A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. Proximal Tibial Lateral Locking Plate

medial plateau fracture (khup/khup subluxation) tihchhiat a ni.

Type V: 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Bicondylar fracture a awm a, medial leh lateral plateau inthen darh a ni

Type VI: 1.1.

Bilateral plateau fracture a awm a, tibial metaphysis chu tibial stem atanga inthen a ni

Absolute indication a ni

• Joint surface collapse >2mm emaw, lateral displacement >5mm emaw a ni thei

• Open fracture/osteofascial compartment syndrome awm dan inzawmkhawm

• Knee instability (internal/external rotation >5°) emaw ligamentous injury emaw siamthat ngai a awm.

Relative indication te pawh a awm

• Damlo kum upa lam, mobilization hmasa mamawh

• Combined meniscus hliam chu arthroscopic exploration a ngai a ni

1. Surgery hmanga tih theihna

Surgical incision hi khup thlenga lateral emaw medial emaw a ni tur a ni a, chu chu fracture site a zirin a ni. Lateral incision hi lateral plateau fracture atan hman a ni tlangpui a, lateral femoral condyle atanga lateral tibial tuberosity thlengin a inzar pharh a ni. Vun chu an tan a, chutah chuan layer khat hnu layer khatin an inthen a, common peroneal nerve venhimna ngaihtuah a, soft tissue injury a tizual loh nan fracture end pholan hunah a chetna chu a nem tur a ni.

2. Articular surface awmna tur hmun siam thar leh

Collapsed 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 dah a ngai thin. Joint surface chu a flat tur a ni a, hrisel lam atanga a san zawng danglamna chu 2 mm aia tam lo tur a ni a, hei hian operation hnua joint function a lo harh leh dan tur a hril nghal vek a ni.

3. Enkawlna

Metaphysis nena inzawm complex fracture-ah chuan supportive plate fixation a ngai a, lateral plate atan L-shaped locking plate hman a ni tlangpui a, medial atan T-shaped plate hman a ni bawk. Bicondylar fracture tan chuan surgeon thenkhat chuan bilateral plate fixation an thlang a, mahse periosteum stripping lutuk loh nan fimkhur a ngai a, hei hian thisen supply a tichhe thei a ni.

Anatomical Fit a ni: 1.1.

Asian, African, leh Latin American population te tan tibial morphology nei tan pre-shaped design (biomechanical comparison chart te pawh attached theih a ni).

Multi-axial locking screw system hian ruh density hrang hrang (eg, African puitling kum upa zawkte ruh natna, Asian puitling naupangte zingah high-energy trauma) a insiamrem thei a ni.

Cost-benefit ratio chu: 1.1.

Single procedure hlawhtlinna rate tihpun leh revision senso tihtlem (conventional plate data khaikhin rawh)

Durability sang tak leh hmun hla tak takah instrument thlak tam loh.

Operator-te ṭhian ṭhatna:

Surgical process awlsam zawk (eg, MIPO minimally invasive technique), surgeon-te tan zirlai curve tih tawi.

Resource tlemte awmna hmuna hmanraw tangkai tak tak, portable supporting tools