛ se ka muɲu kosɛbɛ ani a bɛ dɔ bɔ minɛnw cili la yɔrɔ janw na.

Operator ka teriya:

Opereli nɔgɔyalen (misali la, MIPO min bɛ kɛ ni fɛn ye min bɛ se ka don a la), o ye kalan kɛcogo surun ye operelikɛlaw ye.

Dɛmɛnanw minnu bɛ se ka ta ka taa yɔrɔ wɛrɛw la, olu bɛ se ka kɛ yɔrɔ minnu na .