Tibial Plateau fractures ophatikizidwa ndi ziphuphu zazitali za ipsimelateral zimawoneka ngati zovulala kwambiri, ndi 54% kukhala zotseguka. Maphunziro am'mbuyomu apeza kuti 8.4% ya Tibial Plateau Fractures amagwirizanitsidwa ndi zingwe za utoto, pomwe 3.2% ya Tibial shaft odwala chibwibwi a Tibinitant Plateum fraterives. Zikuwonekeratu kuti kuphatikiza kwa ipsilateral Tibial Plateau ndi Shaft si yachilendo.
Chifukwa cha kuvulala kwambiri kwa kuvulala koteroko, nthawi zambiri pamakhala zofewa kwambiri minofu. Mu lingaliro, plate la mbale ndi maluso ali ndi zabwino pakusintha kwamkati kwa plateau, koma ngati minofu yofewa imatha kulekerera kuti mawonekedwe amkati ndi dongosolo la mbale ndi screw ndikuwunikanso kuchipatala. Chifukwa chake, pakali pano pali njira ziwiri zomwe nthawi zambiri zimagwiritsidwa ntchito pokonzanso kwamkati za Tibial Plateau fractures ophatikizidwa ndi ma shat shattures:
1. Mipip (yotupa yoloserayi yopanda mafuta) njira yokhala ndi mbale yayitali;
2.
Zosankha zonsezi zimanenedwa m'mabuku, koma palibe mgwirizano womwe umakhala wapamwamba kapena wotsika kwambiri malinga ndi kuchuluka kwa madzi ochiritsa, nthawi yovuta yochiritsa, nthawi yotsika ya nthambi, ndi zovuta. Kuti athetse izi, akatswiri ochokera kuchipatala cha Korea adawerengera.
Kafukufukuyu adaphatikizapo odwala 48 omwe ali ndi tibial plateau fractures ophatikizidwa ndi ziphuphu zazitali. Pakati pawo, milandu 35 idachitidwa ndi njira yosinthira ma moyimer, ndipo milandu 13 idachitidwa ndi ma plateau scrips ophatikizidwa ndi njira yofinya ya intravellartaltary.
▲ State 1: Yofananira Moppo Shael Plate Kukhazikika kwamkati. Mwamuna wazaka 42, wokhudzidwa ndi ngozi yagalimoto, yoperekedwa ndi mtundu wotseguka wa tiil (Gustilo II II) ndi Cibititant Medial Plateau Custeriction Fracture (Schacher IV).
▲ 2: Tibial Plateau Screter + Suprapetellar intradellary intradellary yokhazikika. Mwamuna wazaka 31, wokhudzidwa ndi ngozi yagalimoto, adawonetsedwa ndi chipongwe chotseguka cha tibia (a Gustilo IIA Pambuyo pochotsa bala ndi zovuta zoyipa mankhwala osokoneza bongo (vsd), chilondacho chidalumikizidwa. Zomangira ziwiri 6.5mm zidagwiritsidwa ntchito kuchepetsedwa ndi kukhazikika kwa chipululu
Zotsatirazi zikuwonetsa kuti palibe kusiyana kwakukulu pakati pa njira ziwiri zopangira opaleshoni molingana ndi machiritso ochiritsa, kutsika kwa miyendo, ndi zovuta.
Zofanana ndi kuphatikiza kwa ziphuphu za tibial shart ndi maboti ophatikizika kapena zotupa zam'madzi zokhala ndi makhosi owoneka bwino kwambiri zimatha kuyambitsa kuvulala koyandikana ndi bondo. Muchipatala, kupewa ma disdisnasis ndi chinthu chachikulu pakuzindikira ndi chithandizo. Kuphatikiza apo, posankha njira zokhazikika, ngakhale kuti kafukufuku wapano ulibe zosiyana, pamakhala mfundo zingapo zofunika kuziganizira:
1. Pakadutsa tibial Plateau fraction komwe kukonzekera kosavuta kumakhala kovuta, ndikofunikira kuti mugwiritse ntchito ma beyala okwanira mokwanira.
2. Panthawi zina za tibial tibial fraterives, pansi pa zomwe zimapangitsa kuti zikhale zochulukirapo, kuchepa kwamphamvu ndi kukonzekera koyenera kumatheka. Zikatero, zoyambira zimaperekedwa kuti zikhale zokhazikika zotsatiridwa ndi suprapethellar intravellary mital kukhazikika kwa ibial shaft.
Post Nthawi: Mar-09-2024
