I-Tibial Plateau fractures yi-periarticular fractures evamile
Ukuphuka kwe-bicondylar kuwumphumela wokulimala okukhulu kwamandla aphezulu
(J Orthop Trauma 2017; 30:e152–e157)
Barei DP, Nork SE, Mills WJ, et al.Izinkinga ezihlobene nokulungiswa kwangaphakathi kwe-high-energy bicondylar tibial plateau fractures kusetshenziswa indlela yokusika kabili.J Orthop Trauma.2004;18:649–657.
Barei DP, O'Mara TJ, Taitsman LA, et al.I-Frequency and fracture morphology of the posteromedial fragment in bicondylar tibial plateau fracture amaphethini.J Orthop Trauma.2008;22:176–182.
Ukuhlukaniswa okuvame ukusetshenziswa kwe-Schatzker, Moore, kanye ne-AO/OTA kuhlanganisa cishe konke ukuphuka.
Kodwa ezinye izinhlobo zokuphuka azifaneleki
Izinhlobo zezinhlobo ezithile zokuphuka ziphakamisa ukulimala okungase kube yingozi, njengokuphuka kwedolo, okungaba nezinkinga ezinkulu uma kungenzeki.
U-Bennett no-Browner, uSchatzker et al bakubonile ukuphuka kwe-fracture yaleli thafa eliphakathi nendawo.
(Bennett WF, Browner B. Tibial plateau fractures: isifundo sokulimala kwezicubu ezithambile ezihambisanayo.J Orthop Trauma.1994;8:183–188.
U-Reza Firoozabadi wase-United States wathola ukuthi i-hyperextension ne-varus tibial plateau bicondylar fractures (HEVBTP) ayivamile ukushiwo ezincwadini futhi ayifakiwe ekuhlukaniseni ukuphuka okuvame ukusetshenziswa.
Ababhali basikisela ukuthi indlela yokulimala ye-HEVBTP ifana neyemithi yezemidlalo i-hyperextension kanye nokucindezeleka kwe-varus okuholela ekuqhekekeni kokufakwa kwe-anteromedial ye-tibia ehamba phambili ngokulimala ekhoneni le-posterolateral kanye / noma i-posterior cruciate ligament, ngaphandle kokuthi eyokuqala ingemuva. i-cortex ye-proximal tibia.Ukuphuka kwe-tension kanye ne-compression fractures yangaphambili, okuholela ekukhubazekeni kwe-sagittal komkhawulo ophansi/i-tibia (encishisiwe noma ehlanekezelwe i-tibial posterior tilt)
Paley D, Herzenberg JE.Ukuqondanisa kwezitho ezijwayelekile kanye nokuma ngokuhlanganyela.Ku:Izimiso Zokulungisa Ukukhubazeka.ENew York: Springer-Verlage Berlin Heidelberg;2002:14-16.
I-Injury Mechanism - I-Hyperextension ne-Varus
I-anterior medial tibial plateau fracture ehlanganiswe nokulimala okuyinkimbinkimbi kwangaphandle kwangemuva
Indlela yokulimala: i-hyperextension eyedlulele kanye ne-varus yamadolo
Izici: Hlukanisa izingcezu zokuphuka ngaphandle kwe-anteromedial
Ukuphuka Kwe-Anteromedial Tibial Plateau Okuhlobene Nokulimala Kwe-Posterolateral Complex: Indaba Efundwayo kanye Nokubuyekezwa Kwezincwadi.INCWADI YOHLELO LOKUHLINZWA Edolo,2011
Ababhali bahlaziye ngokuphindaphindiwe iziguli ze-208 (izinhlangothi ze-212) ezine-bicondylar fractures ye-tibial plateau phakathi kukaMeyi 2000 no-Agasti 2011, futhi bahlola amacala angu-23 (amacala angu-25) ahambisana nezici ze-HEVBTP ngemva kokuhlolwa kwe-CT scan kanye ne-anterior kanye ne-lateral X. - amafilimu alula.side) i-tibial plateau fracture, kanye ne-187 esele ye-tibial plateau fractures yasetshenziswa njengeqembu kanye neqembu lokulawula.
A- I-X-ray yangemuva yejoyinti lamadolo ukuhlola ukutsheka kwangemuva kwe-tibia kanye nokuqhekeka kokucindezela kwangaphambili, kanye ne-X-ray yangaphambili ebonisa ukukhubazeka kwe-coronal varus.
Izithombe ze-B-Coronal ne-sagittal CT ngemva kokulungiswa kwangaphandle kwe-trans-articular
I-C- I-X-ray yangaphambili kanye ne-lateral i-X-ray fluoroscopy ibonisa ukuthi i-forceps yokunciphisa ukuphuka kwangemuva kanye nezikulufu ezimbili (i-distal yangaphambili kuya ku-posterior proximal direction) inciphisa futhi ilungise i-proximal tibia fragment;
I-X-ray ye-postoperative yangaphambili ne-lateral ibonisa i-Medil One non-locking kanye nokulungiswa kwepuleti le-buttress lokukhiya, lapho ipuleti eliphakathi litholakala engxenyeni ye-anteromedial ye-tibial plateau.
Ifilimu ecacile ye-X-ray ye-E-lateral ibonise ukuthi i-angle ye-preoperative tibial retroversion angle yayingu--9 °, ngemva kokuhlinzwa, yayingu-10 °, futhi i-angle yokulungiswa kokuhlinzwa yayingu-19 °.
Isikhathi sokuthumela: Apr-26-2022