Sinergie clinique et commerciale de la plaque de locking latérale tibial proximale

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 karilenw na, 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. Aw bɛ 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 dɛmɛnan plati sirili de wajibiya, ni L cogoya la, u bɛ kɛ ka caya kɛrɛfɛla la ani T cogo la, u bɛ kɛ cɛmancɛ ta la. Ni bikɔndili karilen don, operelikɛla dɔw bɛ plati fila sirili sugandi, nka aw ka kan ka aw janto walasa ka ɲɛgɛnɛsira bɔ kojugu, o bɛ se ka nɔ bila joli sɔrɔli 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 locking screw system bɛ ladamu kolo danfaralenw na (misali la, koloci Afiriki baliku kɔrɔbaw la, fanga caman sɔrɔli 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