Lithaba tsa Tibial Plateau fractures ke fractures tse tloaelehileng tsa periarticular
Ho robeha ha Bicondylar ke phello ea kotsi e matla e matla haholo
(J Orthop Trauma 2017; 30: e152-e157)
Barei DP, Nork SE, Mills WJ, et al.Mathata a amanang le ho lokisa ka hare ho matla a phahameng a matla a bicondylar tibial plateau fractures a sebelisa mokhoa oa ho pata habeli.J Orthop Trauma.2004; 18:649–657.
Barei DP, O'Mara TJ, Taitsman LA, et al.Khafetsa le fracture morphology ea sekhechana sa posteromedial ka bicondylar tibial plateau fracture pattern.J Orthop Trauma.2008;22:176–182.
Likhetho tse sebelisoang hangata tsa Schatzker, Moore, le AO/OTA li koahela hoo e batlang e le fractures tsohle.
Empa mefuta e meng ea fractures ha e tšoanelehe
Mefuta ea mefuta e itseng ea ho robeha e fana ka maikutlo a kotsi e ka 'nang ea e-ba kotsi, e kang ho robeha ha lengole, ho ka ba le mathata a tebileng haeba ho sa hlokomeloe.
Bennett le Browner, Schatzker et al ba hlokometse ho robeha ha morphology ea sehlaba sena se bohareng.
(Bennett WF, Browner B. Tibial plateau fractures: thuto ea likotsi tse amanang le lisele tse bonolo.J Orthop Trauma.1994;8:183–188.
Reza Firoozabadi oa United States o fumane hore hyperextension le varus tibial plateau bicondylar fractures (HEVBTP) ha li boleloe ka seoelo libukeng 'me ha li kenyelelitsoe sehlopheng se tloaelehileng sa fracture.
Bangoli ba fana ka maikutlo a hore mochine oa kotsi oa HEVBTP o tšoana le oa meriana ea lipapali hyperextension le khatello ea kelello ea varus e lebisang ho fractures ea ho kenngoa ha anteromedial ea proximal tibia le tšenyo ea sekhutlo sa posterolateral le / kapa mokokotlo oa mokokotlo oa mokokotlo, ntle le hore oa pele ke oa morao. cortex ea proximal tibia.Ho robeha ha tsitsipano le ho robeha ha khatello ea pele, ho fellang ka ho holofala ha sagittal ea karolo e ka tlase / tibia (e fokotsehileng kapa e khelohileng ka morao ea tibial tilt)
Paley D, Herzenberg JE.Tlhōlisano e tloaelehileng ea maoto le tlhophiso ea manonyeletso.Ho:Melao-motheo ea Tokiso ea Bofokoli.New York: Springer-Verlage Berlin Heidelberg;2002:14–16.
Mechanism ea Kotsi - Hyperextension le Varus
Anterior medial tibial plateau fracture e kopantsoe le kotsi e ka morao e rarahaneng ea kantle
Mokhoa oa ho lematsa: hyperextension e feteletseng le varus ea lengole
Likarolo: Arola likhechana tsa fracture pele ho nako
Ho robeha ha Lehlabathe la Anteromedial Tibial le Associated le Kotsi ea Posterolateral Complex: Pale ea Thuto le Tlhahlobo ea Lingoliloeng.LEKGOTLA LA HO BUA LEFOKO,2011
Bangoli ba ile ba hlahloba ka morao bakuli ba 208 (mahlakoreng a 212) ba nang le fractures ea bicondylar ea tibial plateau pakeng tsa May 2000 le August 2011, 'me ba hlahloba linyeoe tsa 23 (maemo a 25) a neng a lumellana le litšobotsi tsa HEVBTP ka mor'a ho hlahlojoa ke CT scan le anterior le lateral X. - lifilimi tse hlakileng.side) ho robeha ha lehlabathe la tibial, le tse setseng tsa 187 tibial plateau fractures li ile tsa sebelisoa e le sehlopha sa nyeoe le taolo.
A- Lateral X-ray ea lenonyeletso la lengole ho hlahloba ho sekamela ka morao ha tibia le ho robeha ha khatello e ka pele, le X-ray e ka pele e bonts'ang bokooa ba coronal varus.
Litšoantšo tsa B-Coronal le sagittal CT ka mor'a ho lokisa ka ntle ho trans-articular
C- Anterior le lateral X-ray fluoroscopy e bontša hore matla a ho fokotsa ho robeha ka morao le li-screws tse peli (anterior distal ho posterior proximal direction) li fokotsa le ho lokisa sekhechana sa proximal tibia;
D- Postoperative anterior and lateral X-ray e bonts'a medial One e sa notlellang le e le 'ngoe e notlelang poleiti ea buttress, moo poleiti ea medial e leng karolong ea anteromedial ea sehlaba sa tibial.
E-lateral X-ray filimi e hlakileng e bontšitse hore pele ho ts'ebetso ea tibial retroversion angle e ne e le -9 °, ka mor'a ho buuoa, e ne e le 10 °, 'me angle ea ho lokisa opereishene e ne e le 19 °.
Nako ea poso: Apr-26-2022