Iyo Clinical uye Commerce Synergy yeProximal Tibial Lateral Locking Plate

medial plateau kuputsika (kutsemuka/kutsikirirwa kwebvi)

Type V:

Bicondylar fracture inosanganisira medial uye lateral plateau splits

Type VI:

Bilateral plateau fracture nekuparadzaniswa kwetibial metaphysis kubva kune tibial stem

Mhedziso zviratidzo

• Joint surface kudonha> 2mm kana lateral displacement> 5mm

• Vhura kuputsika / kusanganiswa kwe osteofascial compartment syndrome

• Kusagadzikana kwebvi (mukati / kunze kutenderera> 5 °) kana kukuvara kwe ligamentous kunoda kugadziriswa.

Zviratidzo zvehukama

• Varwere vakura vanoda kuunganidzwa kwekutanga

• Yakasanganiswa meniscus kukuvara kunoda arthroscopic exploration

1. Kusvika pakuvhiya

Iyo yekuvhiya incision inosarudzwa kuti ive lateral kana medial kumabvi, zvichienderana nenzvimbo yekuputsika. The lateral incision inowanzoshandiswa kune lateral plateau fractures, kubva kune lateral femoral condyle kusvika kune lateral tibial tuberosity. Ganda rinochekwa robva rapatsanurwa dhizaini nedhiri, ichiteerera kuchengetedzwa kweyakajairika peroneal nerve, uye kufamba kunofanirwa kuve kwakapfava pakufumura magumo ekutyoka kudzivirira kuwedzera kukuvara kwenyama yakapfava.

2. Repositioning of articular surface

Iyo yakaputsika articular pamusoro inosimudzwa ine periosteal stripper, uye maitiro anosimbiswa nekudzokororwa fluoroscopy nemuchina weC-arm. Nekutyoka kwakapetwa, dzimwe nguva zvinodikanwa kuisa allograft kana tsigiro yemapfupa ekugadzira pasi peiyo articular surface. Nzvimbo yakabatana inofanira kunge yakadzikama uye mutsauko wehurefu kubva kune hutano hwakanaka haufaniri kunge unopfuura 2 mm, iyo inotarisa zvakananga kudzorerwa kwebasa rekubatana mushure mekushanda.

3. Kutevera

Kuputsika kwakaoma kunosanganisira metaphysis kunoda kutsigira kweplate fixation, ine L-yakafanana nekuvhara mahwendefa anowanzoshandiswa kune lateral plate uye T-shaped plates kune imwe yepakati. Kune bicondylar fractures, vamwe vanovhiya vanosarudza kugadzirwa kweplate mbiri, asi kutarisirwa kunofanira kutorwa kuti usabvisa zvakanyanya periosteum, izvo zvinogona kukanganisa kugoverwa kweropa.

Anatomical Fit:

Pre-shaped design yeAsia, Africa, uye Latin America vanhu vane tibial morphology (biomechanical comparison charts inogona kusungirirwa).

Multi-axial locking screw system inochinjika kune akasiyana density yemapfupa (semuenzaniso, osteoporosis muvakuru vakuru vemuAfrica, kushungurudzika kwakanyanya muAsia vechidiki)

Mutengo-benefit ratio:

Yakawedzera single process budiriro mwero uye yakaderedzwa yekudzokorora mitengo (enzanisa yakajairwa plate data)

High durability uye kuderedzwa kuwanda kwechiridzwa chinotsiviwa munzvimbo dziri kure.

Hushamwari hweOperator:

Maitiro ekuvhiya akareruka (semuenzaniso, MIPO ine zvishoma invasive maitiro), yakapfupisa yekudzidza curve yevavhiyi.

Inotakurika inotsigira maturusi enzvimbo dzisina zviwanikwa