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

Ukwephuka kwethafa eliphakathi (ukuphuka/ukwehliswa kwedolo)

Uhlobo V:

Ukuphuka kwe-bicondylar okubandakanya ukuhlukana kwe-medial ne-lateral plateau

Uhlobo VI:

I-Bilateral Plateau fracture ngokuhlukaniswa kwe-tibial metaphysis kusuka ku-tibial stem

Izinkomba eziphelele

• Ukugoqa kwendawo ehlanganyelwe > 2mm noma ukususwa kwezinhlangothi > 5mm

• Ukuphuka okuvulekile/inhlanganisela ye-osteofascial compartment syndrome

• Ukungaqini kwedolo (ukujikeleza kwangaphakathi/kwangaphandle>5°) noma ukulimala kwemisipha okudinga ukulungiswa.

Izinkomba zesihlobo

• Iziguli esezikhulile ezidinga ukugqugquzelwa kusenesikhathi

• Ukulimala kwe-meniscus okuhlanganisiwe okudinga ukuhlolwa kwe-arthroscopic

1. Ukufinyelela ngokuhlinzwa

I-incision yokuhlinzwa ikhethwa ukuthi ibe yi-lateral noma i-medial edolweni, kuye ngokuthi isayithi lokuphuka. I-lateral i-incision ivame ukusetshenziselwa ukuphuka kwe-lateral plateau, ukusuka ku-condyle ye-femoral lateral kwehle kuya ku-lateral tibial tuberosity. Isikhumba siyasikwa bese sihlukaniswa ungqimba ngongqimba, sinake ukuvikelwa kwe-nerve evamile ye-peroneal, futhi ukunyakaza kufanele kube mnene lapho kuveza ukuphela kokuphuka ukuze kugwenywe ukukhulisa ukulimala kwezicubu ezithambile.

2. Ukumiswa kabusha kwe-articular surface

I-articular surface edilikile iphakanyiswa nge-periosteal stripper, futhi inqubo iqinisekiswa yi-fluoroscopy ephindaphindiwe ngomshini we-C-arm. Ngokuphuka okuncishisiwe, ngezinye izikhathi kuyadingeka ukufaka i-allograft noma ukusekelwa kwamathambo okwenziwa ngaphansi kwendawo ye-articular. Indawo ehlangene kufanele ibe isicaba futhi umehluko wokuphakama ukusuka ohlangothini olunempilo akufanele ube ngaphezu kuka-2 mm, okunquma ngokuqondile ukubuyiswa komsebenzi ohlangene ngemva kokusebenza.

3. Ukulandelela

Ukuphuka okuyinkimbinkimbi okubandakanya i-metaphysis kudinga ukulungiswa kwepuleti elisekelayo, namapuleti okukhiya amise okuka-L avame ukusetshenziselwa ipuleti elingemuva kanye namapuleti amise okwe-T kwelemaphakathi. Ngokuphuka kwe-bicondylar, abanye odokotela abahlinzayo bakhetha ukulungiswa kwepuleti lamazwe amabili, kodwa kufanele kuthathwe ukunakekelwa ukuze kugwenywe ukuchithwa ngokweqile kwe-periosteum, okungase kuthinte ukunikezwa kwegazi.

I-Anatomical Fit:

Idizayini emise okwengaphambili yabantu base-Asia, e-Afrika, naseLatin America abane-tibial morphology (amashadi wokuqhathanisa we-biomechanical anganamathiselwa).

Isistimu yesikulufu sokukhiya i-Multi-axial ijwayela ukuminyana okuhlukene kwamathambo (isb., i-osteoporosis kubantu abadala base-Afrika abadala, ukuhlukumezeka okunamandla entsheni yabantu abadala yase-Asia)

Isilinganiso sezindleko nenzuzo:

Ukwenyuka kwezinga lempumelelo yenqubo eyodwa kanye nezindleko ezincishisiwe zokubukeza (qhathanisa nedatha yepuleti evamile)

Ukuqina okuphezulu kanye nemvamisa encishisiwe yokushintshwa kwezinsimbi ezindaweni ezikude.

Ubungane bomsebenzisi:

Inqubo yokuhlinzwa eyenziwe lula (isb, indlela ye-MIPO ehlasela kancane), yenza ijika lokufunda lodokotela abahlinzayo libe mfushane.

Amathuluzi aphathekayo asekelayo ezindawo ezinomkhawulo wezinsiza