Lateral condylar osteotomy pofuna kuchepetsa Schatzker mtundu II tibial plateau fractures

Chinsinsi cha chithandizo cha Schatzker mtundu II tibial plateau fractures ndi kuchepetsa kugwa kwa articular pamwamba. Chifukwa cha kutsekeka kwa lateral condyle, njira ya anterolateral imakhala yochepa kwambiri kudzera mu malo olowa. M'mbuyomu, akatswiri ena adagwiritsa ntchito njira zochepetsera zomangira zomangira zomangira zomangira zomangira zomangira ndi zomangira kuti akhazikitsenso malo omwe adagwa. Komabe, chifukwa chazovuta poyika chidutswa cha fupa chomwe chinagwa, pali zovuta pakugwiritsa ntchito kuchipatala. Akatswiri ena amagwiritsa ntchito lateral condyle osteotomy, kukweza fupa la lateral condyle ya phiri lonse kuti awulule kugwa articular pamwamba pa fupa masomphenya mwachindunji, ndi kukonza ndi zomangira pambuyo kuchepetsa, kupeza zotsatira zabwino.

Ondondomeko ya perating

1. Udindo: Malo apamwamba, njira yapamwamba ya anterolateral.

2. Lateral condyle osteotomy. Osteotomy inkachitidwa pa lateral condyle 4cm kutali ndi nsanja, ndipo fupa la fupa la lateral condyle linatembenuzidwa kuti liwonetsere pamwamba pake.

3. Bwezerani kokhazikika. Malo ophwanyika adakonzedwanso, ndipo zomangira ziwiri zidalumikizidwa ku cartilage ya articular kuti ikonzedwe, ndipo chilemacho chidayikidwa ndi fupa lochita kupanga.

4. Chitsulo chachitsulo chimakhazikika chimodzimodzi.