Kuchotsa mafupa a lateral condylar osteotomy kuti achepetse kusweka kwa tibial plateau ya Schatzker mtundu wachiwiri

Chofunika kwambiri pochiza kusweka kwa tibial plateau ya Schatzker mtundu wachiwiri ndi kuchepetsa malo osweka a articular. Chifukwa cha kutsekedwa kwa condyle ya lateral, njira ya anterolateral inali ndi mwayi wochepa wowonekera kudzera m'malo olumikizirana. Kale, akatswiri ena ankagwiritsa ntchito njira zochepetsera cortical fenestration ya anterolateral cortical ndi screw-rod reduction kuti akhazikitsenso malo osweka a articular. Komabe, chifukwa cha vuto loyika chidutswa cha fupa chosweka, pali zovuta pakugwiritsa ntchito kuchipatala. Akatswiri ena amagwiritsa ntchito lateral condyle osteotomy, kukweza fupa la lateral condyle ya plateau yonse kuti awonetse malo osweka a articular a fupa pansi pa maso, ndikulikonza ndi zomangira pambuyo pochepetsa, zomwe zimapangitsa kuti pakhale zotsatira zabwino.

Onjira yowerengera

1. Malo: Malo okhala chagada, njira yakale ya anterolateral.

2. Kuchotsa mafupa a lateral condyle. Kuchotsa mafupa a lateral condyle kunachitidwa pa lateral condyle 4cm kuchokera pa pulatifomu, ndipo fupa la lateral condyle linatembenuzidwa kuti liwonetse pamwamba pa articular yomwe yapanikizika.

3. Yakonzedwanso. Malo otsetsereka a articular omwe anagwa anakonzedwanso, ndipo zomangira ziwiri zinalumikizidwa ku cartilage ya articular kuti zikhazikike, ndipo cholakwikacho chinaikidwa ndi fupa lochita kupanga.

4. Mbale yachitsulo imakhazikika bwino.