Dɔdamɔnu kple Asitsatsa ƒe Nuwɔwɔ aduadu si le Proximal Tibial Lateral Locking Plate me

medial plateau fracture (klo ƒe gbagbã/klo ƒe ʋuʋu) .

Ƒomevi V: .

Bicondylar fracture si me medial kple lateral plateau ƒe mama le

Ƒomevi VI:

Akpa eve ƒe gbadzaƒe ƒe gbagbã kple tibial metaphysis ƒe mama tso tibial stem gbɔ

Nusiwo ɖee fia bliboe

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

• Open fracture/osteofascial compartment syndrome ƒe ƒuƒoƒo

• Klo ƒe malikenyenye (ememe/gota ƒe tɔtrɔ >5°) alo lãkusi ƒe abi si hiã be woadzrae ɖo.

Nusiwo ɖee fia le ƒomedodo me

• Dɔnɔ tsitsi siwo hiã be woaƒo wo nu ƒu kaba

• Meniscus ƒe abi si wotsɔ ƒo ƒui si hiã be woaku nu me to ƒunukpeƒetetedɔ me

1. Amekoko ƒe mɔnukpɔkpɔ

Wotiaa amekokoa ƒe lãɖeɖe be wòanye axadzi alo titina vaseɖe kloa gbɔ, le afisi wògbã le nu. Wozãa axadzitsotso zi geɖe na axadzi gbadzaƒe ƒe gbagbã, si kekena tso axadzi ƒe afɔkpodzi ƒe lãkusi dzi va ɖo axadzi ƒe afɔkpodzi ƒe ʋuka me. Wolãa ŋutigbalẽa eye emegbe womaae ɖe akpa vovovowo me, eye woléa ŋku ɖe peroneal nerve si bɔ ƒe ametakpɔkpɔ ŋu, eye ele be ʋuʋua nafa tu ne wole gbagbãƒea ƒe nuwuwu ɖem ɖe go be wòagagblẽ abi si le lãmeka falɛfalɛa ŋu ɖe edzi o.

2. Ƒunukpeƒea ƒe akpa si le teƒe bubu

Wotsɔa periosteal stripper kɔa ƒunukpeƒe si mu la ɖe dzi, eye wotsɔa fluoroscopy si wozãna enuenu kple C-arm mɔ̃ ɖoa kpe alesi wowɔa dɔae dzi. Le ƒu gbagbã siwo wogbã gome la, ɣeaɖewoɣi la, ehiãna be woade allograft alo ƒu ƒe kpeɖeŋutɔ si wowɔ kple asi la ɖe ƒunukpeƒea te. Ele be ƒunukpeƒea nanɔ gbadzaa eye vovototo si le kɔkɔme tso akpa si le lãmesẽ me gbɔ nawu milimeta 2 o, si fiaa ƒunukpeƒea ƒe dɔwɔwɔ ƒe hayahaya le dɔwɔwɔ vɔ megbe tẽ.

3. Nusiwo woawɔ atsɔ akplɔe ɖo

Gbagbã sesẽ siwo me metaphysis le la bia be woatsɔ agbalẽvi si akpe ɖe eŋu la aɖo kpe edzi, eye wozãa agbalẽvi siwo le abe L ene siwo wozãna zi geɖe na axadzi gbadzɛa eye wozãa agbalẽvi siwo ƒe nɔnɔme le abe T ene na titinatɔ. Le bicondylar fractures gome la, amekola aɖewo tiaa akpa eve ƒe plate fixation, gake ele be woakpɔ nyuie be woaƒo asa na periosteum ƒe ʋuʋu fũ akpa, si ate ŋu akpɔ ŋusẽ ɖe ʋu ƒe sisi dzi.

Lãmetsiŋusẽ ƒe Nɔnɔme:

Aɖaŋu si wowɔ do ŋgɔ na Asia, Afrika, kple Latin Amerikatɔwo ƒe ameha siwo si tibial ƒe nɔnɔme le (woate ŋu atsɔ biomechanical 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:

Dɔwɔwɔ ɖeka ƒe dzidzedzekpɔkpɔ ƒe dzidziɖedzi kple ga si wozãna ɖe asitɔtrɔ le eŋu dzi ɖeɖe kpɔtɔ (tsɔe sɔ kple agbalẽvi ƒe nyatakaka siwo bɔ) .

Dɔwɔnu siwo nɔa anyi didina ŋutɔ kple esiwo woɖɔlia zi geɖe le saɖeaga teƒewo dzi ɖeɖe kpɔtɔ.

Dɔwɔla Xɔlɔ̃wɔwɔ:

Amekoko ƒe ɖoɖo si wowɔ bɔbɔe (le kpɔɖeŋu me, MIPO minimally invasive technique), si na amekolawo ƒe nusɔsrɔ̃ ƒe ɣeyiɣia dzi ɖe kpɔtɔ.

Dɔwɔnu siwo woate ŋu atsɔ ado alɔe na nuto siwo me nunɔamesiwo mesɔ gbɔ ɖo o