Proximal Tibial Lateral Locking Plate-a clinical leh commercial synergy a awm dan chu a dik lo a ni.

Medial Plateau fracture (fracture/knee subluxation) 1.1.

Type V:

Bicondylar fracture chu medial leh lateral plateau splits hmanga siam a ni.

Type VI:

Bilateral plateau fracture chu tibial metaphysis leh tibial stem atanga inthenna nen a inzawm a ni.

Absolute indications .

• Joint surface a tlakbuak >2mm emaw lateral displacement >5mm emaw a ni.

• Open fracture/combination osteofascial compartment syndrome hi a tha lo hle.

• Khup inthlak danglamna (internal/external rotation >5°) emaw ligamentous injury siamthat ngai.

Relative indications .

• Kum upa lam damlo, mobilization hmasa ngai .

• Meniscus hliam zawng zawng inzawmkhawm chuan arthroscopic exploration a ngai a ni.

1. Surgical hmanga kal theih a ni.

Surgical incision hi khup lateral emaw medial emaw atan thlan a ni a, chu chu fracture site a zirin a ni. Lateral incision hi lateral plateau fractures atan an hmang tlangpui a, lateral femoral condyle atanga lateral tibial tuberosity thlengin an inzar pharh a ni. Vun chu an tan a, chutah chuan layer khat hnu layer hrang hrangah an inthen a, chu chuan common peroneal nerve humhalhna chu a ngaihven a, soft tissue hliam a tihnat loh nan fracture tawp a chhuah chuan a chetna chu a nêm tur a ni.

2. Articular surface chu a awmna hmun (repositioning) .

Collapded articular surface chu periosteal stripper hmangin an chawi sang a, chu chu C-Arm machine hmanga fluoroscopy tih nawn leh hmangin an nemnghet a ni. Comminuted fractures tan chuan a chang chuan articular surface hnuaiah allograft emaw artificial bone support emaw implant a ngai thin. Joint surface chu a flat tur a ni a, hrisel lam atanga a san zawng inang lo chu 2 mm aia tam a ni tur a ni lo va, chu chuan operation hnua joint function recovery chu direct-in a tichiang tur a ni.

3. Follow-up .

Metaphysis hmanga fracture complex tak tak te chuan supportive plate fixation an mamawh a, L-shaped locking plate te chu lateral plate atan an hmang tlangpui a, medial one atan T-shaped plate an hmang bawk. Bicondylar fractures tan chuan surgeon thenkhat chuan bilateral plate fixation an thlang a, mahse thisen supply a nghawng thei tur periosteum stripping tam lutuk loh nan fimkhur a ngai a ni.

Anatomical fit na: 1.1.

Asian, African, leh Latin American population te tan pawha design pre-shaped, tibial morphology nei (biomechanical comparison charts te pawh a awm thei).

Multi-axial locking screw system hian ruh density hrang hrangah a insiamrem thin (eg, African puitling kum upa zawkte osteoporosis, Asian thalai puitlingah chuan high-energy trauma)

Cost-benefit ratio:

Single procedure hlawhtlinna rate tihpun leh revision cost tihhniam (conventional plate data khaikhin)

Hmun hla tak takah instrument thlak a nih chuan a chhe thei lo a, a tam zawk bawk.

Operator te inhmangaihna:

Simplified surgical process (eg, MIPO minimally invasive technique), surgeon-te tan zirlai curve tawi zawk.

Resource-limited area hrang hranga hman theih tur portable supporting tools .