Okukwatagana kw’obujjanjabi n’eby’obusuubuzi mu kifo eky’okumpi eky’okusiba ebbakuli y’omugongo .

okumenya kwa medial plateau (okufuukuuka/okufukamira okusannyalala) .

Ekika kya V:

Bicondylar fracture erimu okwawukana kwa medial ne lateral plateau .

Ekika kya VI:

Bilateral Plateau fracture nga eyawula tibial metaphysis okuva mu kikolo ky’omugongo .

Ebiraga Ebituufu .

• Okugwa kw'okungulu kw'ekiwanga >2mm oba okusengulwa okw'ebbali >5mm .

• Open fracture/okugatta obulwadde bw’okuzimba amagumba .

• Obutabeera mu ntebenkevu mu kugulu (enzitowerera ey’omunda/ey’ebweru >5°) oba obuvune bw’emisuwa nga kyetaagisa okuddaabiriza.

Ebiraga ebikwata ku nsonga eno .

• Abalwadde abakadde abeetaaga okukunga abantu nga bukyali .

• Obuvune bwa Meniscus obugatta nga bwetaagisa okunoonyereza ku nnyindo .

1. Okulongoosa okutuuka .

Ekitundu ky’okulongoosa kilondebwa okuba eky’ebbali oba eky’omu makkati okutuuka ku kugulu, okusinziira ku kifo we bamenya. Okusalako okw’ebbali kutera kukozesebwa ku kumenya kwa lateral plateau, okugaziwa okuva ku lateral femoral condyle wansi okutuuka ku lateral tibial tuberosity. Olususu lusalibwa n’oluvannyuma ne lwawuddwamu layeri ku layeri, nga lufaayo ku kukuuma obusimu bwa peroneal aka bulijjo, era entambula erina okuba ennyogovu ng’olaga enkomerero y’okumenya okwewala okwongera ku buvune bw’ebitundu ebigonvu.

2. Okuzzaawo ekifo eky’okungulu .

Engulu w’ekitundu ky’omubiri ekigudde esitulwa n’ekyuma ekiyitibwa ‘periosteal stripper’, era enkola ekakasiddwa okuddiŋŋana okukebera ekyuma ekiyitibwa ‘fluoroscopy’ n’ekyuma kya C-arm. Ku kumenyeka okw’enjawulo, oluusi kyetaagisa okuteeka allograft oba artificial bone support wansi w’ekitundu ky’omubiri. Engulu w’ekiwanga erina okuba nga nfunda era enjawulo mu buwanvu okuva ku ludda olulamu tesaana kusukka mm 2, ekisalawo butereevu okuddamu kw’omulimu gw’ekiyungo oluvannyuma lw’okulongoosebwa.

3. Okugoberera .

Enkuyanja ezizibu ezizingiramu metaphysis zeetaaga okunyweza pulati eziwagira, nga zirina pulati ezisiba mu ngeri ya L ezikozesebwa ennyo ku pulati ey’ebbali n’epulati ezifaanana nga T ez’omu makkati. Ku bitundu ebimenyese ebibiri, abasawo abamu abalongoosa balondawo okunyweza pulati ku njuyi zombi, naye okwegendereza kulina okwewala okweggyako ekisusse mu kitundu ekiyitibwa periosteum, ekiyinza okukosa omusaayi.

Anatomical fit:

Enteekateeka y’okusooka mu ngeri ya Asia, Africa, ne Latin America nga erina enkula y’omugongo (ebipande by’okugeraageranya okw’omubiri (biomechanical comparison charts) bisobola okugattibwako).

Multi-axial locking screw system adapt to different bone densities (okugeza, osteoporosis mu bantu abakulu mu Africa, obuvune obw’amaanyi amangi mu bavubuka abakulu mu Asia)

Omugerageranyo gw’omuwendo n’emigaso:

Okwongera ku buwanguzi bw’enkola emu n’okukendeeza ku nsaasaanya y’okuddamu okusoma (geraageranya data ya pulati eya bulijjo) .

Obuwangaazi bungi n’okukendeeza ku mirundi gy’okukyusa ebikozesebwa mu bitundu ebyesudde.

Omukozi w'emirimu mu mukwano:

Enkola ennyangu ey’okulongoosa (okugeza, MIPO minimally invasive technique), shortened learning curve eri abasawo abalongoosa.

Ebikozesebwa ebiwagira ebitambuzibwa mu bitundu ebirina ekkomo ku by’obugagga .