Tibial plateau fractures inowanzoputika periarticular fractures
Bicondylar fractures ndiyo mhedzisiro yekukuvara kwakanyanya kwesimba
(J Orthop Trauma 2017; 30: e152–e157)
Barei DP, Nork SE, Mills WJ, et al.Zvinetso zvinosanganiswa nekugadzirisa kwemukati kwepamusoro-simba bicondylar tibial plateau fractures uchishandisa maitiro maviri-incision.J Orthop Trauma.2004;18:649–657.
Barei DP, O'Mara TJ, Taitsman LA, et al.Frequency uye fracture morphology ye posteromedial fragment mu bicondylar tibial plateau fracture mapatani.J Orthop Trauma.2008;22:176–182.
Iyo inowanzo shandiswa Schatzker, Moore, uye iyo AO/OTA kupatsanura inovhara anenge ese mafractures.
Asi mamwe marudzi ekuputsika haana kukodzera
Mafomu emamwe marudzi ekutyoka anoratidza kukuvadzwa kunogona kuva nengozi, sekutsemuka-kutsemuka kwebvi, izvo zvinogona kuva nezvinetso zvakakomba kana zvikasaitika.
Bennett naBrowner, Schatzker et al vakaziva kutsemuka morphology yeiyi nzvimbo yepakati.
(Bennett WF, Browner B. Tibial plateau fractures: chidzidzo chekukuvara kwezvinyama zvakapfava zvinosanganiswa.J Orthop Trauma.1994;8:183–188.
Reza Firoozabadi anobva kuUnited States akawana kuti hyperextension uye varus tibial plateau bicondylar fractures (HEVBTP) haiwanzotaurwa mumabhuku uye haibatanidzwi mune inowanzoshandiswa fracture classification.
Vanyori vanoratidza kuti nzira yekukuvadza yeHEVBTP yakafanana neyemishonga yemitambo hyperextension uye varus stress inotungamirira kune anteromedial kuisa fractures ye proximal tibia nekukuvadzwa kwekona yeposterolateral uye / kana posterior cruciate ligament, kunze kwekuti iyo yekare ndiyo yekupedzisira. cortex ye proximal tibia.Tension fractures uye anterior compression fractures, zvichiita kuti sagittal deformity yezasi / tibia (yakaderedzwa kana inverted tibial posterior tilt)
Paley D, Herzenberg JE.Normal kurongeka kwemakumbo uye kubatana kwekubatana.Mu:Misimboti Yekuremara Kwekugadzirisa.New York: Springer-Verlage Berlin Heidelberg;2002:14–16.
Kukuvadza Mechanism - Hyperextension uye Varus
Anterior medial tibial plateau fracture yakasanganiswa neshure kwekunze kwakaoma kukuvara
Kukuvadza nzira: yakanyanyisa hyperextension uye varus yemabvi
Zvimiro: Kuparadzanisa zvimedu zvekuputsika anteromedially
Kuputsika kweAnteromedial Tibial Plateau Yakabatana nePosterolateral Complex Injury: Nyaya Yekudzidza uye Kuongorora Mabhuku.THE JOURNAL OF KNEE SURGERY,2011
Vanyori vakaongorora zvakare varwere ve208 (212 mativi) nebicondylar fractures yetibial plateau pakati paMay 2000 naAugust 2011, uye vakaongorora zviitiko zve23 (25 kesi) dzaive maererano neHEVBTP maitiro mushure mekuongororwa neCT scan uye anterior uye lateral X. -mafirimu akajeka.side) tibial plateau fracture, uye yakasara 187 tibial plateau fractures yakashandiswa sechiitiko uye boka rekutonga.
A- Lateral X-ray yemabvi akabatanidzwa kuti aongorore kurerekera kwemashure kwetibia uye anterior compression fractures, uye pamberi X-ray inoratidza coronal varus deformity.
B-Coronal uye sagittal CT mifananidzo mushure me trans-articular yekunze kugadzirisa
C- Anterior uye lateral X-ray fluoroscopy inoratidza kuti kuputika kwemashure ekuderedza simba uye maviri screws (anterior distal kune posterior proximal direction) inoderedza uye inogadzirisa proximal tibia fragment;
D-Postoperative anterior uye lateral X-ray inoratidza yepakati Imwe isina kukiya uye imwe yekuvhara buttress plate fixation, uko iyo medial plate iri pane anteromedial aspect yetibial plateau.
E-lateral X-ray plain film yakaratidza kuti preoperative tibial retroversion angle yaiva -9 °, postoperative, yaiva 10 °, uye kona yekuvhiya yekuvhiya yaiva 19 °.
Nguva yekutumira: Kubvumbi-26-2022