Karyawar tibial plateau karaya ce gama gari
Karyawar Bicondylar sakamakon mummunan rauni mai ƙarfi ne
(J Orthop Trauma 2017; 30: e152-e157)
Barei DP, Nork SE, Mills WJ, et al.Matsalolin da ke da alaƙa da gyarawa na ciki na babban ƙarfi bicondylar tibial plateau fractures ta amfani da dabarar katsewa biyu.J Orthop Trauma.2004; 18:649–657.
Barei DP, O'Mara TJ, Taitsman LA, et al.Yawan juzu'i da karaya ilimin halittar jiki na guntun bayan gida a cikin tsarin karaya na tibial plateau bicondylar.J Orthop Trauma.2008; 22:176–182.
Schatzker da aka saba amfani da su, Moore, da rarrabuwar AO/OTA sun rufe kusan dukkan karaya.
Amma wasu nau'ikan karaya ba su dace ba
Siffofin wasu nau'ikan karaya suna ba da shawarar wani rauni mai haɗari mai haɗari, irin su karye-raguwa na gwiwa, wanda zai iya samun matsala mai tsanani idan ba a gane ba.
Bennett da Browner, Schatzker et al sun gane karaya ilimin halittar jiki na wannan tsaka-tsaki na musamman.
(Bennett WF, Browner B. Tibial plateau fractures: nazarin abubuwan da ke hade da raunin nama mai laushi.J Orthop Trauma.1994; 8:183-188.)
Reza Firoozabadi daga Amurka ya gano cewa hyperextension da varus tibial plateau bicondylar fractures (HEVBTP) ba a cika ambaton su a cikin wallafe-wallafen ba kuma ba a haɗa su cikin rarrabuwa da aka saba amfani da su ba.
Mawallafa sun ba da shawarar cewa tsarin rauni na HEVBTP yayi kama da na maganin motsa jiki na hyperextension da damuwa na varus wanda ke haifar da raguwar shigarwar anteromedial na tibia mai kusa tare da lalacewa ga kusurwar baya da / ko ligament na baya, sai dai cewa tsohon shine na baya. bawo na proximal tibia.Ragewar tashin hankali da raunin damfara na gaba, wanda ke haifar da nakasar sagittal na ƙananan ƙarshen ƙarshen tibia (raguwa ko jujjuyawar tibial na baya)
Paley D, Herzenberg JE.Daidaita gaɓoɓi na al'ada da daidaitawar haɗin gwiwa.A cikin: Ka'idodin Gyaran Nakasa.New York: Springer-Verlage Berlin Heidelberg;2002: 14-16.
Rauni Mechanism - Hyperextension da Varus
Karyewar tibial plateau na gaba na tsakiya tare da raunin hadaddun waje na baya
Hanyar rauni: matsananciyar hauhawar jini da ɓarna na gwiwa
Siffofin: Rarrabe gutsuttsuran karaya anteromediaally
Karaya na Tushen Tibial Plateau na Anteromedial Haɗe da Rauni Mai Rubuce-Rubuce: Nazari da Nazari na Adabi.JALLAR TIJJAR KNEE,2011
Marubutan sun sake nazarin marasa lafiya na 208 (bangarorin 212) tare da raunin bicondylar na tibial plateau tsakanin Mayu 2000 da Agusta 2011, kuma sun bincika lokuta 23 (25 lokuta) waɗanda suka dace da halayen HEVBTP bayan kimantawa ta hanyar CT scan da na baya da na gefe X. - fina-finai masu haske.gefe) raunin tibial plateau fracture, da sauran 187 tibial plateau fractures an yi amfani da su azaman yanayin da ƙungiyar kulawa.
A- X-ray na gefe na haɗin gwiwa gwiwa don kimanta karkatar baya na tibia da karaya na gaba, da kuma X-ray na gaba yana nuna nakasar coronal varus
B-Coronal da sagittal CT hotuna bayan trans-articular waje gyarawa
C- X-ray fluoroscopy na baya da na gefe yana nuna cewa raguwar raguwar raguwa na baya da kuma screws guda biyu (na gaba mai nisa zuwa na gaba na gaba) ya rage da kuma gyara guntun tibia na kusa;
D- X-ray na gaba da na gefe na baya yana nuna tsaka-tsaki ɗaya mara kullewa da gyaran farantin buttress guda ɗaya, inda farantin tsakiya yana kan ɓangaren anteromedial na tibial plateau.
Fim ɗin fili na X-ray na E-lateral ya nuna cewa kusurwar jujjuyawar tibial ta kasance -9 °, bayan tiyata, ya kasance 10 °, kuma kusurwar gyaran tiyata ya kasance 19°
Lokacin aikawa: Afrilu-26-2022