Dɔdaƒe kple asitsatsa ƒe nuwɔwɔ aduadu le proximal tibial lateral locking plate .

Medial plateau fracture (fracture/knee subluxation) .

Ƒomevi V:

Bicondylar ƒe gbagbã si me titina kple axadzi gbadzaƒe ƒe mama le .

Ƒomevi VI:

Akpa eve ƒe gbagbã kple tibial metaphysis ƒe mama tso tibial stem .

Nusiwo wotsɔ fiaa nu bliboe .

• ƒunukpeƒe ƒe anyigba ƒe gbagbã >2mm alo axadzi ʋuʋu >5mm

• Open fracture/combination of osteofascial compartment syndrome .

• Klo ƒe malike (eme/gotagome ƒe tɔtrɔ >5°) alo abi si le lãkusi me si hiã be woadzra ɖo.

Nusiwo wotsɔ fiaa nu le ƒomedodo me .

• Dɔnɔ tsitsi siwo hiã be woaƒo wo nu ƒu kaba .

• Meniscus ƒe abi si wotsɔ ƒo ƒui si bia be woaku nu me le ƒunukpeƒeŋutinunya ŋu .

1. Amekoko ƒe mɔɖeɖe .

Wotiaa amekokoa ƒe akpa si woɖe la be wòanye axadzi alo titina na kloa, le afisi wòagbã la nu. Wozãa axadzilãɖeɖe zi geɖe na axadzi gbadzaƒe ƒe gbagbã, si keke tso axadzi afɔkpodzi ƒe lãkusi dzi va ɖo axadzi tibial tuberosity. Wolãa ŋutigbalẽa eye emegbe womaa ƒuƒoƒo ɖeka ɖe akpa vovovowo me, eye wòléa ŋku ɖe peroneal nerve si bɔ ƒe ametakpɔkpɔ ŋu, eye ele be ʋuʋua nafa ne eɖe abi si le lãkusia ŋu la ɖe go be wòagasẽ ɖe edzi le lãkusi falɛfalɛa me o.

2. Akɔta ƒe akpa si le anyigba dzi ƒe teƒe yeye ɖoɖo .

Wotsɔa periosteal stripper kɔa articular surface si mu la ɖe dzi, eye wotsɔa C-arm machine ɖoa kpe edzi be wowɔa dɔ sia. Le comminuted fractures gome la, ɣeaɖewoɣi la, ehiãna be woade allograft alo artificial bone support ɖe articular surface te. Ele be ƒunukpeƒea ƒe anyigba nanye gbadzaa eye vovototo si le kɔkɔme tso akpa si le lãmesẽ me gbɔ nawu milimeta 2 o, si fiaa ƒunukpeƒea ƒe dɔwɔwɔ le dɔwɔwɔ vɔ megbe tẽ.

3. Ŋgɔyiyi .

gbagbã sesẽ siwo ku ɖe metaphysis ŋu la hiã be woatsɔ plate fixation akpe ɖe eŋu, kple L-nɔnɔme ƒe ʋuƒo gbadzɛ siwo wozãna zi geɖe na lateral plate kple T-nɔnɔme plates na medial ɖeka. Le bicondylar ƒe gbagbã gome la, amekola aɖewo tiaa akpa eve ƒe plate fixation, gake ele be woakpɔ nyuie be woaƒo asa na periosteum la ɖeɖe fũ akpa, si ate ŋu akpɔ ŋusẽ ɖe ʋu ƒe sisi dzi.

ŋutilã ƒe wɔwɔme ƒe sɔsɔ:

Aɖaŋu si wowɔ do ŋgɔ na Asia, Afrika, kple Latin Amerika ƒe ameha siwo si tibia ƒe nɔnɔme le (woate ŋu atsɔ biochanical comparison charts akpe ɖe eŋu).

Multi-axial locking screw system trɔna ɖe ƒu ƒe kpekpeme vovovowo ŋu (le kpɔɖeŋu me, ƒumeŋuɖui le Afrikatɔ tsitsiwo me, ŋusẽ geɖe ƒe nuveviwɔame le Asia sɔhɛ tsitsiwo me)

Gazazã kple viɖe ƒe sɔsɔme:

Dzidziɖedzi ɖeka ƒe dɔwɔwɔ ƒe dzidzedzekpɔkpɔ kple asitɔtrɔ ƒe gazazãwo dzi ɖe kpɔtɔ (tsɔe sɔ kple plate data siwo wozãna ɖaa) .

Dɔwɔnuwo ɖɔliɖɔli le teƒe saɖeagawo nɔa anyi eteƒe didina ŋutɔ eye woɖea wo ɖɔliɖɔli le teƒe saɖeagawo dzi kpɔtɔna.

Dɔwɔla ƒe xɔlɔ̃wɔwɔ:

Amekoko ƒe ɖoɖo si wowɔ bɔbɔe (le kpɔɖeŋu me, MIPO ƒe mɔnu si me nu boo aɖeke mele o ƒe mɔnu), na nusɔsrɔ̃ ƒe mɔnu si le kpuie na amekolawo.

Dɔwɔnu siwo wotsɔna doa alɔ teƒe siwo woate ŋu atsɔ ayi teƒeteƒewo na teƒe siwo woate ŋu akpɔ nunɔamesiwo le .