A cikin ƙungiyar HEVBTP, 32% na marasa lafiya sun haɗu tare da wasu nama ko lalacewar tsarin, kuma marasa lafiya 3 (12%) sun sami rauni na jijiyoyin bugun jini da ke buƙatar gyaran tiyata.
Ya bambanta, kawai 16% na marasa lafiya a cikin ƙungiyar ba ta HEVBTP suna da wasu raunin da ya faru, kuma kawai 1% na buƙatar gyaran jijiyar popliteal.Bugu da ƙari, 16% na marasa lafiya na EVBTP suna da rauni ko kuma cikakke ciwon jijiya na peroneal kuma 12% suna da ciwon maraƙin maraƙi, idan aka kwatanta da 8% da 10% na ƙungiyar kulawa, bi da bi.
Tsarin rarrabuwa na tibial plateau na gargajiya, irin su Schatzker, Moore, da AO/OTA, an tsara su don taimakawa likitocin tiyata gano raunin da ke da alaƙa da haɓaka tsare-tsaren jiyya.
Wadannan karaya yawanci ana rarraba su azaman AO C da Schatzker V ko VI
Duk da haka, ƙayyadaddun irin wannan nau'in karaya za a iya watsi da su ta hanyar wannan rarrabuwa, wanda zai iya barin wasu marasa lafiya tare da cututtukan da ba dole ba a gaban mawuyacin matsalolin neurovascular.
Tsarin rauni na HEVBTP yayi kama da na anteromedial tibial plateau fracture hade tare da raunin hadaddun waje na baya da raguwar ligament na baya.
Sabili da haka, don karyewar farantin tibial na anteromedial, ya kamata a ba da hankali ga rauni na gefen baya na haɗin gwiwa gwiwa.
A cikin binciken da aka yi a yanzu, raunin da aka kwatanta a cikin yanayinmu sau da yawa yana kama da raguwar ƙwayar tibial plateau.Duk da haka, ya bambanta da raunin nama mai laushi na ligament na baya ko na baya, raunin da aka samu a cikin waɗannan lokuta suna da kasusuwa kuma ana la'akari da fashewar tashin hankali a kan metaphysis ko plateau na gefe.
A bayyane yake, gano alamun raunin da ya faru shine abin da ke ba likitocin tiyata damar yin maganin marasa lafiya da suka karye.Ana samun ganowa ta hanyar siyan hoto na lokaci guda tare da ƙididdige ƙididdiga don sanin ƙayyadaddun raunin rauni.
Yana da mahimmanci a gane mahimmancin wannan rauni, wanda shine muhimmiyar rauni mai alaƙa.
Moore ya gane cewa wasu nau'o'in raunin tibial plateau ba a ware su ba amma suna wakiltar raunin raunin da ya hada da raunin ligamentous da neurovascular.
Hakazalika, a cikin wannan binciken, an gano hyperextension da varus tibial plateau bicondylar fractures suna da alaƙa da 32% mafi girma na wasu raunin da ya faru, ciki har da raunin jirgin ruwa na popliteal, raunin jijiya na peroneal, da kuma ciwo na sashi.
A ƙarshe, haɓakar hawan jini da ɓarna bicondylar tibial plateau fractures wani nau'i ne na musamman na karaya na tibial plateau.Siffofin hoto na wannan yanayin sune
(1) Asarar gangaren baya ta al'ada tsakanin jirgin sagittal da saman tibial articular surface
(2) Tashin hankali karaya na baya
(3) Matsi na baya-baya, nakasar varus akan hangen nesa na zuciya.
Likitoci ya kamata su gane cewa wannan rauni na iya faruwa bayan raunin rauni mai ƙarancin kuzari a cikin tsofaffi tare da ƙarancin ƙarancin ƙwayar cuta.Za a iya amfani da dabarun ragewa da hana motsi da aka kwatanta don magance wannan yanayin rauni.
Lokacin aikawa: Mayu-16-2022