Muboka reHEVBTP, 32% yevarwere vakasanganiswa nemamwe matishu kana kukuvara kwemaitiro, uye varwere ve3 (12%) vaiva nepopliteal vascular kukuvara kunoda kugadziriswa kwekuvhiya.
Kusiyana neizvi, chete 16% yevarwere vari muboka risiri reHEVBTP vaiva nezvimwe zvinokuvadza, uye 1% chete yaida popliteal vascular repair.Mukuwedzera, 16% yevarwere veEVBTP vakanga vane chikamu kana kuti vakakwana peroneal nerve kukuvara uye 12% vaiva nemhuru compartment syndrome, zvichienzaniswa ne8% uye 10% yeboka rinodzora, maererano.
Traditional tibial plateau fracture classification systems, dzakadai seSchatzker, Moore, uye AO / OTA zvinyorwa, zvakagadzirirwa kubatsira vanachiremba vanovhiya kuona kukuvara kwakabatana uye kugadzira zvirongwa zvekurapa.
Aya mafractures anowanzo kurongerwa seAO C uye Schatzker V kana VI
Nekudaro, izvo chaizvo zverudzi urwu rwekutsemuka zvinogona kufuratirwa nechikamu ichi, icho chinogona kusiya vamwe varwere vane chirwere chisingadikanwi muhupo hwezvakakomba neurovascular complications.
Iyo nzira yekukuvadza yeHEVBTP yakafanana neye anteromedial tibial plateau fracture yakasanganiswa neshure kwekunze kwekukuvara kwakaoma uye posterior cruciate ligament rupture.
Nokudaro, nokuda kwekuputsika kweanteromedial tibial plateau, kutarisirwa kunofanira kubhadharwa kune kukuvara kwechikamu chemashure emabvi akabatanidzwa.
Muchidzidzo chezvino, kukuvadzwa kunotsanangurwa munyaya yedu kwaiwanzofanana nekuputsika kwekuputsika kwetibial plateau.Zvisinei, kusiyana nekukuvara kwezvinyoro zvinyoro zve posterolateral kana posterior cruciate ligament, kukuvadzwa muzviitiko izvi kune bony uye kunoonekwa semakakatanwa kuputsika pane metaphysis kana lateral plateau.
Zviripachena, kuzivikanwa kwemaitiro ekukuvadza ndiko kunobvumira vanachiremba vanovhiya kuti vanyatsobata varwere vakatyoka.Kuzivikanwa kunoitwa kuti kugoneke nekuwana panguva imwe chete yemifananidzo yakawanda yemifananidzo uye computed tomography kuti ione hunyengeri hwekukuvara.
Zvakakosha kuziva kukosha kwekukuvara uku, iyo yakakosha kukuvara kwakabatana.
Moore akaziva kuti mamwe marudzi ekukuvadzwa kwetibial plateau haana kuparadzaniswa asi anomiririra kuwanda kwekukuvara kunosanganisira ligamentous uye neurovascular kukuvara.
Saizvozvowo, muchidzidzo ichi, hyperextension uye varus tibial plateau bicondylar fractures zvakawanikwa zvichibatanidzwa ne 32% yengozi yepamusoro yezvimwe kukuvara, kusanganisira popliteal mudziyo kukuvara, peroneal nerve kukuvara, uye compartment syndrome.
Mukupedzisa, hyperextension uye varus bicondylar tibial plateau fractures inzira yakasiyana-siyana yetibial plateau fractures.Zvimiro zvekufungidzira zveiyi modhi ndizvo
(1) Kurasikirwa kweyakajairika posterior mutserendende pakati pesagittal ndege uye tibial articular pamusoro
(2) Kutyoka kwetension ye posterior cortex
(3) Kudzvinyirirwa kwe anterior cortex, varus deformity pane coronal view.
Vanachiremba vanovhiya vanofanira kuziva kuti kukuvadzwa uku kunogona kuitika mushure mekuita kwekukuvara kwepasi-simba kune vakwegura vakwegura vane huwandu hwepamusoro hwekukuvara kweurourovascular.Nzira dzekuderedza uye dzekudzivirira dzinotsanangurwa dzinogona kushandiswa kurapa nzira iyi yekukuvara.
Nguva yekutumira: May-16-2022