Iklinikhi yekliniki kunye nezorhwebo ye-proximal ye-proxial tibial tiki

I-Medial PlateTeau Practure

Chwetheza v:

I-Bicondylar Fracture ibandakanya iplati ye-medial kunye ne-Lateral Delits

Chwetheza i-VI:

I-Bilatal Plateau iqhekeza ngokwahlulahlula i-tibial metaphysis evela kwi-tibial stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem stem smtem

Izalathiso ezigqibeleleyo

• Ukuwela umphezulu we-Jount> 2mm okanye ukufuduswa komhlaba> 5mm

• Vula ukwaphuka / ukudityaniswa kwe-Osteofial Syndrome

• Ukungazinzi kwedolo (ukujikeleziswa kwangaphakathi / ngaphandle kwe-5 °) okanye ukwenzakala kwe-ligamentous efuna ukulungiswa.

Isalathiso esihambelana

• Abaguli abalupheleyo abafuna ukuhambisa kwangoko

• Ukudityaniswa kwe-mensiscus edityanisiweyo efuna ukuhlolwa kwe-arthroscopic

1. Ukufikelela utyando

Isimo sokuhlinzwa sikhethwe ukuba siphinde sibe semva okanye iMedial kwidolo, kuxhomekeka kwindawo yokuqhekeka. I-Indet ye-Oteral isetyenziselwa i-plateal plateral ityhutyha, yandisa ukusuka kwi-ofisi ka-Lateral Destithy ukuya kwi-tibial tuberasity. Ulusu lusikiwe kwaye wahlukane nongqimba, wanikela ingqalelo ekukhuseleni i-nerve eqhelekileyo ye-peroneal nerve, kwaye intshukumo kufuneka ibethe tye xa ityhila ukuphela kwento yokuqhekeka.

I-2. Ukuphinda ubeke indawo yobugcisa

Umphezulu owenziweyo uvuselelwe ngokuhluma kwe-periosterial, kwaye inkqubo iqinisekisiwe ngokuphindwayo ngokuphindaphindiweyo fluoroscopy kunye nomatshini we-C. Ukuqhekezwa kweqhekeza, ngamanye amaxesha kuyimfuneko ekufumaneni i-lefgrabif okanye kwinkxaso yethambo le-arne ngaphantsi komgangatho wobugcisa. Umphezulu odibeneyo kufuneka ube liflethi kwaye umahluko wokuphakama ukusuka kwicala elisempilweni akufuneki abe ngaphezulu kwe-2 mm, egqiba ngokuthe ngqo ukusebenza komsebenzi odibeneyo emva kotyando.

3. Ukulandela

I-quaphys ezintsonkothileyo ebandakanya i-metaphysis ifuna ukulungiswa kweplate ye-GATE Kwi-Bicondylar Fractures, abanye oogqirha bakhetha ukulungiswa kweplati ye-Bilateral, kodwa kuya kuthathelwa ingqalelo ukunqanda ukukhululwa kakhulu kwe-periosteum, enokuchaphazela ukubonelelwa kwegazi.

I-Aatomical ilungile:

Uyilo olubekiweyo lwangaphambi kwe-Asiya, e-Afrika, kunye ne-Latin Americal Americals nge-tibial morphology (i-bioulechaon utshatile).

I-Anne ye-Anne Systems kwiNkqubo eyahlukeneyo yethambo (umz.

Umyinge wokuxhamla iindleko:

Ukunyuka kwenkqubo yempumelelo yempumelelo kunye neendleko ezincitshisiweyo (Thelekisa idatha yeplate yesiqhelo)

Ukuqina okuphezulu kwaye kuncitshiswe rhoqo kwesixhobo sokubuyiselwa kwezixhobo kwiindawo ezikude.

Umhlobo womsebenzi:

Inkqubo yoNyango elula (umz.

Izixhobo ezixhasayo ezisebenzayo kwiindawo ezinqongopheleyo