Kev Kho Mob thiab Kev Ua Lag Luam Synergy ntawm Proximal Tibial Lateral Locking Phaj

medial plateau fracture (pob txha / hauv caug subluxation)

Hom V:

Bicondylar fracture nrog rau nruab nrab thiab sab laug toj siab splits

Hom VI:

Ob sab toj siab tawg nrog kev sib cais ntawm tibial metaphysis los ntawm tibial qia

Cov lus qhia meej

• Kev sib koom ua ke ntawm qhov sib tsoo> 2mm lossis lateral hloov> 5mm

• Qhib pob txha / ua ke ntawm osteofascial compartment syndrome

• Lub hauv caug instability (sab hauv / sab nraud tig> 5 °) los yog ligamentous raug mob yuav tsum tau kho.

txheeb ze indications

• Cov neeg laus uas xav tau kev txhawb nqa ntxov

• Combined meniscus raug mob xav tau kev tshawb nrhiav arthroscopic

1. Kev phais mob

Kev phais phais yog xaiv los ntawm sab nraud lossis nruab nrab rau lub hauv caug, nyob ntawm qhov chaw tawg. Lub lateral incision feem ntau yog siv rau lateral plateau fractures, txuas los ntawm lateral femoral condyle mus rau lateral tibial tuberosity. Cov tawv nqaij raug txiav thiab tom qab ntawd sib cais los ntawm txheej, ua tib zoo saib xyuas kev tiv thaiv ntawm cov hlab ntsha peroneal, thiab kev txav yuav tsum maj mam thaum nthuav tawm qhov tawg kawg kom tsis txhob ua rau cov nqaij mos raug mob.

2. Repositioning ntawm articular nto

Lub cev pob txha tawg yog tsa nrog lub periosteal stripper, thiab cov txheej txheem tau lees paub los ntawm kev rov ua fluoroscopy nrog lub tshuab C-arm. Rau comminuted fractures, qee zaum nws yog ib qho tsim nyog los cog cov pob txha pob txha los yog cov pob txha pob txha hauv qab ntawm cov pob txha. Qhov sib koom ua ke yuav tsum tiaj tus thiab qhov sib txawv ntawm qhov siab ntawm sab noj qab haus huv yuav tsum tsis txhob ntau tshaj 2 hli, uas ncaj qha txiav txim siab rov qab los ntawm kev sib koom ua haujlwm tom qab ua haujlwm.

3. Ua raws

Cov kev puas tsuaj uas cuam tshuam nrog cov metaphysis xav tau kev txhawb nqa phaj kho, nrog L-shaped locking daim hlau feem ntau siv rau sab phaj thiab T-shaped daim hlau rau qhov nruab nrab. Rau cov pob txha bicondylar, qee tus kws phais neeg xaiv ob sab phaj fixation, tab sis yuav tsum tau saib xyuas kom tsis txhob muaj ntau dhau ntawm lub periosteum, uas yuav cuam tshuam rau cov ntshav.

Anatomical haum:

Cov qauv tsim ua ntej rau cov neeg Esxias, African, thiab Latin America nrog tibial morphology (cov kab kos duab sib piv biomechanical tuaj yeem txuas).

Multi-axial locking screw system adapts rau cov pob txha sib txawv (piv txwv li, osteoporosis nyob rau hauv cov neeg laus African laus, siab-zog kev raug mob nyob rau hauv Asian hluas hluas).

Tus nqi sib piv:

Ua kom cov txheej txheem ua tiav ib zaug thiab txo cov nqi kho dua tshiab (piv cov ntaub ntawv phaj sib piv)

High durability thiab txo zaus ntawm cov cuab yeej hloov pauv hauv thaj chaw deb.

Tus neeg ua haujlwm phooj ywg:

Cov txheej txheem phais yooj yim (xws li, MIPO minimally invasive technique), luv luv kev kawm nkhaus rau cov kws phais.

Portable cov cuab yeej txhawb nqa rau cov peev txheej-tsim thaj chaw