I-Clinical and Commercial Synergy ye-Proximal Tibial Lateral Locking Plate

Ukwaphuka kweplati eliphakathi (ukwaphuka/ukucolwa kwedolo)

Uhlobo V:

I-Bicondylar fracture ebandakanya ukuhlukana kwe-medial kunye ne-lateral plateau

Uhlobo VI:

I-Bilateral Plateau fracture kunye nokuhlukana kwe-tibial metaphysis ukusuka kwi-tibial stem

Iimpawu ezipheleleyo

• Ukudilika komphezulu odibeneyo> 2mm okanye ukufuduswa kwecala>5mm

• Ukuqhekeka okuvulekileyo / ukudibanisa kwe-osteofascial compartment syndrome

• Ukungazinzi kwamadolo (ukujikeleza kwangaphakathi / kwangaphandle> 5 °) okanye ukulimala kwe-ligamentous kufuna ukulungiswa.

Izalathisi ezizalanayo

• Izigulana ezisele zikhulile zifuna ukuhlanganiswa kwangethuba

• Ukulimala kwe-meniscus okudityanisiweyo kufuna ukuphononongwa kwe-arthroscopic

1. Ukufikelela ngotyando

I-incision yokuhlinzwa ikhethwa ukuba ibe yicala okanye i-medial emadolweni, kuxhomekeke kwindawo yokuphuka. I-lateral incision isetyenziswa ngokuqhelekileyo kwi-plateau fractures, isuka kwi-condyle ye-femal lateral ukuya kwi-tuberosity ye-tibial. Ulusu luyasikwa kwaye emva koko lwahlulwe umaleko ngongqimba, ingqalelo ekukhuselweni kwe-nerve ye-peroneal eqhelekileyo, kwaye intshukumo kufuneka ibe mnene xa iveza isiphelo sokuphuka ukuze ugweme ukunyusa ukulimala kwezicubu ezithambileyo.

2. Ukumiswa kwakhona kwendawo ye-articular

I-articular surface ediliziweyo iphakanyiswe nge-periosteal stripper, kwaye inkqubo iqinisekiswa ngokuphindaphindiweyo kwe-fluoroscopy kunye nomshini we-C-arm. Ukuqhekeka okudibeneyo, ngamanye amaxesha kuyimfuneko ukufaka i-allograft okanye ukuxhaswa kwamathambo okwenziwa phantsi kwe-articular surface. Umphezulu odibeneyo kufuneka ube tyaba kwaye umehluko wobude ukusuka kwicala elinempilo akufanele ube ngaphezu kwe-2 mm, echaza ngokuthe ngqo ukubuyiswa komsebenzi odibeneyo emva kokusebenza.

3. Ukulandelela

Iifracture eziyinkimbinkimbi ezibandakanya i-metaphysis zifuna ukulungiswa kweeplate ezixhasayo, kunye neeplati zokutshixa ezine-L ezisetyenziswa ngokuqhelekileyo kwi-lateral plate kunye ne-T-shaped plate one medial one. Kwi-bicondylar fractures, abanye oogqirha bakhetha ukulungiswa kweeplate ezimbini, kodwa kufuneka kuthathelwe ingqalelo ukuphepha ukuchithwa ngokugqithiseleyo kwe-periosteum, enokuchaphazela ukunikezelwa kwegazi.

I-Anatomical Fit:

Uyilo olubunjwe ngaphambili lwabantu baseAsia, baseAfrika, kunye nabaseLatin America abane-tibial morphology (iitshathi zokuthelekisa i-biomechanical zinokuqhotyoshelwa).

Inkqubo ye-screw ye-multi-axial yokutshixa ilungelelanisa ukuxinana kwamathambo okwahlukeneyo (umzekelo, i-osteoporosis kubantu abadala base-Afrika, umonzakalo wamandla aphezulu kubantu abadala abancinci baseAsia)

Umlinganiselo wendleko-yenzuzo:

Ukonyuka kwezinga lempumelelo yenkqubo enye kunye nokunciphisa iindleko zohlaziyo (thelekisa idatha yepleyiti eqhelekileyo)

Ukuqina okuphezulu kunye nokunciphisa ukuphindaphinda kokutshintshwa kwesixhobo kwiindawo ezikude.

Ukusebenzelana koMsebenzi:

Inkqubo yotyando eyenziwe lula (umzekelo, ubuchule be-MIPO obuncinci obuhlaselayo), yanciphisa ijiko lokufunda koogqirha.

Izixhobo eziphathwayo ezixhasayo kwiindawo ezinobuncwane obulinganiselweyo